Women's imaging center in Richmond, Virginia

Johnston-Willis Hospital provides complete and accurate breast imaging as part of our women's care services. Our breast health center includes a team of doctors and specialists who work together to make sure you receive compassionate, quality breast care.


Our breast imaging program is accredited by the National Accreditation Program for Breast Centers (NAPBC). We are also recognized as a Breast Imaging Center of Excellence (BICOE) by the American College of Radiology (ACR) for excellence in mammography, breast magnetic resonance imaging (MRI), breast ultrasound and stereotactic biopsy.

Breast cancer screening

Regardless of family history, the two most common risk factors for breast cancer are being a woman and getting older. However, annual screening mammograms allow breast cancer to be detected early, when it is most treatable. Our team provides these screening mammograms as well as a full range of breast imaging and diagnostics for the early detection of breast cancer.

Breast imaging services we offer

At our breast health center, we offer:

  • 2D and 3D mammograms (tomosynthesis)
  • Breast ultrasound
  • Breast magnetic resonance imaging (MRI), including abbreviated breast MRI (fast breast MRI)
  • Breast biopsy, including stereotactic, 3D-, ultrasound- and MRI-guided biopsies

We also provide 3D mammograms at Chesterfield Imaging Center.

Schedule a Mammogram

You can now schedule a screening mammogram online. For assistance scheduling your screening or diagnostic mammogram please call (877) 319-7744.

High-Risk Breast Program

Johnston Willis is home to a High-Risk Breast Program. Our program gives patients who have an increased likelihood of developing breast cancer access to supplemental screenings to help detect this disease in its earliest stages.

Each year, over 1 million people are diagnosed with cancer, and approximately 5-10 percent of those cancers are hereditary. However, only a small fraction of individuals with a hereditary predisposition to cancer learn that fact and get tested.  The goal of the program is to identify patients at higher risk before a cancer develops and offer personalized screening and risk reducing options.

Our high-risk breast nurse navigators collaborate with the treatment team to identify patients as high risk and educate those patients about additional supplemental screenings such as:

  • Abbreviated and full breast MRI
  • Contrast mammogram (CEM)
  • Genetic consultation and testing
  • High-risk provider consultation
  • Whole breast ultrasound

High-risk breast nurse navigator

Adrianne Alexander, BSN, RN has been a registered nurse since 2005 with over 17 years of nursing experience. She has spent much of her early nursing career as a critical care nurse before becoming a nurse navigator. Her previous experience as a nurse navigator was in California and Nevada before moving to Virginia.

Currently, Adrianne is the High-Risk Breast Cancer Nurse Navigator at CJW Hospitals in Richmond. As a two-time cancer survivor, she is passionate about cancer prevention and helping to identify patients at risk for breast cancer and actively supports any efforts to prevent this disease. She provides education, guidance, and support to her patients and their families. She is also a member of the Cancer Coalition of Virginia, the Virginia Cancer Patient Navigator Network, and the National Consortium of Breast Centers.

When Adrianne isn’t serving her patients, she enjoys spending time with her family and traveling.

Breast MRI

Breast MRIs are often used to detect breast cancers that have spread to surrounding tissue (invasive breast cancer). They are also typically used for patients who may need additional breast screening tools, such as women with dense breast tissue and a moderate risk of developing breast cancer. This type of test may detect cancers not visible on a mammogram, but it shouldn't replace annual mammograms.

Fast breast MRI

Fast breast MRI, sometimes called abbreviated breast MRI, is a shorter version of a traditional breast MRI. Fast breast MRIs are just as accurate as traditional breast MRIs.

What is Fast breast MRI?

Fast breast MRI is a 10-minute, self-pay examination shown to be highly effective in finding invasive breast cancers. It is ideal for women with dense breast tissue who desire additional breast cancer screening but do not meet the criteria to qualify for a traditional breast MRI study (more sequences and taking more time) based on their percentage lifetime risk for breast cancer using calculation models. The conventional breast MRI study (40 minutes) is intended for women with a higher risk for developing breast cancer, such as those with BRCA1/2 genetic mutations, lifetime risk >20-25%, prior history of breast cancer, etc. As with any screening exam, non-cancerous lesions are also detected which may require biopsies or additional follow-up studies such as mammogram, ultrasound, or a traditional breast MRI.

Who Should Get It?

The Fast breast MRI is a low cost, self-pay supplemental study for women with average to intermediate risk as well as women with or without dense breast tissue who want a screening study that is more sensitive to detecting breast cancer than mammography and sonography combined. The Fast breast MRI may detect cancers not visible on a mammogram but is not intended to replace mammography. Routine screening 3D mammograms are still recommended.

What to Expect?

The Fast Breast MRI requires an injection of contrast that is given through an IV during the study. The study itself takes 10 minutes to obtain appropriate images. It is very important that you remain still during these 10 minutes. It will be interpreted by a specially trained breast radiologist and the results will be sent to your doctor. You will need a doctor’s order for this exam. There is no radiation associated with this study.

Some other benefits of a fast breast MRI include:

  • The scan can help find aggressive cancers that can grow quickly between annual mammograms.
  • The scan is radiation-free, painless, and only lasts 10 minutes.
  • The results are sent to your referring physician within 48 hours.

Same-day breast imaging results

About one in 10 women will be called back for additional testing after a screening mammogram. We understand that can be a stressful time, which is why we provide same-day breast imaging results for any follow-up tests. If you need another mammogram or an ultrasound, your doctor will review your results with you in detail that day and explain any next steps, if necessary.

Comprehensive breast cancer care

If your test results show a breast condition that needs treatment, our team will create a customized treatment plan based on your needs and diagnosis. If you're diagnosed with breast cancer, the Sarah Cannon Cancer Institute at Johnston-Willis Hospital will provide you with comprehensive breast cancer care.

Concerns about lumps or breast cancer

If you have concerns about your breast health or have been recently diagnosed with breast cancer, our breast nurse navigators are here to help. These compassionate, knowledgeable team members can help answer your questions and make sure you can access the care you need.

Contact a breast nurse navigator by calling (804) 422-2273 (HCA-CARE).

Breast health at HCA Virginia

From regular checkups and screenings to the latest imaging technologies and treatments, you can access all our expert breast care services at our convenient location.

Learn about Breast health