Midterm Exam Flashcards

Supernumerary breast

1
Q

-Supernumerary breast
- abnormal accessory breast tissue is found in addition to normal breast tissue

A

Polymastia

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2
Q

Supernumerary nipples

A

Polythelia

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3
Q

-combination of chest wall and
upper-limb anomalies that are generally unilateral although
a few bilateral cases have been reported.
- It is more frequent in males and on the right side. The
prevalence, approximately 1 in 20,000 to 30,000 births,1 is
thought to be underestimated.

A

POLAND
SYNDROME

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4
Q

are congenital deformities of
breast. They are defined by reduced
parenchymal volume and herniation of breast
tissue through the nipple-areola complex.

A

TUBULAR/TUBEROU
S BREAST

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5
Q

Breast asymmetry on a mammogram report means that
part of the breast looks different from other parts of the
same breast or the other breast.1 This is often due to
benign (not harmful) changes.

A

IDIOPATHIC
ASYMMETRY

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6
Q

absence of the
entire breast — including the breast
tissue, nipple and areola.

A

AMASTIA

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7
Q

is an increase in the amount of breast
gland tissue in boys or men. An imbalance of the
hormones estrogen and testosterone causes it.

A

GYNECOMA
STIA

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8
Q

The breast should be
inspected with the patient
seated in the following
positions:

A

-hands pressing on the top
of the head

-arms raised in the air

-arms at the side

-hands pressing on the
hips

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9
Q

Inspection

A

lump, skin dimpling, change in skin color or texture, change in how nipple looks, like pulling in of the nipple, clear or bloody fluid that leaks out of the nipple

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10
Q

need additional imaging evaluation and/or for mammography, obtaining previous images not available at the time of reading

A

BI-RADS 0: incomplete

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11
Q

BI-RADS

A

BREAST IMAGING-REPORTING AND DATA SYSTEM

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12
Q

symmetrical and no masses, architectural distortion, or suspicious calcifications

A

BI-RADS 1: negative

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13
Q

0% probability of malignancy

A

BI-RADS 2: benign

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14
Q

<2% probability of malignancy

short interval follow-up suggested

A

BI-RADS 3: probably benign

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15
Q

2-95% probability of malignancy

A

BI-RADS 4: suspicious for malignancy

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16
Q

low suspicion for malignancy (2-9%)

A

BI-RADS 4A

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17
Q

moderate suspicion for malignancy (10-49%)

A

BI-RADS 4B:

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18
Q

high suspicion for malignancy (50-94%)

A

BI-RADS 4C

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19
Q

-highly suggestive of malignancy
->95% probability of malignancy

-appropriate action should be taken

A

BI-RADS 5

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20
Q

known biopsy-proven malignancy

A

BI-RADS 6

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21
Q

-an area of abnormal breast tissue with a shape and margins that make it look different than the rest of the breast tissue

A

MASSES

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22
Q

Round, oval, lobular or irregular Circumscribed oval and round masses -

A

BENIGN Ill

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23
Q

Indistinct, irregular or speculated masses

A

MALIGNANT

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24
Q

Circumscribed (low malignancy), microlobulated, obscured (partially hidden by adjacent tissue), indistinct (ill-defined), or spiculated (characterized by lines radiating from the mass)

A

margin

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25
round, circumscribed
cyst
26
lobular, circumscribed
fibro adenomas
27
Generally suspicious of malignancy
indisticnt
28
Highly suggestive of malignancy.
speculated
29
irregular shape and indistinct or spiculated margins
MALIGNANT
30
The breast tissue most sensitive to cancer by radiation is
glandular tissue
31
Highest incident of breast cancer is located
upper outer/lateral quadrant of the breast.
32
* Frequently encountered at screening and diagnostic mammography * May indicated neoplasm, palpable masses * refers to a greater volume or density of breast tissue in one breast than in the corresponding area in the contralateral breast * Difficult to evaluate * Common cause is post-surgical scarring
ASYMMETRIC DENSITY
33
seen on two mammographic views but cannot be accurately identified as a true mass * Can be found in normal breast tissue.
FOCAL ASYMMETRIC DENSITY
34
Calcium deposits in breast * White spots or flecks in mammogram * Common above 50 years old * Noncancerous or benign
CALCIFICATION
35
Tight clusters with irregular shapes and fine appearance –
precancerous
36
large white dots or dashes -almost always noncancerous -require no further test not follow up
Macrocalcifications –
37
38
-fine, white specks, similar to grain of salts -usually noncancerous -be aware of the pattern
Microcalcification
39
as fine as 50 micrometer must be adequately visualized
Sufficient spatial resolution
40
low- energy x-rays
Adequate contrast
41
composition of the breast and age dependency
Broad dynamic range
42
compatible to diagnostic image
Lowest absorbed dose
43
P.E. absorption predominates Compton scattering therefore enhances contrast resolution.
Low kVp
44
effective compromise between increasing dose and reduced image quality at high kVp
23 to 28 kVp
45
better in viewing microcalcifications
Smaller focal spot
46
0.3mm – contact mammography
Large focal-spot
47
0.1mm - magnification Focal-spot shape
Small focal-spot
48
rectangular
rectangular
49
circular
preferred
50
is on the chest wall for easier positioning and to address the Anode-heel effect.
* Cathode (-)
51
COMPRESSION
1. Tissues are closer to IR. 2. Focal-spot blur is reduced. 3. Absorption blur and scatter radiation reduction. 4. Reduction of motion blur. 5. Reduces tissue superimposition. 6. Contrast resolution improvement.
52
52
Immobilization of breast
reduced motion blur
53
uniform thickness
uniform x-ray exposure of the image receptor
54
reduced scatter radiation
improved contrast resolution
55
shorter OID
improved spatial resolution
56
thinner tissue
reduced patient radiation dose
57
high-transmission cellular grid (crosses grid) orthogonal direction -clean up characteristic that reduces scatter radiation in two directions -improve scatter rejection
HTCG
58
grid strip
copper
59
HTCG
high-transmission cellular grid
60
AEC
automatic exposure control
60
–measure intensity and quality of x-ray at the image receptor -positioned after the IR to prevent shadow casting - Decrease OID - Increase spatial resolution
Phototimers
60
CAEC
compensated AEC
60
ionization chamber and solid-state diode
Radiation detectors
61
* Frequently used technique in mammography. * Produces images twice the normal size. * Requires special equipment such as microfocus x-ray tubes, adequate compression, and patient positioning devices. * Effective focal-spot should not exceed to 0.1mm. * Should not be used routinely. Purpose: Investigate small, suspicious lesions or microcalcifications. Downside: Incomplete breast image and increased patient dose.
Magnification mammography
62
* direct-exposure film, * xeroradiography, * *screen film, and * *digital detectors -single film emulsion to single back screen -increase contrast Avoids light crossover Emulsion grain – from tabular to cubic grain (0.5 to 0.9 micrometer) for better contrast
Screen-Film Mammography
63
* Screen-film * Digital mammography- Spatial resolution is limited by pixel size. 2006, DMIST (digital mammography imaging study trial) – increased in availability and use of digital mammographic units - Compare the efficiency of digital mammography to scree-film mammography - Even/equal for imaging mature, fatty breasts - Superior in imaging younger, denser breasts (postprocessing) allows visualization of all shades of gray helpful when evaluating soft tissue images
Digital mammography (DM)
64
DMIST
digital mammography imaging study trial