Collaborative Services

Collaborative Services All of the physicians at Tolnitch Surgical feel strongly that a team or multidisciplinary approach to cancer can help facilitate better patient care. In order to facilitate increased collaboration and communication between diagnostic radiology and surgery we have developed a collaborative relationship with Wake Radiology Diagnostic Imaging. Starting in November of 2004 Wake Radiology and their physicians and staff have provided screening and diagnostic ultrasound and diagnostic ultrasound in an attached wing of the office. This approach allows patients to often have imaging and office visits in a coordinated and seamless fashion with the goal of a quicker road to diagnosis and treatment. Mammography services are digital and interpreted by the mammography team from Wake Radiology. Wake Radiology is an independent business within the office and its billing and collection processes are separate from Tolnitch Surgical.

All of the surgeons at Tolnitch Surgical have extensive experience with image directed biopsy including Stereotactic and Ultrasound guided. Tolnitch Surgical has offered in office ultrasound and ultrasound directed core biopsy since the early 90s. Stereotactic biopsy has been available in the office since 2004 and is ACR accredited.

We also maintain a collaborative relationship with the REX pathology group and have maintained an open in office conference with pathology and radiology since 2005 to review cases. We feel that this collaboration has helped increase the understanding and quality of all of our specialties.

We have also maintained a collaborative relationship with our colleagues in radiation oncology. Tolnitch Surgical piloted the Mammosite Balloon approach to accelerated partial breast irradiation in the triangle. We have well over 100 patients to date who have completed treatment with excellent results. Radiation services can be provided by four separate groups in the community.

We have also maintained a close working relationship with our colleagues in medical oncology. After a cancer diagnosis, our staff will help facilitate a consultation for you with medical oncology for chemotherapy services.

Tolnitch Surgical was founded in 1991 and was the first practice in the region dedicated to breast cancer. The practice is committed to providing the highest quality of breast care and to do so in a compassionate setting. Wake Radiology practices in 15 locations in 5 counties in central North Carolina and has 59 physicians and is committed to a standard of excellence in all of the communities it serves.


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