Mammography Personalized Care, Rooted in the Rockies

Breast Imaging Screenings in Salida, CO

Early Detection Is Possible with 3D Breast Cancer Screenings

Mammograms are one of the most effective tools available to diagnose breast cancer. While a mammogram cannot prevent cancer, it can detect early indicators of the disease, allowing doctors to start treatment as soon as possible. Heart of the Rockies Regional Medical Center offers 3D digital mammography in Salida, serving the communities of Buena Vista, Westcliffe, Saguache, and Fairplay.

Our imaging technologists live and work in the communities they serve. This personal connection, paired with advanced imaging technology ensures you receive exceptional, patient-centered care close to home.

How Does 3D Mammography Work?

We are equipped with 3D digital mammography, also known as tomosynthesis, which obtains highly detailed images of breast tissue. Unlike a standard 2D mammogram, the 3D system captures a series of thin “slices” of X-ray images of the breast tissue from multiple angles, then rebuilds them into a three-dimensional visual your radiologist reviews layer by layer.

This layered view gives your radiologist a clearer picture of overlapping breast tissue, which is most important for those with dense breast tissue. On a standard 2D mammogram, dense tissue can obscure or mimic an abnormality because every layer of tissue is compressed into a single, flat image. Because tomosynthesis separates those layers, your radiologist has a better chance of identifying or ruling out potential concerns.

What Your Mammogram Screens For

Every image gives your radiologist specific details to track, especially when compared to any previous screenings. Below are common indicators they will look for:

Calcifications: Small mineral deposits in breast tissue. Larger deposits are common in women over 50 and typically not a concern, though a cluster of smaller specks gets a closer look.
Cysts: Fluid-filled sacs that can feel like a lump but are not cancerous. Your mammogram helps your radiologist tell the difference between a cyst and a solid mass.
Tumors: Abnormal growths that are not always cancerous, though any new or quickly developing growth gets examined promptly.

Breast Density: A measure of fibrous and glandular tissue compared to fatty tissue. Dense breast tissue and potential lumps or masses may look similar on a standard mammogram, so a diagnosis of dense breast tissue may often lead to a follow-up Automated Breast Ultrasound (ABUS) screening.
Breast Asymmetries and Distortions: Breast size, shape and the way your tissue is distributed may show or hide abnormalities that warrant further review.

Comparing year over year scans is one of the strongest tools your radiologist has, so keeping a consistent, annual schedule is beneficial. That consistency, paired with 3D imaging and ABUS follow-up where needed, gives your care team the clearest picture of your breast health over time.

When Is an ABUS Follow-Up Needed?

An Automated Breast Ultrasound (ABUS) screening is ordered when your mammogram shows you have dense breast tissue, as indicated by categories C or D on the chart below.

On a standard mammogram, both dense tissue and potential tumors appear white, making it difficult to distinguish between them. Utilizing this type of special ultrasound provides a clear contrast, as masses appear black, allowing your radiologist to accurately identify abnormalities.

Since ABUS is a follow-up diagnostic exam, it requires an order from your primary care provider rather than a self-referral (as you can do with your annual, preventative mammogram). We recommend contacting your insurance provider to verify coverage and prevent unexpected costs, as benefits vary.

This supplemental screening is a vital investment in your health; research indicates that combining ABUS with a mammogram can double the detection rate for those with dense breast tissue, helping identify small invasive cancers that might otherwise go unnoticed.

Frequently Asked Questions About HRRMC Mammograms

When should I start getting mammograms?

Start at age 40 if you are at average risk for breast cancer. The American College of Radiology and U.S. Preventive Services Task Force both recommend annual or biennial screening beginning at 40, and your primary care provider can help you decide what fits your personal and family history.

Do I need a referral for a screening mammogram?

No. You do not need a physician referral to schedule your annual preventative screening mammogram at HRRMC. If your results show you have dense breast tissue or another finding indicates further evaluation needed, your primary care provider will help coordinate next steps, such as an ABUS screening or a diagnostic mammogram.

How long does a mammogram take?

Plan for 20 to 30 minutes from check-in to your last image. The imaging itself takes only a few minutes, and the rest of your visit covers registration and getting positioned for each scan.

What is the difference between a 3D mammogram and an ABUS screening?

A 3D mammogram is your annual screening exam, and an ABUS screening is a follow-up ultrasound. Your primary care provider orders the ABUS screening only when dense breast tissue shows up on your mammogram, not as a stand-alone test, and coverage for the follow-up ultrasound varies by insurance carrier.

Is dense breast tissue common?

Roughly 40 percent of women have dense breast tissue. For those classified in the extremely dense category, the risk of developing breast cancer is 4 to 6 times higher than for women with predominantly fatty tissue, as reported by the Society of Breast Imaging.