Breast Imaging
Breast imaging focuses on early detection, precise diagnosis, and accurate follow-up of breast conditions, including cancer. At The Medical Group of New Jersey, we offer screening mammography, diagnostic mammography, tomosynthesis (3-D mammography), targeted ultrasound, and MRI for high-risk patients.
Symptom Onset & Initial Evaluation
Breast imaging may be performed as part of routine screening or because of symptoms such as:
- A palpable lump
- Breast pain or discomfort
- Nipple discharge
- Skin changes such as dimpling or redness
- Swelling or asymmetry
Your provider will review your personal and family history, prior imaging, and any new symptoms. This helps determine the most appropriate imaging pathway.
Diagnosis
Breast imaging typically follows a stepwise approach:
- Screening mammography: Detects abnormalities before symptoms appear
- Diagnostic mammography: Provides targeted views for areas of concern
- Ultrasound: Evaluates cysts, solid masses, or areas not well seen on mammography
- Breast MRI: Used for high-risk patients or complex diagnostic cases
If an abnormality requires evaluation, the next step may involve image-guided biopsy, performed under ultrasound, stereotactic, or MRI guidance.
Treatment Guidance & Management
Imaging results help clinicians:
- Determine whether a finding is benign or suspicious
- Plan biopsies or surgical approaches
- Coordinate oncology referral if needed
- Assess the extent of known breast cancer before treatment
- Monitor response to chemotherapy or radiation
Radiologists work closely with breast surgeons, oncologists, and primary care physicians to ensure fast, accurate communication.
Ongoing Management & Monitoring
Follow-up imaging is often recommended to ensure stability or resolution, such as:
- Short-interval follow-up imaging for low-risk findings
- Annual or semiannual screening for high-risk patients
- Monitoring of benign lesions
- Surveillance after breast cancer treatment
These strategies help detect changes early and support long-term breast health.