B8-033 Breast Imaging Flashcards
1 in […] women will develop breast cancer during their lifetime
8
why are deaths related to breast cancer declining?
annual screening mammography
increased breast […] can make mammograms difficult to read
density
BIRAD of 0 indicates
incomplete exam
BIRAD of 1 indicates
negative, no abnormal findings
0% likelihood of malignancy
BIRAD of 2 indicates
benign
0% likelihood of malignancy
BIRAD of 3 indicates
probably benign
1-2% likelihood of malignancy
BIRAD of 4 indicates
suspicious
2-94% likelihood of malignancy
BIRAD of 5 indicates
highly suggestive of malignancy
95-100% likelihood of malignancy
BIRAD of 6 indicates
known, biopsy proven malignancy
management of a patient with BIRAD 0
additional exams or comparison with previous exams
management of a patient with BIRAD 1
routine mammography screenings
management of a patient with BIRAD 2
routine mammography screenings
management of a patient with BIRAD 3
short interval follow up
management of a patient with BIRAD 4
tissue diagnosis
management of a patient with BIRAD 5
tissue diagnosis
management of a patient with BIRAD 6
surgical excision if clinically appropriate
popcorn calcifications are associated with […] pathologies of the breast
benign
pleomorphic, microcalcifications are associated with […] pathologies of the breast
malignant
breast implants require […] for screening mammography
additional views (breast displacement)
proven BRCA carriers or first degree relatives of BRCA carriers should receive screening […] annually beginning at age 30
MRIs
high-risk women who cannot undergo screening MRI or women with dense breast tissue may require screening […]
US (as an adjunct to mammogram)
[…] is used to prepare to image guided biopsy
targeted US
first-line imaging modality for patients less than 30 years old
targeted US
first-line imaging in patients with palpable mass with hx of previous masectomy
targeted US
according to the ACR, screening mammography for female patients should begin at […]
40
screening mammography is for […] patients
asymptomatic
diagnostic mammography is for […] patients
symptomatic
any mammography done on a male patient is […]
diagnostic
recommendations for cessation of annual screenings
life expectancy less than 5-7 years
3D mammography technique that allows for additional planes of views
tomosynthesis
what is the USPTF’s recommendation for breast cancer screening?
biennial for women 50-74
due to overdiagnosis and high false positives
USPSTF considered identifying patients with […] as overdiagnosis
DCIS
the two standard mammographic views are [2]
craniocaudal CC
medial-lateral oblique MLO
malignant calcifications typically appear
small and irregular (pleomorphic)
benign calcifications typically appear
large and “popcorn” like
a patient with a normal mammogram is assigned BIRAD […]
1
if suspicious calcifications are the only finding, […] biopsy is utilized
stereotactic
next best step after a suspicious mass is seen on mammography?
US guided biopsy
a screening mammogram can only be assigned what BIRAD designations?
0-2
a diagnostic mammogram can be assigned what BIRAD designations?
3-6
if screening mammogram demonstrates a potential abnormality, it is given a designation of BIRAD […]
0
more imaging needed
