In celebration of Independence Day, Southtowns Radiology will be closed Saturday, July 2nd and Monday, July 4th. Have a safe and happy holiday weekend.
Hologic 3D Mammography at Southtowns Radiology Significantly Increases Cancer Detection
July 17, 2015
Southtowns Radiology is excited to offer Hologic Genius 3D Mammography for breast cancer screening. 3D mammography produces a three-dimensional view of the breast tissue that helps radiologists identify and characterize individual breast structures without the confusion of overlapping tissue.
In the June 25, 2014 issue of the Journal of the American Medical Association (JAMA), a groundbreaking study was published that found Hologic’s 3D mammography (breast tomosynthesis) screening technology significantly increased cancer detection while simultaneously reducing the number of false positives.
The study, “Breast Cancer Screening Using Tomosynthesis in Combination with Digital Mammography”, that reviewed close to half a million mammography exams, was led by Sarah M. Friedewald, MD of the Caldwell Breast Center, Advocate Lutheran General Hospital in Park Ridge, Illinois.1 The researchers found that 3D mammography finds significantly more invasive or lethal cancers than a traditional mammogram. According to the study’s results, 3D mammography also reduces the number of women called back for unnecessary screenings due to false alarms. That reduces anxiety, as well as health care costs.
Significant findings include:
- A 41% increase in the detection of invasive breast cancers. (p<.001)
- A 29% increase in the detection of all breast cancers. (p<.001)
- A 15% decrease in women recalled for additional imaging. (p<.001)
- A 49% increase in Positive Predictive Value (PPV) for a recall. (p<.001)
- A 21% increase in PPV for biopsy. (p<.001)
- No significant change in the detection of ductal carcinoma in situ (DCIS).
This study, using Hologic 3D mammography systems, involved 13 U.S. breast screening sites and 139 radiologists.
The center’s Selenia® Dimensions® 3D mammography system is made by Hologic, a world leader in digital mammography. The Selenia Dimensions system offers exceptionally sharp breast images, an advanced ergonomic design providing more patient comfort, and the ground-breaking Hologic Genius 3D Mammography platform designed to deliver superior screening and diagnostic performance for all breast types. 2
We believe Hologic Genius 3D Mammography will benefit all screening and diagnostic mammography patients, and is especially valuable for women receiving a baseline screening, those who have dense breast tissue and/or women with a personal history of breast cancer.
The Hologic Genius 3D mammography screening experience is similar to a traditional mammogram. During a 3D mammography exam, multiple, low-dose images of the breast are acquired at different angles. These images are then used to produce a series of one-millimeter thick slices that can be viewed as a 3D reconstruction of the breast.
By offering women the latest and more accurate3 technology in mammography, Southtowns Radiology expects to increase the number of area women who will be routinely screened. Breast cancer is the second leading cause of cancer death among women, exceeded only by lung cancer. Statistics indicate that one in eight women will develop breast cancer sometime in her lifetime. The stage at which breast cancer is detected influences a woman’s chance of survival. If detected early, the five-year survival rate is 98 percent. 4
Southtowns Radiology is committed to the fight against breast cancer. In offering Hologic 3D mammography, Southtowns Radiology provides the latest in imaging technology. If you would like to schedule a mammogram or have questions about this important breast health procedure, please contact our office at 716-649-9000 or visit our Mammography page for more information.
1 Friedewald SM, Rafferty EA, Rose SL, Durand MA, Plecha DM, Greenberg JS, Hayes MK, Copit DS, Carlson KL, Cink TM, Barke LD, Greer LN, Miller DP, Conant EF, Breast Cancer Screening Using Tomosynthesis in Combination with Digital Mammography, JAMA June 25, 2014.
2 Rafferty E, Park J, Philpotts L, et al. “Assessing Radiologist Performance Using Combined Digital Mammography and Breast Tomosynthesis Compared with Digital Mammography Alone: Results of a Multicenter, Multireader Trial.” Radiology. 2013 Jan; 266(1):104-13. Epub 2012 Nov 20.
3 Zuley M, Bandos A, Ganott M, et al. “Digital Breast Tomosynthesis versus Supplemental Diagnostic Mammographic Views for Evaluation of Noncalcified Breast Lesions.” Radiology. 2013 Jan; 266(1):89-95. Epub 2012 Nov 9.
4 Breast Cancer Facts & Figures 2011, American Cancer Society.
SRA raises $4,500 to benefit breast cancer research
Buffalo, N.Y. – The collective efforts of the Southtowns Radiology team raised over $4,500 for the American Cancer Society to benefit breast cancer research and care. The efforts culminated with the Making Strides Against Breast Cancer Walk on Oct. 18, 2014 in Niagara Square where SRA gave out 2,000 of our ever-popular pink gloves.
The staff raised money over the previous weeks with a very successful raffle, bake sales and office jeans days. Among the great prizes for our lucky winners was an iPad Mini, Bills vs. Jets football tickets, a fire pit and many wonderful baskets.
Southtowns Radiology celebrates the retirement of Oscar J. Llugany, M.D.
June 25, 2014 – Southtowns Radiology Associates celebrated the retirement of Oscar J. Llugany M.D., who ended his tenure with the group after over four decades of medical practice in Buffalo.
Dr. Llugany began his career in radiology in 1972 after completing his medical degree at the Universidad Nacional de Cuyo, Facultad de Medicina in Argentina. He joined Southtowns Radiology in 1977 and was instrumental in building the company to its current standing as one of the largest radiology practices in Western New York.
Dr. Llugany was a familiar face to the many who worked and interacted with him at OLV and the Catholic Health System over the years. His reputation as a kindhearted and supportive colleague was second only to his skill as a physician.
After many wonderful years, the entire team at Southtowns Radiology wishes Dr. Llugany the best in his future endeavors and a joyful retirement.
Southtowns Radiology is an approved facility for those with the Blue Cross Blue Shield Align Optimum Choice insurance plan. If you have this plan you may continue to use SRA for your mammography, bone density, ultrasound or any other imaging you and your family may need. For more information about SRA and your insurance, please call our office any of our three locations.
558-5400 Orchard Park
558-5140 West Seneca
SRA take top spot on Business First list of diagnostic imaging centers
Buffalo, N.Y. – Business First has ranked Southtowns Radiology first on its annual list of WNY diagnostic imaging centers. The list, released on Nov. 29, 2013, is compiled based on patients seen in 2012.
It is the second year that SRA received the top spot. “We are very pleased to accept this designation,” said Dr. Gerald Joyce, president. “It recognizes the hard work and compassionate patient care that our doctors and staff do every day.”
Southtowns Radiology has three locations in Hamburg, Orchard Park and West Seneca. Additionally, it provides professional reading services for the Catholic Health System in four area hospitals – Mercy Hospital, Sisters of Charity Hospital, Sisters St. Joseph Campus and Kenmore Mercy Hospital – as well as in several outpatient facilities.
Southtowns Radiology is pleased to offer Phillips CT technology with iDose and O-MAR to improve image quality while reducing radiation dosage for scans. Artifacts from large metal objects such as orthopedic implants can be problematic in imaging. These artifacts typically result in loss of anatomical information, impeding visualization of tissue and critical structures. That is why Southtowns Radiology is offering the Phillips iDose4 Premium Package. iDose4, Phillips’ 4th-generation iterative reconstruction technique improves image quality through artifact prevention and increased spatial resolution. O-MAR reduces artifacts caused by large orthopedic implants. All of this is achieved while still reducing the radiation dosage up to 50%.
Southtowns Radiology Expands with Two New Radiologists
This summer Southtowns Radiology announced the addition of two new doctors to its diagnostic imaging, multi-specialty
practice: Drs. Aaron M. Powell, M.D. and Travis A. Mastroianni, D.O., both board certified in Radiology.
“Southtowns Radiology has always made the patient experience a priority when treating families across Western New York. We are excited to add Dr. Powell and Dr. Mastroianni to our talented team of physicians, who not only share our commitment to providing compassionate and superior care, but bring a diverse skill set to our practice.”
– Dr. Mary Turkiewicz,
President of Southtowns Radiology
Aaron M. Powell, M.D. is a graduate of the State University of New York Upstate College of Medicine in Syracuse, N.Y. His post-graduate training included a residency at the Penn State Hershey Medical Center in Hershey, P.A., where he served on the Grassroots committee of the American College of Radiology. Prior to attending medical school, Dr. Powell, an Amherst, N.Y., native, received his bachelor’s degree in biochemistry, cum laude, at the State University of New York at Buffalo.
Travis A. Mastroianni, D.O. is a graduate of the University of New England College of Osteopathic Medicine, Psi Sigma Alpha. The Youngstown, N.Y., native completed his internship and radiology residency at Botsford Hospital, an affiliate of the Statewide Campus System of Michigan State University’s College of Osteopathic Medicine, where he served as chief resident. His postdoctoral training includes a Cross-Sectional Imaging Fellowship at Dartmouth Hitchcock Medical Center. Prior to attending medical school, he received his Bachelor’s of Science in Interdisciplinary Engineering and Management from Clarkson University.
Talk of the Towns
- – In June, Dr. Gerald Joyce earned his certificate of advanced proficiency in cardiac computed tomography. This honor is awarded to select physicians who meet the requisite qualifications to interpret cardiac CT images.
- –– Southtowns Radiology is committed to promoting the early detection of breast cancer among Western New York women.
Our recent outreach initiatives include:
- – Partnered with Cancer Services Program (CSP) to offer free mammograms and clinical breast exams to uninsured
women for the second consecutive year.
- – Dr. Claudia Fosket was featured on Channel 2’s The Healthy Zone. She discussed the importance of annual mammograms and guidelines for women.
- – Our Mammograms & Manicures Party was profiled on Channel 7’s AM Buffalo; the popular offering features a
screening mammogram followed by a manicure at Blu Spa & Salon.
- – Partnered with Cancer Services Program (CSP) to offer free mammograms and clinical breast exams to uninsured
ULTRASOUND TECHNOLOGY – Thyroid ultrasound and guided biopsy: How it works, how it helps.
– Paul F. Pizzella, M.D.
Thyroid ultrasound is a widely used technique that helps to evaluate thyroid nodules and guide in the biopsy of suspicious nodules. The lack of radiation, superficial gland position and improved technology has made thyroid ultrasound a common risk-free procedure. The increased use of thyroid sonography has aided in the discovery of many nodules.
Thyroid nodules come in all sizes and shapes with the vast majority benign. The challenge that exists is the identification of the potentially malignant nodules. Adding to the confusion are the multiple and at times contradictory guidelines.
Recent literature has shown that there are four suspicious gray scale characteristics that are directly correlated with malignancy. These are solid nodules with marked hypoechogenicity, non-circumscribed margin, microcalcifications and have a tallerthan- wide shape. Nodules with one or more of these characteristics should be considered for ultrasoundguided biopsy.
Doppler ultrasound can add to nodule description but, vascularity itself or in combination with gray scale
features is not as useful as the suspicious gray scale features alone for predicting malignancy.
The use of ultrasound-guided biopsy is a safe and simple way to adequately sample suspicious nodules with little to no patient
discomfort. The added benefit of a second look before sampling ensures proper nodule selection and biopsy.
Our registered ultrasound technologists are well trained and competent in performing thyroid ultrasound. Our American College of Radiology (ACR) certified equipment includes high frequency and small parts transducers that ensures the highest quality exam. Southtowns Radiology’s board certified physicians are experienced with interpreting thyroid ultrasound and in the performance of ultrasound-guided biopsy.
Fasting isn’t fun, but there’s a reason for it.
Why do patients have to fast for abdominal sonograms? Patients scheduled for abdominal sonograms are instructed to have nothing to eat or drink for eight hours prior to their exam and are offered early morning appointments. Necessary medications may be taken with a sip of water. Fasting ensures the gallbladder will be distended and also minimizes intestinal gas, which interferes with imaging
abdominal organs. After eating, the gallbladder contracts, making it difficult to visualize small stones and wall thickening may be
indistinguishable from cholecystitis. So, for best results, patients should fast before abdominal sonograms. Emergencies do occur and we can attempt the scan if the patient has eaten, but if results are equivocal the scan may have to be repeated.
The Advantages of Cardiac Computed Tomographic Angiography
– Dr. Gerald Joyce
Cardiac Computed Tomographic Angiography (CCTA) has evolved rapidly over the last several years. With the advancement of equipment and techniques, the peer-reviewed literature has filled with articles documenting its diagnostic accuracy and its costeffectiveness. CCTA is no longer an “investigative technique.” CCTA has arrived, and is a well understood and accepted weapon in the fight against cardiac disease.
Which patients are candidates for CCTA? A paper published by a group consisting of members from eight separate medicinal societies, including the American Colleges of Cardiology and Radiology, defined the current accepted Appropriateness Criteria for CCTA. The majority of patients who are candidates for CCTA fall into one of the following categories:
- Acute chest pain syndrome, with intermediate Framingham risk criteria
- Patients with equivocal stress tests
- Suspected coronary artery anomaly
- Possible cardiac mass
Which patients are not candidates for CCTA?
- Asymptomatic patients
- Patients with acute chest pain and low or high Framingham risk criteria
- Patients with atrial fibrillation, contrast allergy, or renal insufficiency
CCTA is the only technique outside of conventional angiography that allows direct visualization of the coronary arteries. Studies confirm that CCTA is as accurate at excluding coronary artery disease (98-99%) as catheter angiography. This is done at lower risk to the patient, at a substantially lower cost, and potentially the
same or lower radiation dose as conventional angiography.
CCTA is not a test that can be performed at any CT scan facility. It is a technically demanding study to perform and interpret properly. It should be performed on a CT of 64 slice capacity or greater, and by an experienced and accredited team of technologists and physicians. All of this is available to you and your patients here at Southtowns Radiology.
Patient preparation instructions for CCTA:
- Please do not eat four hours prior to appointment.
- Please do not drink any caffeine for 24 hours prior to your appointment.
- You may drink a minimal amount of water and take prescribed medications.
- Please do not take Viagra, Cialis, or Levitra for 48 hours prior to your appointment.
- Please do not smoke the day of your appointment.
- Please do not participate in any heavy exercise before your appointment.
- Arrive 30 minutes prior to your scheduled appointment time.
- Please bring your script, insurance card, and any previous cardiac testing such as stress test, or angiogram.
- Please make sure your doctor has blood work within last six
months which must include a BUN Creatinine blood test.
What Patients Can Expect the Day of the Test:
Patients will be asked to change into a gown taking off everything from the waist up. Please, no earrings or necklaces. They will then be taken into a resting room where a nurse will insert an IV and take vital signs.
Optimal result of a CCTA exam requires that a patient’s heart rate be 50-60 beats per minute. In order to achieve this, the patient may be given a beta blocker to reduce heart rate. After they are given the medication they will rest for 30-60 minutes to allow the beta blocker to take effect. Heart rate and blood pressure will be monitored again by the nurse. If the heart rate is at the optimal rate, we will begin the test.
The technologist will take the patient into the CT room. The patient will lie on a table on their back and electrodes will be applied. Before the scan, a nitroglycerine tablet will be given. Next, contrast dye will be injected via IV. During the injection the patient may feel a warm sensation or an urge to urinate. The dye highlights blood vessels for the CCTA pictures. During the scan the patient will be asked to stop breathing (for about eight seconds) while the pictures are taken. The actual CCTA scan usually takes about 15 minutes to complete.
What to Expect After the Test:
Patients will be able to resume normal activity. They are encouraged to drink plenty of fluids throughout the day. Patient results will be forwarded to your office. Patients will then receive their results from the ordering physician.