MAMMOGRAPHY- Pt 2

EQUIPMENTLECTURE & more…..

RTEC 255 RTEC 255

Week # 3Week # 3

D. CHARMAN, M.Ed.,R.T.(R,M)D. CHARMAN, M.Ed.,R.T.(R,M)

MAMMOGRAPHY

RADIOGRAPHIC RADIOGRAPHIC IMAGING OF THE IMAGING OF THE

BREASTBREAST

Man – o - gram

Mammograms don’t look fun

but they can save a life!

A mammogram can find breast cancer when A mammogram can find breast cancer when it is very small -- 2 to 3 years before you it is very small -- 2 to 3 years before you can feel it.can feel it.

No screening tool is 100% effective. Good No screening tool is 100% effective. Good quality mammograms can find 85-90% of quality mammograms can find 85-90% of cancerscancers

Do it for those you love….

Mammography Equipment

Bushong – Ch Bushong – Ch

Mammogram

Soft Tissue RadiographySoft Tissue Radiography low subject contrast low subject contrast

low kvp – more PE low kvp – more PE

Magnification = increase OID

Cysts

Infiltrating Ductal Cancer

Infiltrating Ductal Cancer

MRI vs. Mammo

Digital vs. Conventional

THE AUGMENTED BREAST

Difficulty with IMPLANTSDifficulty with IMPLANTS

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

OTHER CHALLENGES TO MAMMOGRAPHY

MAMMOGRAPHY

A little more about…A little more about…

PT 3 255 09 wk 3PT 3 255 09 wk 3

Sentinel Lobe – Nuclear Med

FIBROADENOMA CYST

Pathology? + or -

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

INFILTRATING DUCTAL CA

DCIS

CLUSTER CALCIFICATIONS

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

Spot compression

POSITONING COUNTS!

PATHOLOGYLOOKING OUTSIDE

HOW CAN IT GO THIS FAR?HOW CAN IT GO THIS FAR?

Pagets disease of the nipple

47 yo breast cancer

Abnormal axillary lymph nodes Breast Breast Cancer

normal

male mastectomy

Male breast cancer and gynecomastia

MRI for dense breast tissye

Spot CompressionEspecailly 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 breast-feeding 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