mammography & hysterosalpinography Flashcards

1
Q

What do high frequency generators do

A

allow for constant radiation output

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2
Q

The purpose of specialized grids in mammography is to

A

improve image contrast

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3
Q

What is different about dedicated mammography units

A
  • high frequency generators
  • various tube and filter materials
  • focal spot sizes that allow tissue magnification
  • specialized grids
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4
Q

Why do we use high frequency generators

A
  • minimal voltage ripple
  • higher xray output for a given peak kVp
  • consistent radiation output
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5
Q

Give 3 combinations of tube filters and materials for mammography

A
  • Mo/Mo
    -Mo/Rh
  • Rh/Rh
  • molebdynnum is good for denser breast
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6
Q

2 types of specialized grids for mammo

A
  • High Transmission Cellular (HTC) Grids: honeycomb or cross-hatch design,
    which reduces scatter in two directions.
  • Soft-Tissue Grids: allows the use of higher kVp techniques, improving
    penetration of dense breast tissue.
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7
Q

What is Full Field Digital Mammography

A

A mammography system that uses digital technology to capture images of
the breast.
* FFDM replaces X-ray film with solid-state detectors.
* Detectors convert X-rays into electrical signals, which are then used to
produce digital images of the breast.

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8
Q

5 key features of FFDM

A
  • digital image capture
  • improved image quality
  • lower radiation dose
    computer aided detection (AI)
  • efficient workflow
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9
Q

What is digital breast tomosynthesis

A

can reconstruct 3D information of objects with high-detailed resolution based on the finite number of projection images.
- Acquires images of a stationary, compressed breast at multiple
angles.
- images are reconstructed into thin, high-resolution slices that can be
displayed individually or in a dynamic cine-mode (like a movie).

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10
Q

When is digital breast tomosynthesis used

A
  • potentially for patient with denser breast
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11
Q

Technique of digital breast tomosythesis

A
  • use low dose x-ray
  • not much more than regular mammo
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12
Q

Function of Tomosythesis

A
  • taking multiple images to unsuperimpose breast tissue
  • shift and add to reconstruct and bring one section of tissue more into focus
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13
Q

What is computer aided detection

A
  • computer detects pathologies etc in image
  • area is pointed at for radiologist
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14
Q

What is a key technical aspect of digital breast tomosynthesis (DBT) that contributes to its ability to improve the detection of lesions in dense breast tissue?

A
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15
Q

Breast compression is not required in digital breast tomosynthesis exams. True or False?

A

True

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16
Q

What is a key advantage of full-field digital mammography (FFDM) over traditional screen-film mammography?

A

Ability to store and transmit images electronically, with improved contrast resolution

17
Q

What is a primary function of computer-aided detection (CAD) systems in mammography?

A

To mark suspicious areas for radiologists to review.

18
Q

Which symptoms would typically indicate the need for a diagnostic mammogram?

A
  • a new lump in the breast
19
Q

Which of the following risk factors would typically indicate the need for more frequent or earlier mammography screening? (Select all the apply)

A

A personal history of breast cancer or a strong family history of breast cancer.

or a genetic mutation in BRCA 1 or BRCA 2 gene

20
Q

What is a significant change in breast anatomy that occurs during menopause?

A

A decrease in glandular tissue and an increase in fatty tissue due to lower estrogen levels.

21
Q

What is the primary role of the Cooper’s ligaments in the female breast?

A

To provide structural support by connecting the breast tissue to the overlying skin.

22
Q

Most lesions associated with breast cancer are found in the

23
Q

What is MLO view

A

mediolateral projection
- imaginary line from shoulder to midsternum
- angle from 30-60*

24
Q

What are the 2 main projections for mammo

A
  • craniocaudal
  • Mediolateral oblique
24
The C-arm obliquity required for an average sized female patient during an MLO projection is
45*
25
The Posterior Nipple Line on the MLO projection must measure within ________ of the depth of the PNL on the CC projection.
1cm
26
Markers Required for Mammo
27
What is the Eklund mrthod
- manually push the implant toward the chest wall
28
Breast implants increases the risk of breast cancer. True or False?
False
28
What do we use Hysterosalpingography for
* contrast medium through a cannula into the uterus. * Determine size, shape, and position of the uterus and uterine tubes. * Delineate lesions such as polyps, fibroids, tumors, masses, or fistulous tracts. * Investigate patency of the uterine tubes in patients who are unable to conceive.
29
What do you want to see in Hysterosalpingography
- Contrast spills into peritoneal cavity and absorbed and excreted through urinary system
30
What kind of constrast do we use for Hysterosalpingography
- iodine based water soluble
31
views done for Hysterosalpingography
- AP scout - AP post injection - LPO/RPO may be requested
32
Technique for Hysterosalpingography
* Collimated * CR Centered 2” above symphysis pubis * May do only one view * Minimize radiation to young patient * May perform delayed views
33
What is the primary purpose of performing a hysterosalpingogram (HSG)?
To assess the patency of the fallopian tubes and evaluate the uterine cavity.
34
When acquiring an AP imaging during a hysterosalpingogram, where should the central ray be positioned?
2 inches above the pubic symphysis