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Consultant Name

Specialty

Qualifications

Department

Dr Jacques Audrey

Consultant Radiologist

Radiology

Mr Thomas Ember

Consultant Orthopaedic

MBBS MRCS(Lon&Glas)

Orthopaedic Surgery

and Spinal Surgeon

FRCS(Tr&Orth)

Dr Shamali Hoque

Consultant Dermatologist

MRCP BSc

Dermatology

Dr Rajab Kerwat

Consultant General Surgeon

MB BCh FRCS(Ed) FRCS(GenSurg)

General Surgery

Mr Nicholas Marshall

Consultant Laparoscopic

MBBS MSC FRCS(Eng)

General Surgery

and Upper GI Surgeon

FRCS(Edin) FRCS(GenSurg)

Dr Graham Munneke

Consultant Radiologist

Radiology

Dr Mervi Pitkanen

Consultant Psychiatrist

MBBS LICMED MD MRCPsych MA

Psychiatry

Miss Amina Shafik

Consultant Gynaecologist

MB BCh MSC FRCOG

Gynaecology

Mr Anan Shetty

Consultant Knee Surgeon

MCH FRCS FRCS(Orth)

Orthopaedic Surgery

Dr Tom Stevens

Consultant Psychiatrist

Psychiatry

New Consultant List

Consultants | Breast Screening

13

Breast Screening

Services available

Both OBS and LBH now have the newer

digital technology as opposed to the

analogue film screen combination. Instead

of an image being processed onto film, digital

mammography takes an electronic image and

stores it onto a computer.This has several

advantages.A digital image, as opposed to

a film image, can be manipulated later on

a screen to allow for optimum diagnosis,

e.g. filters and contrast can be applied

on dense breasts to give the radiologist

premium viewing.

Digital images can also be easily archived

and stored on a CD for future follow-ups.

Recent clinical trials have also shown that

there is a reduced radiation dose with digital

mammography, and that it is significantly better

than film mammography for screening women:

· Under the age of 50

·With very dense breasts

· Pre or peri-menopausal women

of any age.

The mammography team is comprised

of radiographers, who hold the

Postgraduate Certificate in Mammography

Practice and Consultant Radiologists,

who are internationally renowned

specialists in the breast field.

One-Stop Breast clinics are also held

at OBS and LBH, with the availability

of triple assessment and results on the

same evening. Please see our website

for further details.

What is a mammogram?

It is an image of the breast tissue taken

using low dose x-rays. Routinely, four

images are taken (two of each side)

by compressing the breast between

two plates for several seconds. For

some women, this may cause temporary

discomfort but should not persist and

does NOT cause any harm to the

breast.The compression of the breast

helps to give a clear image for the

doctor making the report.

Why a mammogram?

A mammogram is used as the primary

diagnostic imaging tool for women over

the age of 35, if they are symptomatic,

or over 40 as a screening test.

With early stage breast cancer, when

there may be no lump, you can usually

see patterns or calcium spots on the

mammogram that suggest a breast cancer

may be there.These structural pattern

changes are very difficult to see in a

young woman’s breast, which is why an

ultrasound is generally recommended.

Benefits of screening

One of the major benefits of regular

breast screening (once every one or two

years) is that cancers that are found are

generally diagnosed at an earlier stage,

which means they need less treatment

and are more likely to be curable.

According to the NHS Breast Screening

Programme about 7 cancers are found

for every 1,000 women screened.A

major study reviewing data on 1.1 million

Swedish women showed that regular

mammography screening between ages

40 to 69 was associated with a 17 to 37

per cent reduction in advanced tumours

(Cancer Journal, June 2007).

For bookings or further information,

please contact the X-Ray Department on:

020 7234 2773

London Bridge Hospital now has 3 sites which offer mammography;

Docklands at CanaryWharf, 31 Old Broad Street (OBS) in the City,

and 29Tooley Street at London Bridge Hospital (LBH).