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

2. MAMMOGRAPHY RADIOGRAPHIC IMAGING OF THE BREAST

4. Man – o - gram

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

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

7. Do it for those you love….

8. Mammography Equipment Bushong – Ch

10. Mammogram Soft Tissue Radiography Soft Tissue Radiography low subject contrast low subject contrast  low kvp – more PE

16. Magnification = increase OID

18. Cysts

19. Infiltrating Ductal Cancer

21. MRI vs. Mammo

22. Digital vs. Conventional

25. THE AUGMENTED BREAST Difficulty with IMPLANTS

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

29. OTHER CHALLENGES TO MAMMOGRAPHY

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

35. Sentinel Lobe – Nuclear Med

37. FIBROADENOMA CYST Pathology? + or -

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

39. INFILTRATING DUCTAL CA

40. DCIS

41. CLUSTER CALCIFICATIONS

42. 61 year old woman with normal post-op mammogram MRI shows 5mm invasive ductal carcinoma

43. Spot compression

44. POSITONING COUNTS!

45. PATHOLOGY LOOKING OUTSIDE HOW CAN IT GO THIS FAR?

50. Pagets disease of the nipple

54. 47 yo breast cancer

55. Abnormal axillary lymph nodes Breast Breast Cancer

61. normal

64. Male Breast Cancer Statistics: According to the American Cancer Society, about 0.22 percent of men’s cancer deaths are from breast cancer. According to the American Cancer Society, about 0.22 percent of men’s cancer deaths are from breast cancer. This disease is 100 times more common in women than it is in men. This disease is 100 times more common in women than it is in men. Thanks to greater awareness and better treatments, the survival rates for both men and women are on the rise. Thanks to greater awareness and better treatments, the survival rates for both men and women are on the rise.

65. Gynecomastia: Prominent Male Breasts Most Common Causes : Puberty (hormonal growth and changes during adolescence) Estrogen exposure (female hormone present in the body and the environment) Androgen exposure (body-building hormones) Marijuana use Medication side effects (older men) One symptom of Klinefelter's syndrome, a condition in which a male has an extra X chromosomeKlinefelter's syndrome

66. Gynecomastia is a benign male breast (non-cancerous) condition is a benign male breast (non-cancerous) condition Some men who have prominent breasts, or uneven breasts, often feel some embarrassment about their body image. Some men who have prominent breasts, or uneven breasts, often feel some embarrassment about their body image. This condition can also cause This condition can also cause emotional conflict over sexual identity.

69. male mastectomy

70. Male breast cancer and gynecomastia

72. MRI for dense breast tissye

73. Spot Compression Especailly good for dense breast

75. Surgical scars can mimic characteristics of breast cancer.

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

78. 27-year-old woman who stopped breast- feeding 2 months before having this mammogram.

79. 42-year-old woman with fibrocystic condition

80. 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.

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

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

85. FINAL THOUGHTS