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RAD 354 Chapt . 23 Mammo. Also know as soft tissue radiography Breast CA is the 2 nd leading cause of cancer related death in women (lung CA is first) 1 in every 8 women will get breast CA. Two types of Mammo. Screening – for asymptomatic patients
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RAD 354 Chapt. 23 Mammo • Also know as soft tissue radiography • Breast CA is the 2nd leading cause of cancer related death in women (lung CA is first) • 1 in every 8 women will get breast CA
Two types of Mammo • Screening – for asymptomatic patients • Diagnostic – for symptomatic or elevated risk patients • Baseline mammo is the first mammo done and is usually done prior to the age of 40
Risk factors for Breast CA • Age – the oloder the higher the risk • Family history – mom/sister with breast CA • Genetics – presence of BRCA1/2 genes • Menstruation – onset prior to age 12 • Menopause – after age 55 • Late childbirth age or no kids • Education – higher ed= higher risk • Socioeconomics = higher risk with higher status
Breast anatomy – all SIMILAR atomic mass density! • Fibrous • Glandular – most radiosensitive breast tissue • Adipose – less dense and less dose • If a malignancy is present, it usually presents as a distortion of ductal and connective tissue patterns • 80% is ductal and many have microcalcifications
Imaging breast tissues • Low kVps = 20 – 35 kVp range • Target material is tungsten (W), Molybdenum (Mo) or Rhodium (Rh) • Filter material is dictated by target material • Beryllium or borosilicate • If tungsten target – then molybdenum or rhodium filter • Inherent filtration is approx. 0.1 mm al equiv. • Focal spot sizes 0.3-0.1mm (large/small)
Other mammoinfro • Heel effect is always used (chest wall at cathode side of tube) • Compression always used: increased spatial resolution, lower pt. dose and focal spot blur • Grids are usually 4:1 or 5:1 FOCUSED • AEC’s require reproducible images at low dose kVp’s of +/- 0.1 OD
Mammo Image Receptors • Historically there have been many receptors used (direct-exposure, xeroradiography, screen-film and digital receptors • Current are only screen-film and digital receptors in this country • Digital’s advantage is post image acquisition processing; disadvantage is spatial resolution limitations (pixel size of receptor)