Tokuda Hospital Sofia


Mammodiagnostics and Screening Center

The mammodiagnostics and screening center in Tokuda Hospital Sofia offers a comprehensive range of screening and diagnostics procedures for Breast Cancer(BC), including a digital mammography, software for computer assisted diagnosing, ultrasound diagnostics, stereotaxic biopsies and magnetic resonance imaging, equipped with attachments and specialized software for breast disease testing. Our center’s physicians are certified radiologists with vast experience in the fields of mammology and oncology. 

Watch the Mammograph apparatus in the mammodiagnostics and screening center:

360° view:


Mammography is a specialized medical imaging method, in which a relatively low dose of x-rays are used to visualize the structures making up the mammary gland. This is the most widely accepted method to diagnose breast diseases among both men and women. Mammography is the single certified method for breast cancer screening. Using this method, small lesions and growths which are undetectable with physical (palpitation exams) can be discovered. 

Digital mammography is based upon a digitized system, in which standard x-ray film is replaced with solid detectors which have the ability to convert weak x-rays into electronic signals. These electric signals are compiled together to create an image, and in the case of the mammary gland the image can be viewed on a monitor or printed onto a film that resembles conventional x-ray film. Digital mammography has numerous benefits including high resolution ability, which allows very small pathological tissue changes to be clearly visualized while using very low amounts of ionizing radiation during the procedure. Depending on the goal of the examination, mammography can be implemented as either screening or diagnostic method. 

Screening mammography is a method which is widely implemented for the early detection of breast cancer among women who have no health complaints or obvious breast tissue changes. Normally, the test is conducted on both mammary glands stimultaneously in two mutually perpendicular projections, allowing tumours to be detected which are not detected during ordinary physical exams. Women above the age of 45 and women with increased BC risk are very strongly recommended to have screening mammograms on a regular basis. 

Diagnostic mammography is a radiology method which is suitable women experiencing symptoms related to the breast tissues abnormalities such as tumour masses, thickening or reddening of the skin, glandular secretions, nipple deformations or pain. With diagnostic mammography the specific nature of the abnormality can be further investigated and clarified, and also abnormal results from screening mammography can be explored further. 

Computer Assisted Diagnosis
Computer assisted diagnosis is a software product which supports the analysis of the medical images obtained from mammography. The system is organized in such a way that it focuses the attention of the radiologist upon specific pathological areas of the mammography. And according to large research projects conducted this methodology results an increase in test sensitivity of over 20 percent. The computerized aspect of this metholody doesn’t replace the experience of the radiologist but enhances it and the specialist makes the ultimate decision in each clinical case.

Ultrasound Mammary Gland Examination
For every pathological case related to breast tissues, it may also be required to additionally clarify the condition with the assistance of ultrasound evaluation. The examination is administered with an apparatus with high resolution ability and is conducted by a qualified physician who can supplement the mammography information. Ultrasound mammary gland examinations are mandatory for pediatric patients due to ultrasound’s lack of ionizing radiation. 

Magnetic Resonance Imaging of the Mammary Glands
Magnetic resonance tomography is widely considered a very promising method for diagnosing several diseases of the mammary glands. While conducting the examination, the patient lays on his/her stomach and her breasts are placed in a special attachment. Using this method, a contrasting material is then injected into the patients arm and image of each breast is taken. This is the most modern method for diagnosing unclear breast tissue formations, early diagnosis for patients with elevated breast cancer risk factors, diagnosing residual cancer for post treatment patients, and for women with breast implants. 

For cases in which mammography or ultrasound examinations indicate a pathological zone in the breast tissues, a biopsy is required. The best option for the patient is that the biopsy be performed in the medical imaging department under the direct control of the associated specialist. The correct choice of the type of treatment for breast tumors requires precise tissue samples that respresent the characteristics of the pathological area. After receiving the biopsy results from a histology specialist, the surgeon and the patient decide the most appropriate treatment for the given case. The medical imaging department of Tokuda Hospital Sofia has the full range of instruments to administer precise biopsies under mammography or echographic control.

Stereotaxic Biopsies
Stereotaxic biopsy is a modern medical procedure involving collection of tissue samples under radiological control. Most commonly, this method is required for small non-palpable tumors or small undefined lesions containing microcalcifications. In these cases, stereotaxic methodology ensures determining the exact location of the pathologic zone into which a very fine needle can be inserted to harvest tissue for histological examination. 

Consultative Mammography Center
For pathological cases, our patients are referred to the oncology committee, which consists of experts from the fields of medical imaging, treatment, and follow-up treatments for breast cancer. The committee includes a medical imaging specialist, chemotherapist, oncological surgeon, radiotherapist, and a pathologist. For these cases, the clinical problem is resolved using the principles of the multi-disciplinary approach, which involves collective expert assessments from all the specialists involved in the patient’s treatment process.


Medical Imaging


Computer Tomography

Section Medical Imaging o…


Research projects


Hospital location

51B "Nikola I. Vaptsarov" blvd. (if you drive, the entrance is from "At. Dukov" str.), "Hladilnika" distr., 1407 "Lozenets".

The hospital has a parking lot. The first 30 min. are free of charge, then a fee of 3 bgn/hours applies.

Public transport:
Buses: №88, 120
Shuttle bus: 32

Subway: Getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.


From the Central Railway Station

Bus line №305 getting off at "Romanian embassy" stop
From "Romanian embassy" stop – Bus line №120 getting off at "Tokuda Hospital" stop.
(after the traffic lights at "Atanas Dukov" str.

With a subway, from "Central Railway Station" station, getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.