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29 Cards in this Set

  • Front
  • Back

What type of radiation does mammography use?

xray

What are the advantages to mammography technology?

cheap


available


low radiation


sens to early detection (2 c of death, 1 in 8 women)

When are mammos done?

after age 50


40 if risk (family or dense breasts)

How do mammography pathologies appear?

star-like, adhesions in line or cluster

What positions?

4 routine:


cranio-caudal


MLO (mediolateral oblique)


Add'l:


ML (lateral)--by request or if only one side

Why compression?

so that organ is thinner, less radiation and less chance of movement

What is breast tissue made from?

mostly fat, also glandular and connective

What are fibro-dense breasts?

less fat, more connective and glandular tissue--harder to detect masses in imaging

How do the images appear?

fat appears dark, masses look white, connective and glands appear white (so mass is white on white)


dense breasts need more types of imaging

Breast density has the ____ natural contrast.

least

Use __ kv for best contrast in mammography.

low (20-30)

Modern mammography recognizes growths ___.

4 mm

Liquid in cysts appear ___ in black.

black

What other images are used in breast imaging?

US (can detect between liquid and solid, used to guide biopsy)


MRI:


better contrast


used for people with positive genes


used for implants


used to detect stage

What is a parparot?

a mass that is imaged to check that it's complete

What are the parts of a mammogram machine?

top to bottom:


xray tube


tube port


filtration


collimation


compression paddle


grid


screen/film

What size is the focal spot (moked amiti) in mammography?

very small--.1-.3 mm

What is the mammography anode made from?

molivdinum (sometimes rodium)

What type of radiation is produced?

characteristic

What type of filter is used in mammography?

malidinum, absorbs rays over 20 kv, improves contrast (opp of aluminum filter in xray)

How does the tube window function in mammography?

as a filter, made from berlium (atomic #4)


so doesn't absorb any kv

What grid ratio is used for mammography?

low, since kv is low

What is the bucky factor?

The calculation of the ration of radiation without a grid to with a grid (no grid is 1, high grid ratio 16:1 is 6)

How did digital technology improve mammography?

improved contrast and resolution


(little noise since MAS in not low)

What is AEC?

automatic exposure control (to optimize radiation dose and noise)


uses ionization cells and phototimer (small cells)

How do we improve contrast in mammography?

  • low kv
  • compression
  • grid
  • collimation
  • digital viewing (can use windowing/LUT, don't need light)

What is the goal of magnification in mammography and how is it done?

to see small adhesions, done by distancing breast from IR without distancing from tube


doesn't hurt resolution in mammography



What is a phantom check?

"fake body parts" used to test imaging

What is tomo?

Tomosynthesis, a 3d imaging fro breasts using slices


like CT, but part of mammo machine (and image looks like mammo)


depends on dr order, usually do mammo and tomo