Virtual Tour:
Your mammography appointment at Brigham and Women's Hospital

Are you apprehensive about an upcoming appointment? Perhaps it is your first mammogram, or perhaps you are concerned about what might be discovered. You are not alone. Mammography examinations can seem threatening.

This "tour" provides a step-by-step description of a typical mammography appointment at BWH. Although your visit will undoubtedly vary somewhat from our presentation, the basic elements of your examination will be the same. And knowing what to expect may help to ease your anxieties.


Locating the Breast Imaging Service

Brigham and Women's Hospital is located on Francis Street between Huntington Avenue and Brookline Avenue in the Longwood Medical Area. For directions to the hospital, you can call (617) 732-6000. BWH also has directions, maps, and parking information on line.

Both locations of the Breast Imaging Service are conveniently located from the Main Entrance of the hospital. The Mammography Screening Center is located on level L1. For your convenience, use the Main Entrance at 75 Francis Street. Turn right inside the building and take the elevators located on your right (Amory Elevators). Go down to floor L1. When you exit the elevator on floor L1, turn right. The Center is almost directly opposite the elevators. Look for signs to Mammography Screening.

The Breast Imaging and Diagnosic Center is located in the Connors Center for Women's Health on the second level. For your convenience, use the Main Entrance at 75 Francis Street. Turn right inside the building and walk toward the Gift Shop. You will see a stairway to your left. You can take the stairs to the second floor. Turn left at the top of the stairs. The Connors Center will be on your left after you pass through the double doors (these doors are usually open). Take the hallway to the left, toward the bridge to Children's Hospital. Breast Imaging Diagnostic Center is on the left. If you prefer to take an elevator to the second floor, turn right near the stairs and walk down the hallway to the lobby of the Connors Center for Women's Health (on your left). Take the elevator to the second floor. On the second floor, follow the Pike to the right. You will see a pair of double doors (usually open); there is a hallway to the right just before the doors. Follow the hallway to the right. Breast Imaging Diagnostic Center is on the left.

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Arriving and Waiting in Reception

You will be greeted at the reception desk when you enter the suite. The receptionist will check you in and ask you to complete any necessary paperwork while you wait. This will include a medical history form if it is your first visit. You also may be asked to complete a Mammography History Questionnaire. The information you provide will help us learn more about the factors influencing breast health.

We try to keep appointments running on schedule, but sometimes an examination takes longer than expected and delays those scheduled after it. Relax and enjoy a magazine until you are called by a technologist.

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Preparing for your Examination

When you are called, a technologist will take you to a gowned waiting area. Inside, there are two private dressing rooms and several lockers. You will be given a locker key so that you can store your clothing and other valuables during your exam. The technologist will ask you change into a gown (you need only remove your clothing from the waist up).

After you have changed, please remain in the gowned waiting area until the technologist comes to get you.

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The Procedure

The technologist will take you to one of our examination rooms. Each room is dominated by the mammography machine. (You will see an ACR Certificate on display near it.) The diagram below describes the different parts of the machine.

1. X-ray generator
2. Compression plate (moves along track 4)
3. Imaging base plate. Contains film
4. Track for compression plate

The technologist performing your examination is specially trained to position you and the machine for the best results. The imaging assembly may be tilted for your comfort and to get the fullest exposure of your breast in each image view. You may be asked to place your hand on one of the bars found on either side of the machine.

The actual procedure takes about five minutes. The technologist will take two images of each breast, one in each of two views. Much of your time in the exam room is spent getting your position just right to produce the most complete image. Obtaining each image, the part of the procedure that requires compression of the breast, takes only a few seconds.

After the images are taken, the technologist will take you back to the gowned waiting area. Remain in the hospital gown until after your films have been studied by the radiologist in case additional images or other tests are needed.

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Getting Your Results

The technologist will deliver your mammograms to one of our radiologists, who will study your films and identify any abnormalities or "findings".

If the radiologist sees something questionable on an image, films from previous examinations can be very helpful. A comparison of the images will show whether a finding is new or significantly changed from a previous study. These details can help determine whether you need additional tests.

If additional films are needed, the technologist will take the necessary images. If the radiologist orders sonograms, the technologist will take you to an exam room with an ultrasound unit. The radiologist will perform the ultrasound examination.

When your examination is complete, the radiologist will discuss your results with you and answer any questions you might have. The radiologist will also provide a complete report of your results to your referring physician.

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Breast Imaging and Diagnostic Service
Department of Radiology
Brigham and Women's Hospital


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The official URL is http://brighamrad.harvard.edu/patients/education/Mammo/tour.html

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Updated June 6, 2000