OSUMC - Section of Breast Imaging

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.