A method of performing a procedure on a breast of a patient includes compressing the breast of the patient with a paddle of an imaging system and performing an initial imaging procedure on the breast of the patient. The initial imaging procedure includes imaging the breast with an x-ray source at a first energy to obtain a first image and a second energy to obtain a second image. A composite image is generated from the first image and the second image and displayed. A region of interest on the composite image is targeted and a biopsy is performed.