TOMOSYNTHESIS – THREE-DIMENSIONAL (3D) MAMMOGRAPHY
The evolution of Digital Mammography
The new innovative test with high diagnostic accuracy for the early detection of breast cancer
The Breast Center of Lefkos Stavros – The Athens Clinic has been equipped with the innovative Senographe Pristina 3D Mammography System της GE Healthcare, the latest STATE OF THE ART technology in Mammography, offering unique imaging capabilities for detecting breast cancer:
- Extremely detailed breast imaging
- Accurate detection of even of very small suspicious lesions
- improved delineation of lesion margins
- Reduction of false positive or false negative findings, by 15%
- Superior imaging of dense and heterogeneous breasts
- Reduction of repeat supplementary examinations
What is Tomosynthesis – 3D Mammography
In conventional Digital 2D Mammography, two X-ray images are acquired for each breast obtained from only two angles (top to bottom and from side to side). In this way, breast tissues are superimposed on planar images which may obscure lesions, allowing breast cancer to be hidden within dense grandular tissue and making the detection of suspicious findings particularly difficult.
In equivocal cases, patient recall for additional imaging may be required to further investigate and access a finding, significantly increasing patient anxiety.
Digital breast Tomosynthesis – 3D Mammography represents the evolution of mammography and is currently considered the most appropriate method for breast screening, effectively addressing the inherent limitations of standard 2D mammography. During Tomosynthesis, an X-ray TUBE arm moves in an arc over the breast, acquiring multiple low-dose X-ray images.
Subsequently, a computer reconstructs synthetic two-dimensional and three-dimensional images of the breast tissue. These images consist of thin 1MM slices, allowing the specialized radiologist to scroll through the entire breast in a manner similar to turning the pages of a book, and with substantially detail than previously possible.
The images produced by Tomosynthesis reduce tissue overlap and enable a more comprehensive and detailed evaluation of the breast parenchyma. Numerous studies have shown that 3D Mammography increases breast cancer detection rates approximately 25% and reduces false-positive recalls by about 15%.
What should I expect during Tomosynthesis?
The procedure for digital breast Tomosynthesis – (3D) Mammography is similar to that of conventional digital mammography, including the intensity and duration of breast compression. The main difference is that the X-ray TUBE arm moves in an arc over the breast, taking multiple low-dose X-ray images.
In which cases is it recommended?
To ALL women who would undergo standard digital mammography, both in a screening and diagnostic setting. The greatest benefit is observed in women with dense and heterogeneous breasts (breast density categories c and d).
Does tomosynthesis invovle a higher radiation dose?
The innovative Senographe Pristina 3D Mammography System by GE Healthcare, which uses Digital Breast Tomosynthesis, generates both synthetic 2D and 3D images from a single acquisition. Therefore, the radiation dose of combined he synthetic 2D and 3D mammography is very similar to that of standard digital mammograms.
Why is compression important in mammography?
- Reduces radiation dose
- Separates overlapping glandular tissue
- Minimizes tissue superimposition
- It improves image resolution and sharpness.
- It increases contrast to depict subtle tissue differences.
- It reduces scattered radiation
Prevention saves lives

Medical team
Nikolaos Michalopoulos
General Surgeon
Associate Professor
Director of Breast Center
Alexandra Nikita
Consultant Radiologist
Breast Imaging Specialist
Ioannis Georgakopoulos
Radiation Oncologist
Associate Professor
Maria Skondra
Consultant Oncologist
Aikaterini Stylianaki
Director
Plastic Surgery
Fotini Bey
Psychologist
Therapist







