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Mammography
N/A
36
Pharmacology
Professional
04/25/2013

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Cards

Term
soft tissue radiographic exam of the breast
only muscle and fat structures are imaged
designed to enhance differential absorption in similar tissues
Definition
mammography
Term
diagnostic mammograms are ____ examinations in which specific projections are obtained to ____ or to ____
Definition
problem-solving
rule out cancer
demonstrate a suspicious area
Term
primary goal of mammography
Definition
detect breast cancer before it is palpable
Term
__ in __ American women will develop breast cancer
Definition
1 in 8
Term
a lesion as small as ___ may be detected, which may otherwise take __ to __ years before becoming palpable
Definition
2.0 mm
2 to 4
Term
mammography does not diagnose ___, only a pathologist can
Definition
breast cancer
Term
___% of men will develop breast cancer
Definition
1-2
Term
patients in the early stages of the disease respond ___ to treatment
Definition
well
Term
factors known to affect development of breast cancer
Definition
age
family history
hormonal history
Term
a baseline mammogram should be obtained usually by age __
Definition
40
Term
40-49 years of age undergo ___(high risk) or ___ (low risk) screening mammograms
Definition
annual
biannual
Term
age 50 and over should have ___ mammograms
Definition
annual
Term
___ found in women with family history
Definition
13.6%
Term
true genetic disorders have only been identified in ___% of women
Definition
5-10
Term
___ breast tissue is more sensitive to carcinogens during menarche
Definition
glandular
Term
early menses, late menopause, firth birth after age 30, nullparity
Definition
high risk women
Term
enacted by US federal government in 1992 over pulic concern over poor quality of mammography
Definition
Mammography Quality Standards Act
Term
MQSA was a result of ______ that said all women over 40 should get a baseline mammogram
Definition
ACR public campaign
Term
Act went into effect on __
Definition
October 1st, 1994
Term
Requires all facilities performing mammography (except VA facilities) to meet strict federal quality standards and become certified for operation by the secretary of the Department of Health and Human Services (DHHS)

Mammography must be performed on dedicated mammography units.

Mammography unit must be state-of-the-art and monitored regularly through an intensive quality assurance program.
Definition
Mammography Quality Standards Act
Term
the MQSA Marks the first time the use of an x-ray machine and a specific examination were ___
Definition
regulated by the federal government
Term
Known as Public Law 105-248
Definition
28 April 1999 Final Rules
Term
Asymptomatic patient or a patient without any known breast problems
Definition
screening mammography
Term
screening mammography has a ___ protocol, usually medial lateral oblique and cranial caudad projections
Definition
Two-view
Term
Performed on patients with symptoms or elevated risk factors
Definition
diagnostic mammography
Term
Some patients may be required to return for subsequent mammograms in __ months to assess for interval changes
Definition
3-6
Term
continues to be the standard in current breast radiography
Definition
Film Screen Mammography
Term
single emulsion and match with a single back screen
Definition
specially designed mammography intensifing screens
Term
Contains flat detector mounted on x-ray unit

No imaging plate required

Captures remnant x-rays and produces digital image which is then projected on a monitor for direct viewing
Definition
advantages of direct digital mammography
Term
confidence in detecting microcalcifications and tissue changes in the breast has been questioned by radiologists when examining ___
Definition
digital images
Term
___ target with ___ filter, used most often
Definition
Molybdenum
Term
Used for better penetration of more dense, thick-tissued breasts
Definition
molybdenum/rhodium target with rhodium filter
Term
X-ray tube is aligned with cathode placed over __ of breasts and anode toward __
Definition
base, apex
Term
Provides consistent image receptor exposure for various thickness and density compositions of breast tissues and for the range of kVp used
Definition
AEC chamber selection
Term
-Decrease thickness of breasts
-Brings breast structures as close to image receptor as possible
-Increase radiographic contrast
-Reduce motion and geometric unsharpness
-More uniform image receptor exposure
Definition
compression device
Term
Compression controlled by technologist and is typically applied at __ of force
Definition
25-45lbs
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