Patients often have questions about preparation for a mammogram, especially concerning accessories and personal items like wigs or head coverings. Knowing which items are acceptable helps patients prepare and maintain a sense of comfort and privacy. The primary concern during this X-ray procedure is preventing interference with the image quality, which ensures an accurate reading of the breast tissue.
Mammography Procedure Requirements
Standard preparation for a mammogram requires removing clothing and accessories from the waist up. Patients change into a gown, allowing the technologist easy access to the breast tissue for positioning on the imaging plate. Wearing a two-piece outfit, like a skirt or pants with a separate top, is the most convenient choice. All jewelry, particularly necklaces and earrings, must be removed before the exam. Metallic objects, including body piercings, create shadows or distortions, known as “artifacts,” on the X-ray image, which can obscure details and potentially require a repeat scan.
Head Coverings and Imaging Interference
The main consideration for wearing a wig is whether it contains metal components that could cause artifacts. Wigs often contain small metal clips, fasteners, or wire supports that can interfere with image quality if they are located near the neck or shoulder. Since the technologist must position the patient’s shoulder close to the imaging detector, a metal clip entering this field of view can create a streak artifact that obscures the image. Simple, soft head coverings without metal, such as a turban or scarf, are generally acceptable. Inform the technologist that you are wearing a wig and ask if it needs adjustment or removal, as removing a wig with metal prevents image interference and avoids repeating the procedure.
Ensuring Comfort and Privacy During the Exam
Patients who anticipate needing to remove a wig should consider wearing a soft, non-metallic alternative underneath. A simple, comfortable beanie or head scarf can be worn under the wig or brought separately to wear during the short procedure. This preparation ensures the patient maintains privacy and comfort even if the wig must be removed. It is helpful to communicate any concerns about privacy or appearance to the technologist upon arrival. Medical staff are accustomed to accommodating patient needs and can take steps to ensure discretion, which may include having a private changing area or minimizing the time spent without a covering.