Early detection is the best way to beat cancer. Current estimates are that 1 in 8 women will be diagnosed with breast cancer at some point in their lives, but if detected before it spreads, survival rates are nearly 100%.
What is HD- C-View?
The Hologic C-View software uses images acquired during the 3D scan to create a 2D-HD image free of the normal “scatter effect” of an X-ray beam. Since the “scatter” has been digitally removed, the images are much clearer. Additionally, since the 2D images are digitally created, the radiation dose is 30-40% less than any other mammogram. This new tool has allowed us to see cancers smaller than ever detected using other devices.
How Does 3D Tomosynthesis Work?
Tomosynthesis is a revolutionary technology that provides the ability to identify and characterize individual breast structures without the confusion of overlapping tissue. During a tomosynthesis scan, multiple, low-dose images of the breast are acquired at different angles.

These images are then used to produce a series of one-millimeter thick slices that can be viewed as a three dimensional reconstruction of the breast. Instead of viewing all tissue complexities superimposed as they are on a traditional 2D mammogram, the scan scrolls through the layers of the breast in one-millimeter thick slices. Reviewing breast tissue slice-by-slice removes the confusion of superimposed tissue, allowing the radiologist to view a mammogram in a way never before possible. The technology results in fewer “call backs” generated by screening mammography exams.

Images generated from C-View software may be used in place of traditional 2D images as a part of the breast tomosynthesis exam, eliminating the need for additional 2D exposures.

Video of Tommo Exam
What should I Expect?
Each breast will be placed on a special platform and compressed with a paddle made of clear Plexiglas. The technologist will go behind a glass shield while making the X-ray. You will be asked to change positions slightly between images. The routine views are a top-to-bottom view and a side view. The process is repeated for the other breast.
You will feel pressure on the breast as it is squeezed by the compressor. Some women with sensitive breasts may experience discomfort. If this is the case, schedule the procedure when your breasts are least tender. The technologist will apply compression in gradations. Be sure to inform the technologist if pain occurs as compression is increased. If discomfort is significant, less compression will be used.
The examination process should take about half an hour. When the mammography is completed, you will be asked to wait until the technologist examines the images to determine if more are needed.
How do I Get the Exam?
Annual Screening Mammogram procedures, including the tomosynthesis exam do not require a physician order. You may call our office at 405-601-4500 to schedule your screening exam. Your results will be sent to your doctor after the exam.
How Can Cancers be Detected Early?
Mammography and breast exams are critical elements of early detection of breast cancer.
- Mammography: The American Cancer Society, American College of Radiology, and Susan G. Komen for the Cure® continue to agree that breast cancer screening should begin at age 40 – even earlier if a woman is a “high risk” patient.
- Clinical Breast Exam: is a physical exam done by your doctor as part of your regular medical checkup. Your doctor should carefully feel your breasts and underarm for any changes or abnormalities such as a lump.
- Self Breast Exam is a monthly seven step process of examining your own breasts. Steps 1-3 are performed in front of a mirror to look for signs of dimpling, swelling, or redness on or near the breasts. Steps 4-6 are done by pressing the breast and nipple to feel for lumps and step 7 is pressing the breast to feel for lumps while lying down.
