Director of Radiology Department of Obstetrics Hospital “LETO”
Director of Radiology Department of DIGITAL TOMOSYNTHESIS AND DIAGNOSIS
Kifissias Avenue 6-8, 151 25 Maroussi
Tel. Center/Fax +30 210 6438070 | Mob. +30 6946 460688
10th High School of Ampelokipoi in 1978.
I graduated from Athens Medical in 1987.
I gained specialty in Radiology in 1993.
1994-present Head of the Radiology Department of IKA (Social Insurance Foundation) of Maroussi. 1994-2000 Head of the Department of Radiology Breast Diagnostic Center “DIAGNOSIS”.
2000-2004 Diagnostic Center “PROLEPSIS”.
2004-2010 EUROCLINIC ATHENS.
2004-today Maternity Hospital “LETO”. 2009-2011 Diagnostic Digital Tomosynthesis.
2004: “Developments in Hormonal Therapy of Early Breast Cancer” 7th International Conference and advanced courses.
2005: “Developments, changes and concerns in Diagnostic and Therapeutic approach” 8th Annual Conference and ad- vanced courses.
2006: Condirmation of Attendance ESGAR/SGR.
2007: “Breast Depiction” Panhellenic Medical Association.
2007: Scientific Meeting of the Greek Society Breast Surgery.
2008: “Modern Radiography Topics” 1st training seminar.
2008: “Mammasonography cource” International Academy of Medical Ultrasound.
2008: Certificate of attendance EUSOBI Education Cource Athens.
2009: “Depiction Methods” 11th National Conference Mastology.
2009: Hologic Selenia Dimensions Tomosynthesis Reader Training Kings College Hospital. 2010: Diploma participation 3rd Radiology Congress Cyprus-Greece.
11 October 2008: 3D/4D ultrasound breast morfomas approach.
11-12 April 2008: Epidemiological data of breast cancer. 1st Seminar Modern Radiography Themes.
June 27, 2009: Prospects of tomosynthesis in the early detection of breast cancer Greek Breast Surgery Society.
12-13 June 2009: Tomosynthesis 4th Symposium depiction of the breast.
12/13 March 2010: Tomosynthesis Symposium Breast Cancer Patras.
February 26, 2011: Digital tomosynthesis and Clinical Applications.
Sonographic viopsies of breast and thyroid.
Breast cancer is one of the most common -if not the most common one now- often in- troduced to a woman in her lifetime. It is noteable that it affects more and more young ages. The background of breast cancer in the family is clearly a contributing factor, though it is also a fact that 70% of women diagnosed have no family history. In breast cancer, the sooner the diagnosis, the greater the chances of survival. All women have certainly heard about the importance of palpation of the breast. It is important, one might say necessary, but not sufficient.
Our core weapons for early detection are mammography and breast ultrasound imaging. Many women avoid mammograms because they have heard that it is a painful examination with severe radiation that might harm them. The truth of the matter is that mammography is not a painful examination, but rather irritating due to the pressure being exerted on the breast. This pressure is rather necessary for two reasons: The first is the more we push the breast the more the interior is analysed, in other words, the mammary gland, resulting to better distinguish whether there is a focal problem lurking. Besides, the more the breast is pressurised the less radiation is required to be accurately illustrated. Therefore, since the examination lasts for few seconds for each breast, the woman should tolerate the pressure, which is bearable and not painful, so to have the best possible result with minimum radiation. As for the latter one, it is noteworthy that the radiation of the mammography is more or less the same as that one attracted by the sun on a sunny day.
The first mammography, in order for women with no history of breast cancer in the family, must be carried out at between 35 and 40 years old. Henceforth, an annual comparative mammographic recheck follows at the age of 40 to 65. After 65, the mammography can be carried out every 2-3 years. At these ages the growth of a tumour that may be showing up in between the mammographic checks is slow, thus an annual mammography is unnecessary. If however, there is evidence of breast cancer in the family, then the mammographic check should start earlier, that is the first one between 30 and 35 years old and every two years from the age of 35 till 40; then an annual mammographic check should be followed.
The digital mammography
Recently the technical capabilities have been enriched by the digital mammography. It is about a new method of mammography, not so much in the way that is carried out, but due to the benefits it offers, highlighted as such:
Better illustration and discretion in dense breasts
Saving the image to a computer Indeed, the classical mammography has been avoided to women younger than 35 or even 40 years of age, due to radiation. Besides it had a rather small discretion to denser fibrocystic breasts. All of these combined with the incapacity of the ultrasound to provide information for the already shaped morphomas (microcalcifications, designing disorders) had created a “gap“ in the prompt diagnosis, particularly in young ages. Through the digital mammography we tend to examine much easier women younger than 40 years of age, with minimum radiation dose; we can insert more effectively in the dense breasts that are now examined better, we save the image and ensure the annual comparative checks. The cutting edge technology literally solves our hands! The digital mammography is imposed to:
Women younger than 50 years of age Women with dense fibrocystic breasts regardless of age Pre- and peri-menopausal women Both the digital and classical mammography present exactly the same results to women older than 50 years of age with fatty breasts. Certainly, the incentive of lower radiation dose is powerful enough so for those women to prefer the digital mammography. The early diagnosis is intertwined with mammography. All other tests are ancillary and complimentary to mam- mography. Therefore, women are advised to use in the best possible way the most significant weapon against breast cancer.