MAMMO Final Flashcards

1
Q
  1. Birad One:
  2. Birad Two:
  3. Birad Three:
  4. Birad Four:
  5. Birad Five:
  6. Birad Six:
  7. Birad Zero:
A
  1. Findings Negative / Tissue Normal
  2. Benign Finding / Not Cancerous - Return in 1 year
  3. Change Seen / Short Term Follow Up - Return in 6 months
  4. Suspicious Finding - Biopsy Recommended
  5. Highly Suspicious Findings - Biopsy Strongly Advised
  6. Known Cancer Finding / Searching For Secondary Lesion -
  7. Incomplete Exam - More Imaging Required (Extra Views, Sono &/or MRI)
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2
Q
  1. If something spread, it affects:
  2. Does insurance effect mammography?
  3. How long does it take for breast cancer grow before felt
A
  1. Affects Lymph Nodes & Stage Diagnosed
    One Spot = Stage 1 / Lumpectomy
    Multiple Spots = Stage / Treatment Different
  2. YES - patients think they cant get exams / financial issues
  3. 10-12 years
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3
Q
  1. Tumor 1cm - 5cm
    - Best Prognosis:
  2. Average When is breast cancer caught on Mammo?
  3. Most common location for breast cancer
A
  1. 1cm / smallest - caught early
  2. 2-4 years
  3. Upper-Outer Quadrant
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4
Q
  1. Biggest Risk Factor For Breast Cancer:
  2. What color is fatty tissue in mammo
    - dense/cancer/calcification:
  3. MAIN reason for not getting Mammo
A
  1. Being Female
  2. black
    - white
  3. Patient doesnt have concern
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5
Q
  1. How old when routine Mammo start
    - Baseline starts:
  2. When would you get prior to this age?
  3. First Mammo (Year):
A
  1. 40
    - 30-40
  2. Family history or lump felt
  3. 1924
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6
Q
  1. First Mammo was: (of what)
  2. Father of Mammo:
  3. Tube first used in mammo:
    • Film Used:
A
  1. Chest Xray
  2. Robert Eagan
  3. Standard Tungsten / Standard Xray Tube (Glass Envelope)
    - Double
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7
Q
  1. How part of anatomy should always be included to navigate breast:
  2. What else does above help determine?
  3. Men most common cancer spot:
A
  1. Nipple in profile
  2. Out of way / not mistaken for finding
  3. Men have most common cancer behind nipple
    - gynocastia
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8
Q
  1. Issue With Nipple In Profile:
  2. Are ribs required on mammo?
  3. What does HIPAA do?
A
  1. Xirography
    - pooling of ink
  2. NO / dont want to see ribs (this was xirography)
  3. Protect patient privacy
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9
Q
  1. Can breast Feeding Woman get Mammo?
    - why/why not?
  2. Describe Why Use Commpression
  3. Causes Artifacts:
A
  1. Yes if lump felt
    - usually Sono done first bc breastfeeding has denser breast
  2. Less Radiation
  3. Skin Folds, Deodorant/Powder, Gowns/Hair
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10
Q
  1. Which group are less frequent to breast cancer?
    • What happens if they do have cancer?
  2. When comparing mammos,
    • FIRST:
    • Also:
  3. Do lesions always mean cancer?
A
  1. 40 and younger
    • More aggressive b/c fueled by hormones
  2. First: Symmetry (R to L)
    - Change (year to year)
  3. No - can be normal changes (cysts)
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11
Q
  1. What produces milk in breast
  2. Stages Determined By:
  3. Function of Pathologist:
    - Who reads mamo
A
  1. Terminal Duct - Lobular Unit
  2. Size, Location, Spread Outside of Breast
  3. Pathologist dx breast cancer NOT based off radiograph but hx/report
    - Radiologist
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12
Q
  1. What Marker Used For:
    - Scar
    - Mole
    -Mass
    -Nipple
  2. Lymph Node Seen on CC
  3. Cause of articular distortion
A
  1. Scar = Dash
    Mole = Circle
    Mass/Lump = Triangle
    Nipple = BB
    (if miss-marked can lead to misdiagnoses)
  2. Intra-mammolary (in tissue / not above)
  3. Masses, Scars, Skin Folds, Cooper Ligaments
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13
Q
  1. MLO Must Show:
    - Type Tissue Seen:
  2. CC Must Show:
    - Type Tissue Seen:
  3. How do Lesions move from lateral to medial
A
  1. IMF, Nipple in profile, pec in profile
    - NO Folds
    -> Superior and Inferior
  2. Nipple in profile, Pec in profile
    - NO Folds
    -> Lateral & Medial
    -> Posterior & Anterior
  3. Lateral move inferiorly
    Medial move superiorly
    Muffin rise, lead falls
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14
Q
  1. Kyphotic Patients Require:
  2. Angle for MLO range & Most Used:
  3. Angle for Exaggerated CC:
A
  1. Sitting Down
    - Can sit anyone down
  2. 45* Most, Range 30-60
  3. 30*
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15
Q
  1. View used to get deep tissue not seen on CC
  2. CC Stands For
  3. Roll View Determined By:
A
  1. Cleavage (medial tissue)
  2. Cranialcaudal or Caudalcranial
  3. Direction in which superior tissue moves in
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16
Q
  1. Spot vs Magnification
  2. What is different with implants?
  3. What sizes of film used in mammo
A
  1. Spot = Superimposition / Spreading
    Magnification = Increase Microscopic Detail (micro-calcification)
  2. Displacement Views Added (same views as routine/with implants but done without implants too)
  3. 8x10 & 10x12 (bigger)
17
Q
  1. If breast too large for 10x12, whats done?
  2. CAD is:
  3. When did xray begin going to digital
A
  1. Tiling - need be done same on each breast
  2. Computer Aided- Diagnosis (second set of eyes)
    - not always showing cancer / shows asymmetry

3.80s-90s
Mammo early 2000s

18
Q
  1. Does Mammo make money?
  2. Percent of imaging TOMO reduced:

3.

A
  1. No
  2. 40%

3.

19
Q

Breast Anatomy (Quadrants)

A
20
Q

Breast Anatomy Ducts

A