For breast which is best digital mammogram or sonogram?

Depends, maybe both. A digital mammogram is the standard for mammograms. Sometimes an ultrasound may be added to get more information, especially if you have dense breast tissue. In younger women with dense breasts, a mammogram may no be done and then we go straight to ultrasound. A breast radiologist and breast surgeon will be able to make the appropriate recommendation for you.
Mammo vs sono. Mammography is still the screening standard of care for dense breasts. The sensitivity of mammography for detecting cancer(80% across the board) decreases in dense breasts, some studies show to 50% or lower. There is some data to suggest sonography performs better than mammo in dense breasts. Many are now performing both screening mammo and sono in dense breasts, it is an evolving situation.

Related Questions

If small calcifications show up on a digital mammogram and not on a breast sonogram. Should I be concerned?

Not yet. It's not that simple. You should be concerned only when your surgeon tells you to be concerned. There is not enough information in your story to make a decision like that. Read more...
Calcifications. Small calcifications may be difficult or impossible to visualize on ultrasound, while being relatively easy to see on the mammogram. The fact that the calcifications are not seen on US doesn't make them any more or less suspicious. Speak to your doctor about the next steps to take. Read more...

How many x rays needed for each breast in a digital mammogram? I had 3 x-rays in the left breast and 2 in the right breast because 1xray was not clear.

This is about right. Typically a mammogram will include 3 views in order to get side views, top to bottom views and a front view of the whole breast in order to look for any abnormalities in different parts of your breast. Read more...

53 yrs old. Recent digital mammogram informed I have dense breast tissue, negative for ca. Should the results be trusted because of density.

Probably. If you have no added risk factors such as a history of brca gene positive, strong family history, prior breast cancer, palpable mass etc. Then all you need is annual breast exam/mammogram. Added risk factors may indicate need for MRI and, in that case, you may want to discuss this concept with your doctor. Read more...
Dense breasts. The sensitivity of mammography for detecting cancer, across the board, is about 80%.Thus, in about 20% of breast cancer cases, the mammo is normal.The sensitivity decreases to 50% or less with dense breasts, so although the mammo is still the standard of care for dense breasts, it is less accurate.To improve detection in dense breasts, some advocate adjunct screening ultrasound or 3D tomosynthesis. Read more...

I'm 55 and have very dense, cystic breasts. I just had my yearly digital mammogram and it was inconclusive?

Dense breast. Sometimes, mammogram is inconclusive, and additional test like mammo with spot compression is needed.For a very dense breast- the sensitivity of mammogram will be lower- and further testing like MRI of breast sometimes is needed.. Ask and discuss with your doctor regarding other test for example- MRI of the breast , spot compression etc, and see if that is something you can/should have. Read more...
Define INCONCLUSIVE. After having a mammogram, the report should include a follow-up plan, listed as a birads code. This will spell out exactly what the next step should be: immediate further testing (ultrasound, compression mamm, mri), short-term follow-up, biopsy, etc. If you don't have a clear understanding of the next steps, please talk to the doctor who ordered your mammogram or see a breast specialist. Good luck. Read more...
Inconclusive. 'Inconclusive' is not part of the mammo Breast Imaging Reporting and Data System(BIRADS).In order to maintain accreditation to read mammo, a radiologist must categorize mammo findings into one of the following: incomplete(needs additional views), negative, benign, probably benign, suspicious, highly suspicious, or known cancer.So, inconclusive is not an acceptable conclusion! Speak with your doc. Read more...

I have very dense, cystic breasts. I just had my yearly digital mammogram and it was inconclusive. Should I write my will?

Not yet. Dense breasts often decrease the effectiveness of mammogram. If there is any concern about the mammogram you could consider asking for an MRI to be performed of the breasts- this may add additional information in helping to determine if there is anything to be concerned about. Read more...
No. This means that the mammogram did not provide enough information because your breasts a difficult for the x-rays to penetrate. Contact your doctor or radiologist to see what is the next step. Most likely you will need a ultrasound as the next step. When you have cystic breasts, it is common to require additional pictures beyond a mammogram. Read more...
No. Inconclusive or incomplete means that additional imaging is required due to a possible abnormality. Usually this entails further mammographic views or ultrasound. Most of the time the questionable abnormality turns out to be nothing of concern. Additional imaging is common with dense breasts. Read more...

For best detection which is best digital mammogram or sonogram?

Mammogram. Mammogram remains the first choice for breast cancer screening. There is a select group of patients for whom screening ultrasound and MRI breast will be added to supplement the mammogram. Read more...
Mammogram. A mammogram (preferably digital) is still the best screening imaging tool . Ultrasound is not currently used as a universal screening modality. However, it is an excellen adjunct test if there is a clinical, mammographic or MRI abnormality which needs further evaluation. In addition ultrasound is also very effective in targetting a lesion which may need a biopsy if it can be seen by ultrasound. Read more...
Mammo/US. Mammo is the standard of care for screening. Mammo is approximately 80% sensitive for detecting breast cancer. Sensitivity decreases in women with dense breasts, some say to as low as 40-50%. There is some data to support adding screening US as a supplement to mammography in women with dense breasts, which can detect an additional 3-5 cancers per 1000 patients. False positives a problem though. Read more...

Which is a better diagnostic procedure a digital mammogram or sonogram?

Digital mammogram. For general screening, mammograms, while imperfect, remain the best tool and digital mammograms are better at "seeing through" breast tissue. A mammogram is more likely to miss cancers in women with dense breast tissue and young women. Ultrasound is most often used with mammogram either to help characterize abnormalities seen on mammogram or to aid in finding abnormalities in dense breast tissue. Read more...
It depends. Neither is inherently better than the other, they are complementary diagnostic studies, and one or another or both may be appropriate depending on the clinical situation. At your age, ultrasound is probably the initial imaging study of choice if you have a lump. In the screening setting, mammo is the standard of care, but the role of ultrasound is evolving, particularly in dense breasts. Read more...