Computer-aided detection (computer algorithm analysis of digital image data for lesion detection) with further review for interpretation, with or without digitization of film radiographic images; diagnostic mammography (List separately in addition to code
CPT4 code
Name of the Procedure:
Computer-aided Detection (CAD) Analysis for Diagnostic Mammography
Summary
Computer-aided detection (CAD) for diagnostic mammography involves using computer algorithms to analyze digital images of the breast to detect any lesions that may indicate breast cancer. These images are further reviewed by radiologists for a comprehensive interpretation. This process may include digitizing traditional film radiographic images.
Purpose
CAD is used to assist radiologists in identifying potential signs of breast cancer in mammograms. The goal is to enhance early detection of breast abnormalities, leading to timely and effective treatment.
Indications
- Abnormal findings in a screening mammogram.
- Presence of breast lumps or other symptoms suggesting potential abnormalities.
- Follow-up for patients with a history of breast cancer.
- High-risk patients with genetic predisposition or family history of breast cancer.
Preparation
- No specific preparation is usually required.
- Patients may be asked to remove any upper-body clothing and jewelry.
- Inform the technologist if you are pregnant or breastfeeding.
Procedure Description
- The patient will be positioned in front of the mammography machine.
- The breast is placed on the imaging plate and gently compressed for clear imaging.
- X-ray images are taken of the breast from different angles.
- The digital images are then processed through CAD software to highlight any areas of concern.
- A radiologist reviews both the initial and CAD-processed images to interpret the findings.
Duration
Typically, the entire process takes about 30 minutes. The CAD analysis is a portion of this time.
Setting
The procedure is typically performed in a hospital, outpatient clinic, or specialized imaging center.
Personnel
- Radiologic technologists perform the mammography.
- A radiologist reviews and interprets the images.
- IT specialists may assist with the CAD software.
Risks and Complications
- Exposure to a low level of radiation.
- False positives or false negatives leading to additional testing.
- Discomfort from breast compression during the mammogram.
Benefits
- Increased accuracy in detecting breast cancer at an early stage.
- Improved confidence in diagnosis for both patients and healthcare providers.
- Potential for fewer missed diagnoses leading to better patient outcomes.
Recovery
- No recovery time is needed.
- Normal activities can be resumed immediately.
- Follow-up appointments will depend on results.
Alternatives
- Traditional mammography without CAD.
- Breast ultrasound or MRI.
- 3D mammography (tomosynthesis).
- Clinical breast exams.
Patient Experience
- Patients might feel slight discomfort or pressure during breast compression.
- No pain should be experienced during the CAD analysis itself.
- Any discomfort is brief, and technologists will assist in ensuring patient comfort.