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Order / Referral Requirements

A physician's order (referral) is required for all diagnostic breast imaging and body Ultrasound/biopsy exams. However, an order is not required in the following situations:

• Screening mammograms — no referring clinician order is needed to schedule a screening mammogram. However, we do recommend having a clinician to follow up with results for continuity of care. If you don't currently have one, our team can help you find a path to establish care before or shortly after your visit.
• Cash-pay whole body screening exams— These packages are offered as elective, self-pay wellness screening exams. They are designed for asymptomatic patients who want a proactive look at multiple organ systems, and no referring provider's order is required to schedule. However, we do recommend having a clinician to follow up with results for continuity of care. If you don't currently have one, our team can help you find a path to establish care before or shortly after your visit.
• Patients who have had cryoablation with us and are being followed by our radiologist are considered to have an established referring provider relationship with the practice; in these cases, our radiologist may act as the ordering/referring physician for related follow-up imaging.

If you don't have a referring physician order:
You are still welcome to request your appointment and we will assist you. If you already know a referring clinician, please let us know their name, and we will obtain the order on your behalf before your visit. If you would like help finding a referring clinician, we would be happy to assist by connecting you with someone appropriate for your care.

If you may not be able to make an onsite visit to see a clinician to obtain order, before your appointment with us:

You may obtain a remote telehealth appointment through Diagnostic Orders Direct, allowing you to obtain an order for your exam/s. Diagnostic Orders Direct is an independent third-party service. URPrecious Imaging has no ownership interest in, financial relationship with, or compensation arrangement with them, and receives no payment for referrals. You are free to obtain your order from any licensed clinician of your choosing - this telehealth option is simply being shared as a convenience.

Which Exam Should I Book? — A Guide Based on ACR & Society of Breast Imaging Guidelines

Under age 30 with a symptom (lump, pain, or nipple discharge):
Start with a breast ultrasound. A mammogram will be added afterward only if needed based on ultrasound findings.

Age 30 and older with a symptom (lump, pain, nipple discharge, or follow-up of a prior exam):
We recommend mammogram plus ultrasound.

• If you have not had a bilateral mammogram within the past year, a bilateral mammogram is recommended — this allows comparison between both breasts to detect asymmetric findings.
• Ultrasound is typically performed on the side of the symptom if the symptom is one-sided.

Screening, age 40 and older:
We recommend a bilateral 3D mammogram (tomosynthesis).

• If you have dense breast tissue, you may also consider a contrast-enhanced mammogram or breast ultrasound as supplemental screening.

If you prefer to decline mammography:
Please be aware that over 50% of breast cancers present as calcifications or architectural distortion — findings that are often not visible on ultrasound alone. Relying on ultrasound as a substitute for mammography may lead to delayed detection of breast cancer.

If you still prefer to have only an ultrasound, we are able to accommodate that request — however, we recommend a mammogram.

Watch: Can Ultrasound, MRI, Thermography, or QT Ultrasound Replace Your Mammogram?

Chapters:

• 0:00 – Can Anything Replace the Mammogram?
• 0:16 – What Makes a Good Screening Test?
• 0:50 – Mammography: 9 Randomized Trials, 600,000 Women
• 1:26 – Breast Cancer Deaths Down 50%
• 1:44 – Mammogram Radiation: The Real Numbers
• 2:56 – Does Compression Spread Cancer? (Myth Busted)
• 4:06 – Ultrasound: Great Supplement, Not a Replacement
• 4:55 – Breast MRI: Sensitive, But With Trade-Offs
• 5:13 – QT Ultrasound: Promising, But Not Validated
• 5:29 – Thermography: Heat Alone May Not Be Enough
• 5:44 – Why ACR & SBI Guidelines Matter
• 6:59 – Remembering the Women in the Trials
• 7:15 – What you Should Do: Screening Recommendations

Please Note: Our Radiology Information System sends appointment reminders and result notifications via text message from 1-866-383-2830. Please save this number in your contacts so you don't miss important updates about your care. If you have text messaging disabled or prefer not to receive texts, please let our front desk team know at 602-878-7501.