Radiology Redefined: The Personal Role of Radiologists in Breast Imaging and Patient Care
Carson Middlebrook
While shadowing the esteemed radiologist Brigitte Berryhill, DO, I quickly realized that breast imaging represents the epitome of direct patient care. Tasked with meticulously interpreting mammograms for signs of breast cancer — the second leading cause of cancer-related death among women — breast imaging radiologists have a profound impact on millions of women daily. Early detection is paramount in combating breast cancer and significantly improves survival rates and treatment outcomes. Through breast imaging, radiologists like Dr. Berryhill play a crucial role in detecting cancer at its earliest, most treatable stages.
Unlike other medical fields where patients are often referred elsewhere for additional tests to confirm a diagnosis, breast radiology offers a unique, patient-centered approach. Patients undergo imaging and, if the test is positive, leave with a clear diagnosis and treatment plan. Following the acquisition of a mammogram, Dr. Berryhill interprets the imaging results with the patient and determines the next steps accordingly. Whether the findings suggest malignancy or a benign process, Dr. Berryhill manages the patient’s care directly. From image-guided biopsy to treatment planning discussions with surgeons and oncologists, and even performing sentinel node injections on the day of surgery, Dr. Berryhill remains a key advocate for her patients’ care.
Dr. Berryhill currently practices as a diagnostic radiologist with a focus on breast radiology in the Commerce Township, Michigan, and serves as the Assistant Program Director at the Detroit Medical Center. When asked why she chose to specialize in breast radiology, Dr. Berryhill emphasized her gratitude for the opportunity to have a significant impact on her patients’ outcomes. “Each year,” she says, “I reflect on the hundreds of women I have diagnosed early in their disease progression, and I am grateful for giving them a better chance at successful remission.”
Dr. Berryhill, along with many other breast imaging radiologists, often provide comprehensive workups, imaging and patient consultations on the same day to expedite the diagnostic process. The ability to provide a definitive diagnosis in a single appointment not only accelerates the treatment process but also alleviates the anxiety and uncertainty patients often face while waiting for results.
Of course, this patient-centered approach brings the responsibility of delivering the news of their diagnoses to patients. I have witnessed Dr. Berryhill navigate these difficult conversations with compassion and assurance. She helps patients understand their diagnoses by thoroughly reviewing the imaging and pathological findings while offering comfort as they process the information. This deeply empathetic approach challenges the misconception that radiologists work in isolation from patients.
As a female pursuing a career in radiology, I have encountered skepticism about my choice, with some questioning why I don’t pursue a more "hands-on" field. Breast imaging exemplifies why I’ve chosen this path and highlights the intimate, direct involvement radiologists have in patient care. It effectively debunks the stereotype that radiologists are detached from the clinical process.
I’d also like to recognize ACR® resources for breast imaging radiologists, such as the Talking to Patients About Breast Cancer Screening CME Toolkit, Mammography Sample Lay Report Letters and Mammography Saves Lives. These tools are invaluable for advancing medical education and improving patient care.
As part of the next generation of radiologists, I am proud to provide compassionate care and highlight the integral role radiologists play in patients’ lives. Through education, advocacy and direct patient involvement, I hope to dispel misconceptions and continue advancing this vital field.