Breast Imaging

Question 1

Screening vs diagnostic mammography

Answer 1

Screening is for asymptomatic women, limited views

Diagnostic for symptomatic women with history of cancer or with implants, additional views

Question 2

2 main views for mammography

Answer 2

Mediolateral oblique

Craniocaudal

Question 3

Is adipose dark or light on a mammogram

Answer 3

Dark (doesnt stop a lot of X rays)

Question 4

Target population for BC screening program

Answer 4

Women aged 50-69 years

Also available to women 40-49 and 70+ (but need patient or family doc request)

Question 5

How often are average risk women screened?

Answer 5

Every 2 years

Question 6

How often are higher than average risk women screened

Answer 6

Every year

Question 7

3 main risk factors that make someone above average risk

Answer 7

Family history of breast cancer
Genetic mutations
Previous radiation to chest

Question 8

Do dense breasts make it easier or harder to see masses?

Answer 8

Harder

Question 9

MRI for breast screening

Answer 9

Excellent detail but can be very sensitive (increase risk of false positives)
No radiation
Limited resource

Question 10

If a woman is pregnant, which modality do we used first?

Answer 10

Ultrasound