You notice changes in your breasts – a lump, redness, or possibly pain. Or perhaps you’ve had a screening mammogram and been called back in for further imaging. Now you’re a little concerned, is it breast cancer?
Changes in breast tissue that cause symptoms or show up on a mammogram are often benign, but they do need to be investigated. If you have symptoms, the first step is to see your doctor, who will likely perform a physical exam and order medical imaging as follows:
*PLEASE NOTE: For women under 35 with a family history of breast cancer, you may also be sent for a diagnostic mammogram, if you are within 10 years of when a first-degree relative (parent, sibling, child) was diagnosed with breast cancer. For example, if you’re 27 and your mother was diagnosed at 34, you might have both a mammogram and breast ultrasound. Usually, 25 is the earliest age this might happen.
If you catch breast cancer when it’s very small, its more easily treated and there are more options for treatment. Women 40+ are encouraged to get regular screening mammograms, which are the gold standard for detecting breast cancer early. These exams are often performed yearly, depending on your risk factors. Having regular screening mammograms makes it easier to compare images and see changes that are too small for you or your doctor to feel.
During a screening mammogram, four initial images are taken. The radiologist reviews the images and, if there are changes or new areas of concern, you might be called back for a diagnostic mammogram and/or diagnostic breast ultrasound.
Mammography is a type of X-ray exam that takes an image of the inside of the breasts – called a mammogram. During your exam, the machine will gently press down on the breasts to spread the breast tissue out and, using a very small dose of radiation, captures 3D images of the breast that can then be viewed in slices. The pressure lasts for a few seconds, while the machine quickly takes a number of pictures. Then the process is repeated for the other breast. It may be a bit uncomfortable, but it’s very quick, only 10 or 15 minutes in total.
A breast ultrasound uses high-frequency sound waves to help determine what an area of concern is made of, distinguishing between a cyst, fibroglandular tissue, and a solid mass. The sound waves travel into the breast until they hit a boundary between tissues, such as fluid and soft tissue, or soft tissue and bone. Since the pitch, direction, and distance sound waves travel differ depending on the boundary they run into, a computer can interpret this data as a two-dimensional image on a screen and provide information about what’s inside an area of concern.
Mammograms provide a very good picture of breast tissue, while breast ultrasound provides information about internal structure. By combining these two imaging types, radiologists can get a clearer picture of both the look and composition of the area of concern.
If a mammogram or breast ultrasound indicates that further investigation is needed, you might be sent for breast MRI or a breast biopsy – a procedure that removes small pieces of tissue from within the breast. A needle is guided into an area of concern to take a small tissue sample.
When reporting breast imaging results, radiologists use a standard system to describe medical imaging findings and results. Called BI-RADS® (Breast Imaging Reporting and Data System), this system sorts the results into categories based on the likelihood of cancer and where biopsy is appropriate.
Prior to booking your biopsy, we will ask you about any history of bleeding or allergic reactions to local freezing. We recommend you arrange for a driver to take you home after your appointment.
Please wear a two-piece outfit (e.g., shirt and pants), so you can change for the exam more comfortably. You will be asked to remove your clothing from the waist up and given a robe. Once you are changed, we will escort you to the exam room where the technologist will go over the consent form, explain the procedure, and answer any questions you may have.
We will then perform a pre-scan to document the area of interest. Your breast area will need to be visible to your technologist for the exam. The radiologist will administer local freezing and guide a thin needle into the correct location under image guidance. Band-Aids will be placed over treatment areas.
You will then be checked by the technologist and if there are no concerns, you are free to leave with your driver.
SPECIAL NOTE: The procedure may vary depending on the biopsy method:
After the biopsy is complete, your tissue will be sent to a laboratory for analysis. Your pathology report will be sent to your health care practitioner. It will indicate if cancer is present or not, and what type it is. If it’s positive, you will likely be referred to a breast cancer specialist, and you may need more imaging, lab tests, or surgery. You may also be referred to a cancer support program, such as Wellspring Alberta.
The survival rates for breast cancer have been increasing since the 1980s, thanks to earlier detection from regular mammogram screening and improvements in breast cancer treatments. According to the Canadian Cancer Society, breast cancer will affect one in eight women in Canada.
Mayfair Diagnostics recommends screening mammography every year from 40- 49, then every two years between 50- 75, if there are no risks factors that would necessitate a shorter interval. After age 75, screening frequency will depend on a number of factors, including your medical history.
Women with the following risk factors are considered high risk and may be encouraged to start screening earlier and more frequently.
*Dense breast tissue can only be determined by mammography and is not something that can be felt or seen. Dense breasts have less fat and more fibroglandular tissue, which can make it difficult to detect changes in the breast on a mammogram and small cancers may be hidden. For women with dense breast tissue in 75% or more of their breasts, their breast cancer risk is double relative to the general population. Using mammography and ultrasound together helps provide a more complete picture of dense breast tissue.
Mayfair Diagnostics has 13 mammography locations in Calgary, one in Cochrane, and one in Regina. Our Cochrane location and 12 of our Calgary locations use the Senographe Pristina mammography system – which helps provide a more comfortable mammogram. Visit our breast imaging page for more information.
REFERENCES
Alberta Health Services (2024) “Breast Screening.” screeningforlife.ca. Accessed July 9, 2024.
American Cancer Society (2022) “Understanding Your Mammogram Report.” cancer.org. Accessed July 9, 2024.
American College of Radiology (2013) “Breast Imaging Reporting & Data System (BI-RADS®).” acr.org. Accessed July 9, 2024.
Canadian Cancer Society (2024) “Breast cancer statistics.” cancer.ca. Accessed July 9, 2024.
Coldman, A., et al (2014) “Pan-Canadian Study of Mammography Screening and Mortality from Breast Cancer.” Journal of the National Cancer Institute. November 2014, 106 (11). Accessed July 9, 2024.
Mayo Clinic Staff (2021) “Breast biopsy.” mayoclinic.org. Accessed July 9, 2024.
National Breast Cancer Foundation (2024) “Breast Biopsy.” nationalbreastcancer.org. Accessed July 9, 2024.
Tabar, L., et al. (2019) “The incidence of fatal breast cancer measures the increased effectiveness of therapy in women participating in mammography screening.” Cancer. Accessed July 9, 2024.
Radiologists are specialized physicians who interpret diagnostic imaging to diagnose and monitor a wide range of medical conditions. At Mayfair Diagnostics, they review X-ray, ultrasound, CT, and MRI studies, among others, analyzinsg images in detail and providing comprehensive reports and clinical recommendations to referring physicians. They collaborate closely with technologists and clinic teams to guide imaging protocols, ensure quality and radiation safety standards, and may perform image-guided procedures such as biopsies or injections. Through their expertise and teamwork, radiologists play a key role in accurate diagnosis, effective treatment planning, and improved patient outcomes.
Administrative professionals support the organization across human resources, marketing, operations, strategic partnerships, finance, information technology, and infrastructure. From recruiting staff to promoting services and improving workflows, they help ensure smooth operations and positive experiences for employees and patients. Through collaboration with clinical and support teams, they provide essential coordination that enables efficient, high-quality service.
Diagnostic Imaging Assistant (DIA) support clinic operations and help ensure a positive patient experience. They assist staff by greeting and preparing patients, confirming information, coordinating appointments, and guiding patients through their visit. DIAs also maintain exam rooms, manage documentation, and ensure supplies and equipment are ready. Through strong customer service, attention to detail, and teamwork, they help create a safe and organized environment.
Patient Experience Coordinators (PECs) are the first point of contact, scheduling exams and ensuring accurate patient information. They communicate clearly with patients, coordinate with care teams, and support a smooth, confidential, and customer-focused experience.
Nuclear Medical Technologists perform diagnostic nuclear medicine procedures involving sensitive and highly personal patient circumstances. They are responsible for delivering the highest standard of care in a professional, compassionate, and patient-centered manner, in accordance with provincial regulatory requirements, CAMRT standards, and Mayfair policies and guidelines.
Computed Tomography (CT) Technologists operate CT imaging equipment to produce detailed cross-sectional images of the body that assist in diagnosing a wide range of medical conditions. They prepare and position patients for scans, ensure safety protocols are followed, and administer contrast agents when required. CT technologists work closely with radiologists to ensure high-quality diagnostic images are obtained, while providing clear communication and compassionate care to support patient comfort throughout the procedure.
Magnetic Resonance Imaging (MRI) Technologists operates MRI scanners to produce detailed images of internal body structures used to assist in medical diagnosis and treatment planning. They are responsible for preparing and positioning patients, ensuring all safety protocols are strictly followed due to the strong magnetic field, and obtaining high-quality images as directed by radiologists. MRI technologists combine technical expertise with patient care, providing clear communication and support to ensure a safe, comfortable, and efficient imaging experience.
Diagnostic Medical Sonographers perform ultrasound exams to help diagnose and monitor medical conditions. Following Sonography Canada standards and Mayfair Diagnostics protocols, they capture accurate images while ensuring patient safety, comfort, and confidentiality. They work with radiologists and clinical teams to review requisitions, prepare patients, perform scans, and document findings, contributing to accurate diagnoses and a positive patient experience.
Medical Radiation Technologists (MRTs) perform x-ray, mammography, and BMD exams while ensuring patient safety, accuracy, and compassionate care. They also may assist in pain therapy procedures. MRTs verify patient information, explain procedures, position patients, and produce high-quality images. MRTs follow professional standards and protocols, maintaining strict radiation safety, quality assurance, and patient privacy while supporting a positive patient experience.
We foster a supportive and collaborative culture designed to encourage positive patient experiences and build strong working relationships across the organization:
Our core values shape the way we work with patients, partners, and fellow employees. And, more than anything else, they’re what set Mayfair apart. In everything we do, this is what we strive for:
EXCELLENCE
We share a commitment to high quality and excellence in all that we do. This commitment calls on all of us to achieve the very best of our capabilities and exceed our own expectations.
CURIOSITY
We innovate in everything, from services to processes. We believe meaningful change and effective problem solving come only by looking at challenges and opportunities from new angles and by exercising our creativity and curiosity.
PASSION
We show pride, enthusiasm, and dedication in everything that we do. We are committed to producing and delivering high-quality results and services. We are passionate about our industry and about our company, services, partners, and patients.
COLLABORATION
Our team is supportive of each other’s efforts; we are loyal to one another; and we care for one another both personally and professionally. We promote and support a diverse, yet unified, team. We work together to meet our common goals across Mayfair clinics, locations, and geographies. Only through collaboration on ideas, technologies, and talents can we achieve our mission and vision.
SERVICE
We take pride in delivering exceptional service every day. We listen to every request with an open mind, always looking for opportunities to go above and beyond to create memorable, personalized experiences. We take responsibility to answer our referrers’ and patients’ requests and respect their time by always responding with a sense of urgency.
Join Mayfair Diagnostics, recognized as one of Western Canada’s premier medical imaging organizations. With a century-long legacy and headquartered in Calgary, Alberta, Mayfair Diagnostics is dedicated to assisting patients in achieving clarity regarding their health.
Operating clinics in Calgary and surrounding areas, Regina, and Saskatoon, our multidisciplinary team of radiologists, technologists, and support staff collaborate seamlessly to deliver high quality patient care. Working here is more than just a job; it’s a strong step towards your future.
OUR TEAMS
We are a dedicated group of professionals who combine skill with compassion to deliver attentive care to our patients. As a reliable partner in their health care journey, we provide high-quality imaging that assists patients, physicians, and other providers in making informed health decisions. Our work goes beyond imaging; it’s about fostering relationships and positively impacting everyone we serve.
OUR VISION
We envision a world where every person has clarity about their health. We innovate and welcome change, promoting leadership and creativity through safe risk-taking. We share best practices, earn peer recognition for our work, and engage top talent to reach our goals.
We strive to be thought leaders and encourage creativity by providing a safe place for calculated risk taking.
We share best practices across our operations and are recognized by our peers for our work. We engage the best to help propel us forward in achieving our goals.
