Breast Imaging has undergone significant advancements over the past century, that made for an early detection and treatment of breast cancer. Robert Egan in 1956 at the University of Texas M.D. Anderson Cancer Center, combined a technique of low kVp and high mA and single emulsion films as a method of detecting calcifications in breast tissue, confirming breast cancers. The 1970s marked the widespread adoption of screen-film mammography, enhancing image clarity, and diagnostic accuracy. In the same decade xeromammography introduced a dry imaging process, offering improved image quality and contrast compared to traditional methods. In the 1980s, breast ultrasound offered a non-invasive, radiation-free method which was particularly useful for assessing dense breasts or distinguishing between solid and cystic masses. Late in 1980 dedicated stereotactic devices were developed for biopsy purposes. In the early units the patient was in a sitting position while later the patient was prone. A metallic marker was left in place for wire localization if it was needed later. MRI became a valuable tool in the 1990s, providing high-resolution images and functional information, aiding in detecting and characterizing breast lesions. In the early 2000s, digital mammography replaced analog film, allowing for electronic image storage and manipulation, thereby improving diagnostic capabilities. In 2010s Digital Breast Tomosynthesis or 3D mammography, provided three-dimensional imaging, reducing tissue overlap and enhancing detection especially in dense breasts. Contrast enhanced mammography is a method that highlights tumor vascularity and it is less expensive than breast MRI. Molecular breast imaging is a nuclear medicine technique that detects metabolically active lesions. These advances made Breast Imaging and Interventions a distinct subspecialty in Diagnostic Radiology departments.
Lucy Freedy was born in the small town of Conway, North Carolina. She was one of the first women that was admitted to and graduated from Wake Forest College in North Carolina. Her dream was to become a medical doctor. After several unsuccessful attempts, she was admitted to Duke University Medical School. She graduated and received her MD degree in 1957. Her academic marks ranked her 2nd in her graduating class of 88 students. When I became Chairman of the department I was impressed by Lucy's willingness to work in any section additional manpower was needed and her passion for breast imaging. In addition to clinical duties she was willing to pass her knowledge to residents and medical students. One of my best decisions was that I appointed Dr. Freedy as my Vice Chair during my tenure from 1992 to 2004. She offered me advise when it was needed as I was the newcomer and later I enjoyed working with her in our breast section. After many years of hard work she spent her retirement years in her beloved south in Clearwater Florida. Lucy sadly passed on March 27, 2026 in her sleep at the age of 97.
Michelle McCorvey was born in Luverne a small rural town in Alabama. Luverne is located to the south of Montgomery a pivotal city of the American Civil Rights movement famously know as the birthplace of the 1955-56 Bus Boycott sparked by Rosa Parks. Dr. McCorvey did her undergraduate studies at Yale University and she received her MD degree from Jefferson Medical College of Thomas Jefferson University. She did her internship at Thomas Jefferson and her residency in Diagnostic Radiology at Hahnemann now Drexel University Medical Center and the George Washington University Medical Center from 1998 to 2002. Her Fellowship on Breast Imaging and Intervention and Cross Sectional Imaging was at the George Washington University Medical Center in 7/2002-6/2003. When she joined OSU she was appointed as an Assistant Professor and was appointed as an Associate Professor of Clinical Radiology at the University of Texas in 2014. She is currently employed by Virtual Radiology Corporation (vRad), a Radiology Partners (RP) Company (9/2015 - present). Michelle's two years tenure with us significantly enhanced the quality of care we provided to our patients. Although her time at OSU was brief, her impact was big. When she moved to University of Texas San Antonio, the distance did not diminish our bond. We stayed in close contact, often visiting with her during breast meetings in Texas, cherishing the moments we shared and the lasting connections we built.
John Olsen was born in Brooklyn, NY, in 1943. He completed his internship at D.C. General Hospital on the Georgetown Medical Service and his residency in Radiology at the University of Chicago in 1973. After graduation, he served in the Army for two years and then practiced in Glen Cove, NY. In 1976, he was hired as an Assistant Professor at the Ohio State and worked as a general radiologist. He was involved in breast imaging since 1977 when OSU acquired a Siemens Mammomat the first dedicated breast imaging platform that adopted low dose film. At the time most of mammography was done with standard x-ray equipment and industrial film requiring large doses of radiation and correctly Dr. Sydney Nelson, Radiology's Chairman considered unsafe. The department at OSU was the first in Ohio to use low dose and to have a platform designed for breast imaging. Dr. Olsen assisted in Nuclear Medicine, and in 1979 became the Acting Director and the the Director until 2006. In the early years and until the section of Breast Imaging was established mammograms were interpreted in Nuclear Medicine where breast surgeons like Dr. William Farrar and the legendary Dr. James brought cases to Dr. Olsen for consultation. The department was among the first that adapted to the emerging technique of digital mammography in Central Ohio but long after two other health systems in a small Ohio town, Lima did. All referrals to Dr. Farrar from the Lima hospitals impressed him and suggested to two philanthropists Abigail Wexner and John Wolfe's wife to buy a digital unit for us and they did. When we moved to the outpatient breast center in Dublin, Dr. Olsen was the chief of mammography. I learned from him how to do stereotactic biopsies with the patients in prone position which made the procedure more comfortable and less frightening to the patients. They were many things I learned from Dr. Olsen. The most important was the way he was interacting with the patients. He took time to sit with each patient, carefully listening to their concerns, answering questions, and addressing their fears with compassion and understanding. It was not only the patients but the breast surgeons recognized Dr. Olsen's knowledge and consulted with him on difficult cases. Dr. Olsen was a doctor's doctor. John has now retired in Columbus, Ohio.
Dimitrios Spigos, as my curriculum vitae appears in prior posts, I will mention only key dates. I graduated from the University of Athens in 1967. I spent the next three years in the Greek Navy. My residency was at the University of Illinois in Chicago. When I graduated in 1975, I was appointed chief of Angiography and Interventional Radiology in our department. During my tenure at the University of Illinois, I became known for the description of how to perform renal biopsies under ultrasound guidance and the performance of splenic embolisation. In 1986, I was appointed Chairman of Radiology at Cook County Hospital in Chicago, and in 1992 I became Chairman of Radiology at the Ohio State Hospital. In the first years at OSU I worked with Dr. Al Stockum a wonderful human being and an exceptional angiographer. When the work in Breast Imaging increased, I joined Drs. Freedy and Olsen reviewing initially screening mammograms with the residents and doing biopsies under ultrasound guidance. As MRI became more popular, I spend most of my time reporting MRI studies and performing biopsies under MR guidance.
Our outpatient unit in Dublin was unique, as breast surgeons and radiologists worked under one roof. Drs William Farrar, Doreen Agnese, Lisa Yee, William Burak, Steve Povoski, William Carson, and we, the radiologists, cooperated closely with the goal of delivering the highest quality care to the patients.
This post is dedicated to my colleague and friend John Olsen. John and I were born in the closing days of WWII, he in New York and I in Athens - two great cities, one on the west coast of the Atlantic and the other on the Mediterranean. We both did our radiology residencies in Chicago, and upon completion, he moved to Ohio while I stayed in Illinois. We met when I joined the department of Radiology at the Ohio State University. There are many tributes that someone can admire about John. He sought the continuous advancement in his chosen fields - Nuclear Medicine and Breast Imaging and he fostered close cooperation with colleagues in surgery and oncology having as a sole aim the benefit of his patients.