Mammography is a widely used X-ray screening method for breast cancer, detecting abnormalities within breast tissue. Many individuals have breast implants, leading to questions about how they interact with mammogram screenings. Understanding the modified approaches for individuals with implants is important for effective breast health management.
Mammography with Implants
Individuals with breast implants should still receive regular mammograms for breast cancer screening. While standard mammography compresses breast tissue between two plates, implants require adjustments for effective imaging and implant safety. These modified procedures are a routine part of modern mammography practice. It is important to inform the facility about implants when scheduling and to remind the technologist before the exam.
Specialized Techniques for Implanted Breasts
Specialized “Eklund views” (Implant Displacement or ID views) ensure clear breast tissue visualization during mammography for individuals with implants. During these views, breast tissue is pulled forward and away from the implant, which is gently pushed back towards the chest wall. This allows natural breast tissue to be compressed and imaged separately, minimizing direct compression on the implant and maximizing visible breast tissue. Typically, four additional images (two per breast) are taken beyond the standard four views, totaling eight images. These views require trained and experienced mammography technologists for comprehensive imaging.
Addressing Safety and Screening Effectiveness
A common concern is implant rupture during a mammogram, though modern implants are durable and Eklund views reduce stress. While extremely rare, rupture can occur, but the risk is minimal with experienced technologists. The primary challenge is that implants, whether silicone or saline, are opaque to X-rays and can obscure breast tissue. This can make it more difficult to detect small abnormalities hidden behind the implant, reducing sensitivity compared to mammograms of non-augmented breasts. Despite this, mammography remains an important screening tool, and additional imaging methods can supplement it for a more comprehensive assessment.
Additional Screening Options
To enhance breast cancer detection for individuals with implants, other imaging modalities often complement mammography, such as breast ultrasound, which is a common supplementary tool useful for visualizing areas obscured by implants or characterizing abnormalities. Ultrasound uses sound waves to create images, does not involve radiation, and can assess implant integrity. Breast Magnetic Resonance Imaging (MRI) offers another highly sensitive option, providing detailed images of breast tissue and implants without compression or radiation, especially for high-risk individuals or when evaluating silent implant ruptures. Although MRI is a powerful tool, it is more expensive, less available, and often requires an intravenous contrast agent. A comprehensive screening approach, often combining these modalities, is tailored to the individual’s specific needs and risk factors.