Tag Archives: Dense

Woman With Dense Breast Tissue Wishes Ultrasounds Were Paid for

  • My doctor recommended I start getting regular mammograms a couple of years ago. 
  • I have dense breast tissue, which makes it harder to detect potential problems in mammograms. 
  • I wish I could get my ultrasound right after my annual mammogram and not wait several days. 

Several years ago, I started to get regular mammograms, as recommended by my doctor, and quickly discovered that “routine,” for me, was far from routine.

I’m one of the 40% to 50% of women in my age bracket who have dense breast tissue. The Susan G. Komen Foundation has found that women with dense breast tissue are four to five times more likely to develop breast cancer. Additionally, abnormal findings are harder to detect with mammograms if you have dense breast tissue.

When I had my first mammogram more than five years ago, I was called back for additional images because of abnormalities. The follow-up appointment couldn’t be scheduled for several days, so I spent those days convinced I had cancer. 

That weekend, the future I imagined was dark. I thought about chemotherapy. I imagined telling my preteen sons I was sick. I thought of all of the mundane routines my well-meaning husband was clueless about. They couldn’t survive without me, I thought, but what if they had to? Fortunately, the ultrasound revealed a harmless cyst.

The same scenario plays out every year

Unfortunately, I was destined to play out the same scenario over and over again, because our insurance system requires me to walk through the regular preventative steps every time, even though I will inevitably need a diagnostic ultrasound. 

This year I had to wait five nights between my first 3D mammogram and the follow-up appointment for more images and the ultrasound. That meant five nights of worst-case scenarios and tearful bargaining with God. 

I thought about the many women I know personally who had survived breast cancer. I recited their names, counting them like beads on a rosary. Those were my hopeful moments.

But I was grateful for my good health overall. Other than surgery for impacted wisdom teeth and some stitches from a mishap with a serrated knife, I had dodged every serious bullet. No hospital stays, no serious infections, no broken bones. Surely, though, it had to be my turn. I wondered how my last days would play out. Those were my hopeless moments.

After five interminable days and nights, the morning of the appointment finally arrived. I donned my vintage Johnny Cash T-shirt and remembered I couldn’t wear deodorant to the appointment. As I pulled on my favorite bralette, I cursed my small, dense breasts. If they weren’t big enough to necessitate a “real” bra, why should I have to deal with yet another breast-cancer scare? 

Ultrasounds are considered diagnostic treatment and not preventative

My appointment was scheduled at a speciality breast clinic, where I received top-notch care. Every step was explained as I went from waiting room to waiting room and counted the minutes until I had the results. 

Before the gentle ultrasound tech left me to clean the glob of cold jelly off my breast, I asked her the question I had been thinking about for five nights.

“If I had started out here at this clinic with my first appointment, could I have avoided all of this extra waiting? Would I have just started with the ultrasound and skipped all of the unnecessary mammography appointments?” I sputtered, my anxiety making me more awkward than normal.

She patiently explained that no, I would still have to wait for the ultrasound because it was considered “diagnostic” rather than “preventative.” My insurance company wouldn’t have allowed the appointments to happen on the same day. In the best-case scenario, an appointment would be available the next day, but I’d still have to wait.

I’m not the only waiting woman I know. My sister has the same dense tissue. Seven years my senior, she also now has a needle biopsy under her belt. I’m betting that’s in my future, too. But I’m in good company, with several other friends who have had multiple follow-up mammograms and ultrasounds. 

Soon the doctor came in to share the good news: another cyst. 

Of course I was thankful, but I am ultimately frustrated by the insurance system in this country, a system of anxiety-inducing appointments and superfluous charges creating barriers to care. My experiences with mammograms provide a yearly reminder of that bleak reality.

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I have dense breast tissue and need ultrasounds after my mammograms. I wish my insurance would automatically cover them.

Anchiy/Getty Images

  • My doctor recommended I start getting regular mammograms a couple of years ago.

  • I have dense breast tissue, which makes it harder to detect potential problems in mammograms.

  • I wish I could get my ultrasound right after my annual mammogram and not wait several days.

Several years ago, I started to get regular mammograms, as recommended by my doctor, and quickly discovered that “routine,” for me, was far from routine.

I’m one of the 40% to 50% of women in my age bracket who have dense breast tissue. The Susan G. Komen Foundation has found that women with dense breast tissue are four to five times more likely to develop breast cancer. Additionally, abnormal findings are harder to detect with mammograms if you have dense breast tissue.

When I had my first mammogram more than five years ago, I was called back for additional images because of abnormalities. The follow-up appointment couldn’t be scheduled for several days, so I spent those days convinced I had cancer.

That weekend, the future I imagined was dark. I thought about chemotherapy. I imagined telling my preteen sons I was sick. I thought of all of the mundane routines my well-meaning husband was clueless about. They couldn’t survive without me, I thought, but what if they had to? Fortunately, the ultrasound revealed a harmless cyst.

The same scenario plays out every year

Unfortunately, I was destined to play out the same scenario over and over again, because our insurance system requires me to walk through the regular preventative steps every time, even though I will inevitably need a diagnostic ultrasound.

This year I had to wait five nights between my first 3D mammogram and the follow-up appointment for more images and the ultrasound. That meant five nights of worst-case scenarios and tearful bargaining with God.

I thought about the many women I know personally who had survived breast cancer. I recited their names, counting them like beads on a rosary. Those were my hopeful moments.

But I was grateful for my good health overall. Other than surgery for impacted wisdom teeth and some stitches from a mishap with a serrated knife, I had dodged every serious bullet. No hospital stays, no serious infections, no broken bones. Surely, though, it had to be my turn. I wondered how my last days would play out. Those were my hopeless moments.

After five interminable days and nights, the morning of the appointment finally arrived. I donned my vintage Johnny Cash T-shirt and remembered I couldn’t wear deodorant to the appointment. As I pulled on my favorite bralette, I cursed my small, dense breasts. If they weren’t big enough to necessitate a “real” bra, why should I have to deal with yet another breast-cancer scare?

Ultrasounds are considered diagnostic treatment and not preventative

My appointment was scheduled at a speciality breast clinic, where I received top-notch care. Every step was explained as I went from waiting room to waiting room and counted the minutes until I had the results.

Before the gentle ultrasound tech left me to clean the glob of cold jelly off my breast, I asked her the question I had been thinking about for five nights.

“If I had started out here at this clinic with my first appointment, could I have avoided all of this extra waiting? Would I have just started with the ultrasound and skipped all of the unnecessary mammography appointments?” I sputtered, my anxiety making me more awkward than normal.

She patiently explained that no, I would still have to wait for the ultrasound because it was considered “diagnostic” rather than “preventative.” My insurance company wouldn’t have allowed the appointments to happen on the same day. In the best-case scenario, an appointment would be available the next day, but I’d still have to wait.

I’m not the only waiting woman I know. My sister has the same dense tissue. Seven years my senior, she also now has a needle biopsy under her belt. I’m betting that’s in my future, too. But I’m in good company, with several other friends who have had multiple follow-up mammograms and ultrasounds.

Soon the doctor came in to share the good news: another cyst.

Of course I was thankful, but I am ultimately frustrated by the insurance system in this country, a system of anxiety-inducing appointments and superfluous charges creating barriers to care. My experiences with mammograms provide a yearly reminder of that bleak reality.

Read the original article on Insider

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This Weird Star Survived a Supernova Only to Shine Even More Brightly Than Before

When it comes to going out with style, nothing comes close to the end of a white dwarf. Their thermonuclear self-destruction ranks among the most powerful explosions in the cosmos, forcing the star to wink out of existence in a blaze of glory.

 

At least, that’s the idea. A discovery confirms some white dwarfs fake their deaths with a lackluster performance, only to go on shining even brighter than before.

Ten years ago, supernova SN 2012Z was spotted in the nearby spiral galaxy NGC 1309, glowing briefly in a swan song that should, by all accounts, herald its annihilation.

Images of its home galaxy went back for years prior, so working out which star went bang simply required studying follow-up images to spot the now empty spaces.

“We were expecting to see one of two things when we got the most recent Hubble data. Either the star would have completely gone away, or maybe it would have still been there, meaning the star we saw in the pre-explosion images wasn’t the one that blew up,” says UC Santa Barbara astronomer Curtis McCully.

“Nobody was expecting to see a surviving star that was brighter. That was a real puzzle.”  

As unexpected as it was, the observation wasn’t entirely without precedent, contributing to a growing pile of evidence that life after death might not be such an odd thing for white dwarf stars.

 

Once a star with our Sun’s mass squeezes its last dregs of helium into carbon and oxygen, it collapses into a dense, white-hot sphere the size of our Earth. Without the mass to build bigger elements, it simmers away, cooling over the eons until eventually dimming into a cold, black lump.

If such a depleted stellar core has a generous companion star orbiting nearby, life might go on a smidge longer as it siphons off a little extra gas.

At a critical point, however, all that extra mass risks pushing the carbon into fusion, sparking a runaway reaction that unleashes a tremendous amount of energy in a blink, tearing the star apart in what’s known as a Type Ia supernova.

Usually, there’s nothing of note left in the space once occupied by the white dwarf – just an expanding cloud of star guts drifting out into the cosmos, faintly glowing with residual radiation.

These specific blasts are so clockwork they all burn at roughly the same brilliance, making them handy for gauging distances across the Universe.

 

Yet not all explosions are so standard. The more common Type Iax supernova are less like fireworks and more like damp squibs, popping slowly in a comparatively dull whimper.

They might not even be all that destructive, with signs of high-density matter with hallmarks of a thick photosphere spotted in the aftermath of a handful of these less impressive supernovae.

(McCully et al., The Astrophysical Journal, 2022)

Above: Color images of NGC 1309 both before and after SN 2012Z. The left panel shows the Hubble Heritage (pre-explosion) image of NGC 1309. The top-middle panel shows a zoom-in on the position of the supernova from the pre-explosion image. The top-right shows SN~2012Z from the 2013 visit. The middle-bottom panel shows the location of SN~2012Z in the latest observations in 2016. The bottom-right panel shows the difference image between the pre-explosion images and the observations from 2016.

Finding SN 2012Z radiating furiously after its own supernova leaves little doubt that in some, if not many cases, white dwarfs can remain intact even after going thermonuclear.

Exactly why this particular star not only fell short of ripping itself apart but happened to come back even brighter is something of a mystery. The researchers behind the discovery speculate the blast merely stirred things up, allowing its material to settle back into a less dense, more puffed-up form.

 

With a larger volume, the cooling remains of the white dwarf would look even more radiant than ever.

“The implications for Type Ia supernovae are profound,” says McCully.

“We’ve found that supernovae at least can grow to the limit and explode. Yet the explosions are weak, at least some of the time. Now we need to understand what makes a supernova fail and become a Type Iax, and what makes one successful as a Type Ia.”

This research was published in The Astrophysical Journal.

 

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This Hubble Anniversary Pic of Unusual Galaxies Is Out-of-This-World Gorgeous

We’ve written about some truly stunning deep space pictures here on ScienceAlert, but a new Hubble snap showcasing a special collection of five galaxies has to be one of the best yet – even by our high standards.

 

The group of galaxies is called the Hickson Compact Group 40, and they’re unusually close together at the point in space and time that’s been captured by the image. In around another billion years or so, they will all collide together to form a giant elliptical galaxy.

What you’re looking at are three spiral-shaped galaxies (with the orange dust clouds), an elliptical galaxy (nearer the top, showing light from billions of stars), and a lenticular or lens-like galaxy (towards the lower right).

(NASA, ESA, STScI)

While dense groups of galaxies aren’t rare, they’re typically found at the hearts of much larger clusters.

What’s special is that this unusually dense galactic huddle, sitting somewhere in the direction of the constellation Hydra, isn’t part of a larger crowd. You can see many other galaxies in the background of the image, looking fainter against the backdrop of space.

Astronomers have been tracking the Hickson Compact Group 40 in different spectra of light, with X-ray readings revealing that the galaxies are having gravitational effects on each other, due to the presence of enormous amounts of hot gas in the space between them.

 

That will eventually lead to their merger, and scientists think dark matter could be playing a part, forming a cloud around the galaxy group and slowing the individual galaxies down. As they lose energy, the thinking goes, they fall together as shown in this picture.

Studying densely packed groups like this – all five galaxies in this image would fit inside two Milky Ways – helps astronomers to understand the where and the when and the how questions surrounding galaxy formation.

“I remember seeing this on a sky survey and saying, ‘wow look at that!'” says astronomer Paul Hickson, from the University of British Columbia in Canada, who rediscovered the group in 1982.

“All that I was using at the time was a big plastic ruler and a magnifying glass while looking over sky survey prints.”

The Hubble Space Telescope has given us a much clearer look at the cosmos than we had in 1982, and this image has been released to celebrate the anniversary of the telescope’s 32nd year of operation – it was deployed into orbit on 25 April 1990.

Since then, it’s captured some 1.5 million snapshots of around 50,000 celestial objects, all stored and accessible by the public. We can expect plenty more stunning pictures to appear from Hubble in the years ahead, too.

You can see the full image at larger resolutions on the official NASA website.

 

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Dense Bones Allowed Spinosaurus – The Biggest Carnivorous Dinosaur Ever Discovered – To Hunt Underwater

Spinosaurus, the longest predatory dinosaur known, is opening its elongate jaws, studded with conical teeth, to catch a sawskate. Contrary to previous suggestions, this animal was not a heron-like wader – it was a “river monster,” actively pursuing prey in a vast river system located in modern-day North Africa. Dense bones in the skeleton of Spinosaurus strongly suggest it spent a substantial amount of time submerged in the water. Credit: Davide Bonadonna

Its close cousin Baryonyx probably swam too, but Suchomimus might’ve waded like a heron.

Spinosaurus is the biggest carnivorous dinosaur ever discovered—even bigger than T. rex—but the way it hunted has been a subject of debate for decades. It’s hard to guess the behavior of an animal that we only know from fossils; based on its skeleton, some scientists have proposed that Spinosaurus could swim, but others believe that it just waded in the water like a heron. Since looking at the anatomy of spinosaurid dinosaurs wasn’t enough to solve the mystery, a group of paleontologists are publishing a new study in Nature that takes a different approach: examining the density of their bones. By analyzing the density of spinosaurid bones and comparing them to other animals like penguins, hippos, and alligators, the team found that Spinosaurus and its close relative Baryonyx had dense bones that likely would have allowed them to submerge themselves underwater to hunt. Meanwhile, another related dinosaur called Suchomimus had lighter bones that would have made swimming more difficult, so it likely waded instead or spent more time on land like other dinosaurs.

Baryonyx, from Surrey in England, swims through an ancient river with a fish in its jaws. Like its much larger African relative Spinosaurus, Baryonyx had dense bones, suggesting that it too spent much of its time submerged in water. It was previously thought to have been less aquatic than its Saharan relative. Credit: Davide Bonadonna

“The fossil record is tricky—among spinosaurids, there are only a handful of partial skeletons, and we don’t have any complete skeletons for these dinosaurs,” says Matteo Fabbri, a postdoctoral researcher at the Field Museum and the lead author of the study in Nature. “Other studies have focused on interpretation of anatomy, but clearly if there are such opposite interpretations regarding the same bones, this is already a clear signal that maybe those are not the best proxies for us to infer the ecology of extinct animals.”

All life initially came from the water, and most groups of terrestrial vertebrates contain members that have returned to it—for instance, while most mammals are land-dwellers, we’ve got whales and seals that live in the ocean, and other mammals like otters, tapirs, and hippos that are semi-aquatic. Birds have penguins and cormorants; reptiles have alligators, crocodiles, marine iguanas, and sea snakes. For a long time, non-avian dinosaurs (the dinos that didn’t branch off into birds) were the only group that didn’t have any water-dwellers. That changed in 2014, when a new Spinosaurus skeleton was described by Nizar Ibrahim at the

Lead author Matteo Fabbri doing fieldwork. Credit: Diego Mattarelli

Scientists already knew that spinosaurids spent some time by water—their long, croc-like jaws and cone-shaped teeth are similar to other aquatic predators’, and some fossils had been found with bellies full of fish. But the new Spinosaurus specimen described in 2014 had retracted nostrils, short hind legs, paddle-like feet, and a fin-like tail: all signs that pointed to an aquatic lifestyle. But researchers have continued to debate whether spinosaurids actually swam for their food or if they just stood in the shallows and dipped their heads in to snap up prey. This continued back-and-forth led Fabbri and his colleagues to try to find another way to solve the problem.

“The idea for our study was, okay, clearly we can interpret the fossil data in different ways. But what about the general physical laws?” says Fabbri. “There are certain laws that are applicable to any organism on this planet. One of these laws regards density and the capability of submerging into water.”

Simone Maganuco (middle), Davide Bonadonna (right) and lead author Matteo Fabbri (left) organizing fossils at night. Credit: Nanni Fontana

Across the animal kingdom, bone density is a tell in terms of whether that animal is able to sink beneath the surface and swim. “Previous studies have shown that mammals adapted to water have dense, compact bone in their postcranial skeletons,” says Fabbri. Dense bone works as buoyancy control and allows the animal to submerge itself.

“We thought, okay, maybe this is the proxy we can use to determine if spinosaurids were actually aquatic,” says Fabbri.

Fabbri and his colleagues, including co-corresponding authors Guillermo Navalón at Cambridge University and Roger Benson at Oxford University, put together a dataset of femur and rib bone cross-sections from 250 species of extinct and living animals, both land-dwellers and water-dwellers. The researchers compared these cross-sections to cross-sections of bone from Spinosaurus and its relatives Baryonyx and Suchomimus. “We had to divide this study into successive steps,” says Fabbri. “The first one was to understand if there is actually a universal correlation between bone density and ecology. And the second one was to infer ecological adaptations in extinct taxa” Essentially, the team had to show a proof of concept among animals that are still alive that we know for sure are aquatic or not, and then applied them to extinct animals that we can’t observe.

Figure from paper showing relationship between bone density and ecology. Credit: Fabbri et al

When selecting animals to include in the study, the researchers cast a wide net. “We were looking for extreme diversity,” says Fabbri. “We included seals, whales, elephants, mice, hummingbirds. We have dinosaurs of different sizes, extinct marine reptiles like mosasaurs and plesiosaurs. We have animals that weigh several tons, and animals that are just a few grams. The spread is very big.”

This menagerie of animals revealed a clear link between bone density and aquatic foraging behavior: animals that submerge themselves underwater to find food have bones that are almost completely solid throughout, whereas cross-sections of land-dwellers’ bones look more like donuts, with hollow centers. “There is a very strong correlation, and the best explanatory model that we found was in the correlation between bone density and sub-aqueous foraging. This means that all the animals that have the behavior where they are fully submerged have these dense bones, and that was the great news,” says Fabbri.

Figure from paper comparing animals’ bone densities. Credit: Fabbri et al

When the researchers applied spinosaurid dinosaur bones to this paradigm, they found that Spinosaurus and Baryonyx both had the sort of dense bone associated with full submersion. Meanwhile, the closely related Suchomimus had hollower bones. It still lived by water and ate fish, as evidenced by its crocodile-mimic snout and conical teeth, but based on its bone density, it wasn’t actually swimming.

Other dinosaurs, like the giant long-necked sauropods also had dense bones, but the researchers don’t think that meant they were swimming. “Very heavy animals like elephants and rhinos, and like the sauropod dinosaurs, have very dense limb bones, because there’s so much stress on the limbs,” explains Fabbri. “That being said, the other bones are pretty lightweight. That’s why it was important for us to look at a variety of bones from each of the animals in the study.” And while there are limitations to this kind of analysis, Fabbri is excited by the potential for this study to tell us about how dinosaurs lived.

“One of the big surprises from this study was how rare underwater foraging was for dinosaurs, and that even among spinosaurids, their behavior was much more diverse that we’d thought,” says Fabbri.

Jingmai O’Connor, a curator at the Field Museum and co-author of this study, says that collaborative studies like this one that draw from hundreds of specimens, are “the future of paleontology. They’re very time-consuming to do, but they let scientists shed light onto big patterns, rather than making qualitative observations based on one fossil. It’s really awesome that Matteo was able to pull this together, and it requires a lot of patience.”

Fabbri also notes that the study shows how much information can be gleaned from incomplete specimens. “The good news with this study is that now we can move on from the paradigm where you need to know as much as you can about the anatomy of a dinosaur to know about its ecology, because we show that there are other reliable proxies that you can use. If you have a new species of dinosaur and you just have only a few bones of it, you can create a dataset to calculate bone density, and at least you can infer if it was aquatic or not.”

Reference: “Subaqueous foraging among carnivorous dinosaurs” by Matteo Fabbri, Guillermo Navalón, Roger B. J. Benson, Diego Pol, Jingmai O’Connor, Bhart-Anjan S. Bhullar, Gregory M. Erickson, Mark A. Norell, Andrew Orkney, Matthew C. Lamanna, Samir Zouhri, Justine Becker, Amanda Emke, Cristiano Dal Sasso, Gabriele Bindellini, Simone Maganuco, Marco Auditore and Nizar Ibrahim, 23 March 2022, Nature.
DOI: 10.1038/s41586-022-04528-0



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