MAMMOGRAPHY Pt 2 EQUIPMENT LECTURE more RTEC 255

MAMMOGRAPHY RADIOGRAPHIC IMAGING OF THE BREAST

Mammograms don’t look fun but they can save a life!

A mammogram can find breast cancer when it is very small -- 2 to

Mammogram Soft Tissue Radiography n low subject contrast u low kvp – more PE

THE AUGMENTED BREAST Difficulty with IMPLANTS

Difficulty with Lateral Sternum may need to take 2 laterals – 1 upper, 1

A little more about… MAMMOGRAPHY PT 3 255 09 wk 3

DCIS– CELLS HAVEN’T BROKEN OUT SO WON’T SPREAD

year old woman with normal post-op mammogram MRI shows 5 mm invasive ductal

PATHOLOGY LOOKING OUTSIDE HOW CAN IT GO THIS FAR?

Abnormal axillary lymph nodes Breast Cancer

Spot Compression Especailly good for dense breast

Surgical scars can mimic characteristics of breast cancer.

Left breast (L) contains an irregular carcinoma that is producing considerable spiculation, nipple retraction

27 -year-old woman who stopped breastfeeding 2 months before having this mammogram.

42 -year-old woman with fibrocystic condition

28 -year-old woman 4 months postpartum and not breast-feeding. The right breast contains a

1. Abnormal axillary lymph nodes 2. Breast 3. Breast Cancer

importance of high-quality mammograms is evident in the two images of the same breast

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MAMMOGRAPHY - Pt 2 EQUIPMENT LECTURE & more…. . RTEC 255 Week # 3 D. CHARMAN, M. Ed. , R. T. (R, M)

MAMMOGRAPHY RADIOGRAPHIC IMAGING OF THE BREAST

Man – o - gram

Mammograms don’t look fun but they can save a life!

A mammogram can find breast cancer when it is very small -- 2 to 3 years before you can feel it. n No screening tool is 100% effective. Good quality mammograms can find 85 -90% of cancers n

Do it for those you love….

Mammography Equipment Bushong – Ch

Mammogram Soft Tissue Radiography n low subject contrast u low kvp – more PE n

Magnification = increase OID

Cysts

Infiltrating Ductal Cancer

MRI vs. Mammo

Digital vs. Conventional

THE AUGMENTED BREAST Difficulty with IMPLANTS

Difficulty with Lateral Sternum may need to take 2 laterals – 1 upper, 1 lower

OTHER CHALLENGES TO MAMMOGRAPHY

A little more about… MAMMOGRAPHY PT 3 255 09 wk 3

Sentinel Lobe – Nuclear Med

Pathology? + or - FIBROADENOMA CYST

DCIS– CELLS HAVEN’T BROKEN OUT SO WON’T SPREAD

INFILTRATING DUCTAL CA

DCIS

CLUSTER CALCIFICATIONS

year old woman with normal post-op mammogram MRI shows 5 mm invasive ductal carcinoma

Spot compression

POSITONING COUNTS!

PATHOLOGY LOOKING OUTSIDE HOW CAN IT GO THIS FAR?

Pagets disease of the nipple

47 yo breast cancer

Abnormal axillary lymph nodes Breast Cancer

normal

male mastectomy

Male breast cancer and gynecomastia

MRI for dense breast tissye

Spot Compression Especailly good for dense breast

Surgical scars can mimic characteristics of breast cancer.

Left breast (L) contains an irregular carcinoma that is producing considerable spiculation, nipple retraction (arrow), and skin thickening. Right breast (R) contains fibroadenoma.

27 -year-old woman who stopped breastfeeding 2 months before having this mammogram.

42 -year-old woman with fibrocystic condition

28 -year-old woman 4 months postpartum and not breast-feeding. The right breast contains a large mass (arrow) palpable on physical examination. The left breast contains two smaller nonpalpable masses (arrows) with microcalcifications. All three lesions were breast cancers.

1. Abnormal axillary lymph nodes 2. Breast 3. Breast Cancer

importance of high-quality mammograms is evident in the two images of the same breast

FINAL THOUGHTS n