Women's Imaging


Women's Imaging Studies

  • Digital Screening & Diagnostic Mammogram
  • Breast Ultrasound
  • Ductography - a mammogram using contrast dye
  • Breast Biopsy - through tiny skin incisions using ultrasound or stereotactic mammography guidance.
  • Localizations for surgical breast biopsy
  • Needle Localization
  • DEXA - Bone Density
  • OB/Pelvic Ultrasound
  • Pelvic MRI
  • Hysterosonography - ultrasound of the uterus

Women’s Imaging is a relatively new sub-specialty of radiology imaging services that includes diagnostic tests and some interventional procedures that apply specifically to women. Hawaii Radiologic Associates takes special care in providing for the needs of women with a dedicated Women's Imaging Center in East Hawaii and complements those services in our West Hawaii Imaging Center. HRA has Board Certified radiologists who are trained in women's services, including breast imaging, fetal ultrasonography and diagnostic evaluation of the female reproductive organs.

We offer a full array of women's imaging services including screening and diagnostic mammography, image-guided biopsies and aspirations, ultrasound studies, treatment of varicose veins, and bone density studies (DEXA).

Starting August 1, 2019 HRA will be the first on Hawaii Island to offer 3D screening mammography (digital breast tomosynthesis), the newest technology in breast imaging. 3D mammography produces multiple X-ray images of the breasts to create a digital 3-dimensional rendering of breast tissue. This allows radiologists to view the breast in 1-millimeter 'slices' rather than just the image from the top and side. This technology is particularly helpful for screening women with dense breasts. More than half of Hawaii women have dense breasts. Women with dense tissue are four to five times more likely to develop breast cancer.

The best, most experienced staff of technologists are specially trained to provide the services women need in a skilled, yet reassuring and comforting manner. HRA provides the finest women's imaging services, and be assured that we will provide you with care and support in an environment that is always as comfortable as we can make it.

Below is a description of the different types of breast biopsies. Descriptions of all other Women's Imaging Services can be found in our Imaging Services section.

Stereotactic Biopsy

When a suspicious breast abnormality is detected by mammography, a Stereotactic Biopsy may be performed. Stereotactic breast biopsy is a safe and minimally invasive form of breast biopsy. It is used to obtain tiny samples from an abnormal breast mass for examination by a pathologist. This biopsy is performed using a computer and x-ray technology to position a hollow biopsy needle. Biopsies are the only definitive way to confirm whether suspicious breast tissue is normal or abnormal.

Ultrasound Guided Biopsy

Following a breast ultrasound, a biopsy using ultrasound, or sound waves, may be performed. Ultrasound imaging is used to assist with proper positioning of the biopsy needle so a small sample of tissue can be obtained and then analyzed under a microscope. Ultrasound guided biopsy is a highly effective way to evaluate abnormal tissue within the breast.


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Hawaii Radiologic Associates