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Digital breast tomosynthesis (tomo), also known as 3D mammography, is a revolutionary new screening breast imaging tool which improves the early detection of breast cancer. Analogous to a CT scan of the breast. It reduces the need to take extra pictures and makes comparing mammograms from year to year easier. 

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Breast MRI is the most sensitive test to detect breast cancer but is indicated only for high-risk patients.   It requires an intravenous injection of dye and typically takes 20 minutes to perform. 

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Breast Biopsy it typically performed with a needle under ultrasound, mammographic (stereotactic) or MRI guidance. Dr. Kolb has performed many thousands of such biopsies. 

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A simple 10 minute bone density test can evaluate for osteopenia (mid-level bone loss) or osteoporosis (higher risk of a fracture) 

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Ultrasound of the pelvis uses a trans-vaginal probe to evaluate the uterus and ovaries. Dr Kolb has personally performed many thousands of pelvic ultrasounds and does not rely on a technologist. 

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Many patients see Dr. Kolb for a second opinion when they are uncomfortable with their primary evaluation. Mammograms can be reviewed and if necessary additional imaging performed. Dr. Kolb will not rely on any ultrasound examinations performed elsewhere but will routinely repeated all breast or pelvic ultrasounds. 

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Ultrasound (Sonogram) uses harmless sound waves to find breast masses that can go undetected on a mammogram in women with dense breasts. Ultrasound is operator dependent and is only as effective as the person performing the exam. That's why Dr. Kolb personally performs all ultrasounds

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