Mammography Second Opinion

A reevaluation of mammorgams provided by a radiology expert. The service is available wherever there is an internet. All you need is a PC or a smartphone.

Mammography is an X-ray examination of the breasts. It is mostly used for the early detection of breast cancer or its precursors. The latter include small calcifications (microcalcifications), nodules, asymmetry, or other abnormalities in the tissue architecture of the breast.

In classic analog mammography, the x-ray image is reproduced on a special film. More modern digital mammography allows the image to be stored electronically on a computer. If necessary, certain areas can be enlarged or processed. Technology makes it possible to produce even a three-dimensional image of the breast. This allows for a better evaluation of certain tissue areas.

The accuracy of mammography scan interpretation is of key importance. For this reason, for example, the specialized centers in Germany apply the so-called four-eye breast X-ray evaluation routine. This means that two radiologists examine mammograms independently of each other. If their findings differ, the mammogram is performed again, or another examination is recommended, such as an MRI or galactography (X-ray imaging of the milk ducts with the help of a contrasting substance).

The same applies if the mammography shows suspicious areas, or if the breast is difficult to assess with a mammogram. This can be the case, for example, with dense breast tissue, especially in young women, the presence of silicone implants, mastopathy (benign changes in breast tissue), or after radiotherapy.

What is the service about?

A mammography second opinion is a service which makes it possible to get an alternative description and interpretation of mammograms.

It might be helpful:

•             to prove the existing diagnosis;

•             to confirm indications for further exams, e.g. a biopsy;

•             to obtain a more detailed description of mammography findings;

•             to make the right choice if there are different opinions regarding  the volume of surgery;

•             to get an opinion of an acknowledged expert whenever the quality of the existing report is doubtful.

What will the client get?

A written mammography report including comments on the image quality and informative value, its detailed description, conclusions in regard to the possible nature of findings in mamma and/or ducts, the progress assessment (if the previous study was provided for comparison) and specific recommendations for further course of action (further or follow-up examinations).

What data should be provided to get a second opinion?

Written reports:

  • A mammologist's report (preferable)  
  • A description of the mammogram to be assessed (preferable)

Radiology data:

  • The mammogram (requred)

What are the second opinion formats and terms?

Written second opinion:

  • A mammogram interpretation with conclusions and recommendations of further procedure. Report size: up to 1 page.

Video consultation:

  • All services contained in the written second opinion plus an up to 15-minute video conference with the radiologist in which the consulting expert comments on the imaging, explains the conclusions, discusses the recommended plan and answers the patient's questions.

Phone consultation:

  • All services contained in the written second opinion plus an up to 10-minute telephone talk with the radiologist in which the consulting expert explains the conclusions, discusses the recommended plan and answers the patient's questions.
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