Exam (elaborations)
ARDMS Breast Registry Review Ch. 5
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- ARDMS Breast Registry Review Ch. 5
ARDMS Breast Registry Review Ch. 5
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ARDMS Breast Registry ReviewCh. 5
Patient history for breast sonography should include what 9 things? - -Age
Breast dz hx
Person hx cancer
Family hx cancer/breast dz
Medications - esp. hormones
Breast surgeries and findings
Breast pain and location
Findings from self exam (BSE)
Findings rom clinical exam (CBE)
-What things should the sonographer document with a palpable lump? (7) -
-1. Location
2. Size
3. Shape
4. Consistency
5. Mobility
6. Distance from nipple
7. Date when discovered- has it changed over time
-Right breast eval position - -Left Posterior Oblique
-Left breast eval position - -Right posterior oblique
-Medial aspect breast eval position - -supine
-What position may be used to simulate the CC mammo view? - -Upright
-AIUM recommends which scan plane for breast imaging? - -Radial
-If a solid lesion is found, the sonographer should scan in what planes? Why?
- -Radial and antiradial - to allow visulaization of tumor or ductal extensions
branching outward or toward the nipple
-123, ABC method indicates what - -123 - distance from nipple in levels, 1
being the closes to the nipple and 4 being the periphery
ABC - Depth of lesion - A being superficial and C being near the chest wall.
-A standoff pad moves the ___________ _________ __________ more superficial. -
-elevation plane focus
, -This ultrasound device allows for improved focusing and greater detail in
the superficial layers of the breast. - -stand-off pad
-Other than skin and superficial "things", what can a standoff pad be useful
for? - -Scanning surgical specimens
-What is the ideal stand-off pad thickness for breast imaging? - -1 cm
-Review the gray levels on page 60 - -Do it now!
-Due to the overlap in echogenicities between benign and malignant tissues,
BUS is not capable of distinguishing benign from malignant. Accurate
diagnosis can only be determined by __________. - -Biopsy
-In general __________ disease will not cross fibrous planes. - -Benign
-_________ diseases may cross fibrous planes and have a tendency to grow
toward the skin. - -Malignant
-What information can be gained from using transducer compression to
evaluate a cyst or mass? (5) - --Cysts will change shape
-Soft, benign lesions tend to change shape (eg lipoma)
-Hard, malignant lesions will not change shape
-Internal echoes within a benign lesion may become more uniform
-Debris within cysts or ducts may be better visualized
-Technique used to isolate a palpable mass - -Echo-palpation or sono-
palpation see graphic p.62
-Techinque where the sonographer immobilizes a mass between two fingers
while scanning with the opposite hand to ensure visualization of the correct
structure. - -Echo-palpation or sono-palpation
-Echo-palpatio may also be used to assess the _______ of a lesion by
attempting to move the mass with two fingers while scanning
simultaneously. - -mobility
-aka Vibrational Doppler Imaging - -Fremitus
-Vibration of the tissues (usually in the chest) during speech. - -Fremitus
-Fremitus used in combination with Power Doppler will cause _______tissues
to light up and ______tissue to demonstrate no signal. - -normal, foreign
-In what five instances can fremitus be helpful? - -1. Normal fat lobules
2. Normal tissue vs. isoechoic tumor
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