CT LASER MAMMOGRAPHY (CTLM)
A NEW CHAPTER IN BREAST DIAGNOSTICS! ONLY AT MEDOC HEALTH CENTER!
WHAT DOES THE CTLM ABBREVIATION MEAN?
- CTLM is an acronym, it means: Computed Tomography Laser Mammography
WHAT KIND OF EXAMINATION IS CT LASER MAMMOGRAPHY?
- The laser examination of the breast during which a 3-dimensional image is taken
WHAT IS THE IRRADIATION SOURCE?
- There is no ionising irradiation, the device uses laser light which delivers harmless energy to the body
- The oxygen transporter hemoglobin molecule, which constitutes the main component of red blood cells absorbs the laser light in the NIR (Near Infra Red), 808nm range (it represents 97% of the dry matter content of RBCs)
WHAT KIND OF INFORMATION CAN GIVE THE EXAMINATION TO THE RADIOLOGIST?
- It depicts the blood perfusion of the breast, therefore it provides a functional information
- It depicts the vascular structure of the breasts and draws the attention on the abnormal angiogenesis
- Angiogenesis (the formation of new blood vessels) is essential for the tumour growth
- The size of the abnormal angiogenesis is commonly larger as the tumour itself, so CTLM can draw the attention of the radiology specialist even on very small lesions, because it does not depict the tumour itself but the more extended blood vessel structure around it.
WHAT WILL HAPPEN TO ME DURING THE EXAMINATION?
- The examination does not require any preparation (No contrast media used!)
- In the examination room you are asked to undress above the waist and lie down on your stomach onto the CTLM examination bed
- The radiologist technician helps you to place the breasts one after another to the bed's examination chambers in a position suitable for the examination and comfortable to you
- The technician asks you to lie still in the set position, he or she turns off the lights and covers you with a blanket
- The appropriate position of the breast in the examination chamber is very important, essential for the good quality image
- Throughout the examination you are lying in prone position
- There is no breast compression because there is no direct contact during the examination
- The laser beam scans the breast layer-by-layer
- The detectors make cross sectional images ("virtual slices") on the breast tissue (similar as during computer tomography)
- During the whole procedure, the device makes a soft clacking noise which you can perceive as loud at the quiet room
- At the end of the examination the technician enters into the room, turns on the lights and you can dress up
- The radiology specialist makes an interview with you to get to know your anamnesis.
- The specialist reviews all images and findings of the previous examinations and he or she compares it to all the breast diagnostic images of that day.
- In the end the specialist informs you about the result of the examination, gives over the examination report and answers your questions.
HOW LONG DOES THE EXAMINATION LAST?
- In case of an average sized breast the examination lasts approximately 15–20 minutes
- The duration of the examination depends on the breast size: the smaller the size, the lesser the number of the layer scans, "virtual slices"
WHY IS CT LASER MAMMOGRAPHY DIFFERENT?
- It is specifically developed for the examination of women having dense breast tissue
- More than 40% of the women have dense breast tissue
- In the dense type of breast tissue the risk of breast cancer can be up to two times higher as in the normal breast tissue, in the extreme dense type, the risk can be increased as 4-6 times as normal.
- Discreet breast diagnostic examination
- It does not detect the tumour itself but the blood vessel formation (angiogenesis) around it
- There is no ionising radiation during the examination!
- No uncomfortable breast compression, no pain
- It depicts the breast in its undistorted state
- It can be performed in all ages and it can be anytime repeated
- Breast implants do not affect the examination
- It can be performed also in pregnant women (until they are able to lie in prone position)
- The 3-dimensional digital imaging – which displays a spatial image of the breast – is a huge step forward in the clinical imaging!
- It provides an excellently reconstruable image on the breast, and it displays the spatial distribution of the blood vessels
- With the computerised program the scanned images can be better evaluated, they can be displayed layer-by-layer and due to these features the region of interest can be displayed more accurately, in several different views and it can be freely moved
- It can be compared to previous examination results on the same monitor
- The image can be digitally archived, there is no need for home storage
FOR WHOM AND HOW OFTEN IS CT LASER MAMMOGRAPHY EXAMINATION RECOMMENDED?
- The examination can be performed at any time, at any age without any side effects.
- The choice of the required imaging methods is based on clinical decision and it depends on several factors: such as age, the size of the breasts and the personal and family history with regard to the risk factors
- CT Laser Mammography has been developed specifically for the more precise examination of the dense type breast tissue
- It is recommended for clarification of any question arisen during any other breast examination method
- CTLM examination can be performed at all ages and it can be anytime repeated
- It is recommended before any plastic surgery intervention either it is an implant placement or a size reducing operation
- After implant placement it is recommended yearly
- For average-risk women below 40 years of age yearly
- For high-risk women below 40 years of age yearly
- For average-risk women between 40–50 years of age who are free of signs and symptoms, as the incidence of breast cancer is higher in this age group and the malignant tumour developed in this age range can grow faster
- For average-risk women above the age of 50 it is recommended in every second year
- For high-risk women above the age of 50 it is recommended yearly
- (women of between 45–65 years of age and free of signs and symptoms receive a referral in every 2 years in the frame of public health screening)
FOR WHOM CT LASER MAMMOGRAPHY IS NOT RECOMMENDED?
- If there is an open wound, inflammation or a burn on the breast
- Within 60 days following a biopsy or a breast surgery intervention
- Following breast surgery, if the shape of the breast is deformed
- If on the breast there is a tattoo
- If the patient is sensitive to light (eg. suffers from Porphyria)
- If the patient is taking a medicine which causes light sensitivity
WHY NEWLY DEVELOPED BREAST DIAGNOSTIC EXAMINATIONS ARE NEEDED?
- Because there is no such examination which can give a result of 100%
- The more information has the radiology specialist, the more precise is the diagnosis
- The aim of developing modern breast diagnostics is to provide such examinational processes and devices with which the structure of the breasts can be examined possibly without any irradiation exposure.
- X-ray mammography is the gold standard of breast diagnostics but its value is limited in case of dense breasts because in dense type breasts the still not palpable lumps can be hidden by the structure
- Ont he X-ray image there are black and white areas.
- The dense type tissues are rich in connective tissue and glandular substance and are depicted as white areas on the X-ray image. The image of the malignant lesion is also white, so the tumour can be hidden by the dense breast tissue.
- The colour of the fattier type breast tissue is almost black on the X-ray image, in which the white tumour can be easily distinguished
- Many women have dense breast tissue, in the young age range it can reach up to 65% but among 90 years old women it is still as common as 20%!
- In the dense type of breast tissue the risk of breast cancer can be up to two times higher as in the normal breast tissue, in the extreme dense type, the risk can be 4–6 fold higher as the average risk.
- International experts in breast radiology stated the indisputable fact that examinations are not competing to each other, their common aim is to detect the presence of a malignant lesion as soon as possible
WHAT KIND OF EXAMINATIONS ARE RECOMMENDED BESIDES CTLM AND WHY?
- If it is reasonable based on the patient's age or medical professional reasons
- Besides CTLM we recommend the following examinations specifically in the case of dense, glandular breast tissue (high breast density):
SINCE WHEN THE CT LASER MAMMOGRAPH HAS BEEN USED IN MEDOC HEALTH CENTER?
- The CT Laser Mammography developed by American scientists (IDSI) is unique in Hungary and it has been available since 2008 at the Medoc Health Center
WHEN WILL I GET TO KNOW THE RESULT OF THE EXAMINATION?
- Specialists at the Medoc Health Center know very well the phsychological burden of waiting, therefore the detailed specialist evaluation of the findings and the handover of the report is performed immediately without delay.
- No matter how old you are, if you have noticed any abnormality in your breast, DO NOT WAIT, but please contact our specialists without delay.
- Before choosing any of our examination packages, please refer to our "Breast diagnostics" service!
- At MeDoc Health Center our specialist ALWAYS conduct a complex CTLM examination, and the result is always evaluated with the results of other breast diagnostic methods.
- In order to detect breast cancer early, the ladies herselves can make the most.
HOW SHOULD I PREPARE MYSELF FOR THE EXAMINATION?
- For the breast examination the most suitable time interval is the first half of the menstrual cycle, Days 8–14 from the first day of the bleeding (in this phase, the breasts are less sensitive)
- Please bring all your medical reports on previous breast examinations
- Please wear such clothing that you can comfortably take off from the top half of your body.
- Please wear such jewelleries that are easy to take off.
- Please do not use any cream or deodorant because those can affect the results of the CTLM examination.