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WHAT ARE DIGITAL MAMMOGRAPHY AND BREAST TOMOSYNTHESIS?

Traditionally, mammography produced images of your breast tissue on film. Today, this technique has been largely replaced with digital mammography in most parts of Canada.

Digital mammography uses the same procedure as the traditional mammography whereby the breast is compressed to spread the tissue apart for an accurate image taken by low-dose X-rays. The difference is that instead of processing the images on screen-film, digital mammography uses a computer to capture a digital image (mammogram) of the breast tissue. This method is much more accurate, much faster, and makes it easier to share the images between health care practitioners and save them on your electronic health record.

Digital breast tomosynthesis is often referred to as 3D-mammography or just tomosynthesis. Like digital mammography, it uses low-dose X-rays to capture images of the breast tissue. However, with digital breast tomosynthesis the X-ray machine rotates in an arc to capture multiple images of the tissue from many different angles, which are then processed to create a three-dimensional (3D) image of the breast. This produces a more detailed image, since a standard mammography takes images only from the front and side.

HOW DO DIGITAL MAMMOGRAPHY AND DIGITAL BREAST TOMOSYNTHESIS COMPARE?

According to Alberta guidelines, mammography is the recommended method of breast cancer screening for the average risk population because it reduces breast cancer mortality. However, sometimes the compression can cause overlapping in the breast tissue which decreases the accuracy of the image. Similarly, if a patient has very dense breasts the sensitivity of mammography is decreased.

Digital breast tomosynthesis, on the other hand, may be especially useful for higher risk patients. For example, over 40% of women in Canada, age 40 and over, have dense breast tissue which is a risk factor for breast cancer. Specifically, smaller tumours are harder to see among dense breast tissue in digital mammography. Evidence suggests that digital breast tomosynthesis is better able to detect smaller breast cancers with more accuracy and fewer false-positives.

For more information on dense breasts, read our articles: What are Dense Breasts? and What are the Pros and Cons of Breast Cancer Screening.

HOW DO YOU CHOOSE THE BEST BREAST EXAM FOR YOU?

As a patient, the most important thing to do is thoroughly discuss your options with your health care practitioner. At Mayfair, all of our screening mammography exams are performed on equipment that has digital breast tomosynthesis technology.

Plus, in 2018, Mayfair Diagnostics was the first in Western Canada to install the leading-edge Senographe Pristina Dueta mammography system in several of our clinics. Now we have 11 mammography clinics with this new system, which uses DBT.

Pristina also helps make mammograms more comfortable for patients through its ergonomic design and a special feature called patient-assisted compression. After the breast is properly positioned by a technologist and initial compression is set, you can choose to use a handheld wireless remote control to adjust the level of compression to what’s comfortable for you, under the guidance of a technologist.

Some patients find mammograms uncomfortable, due to the pressure, and are therefore less likely to go for regular breast cancer screening with mammography. Patient-assisted compression allows the patient to reduce the pressure of the exam, while still maintaining excellent diagnostic quality. Giving patients some measure of control during their exam can help decrease their anxiety and increase their willingness to return.

HOW DO I GET A MAMMOGRAM?

Breast imaging exams are listed on our General Requisition, under Breast Imaging, your physician would simply check the appropriate box.

Your doctor can also check off the “Complete Breast Assessment” check box and we will determine the appropriate breast exams for you to have based on your history and breast density. When this box is selected, you may also receive a breast ultrasound when you have your mammogram. A number of studies indicate that ultrasound is one of the most promising adjunct screening modalities because of its benefit for dense breasts and its low cost and availability.

Mayfair offers DBT at all 14 of our mammography locations and patient-assisted compression at 13 of our clinics. Coventry Hills has a mammography system that uses DBT but doesn’t offer patient-assisted compression.

For a list of our mammography clinics, please visit our mammography services page.

 

REFERENCES

Alberta Breast Cancer Screening Clinical Practice Guideline Committee (2022) “Alberta Breast Cancer Screening Clinical Practice Guideline: 2022 Update.” www.screeningforlife.ca. Accessed April 11, 2022.

Canadian Agency for Drugs and Technologies in Health (2015) “Tomosynthesis (3D Mammography) for Breast Cancer Screening.” Issues in Emerging Health Technologies, May, 135. Accessed April 11, 2022.

Canadian Cancer Society (2022) “Screening for breast cancer.” www.cancer.ca. Accessed April 11, 2022.

Canadian Task Force on Preventative Health Care. (2018) “Breast Cancer Screening for Women Not at Increased Risk – Updated Task Force Recommendations for Women.” www.canadiantaskforce.ca. Accessed April 11, 2022.

Healthwise Staff (2022) “Mammogram: Test Overview.” www.myhealth.alberta.ca. Accessed April 11, 2022.

Johnson, K. (2021) “Interval Breast Cancer Rates and Tumor Characteristics in the Prospective Population-based Malmo Breast Tomosynthesis Screening Trial.” Radiology, Apr., vol. 299 (3). Accessed April 11, 2022.

Lowry, K. P., et al. (2020) “Screening Performance of Digital Breast Tomosynthesis vs Digital Mammography in Community Practice by Patient Age, Screening Round, and Breast Density.” JAMA Network Open. 2020;3(7): e2011792. Accessed April 11, 2022.

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Radiologist

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.

Administration

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.

Digital Imaging Assistant

Diagnostic Imaging Assistants (DIAs) 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 Coordinator

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 Medicine Technologist

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.

CT Technologist

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.

MRI Technologist

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 Sonographer

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 Technologist

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.

Our Culture

We foster a supportive and collaborative culture designed to encourage positive patient experiences and build strong working relationships across the organization:

  • We recognize each other for our contributions – big and small.
  • We focus on teamwork and personal accountability to achieve our goals.
  • When we commit to deadlines, we complete the work as promised, by when we promised. If we realize we can’t keep our commitments, we collaborate to find new deadlines well in advance of the original ones.
  • We feel safe to speak up responsibly. That means we freely share what’s on our minds in a way that is respectful and supports the success of the organization.
  • We commit to our patients and their needs. We show up each day ready to live our vision, mission, and values.
  • We challenge each other to grow and develop our skills and we support each other to do so.
  • Above all, we go the extra mile to support our patients and colleagues. 

Our Values.

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.

Start with us.

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.