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Mammodiagnostic basic examinations, screening

Explore the history, techniques, and findings of mammodignostic basic examinations including mammography, sonography, and more. Learn about anatomy, typical findings, and breast interventions. Understand the importance of screening for early detection and efficient treatment.

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Mammodiagnostic basic examinations, screening

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  1. Mammodiagnosticbasic examinations, screening MUDR. Daniel Zoubek Klinika zobrazovacích metod FN Motol

  2. Mammodignostic basic examinations History 1913 Salomon - x-ray of specimen 1930 Waren 1966 Gros

  3. Mammodignostic basic examinations Examination method mammography sonography magnetic rezonance computer tomography

  4. Mammodignostic basic examinations

  5. Mammodignostic basic examinations Technics – x-ray tube Soft technics 25 – 35 kV Anode molybden wolfram Primary filtration molybden f. rhodium f.

  6. Mammodignostic basic examinations Technics - compresion Pressure 7-15 kg Contrast Reduction of summation exposure motion artefact

  7. Mammodignostic basic examinations Technics – cassette, exp. automat Special cassette 18x24, 24x30 cm Single intensifying screen Single emulsion film

  8. Mammodignostic basic examinations Technics – viewing box

  9. Mammodignostic basic examinations Technics – projection craniocaudal (CC) mediolateral oblique (MLO) magnification spot compresion mediolateral (ML) …

  10. Mammodignostic basic examinations Anatomy

  11. Tabár I. Tabar parenchymal patterm Tabár V. Mammodignostic basic examinations Tabár III. Tabár II. Tabár IV.

  12. Mammodignostic basic examinations Typical finding - Masses Shape Margins Density Calcification

  13. Mammodignostic basic examinations Typical finding - Calcifications Morphology Distribution Number

  14. Mammodignostic basic examinations Typical finding – Assymetrical pattern

  15. Mammodignostic basic examinations Sonography - technics Linear transducer Hihg-frequency tranducer 7,5 – 10 – 13 MHz

  16. Mammodignosticbasic examinations Sonographic findings Masses Cysts / solid masses Size Contour Echostrukture Acoustis absorption Architectural distortion

  17. Mammodignosticbasic examinations Breast interventions TrueCut / CoreCut biopsy Presurgical localization – dye marking, localization wires US guided navigation Stereotactic mammography navigation

  18. Mammodignostic basic examinations True Cut biopsy

  19. Mammodignostic basic examinations US-guided True Cut biopsy

  20. Mammodignosticbasic examinations

  21. Mammodignosticbasic examinations

  22. Mammodignostic basic examinations Benign Disorders Cysts Fibroadenoma Papiloma Lipoma …

  23. Mammodignostic basic examinations Cysts 39 y., palpable masses

  24. Mammodignostic basic examinations Fibroadenoma 28-29 let Palpable masses in left breast After 12 month increase

  25. Mammodignostic basic examinations Carcinoma in situ / invasive Ductal Lobular Tubular Medullary Mucinous Paget carcinoma,…

  26. Mammodignostic basic examinations Carcinoma 59 y. Without palp. Assymetry DC + Inf.DC

  27. Mammodignostic basic examinations Carcinoma 47 let Palpable masses in HZQ sin. Stp. Ca mammae dx. T1N0M0 2,5 year back DC + meta LU

  28. Mammodignostic basic examinations

  29. Mammodignostic basic examinations The male breast Gynecomastia Pseudogynecomastia Carcinoma

  30. Mammodignostic basic examinations Screening Primary prevention – prevention of development Secondary prevention – early detection Efficient treatment

  31. Mammodignostic basic examinations Screening NOT lower incidence LOWER mortality smallagresivtreatment betterprognosis

  32. Mammodignostic basic examinations Screening – Czech republic 57 screening centers (1/180tis. ob.) 45 – 69 let, asymptomatic Two year interval

  33. Mammodignostic basic examinations Screening – Czech republic

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