Breast Care

At Indiana University Health West Hospital, our board certified breast care physicians work together to provide comprehensive care using the latest technologies and methods to diagnose and treat all breast conditions, including breast cancer.

The breast care team at IU Health West Hospital provides all the specialists you need to treat a breast condition in one location. We are proud to offer comprehensive screening mammography at our facility. Our team includes a surgical oncologist, medical oncologists, radiation oncologists, a radiologist, a plastic surgeon, a cancer prevention specialist, a nurse practitioner, a nurse coordinator, a physical therapist and a social worker. These providers see patients in the Professional Office Center connected to IU Health West.

Our Accreditations

The IU Health West breast care team has earned a number of prestigious certifications from national professional organizations:

Our partnership with the Indiana University School of Medicine allows our physicians to stay on the forefront of medicine. Through research, our physicians are working to improve how breast conditions are treated and how side effects are managed.

Breast Cancer Risk and Prevention

IU Health West provides the following breast cancer screening and prevention services:

  • Women’s Diagnostics Imaging Center
  • High-risk screening assessments as part of our Breast Cancer Risk Screening program

Every woman who comes for her regular screening mammogram at IU Health West will be offered a chance to participate in the high-risk screening program.

To learn their cancer risk, women take a short computer survey in the Women’s Center at IU Health West Hospital. The computer delivers the risk results to a specialized nurse. If your score shows you are at a higher risk, the nurse will contact you in person or by phone.

Women who are identified as having increased risk will then be offered an appointment as part of one of our cancer risk prevention programs. Through these prevention programs, a specialized physician helps you choose from the options that best reduce your risk. You will continue to benefit from risk-appropriate screening tests, clinical trials and innovations in prevention as they develop.

Breast Cancer Treatment

Our breast cancer treatment specialists are all in one location. Within 48 hours of diagnosis, you can meet with a highly skilled breast specialist, get your questions answered and learn about treatment options.

Our breast cancer treatment services include:

  • Breast reconstruction surgery
  • Axillary dissection
  • Cyst aspiration
  • Lumpectomy
  • Skin-sparing mastectomy
  • Nipple-sparing mastectomy
  • Oncoplastic reduction surgery
  • Chemotherapy
  • Radiation therapy
  • Sentinel lymph node biopsy
  • Clinical trials
  • Rehabilitation services
  • Lymphedema therapy
  • Survivorship care
  • Spiritual care
  • Financial counseling
  • Social work support and counseling services

Women’s Diagnostics

We offer a broad range of breast-related imaging services. Our radiologists and staff are dedicated to helping patients maintain good breast health and specialize in the diagnosis of breast disease.

Our diagnostic program is designed to provide the best possible care by using the latest technology and making the diagnostic process as efficient as possible. Our goal is to deliver patient-centered care that is both supportive and educational.

IU Health West Hospital offers the following services:

  • Screening mammography. For a screening mammogram, the patient receives two X-rays of each breast. Upon review of the film by the radiologist, a letter indicating the results is mailed to the patient and the ordering physician. A small percentage of patients are asked to return for additional assessment. Computer-aided detection (CAD) is used for screening mammography.
  • Comprehensive screening mammography. A comprehensive screening mammogram includes two X-rays of each breast. The radiologist immediately reviews the X-rays and, if necessary, additional studies will be performed during the same visit. The radiologist will also perform a thorough physical examination of the breasts. Results and recommendations will be discussed with the patient at the end of the appointment.
  • Automated Breast Ultrasound System (ABUS). IU Health offers the latest technological advancement in breast screening with the addition of the Invenia™ Automated Breast Ultrasound System (ABUS) by GE. ABUS is an FDA-approved screening technology for women with dense breast tissue. More than 40% of women have dense breast tissue or extremely dense breasts. ABUS provides 3D ultrasound images of the whole breast, giving our highly skilled physicians a clearer look at all of the breast tissue and a better chance at detecting cancers that may be hidden in dense tissue on a mammogram.

To schedule a mammogram, please call 317.688.2955.

At the request of a patient or physician, we can also review mammograms performed elsewhere and provide a consultation with recommendations.

We use the following techniques to screen for and diagnose conditions of the breast: 

  • Diagnostic mammography

    A diagnostic mammogram is for women who are experiencing a breast problem such as a lump, nipple discharge, skin changes or localized breast pain. A diagnostic mammogram is also performed on a patient with abnormal or questionable findings from a screening mammogram or a history of breast cancer.

  • Digital mammography

    Digital (computerized) mammography is similar to standard mammography in that X-rays are used to produce detailed images of the breast. Digital mammography uses essentially the same mammography system as conventional mammography, but the system is equipped with a digital receptor and a computer instead of a film cassette. The images are viewed on a high-resolution computer monitor. Breast tumors can appear in a number of forms and are often hard to detect among the normal dark and light areas of a mammogram. A radiologist (a physician experienced in mammography and other X-ray examinations) will analyze the images, describe any abnormalities and make a diagnosis. A report will be dictated by IRP's board certified radiologist and then sent to the patient's referring physician. The patient will also be notified of the results by the mammography facility.

  • 3-D mammography (tomosynthesis)

    Three-dimensional mammography more effectively screens for invasive tumors when used in combination with traditional 2-D mammography, especially for women with dense breast tissue.

  • Breast magnetic resonance imaging (MRI) with CAD

    Breast MRI exams are used as an aid to mammography and ultrasound imaging. Breast MRI is appropriate for patients who are at a high risk of developing breast cancer. In addition, this imaging technique can evaluate the extent of known diseases, measure the effectiveness of chemotherapy and assess for breast implant rupture. Intravenous contrast is administered during breast MRI exams except when evaluating implants. Breast MRI is an evolving technology and should not take the place of standard screening and diagnostic mammography procedures.

  • R2 ImageChecker® system

    Screening and digital mammography is further enhanced by the use of the R2 ImageChecker® system, which is similar to a "spell checker" for medical images. The R2 ImageChecker® system is the first Food and Drug Administration (FDA)-approved CAD mammography system for use in breast cancer screening. Images are reviewed by the radiologist and the CAD system. If CAD marks an area on the image, the radiologist goes back to the original mammogram to review the area in detail to determine if further evaluation is necessary.

  • Breast ultrasound

    A breast ultrasound is not a screening tool, but it may be performed to further evaluate an abnormality felt during a physical breast exam or seen on a mammogram. Ultrasounds use sound waves to produce images. These images allow the radiologist to determine if a breast mass is solid or a fluid-filled cyst.

  • Clinical breast examination

    Mammography is currently the most accurate screening method for detecting breast cancer. However, 10 to 15 percent of breast cancers may not be detected by mammography alone. A breast examination by the radiologist includes a complete physical exam of both breasts and the surrounding areas containing lymph nodes.

  • Ductogram

    A ductogram is used to evaluate abnormal nipple discharge. The discharge comes from the duct that connects the milk-producing gland to the nipple. A small amount of dye is injected into the affected duct, which allows the radiologist to visualize any abnormalities.

  • Image-guided breast biopsy

    A biopsy is performed to obtain a sample of tissue from the area of concern within the breast. There are three procedures that are highly accurate and alternatives to surgical biopsies. For all three procedures, the patient is under local anesthesia while multiple small samples of tissue are obtained through a needle for analysis. The radiologist will determine which method is most appropriate.

  • Stereotactic core needle biopsy

    For this procedure, the patient lies facedown on a table while the radiologist places a special needle into the area of concern using a computer program with X-ray guidance.

  • Ultrasound core needle breast biopsy

    For this procedure, the patient lies on his or her back or side on the exam table. The radiologist uses ultrasound to direct the needle into the area of concern.

  • MRI-guided core needle biopsy

    For this procedure, the patient lies facedown on a table while the radiologist guides a special needle into the area of concern with MRI guidance.

Patient Materials and Resources

Your doctor may ask you to complete the following forms before an appointment or procedure. Please print and fill out the form and return it to office staff:

Breast Cancer Boutiques

Euphoria Spa & Wellness Center Women's Boutique
4905 E. Main St.
Avon, IN 46123
Phone: 317.718.0800
Webeuphoriaofavon.com/womens-boutique

The Special Woman Boutique
8770 Commerce Park Place #A
Indianapolis, IN 46268
Phone: 317.876.3770

View a list of bra and prosthesis vendors.

Please contact us at 317.217.3810 for additional resources.

Contact Information

Breast Surgery Clinic

IU Health Physicians West
Professional Office Center
1115 N. Ronald Reagan Parkway
Suite 329
Avon, IN  46123
Phone: 317.217.3810

Medical Oncology

IU Health West Cancer Center
1111 N. Ronald Reagan Parkway
Suite B1500
Avon, IN 46123
Phone: 317.217.2244

Radiation Oncology

IU Health West Cancer Center
1111 N. Ronald Reagan Parkway
Avon, IN 46123
Phone: 317.217.3800

Radiology

IU Health West
1111 N. Ronald Reagan Parkway
Suite C1200
Avon, IN 46123
Phone: 317.217.3171