Physician benefits

• Access to top-ranked, board certified, subspecialty radiologists solely dedicated to breast imaging

• Offering tomosynthesis (3D mammogram)• Weekly consensus review for all biopsy cases• Full-time dedicated nurses to facilitate comprehensive

patient care • Communication and coordination with referring

physician• Same day evaluations available for symptomatic patients• Second opinion / consultations available

Washington University PhysiciansMallinckrodt Institute of RadiologyBreast Imaging

Patient benefits

• Walk-in screening mammograms available daily• Prior studies from facilities outside of Washington

University obtained at no charge to patient• All female team of radiology technologists• Comfortable and private patient environment • Most major insurance providers accepted• Complimentary validation and free parking available• Multiple locations for screening and diagnostic exams• Access to comprehensive coordinated care with other

specialists, including the Alvin J. Siteman Cancer Center

Mammogramsareonlyasgoodastheexpertradiologistswhointerpretthem.

Fromleft:MaryEllenSwatske,MSN,ACNS-BC;KimWiele,MD;MichelleLee,MD;BarbaraMonsees,MD;SusanHolley,MD,PhD;CatherineAppleton,MD,chiefofservice;DioneFarria,MD,MPH;ValerieReichert,MD;ClaireHotchkiss,RN,MSN;CherylHerman,MD

Selected reference papers

AtkinsJJ,AppletonCM,FisherCS,GaoF,MargenthalerJA.Whichimagingmodalityissuperiorforpredictionofresponsetoneoadjuvantchemotherapyinpatientswithtriplenegativebreastcancer?JournalofOncology2013.MonticcioloDL,RebnerM,AppletonCM,NewellMS,FarriaDM,SicklesEA,UmphreyHR,ButlerPF.TheACR/SocietyofBreastImagingResidentandFellowshipTrainingCurriculumforBreastImaging,Updated.JournaloftheAmericanCollegeRadiology2013;Mar10(3):207-214.BergWA,ZhangZ,LehrerD,JongRA,PisanoED,BarrRG,Bohm-VelezM,MahoneyMC,EvansWP,LarsenLH,MortonMJ,MendelsonEB,FarriaDM,CormackJB,MarquesHS,AdamsA,YehNM,GabriellaG.DetectionofbreastcancerwithadditionofannualscreeningultrasoundorasinglescreeningMRItomammographyinwomenwithelevatedbreastcancerrisk.JournaloftheAmericanMedicalAssociation,Apr4,2012:307(13):1394-1404.HolleySO,AppletonCM,FarriaDM,ReichertVC,WarrickJ,AllredDC,MonseesBS.Pathologicoutcomesofpapillarybreastlesionsdiagnosedbyimaging-guidedpercutaneouscoreneedlebiopsy.Radiology2012;Nov265(2):379-384.PetersonCM,BuckleyC,HolleyS,MeniasCO.Teratomas:amultimodalityreview.CurrentProblemsinDiagnosticRadiology,2012,Nov41(6):210-9.AtkinsJ,AlMushawahF,AppletonCM,CyrAE,GillandersWE,AftRL,EberleinTJ,GaoF,MargenthalerJ.Positivemarginratesfollowingbreast-conservingsurgeryforstageI-IIIbreastcancer:Palpableversusnonpalpabletumors.JournalofSurgicalResearch2012;Sep;177(1):109-115.GellerBM,BogartA,CarneyPA,ElmoreJG,MonseesBS,MigliorettiDL.IsConfidenceofMammographicAssessmentaGoodPredictorofAccuracy?AmericanJournalofRadiology2012;199(1):w134-41.WilkinsonJ,AppletonCM,MargenthalerJA.UtilityofBreastMRIforEvaluationofResidualDiseasefollowingExcisionalBiopsy.JournalofSurgicalResearch2011Oct;170(2):233-239.GlynnCG,FarriaDM,MonseesBS,SalcmanJT,WieleKN,HildeboltCF.Effectoftransitiontodigitalmammographyonclinicaloutcomes.Radiology,2011Sep260(3):664-70.PettusBJ,BrandtKE,MiddletonWD,ReichertVC.SonographicFindingsinaPalpableAbnormalityAfterMastectomyandAutologousFatGrafting.JournalofUltrasoundinMedicine2011;30:576-578.LeeCH,DershawDD,KopansD,EvansP,MonseesB,etal.BreastCancerScreeningwithImaging:RecommendationsfromtheSocietyofBreastImagingandtheACRontheUseofMammography,BreastMRI,BreastUltrasound,andOtherTechnologiesfortheDetectionofClinicallyOccultBreastCancer.JournaloftheAmericanCollegeofRadiology2010;7(1):18-27.CarneyPA,SicklesEA,MonseesBS,BassettLW,BrennerRJ,FeigSA,SmithRA,RosenbergRD,BogartTA,BrowningS,BarryJW,KellyMM,TranKA,MigliorettiDL.IdentifyingMinimallyAcceptableInterpretivePerformanceCriteriaforScreeningMammography.Radiology2010;255(2):354-61.NishikawaRM,AcharyyaS,GatsonisC,PisanoED,ColeEB,MarquesHS,D’OrsiCJ,FarriaDM,KanalKM,MahoneyMC,RebnerM,StaigerMJ.Comparisonofsoft-copyandhard-copyreadingforfull-fielddigitalmammography.Radiology,Apr2009;251(1):41-9.

Central West End (314) 454-7500 West County (314) 996-8080Mammography Van (314) 454-7500

Breast screening indications• Women with average risk are recommended to initiate

annual mammography studies at age 40• Women with high risk are recommended to initiate

annual mammography studies 10 years prior to the age at which a first degree relative was diagnosed with breast cancer

Diagnostic screening indications• Personal history of breast cancer• Abnormal screening mammogram• Symptomatic presence of:

- Mass or lump - Focal pain - Other (skin changes, nipple discharge, etc.)

Breast imaging services• Mammography (screening and diagnostic)• Breast ultrasound• Breast MRI• Ultrasound, stereotactic and MRI guided biopsies• Tomosynthesis (3D mammography)• Cyst aspirations• Ductograms

Service Locations and Scheduling InformationJoanne Knight Breast Health CenterCenterforAdvancedMedicine4921ParkviewPlace,Suite5D,St.Louis,MO63110Phone:(314)454-7500|Fax:(314)747-9770Hours:M-F,7am-5pm

Barnes-Jewish West County Radiology 969NMasonRoad,CreveCoeur,MO63141Phone:(314)996-8080|Fax:(314)996-8708Hours:M-F,8am-5pm

Barnes-Jewish Radiology at the Highlands (coming soon)1110HighlandsPlazaE,Suite325,St.Louis,MO63110Phone:(314)454-7500|Fax:(314)747-9770

Mammography VanSchedulingphone:(314)454-7500Forlocations/dates,callschedulingorvisit:siteman.wustl.edu/mammographyvanschedule.aspx

Second OpinionsPhone:(314)454-7430