INTRO2MAMMOGRAPHY Flashcards

(80 cards)

1
Q

ADULT FEMALE BREAST: ___ LOBES

A

15 - 20

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

BREAST TISSUE BEGINS TO DEVELOP AROUND SIX WEEKS IN UTERO

A

FETAL DEVELOPMENT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

DUCTS ARE PRESENT BUT NON-FUNCTIONAL - RESTING STATE

A

PREPUBERTY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

DUCTS ELONGATED DUE TO ESTROGEN - BREAST BUD APPEARS

A

PUBERTY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

PROGESTERONE INFLUENCE INITIATION OF OVULATION; DUCTS ELONGATE; SIDE BRANCHES OF DUCTS AND LOBULAR ELEMENTS FORM

A

YOUNG ADULT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

LOBULAR ELEMENTS ARE WELL FORMED

A

MATURITY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

DISTAL DUCTS GROW AND BRANCH; BREAST ENLARGE TWICE IT’S NORMAL WEIGHT; INCREASE IN MAMMARY BLOOD FLOW; VASCULAR ENGORGEMENT AND AREOLAR PIGMENTATION

A

PREGNANCY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

LOBULES BEGIN TO RECEDE; LEAVING MOSTLY DUCTS, ADIPOSE TISSUE AND FIBROUS TISSUE

A

MENOPAUSE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

During the 6th week of gestation, a pair of longitudinal thickening of the epidermis develop on the ventral surface of the embryo, extending from the axilla to the medial thigh called ____

A

MAMMARY RIDGES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

MAMMARY RIDGES AKA

A
  1. MAMMARY LINES

2. MILK LINES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

____ form along the milk lines, which extend from the axillae to the inguinal region

A

PLACODES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

the small raised area in the center of the breast through which milk can flow to the out

A

NIPPLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

colored area around each nipple

A

AREOLA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

average areola is ___ in diameter

A

4 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

sebaceous (oil) glands that appear as small bumps around the dark area of the nipple

A

MONTGOMERY’S TUBERCLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

provide lubrication for the nipple and areola

A

MORGAGNI GLANDS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

these glands secrete an oily fluid that lubricates the nipple and also secrete volatile compounds that are thought to serve as an olfactory, the stimulus for the newborn

A

SEBACEOUS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
  • protects the nipple from irritation
A

SEBACEOUS GLANDS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

secrete fat droplets into breast milk

A

SUDORIFEROUS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
  • tail of breast tissue called the “axillary tail of Spence” extend laterally into the axilla
A

AXILLARY TAIL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

the natural lower boundary of the breast, the place where the breast and the chest meet at the level of the 6th or 7th rib

A

INFRAMAMMARY FOLDS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

breast tissue is encircled by a thin layer of connective tissue called

A

FASCIA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

located between the membranous layer of superficial fascia and the deep fascia covering the muscles of the thorax

A

RETROMAMMARY SPACE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

BREAST PARENCHYMAL COMPONENT

A
  1. FIBROFATTY
  2. FIBROGLANDULAR
  3. ADIPOSE TISSUE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
holds the breast tissue in place
FIBROUS TISSUE
26
is the part of the breast that makes milk, called the lobes, and the tubes that carry milk to the nipple, called ducts
GLANDULAR TISSUE
27
FIBROUS + GLANDULAR TISSUE
FIBROGLANDULAR TISSUE
28
includes the breast lobes and breast ducts
GLANDULAR TISSUE
29
fills in the spaces between glandular and fibrous tissue and largely determines the breast siz
FATTY TISSUE
30
15 to 30yrs (& childless women >30yo)
FIBROGLANDULAR BREAST
31
Pregnant or lactating women
FIBROGLANDULAR BREAST
32
Radiographically dense, Very little fat
FIBROGLANDULAR BREAST
33
30 to 50yrs
FIBROFATTY BREAST
34
Average radiographic density | 50% fat & 50% fibroglandular
FIBROFATTY BREAST
35
>50yrs
FATTY BREAST
36
Postmenopausal
FATTY BREAST
37
Minimal radiographic | density
FATTY BREAST
38
Breast of children & men
FATTY BREAST
39
MOST SENSITIVE TO CA BY RADIATION
GLANDULAR
40
is the part of a tissue or organ with a structural or connective role
STROMA
41
surrounds large ducts and terminal duct lobular units (TDLUs)
INTERLOBULAR STROMA
42
denser, more collagenous than intralobular connective tissue
INTERLOBULAR STROMA
43
- becomes more fatty after puberty; increase in volume of this compartment is responsible for majority of breast volume
INTERLOBULAR STROMA
44
- increased density of this compartment may make mammographic detection of breast lesions more difficult
INTERLOBULAR STROMA
45
- surrounds acini within terminal duct lobular units
INTRALOBULAR STROMA
46
stroma is loose and contains fibroblasts, scattered lymphocytes, and plasma cells, macrophages, and vessels
INTRALOBULAR STROMA
47
may appear myxoid; hormonally responsive
INTRALOBULAR STROMA
48
no elastic fibers
INTRALOBULAR STROMA
49
bands of tough, fibrous, flexible connective tissue that shape and support the breasts
COOPER'S LIGAMENT
50
lined by an inner layer of cuboidal to columnar epithelial cells and the outer layer of myoepithelial cells
TERMINAL DUCTAL LOBULAR UNIT
51
attaches the lobule to the ductal system
EXTRALOBULAR TERMINAL DUCT
52
continues the duct system into the lobule
INTRALOBULAR TERMINAL DUCT
53
milk producing cells
LUMINAL EPITHELIAL CELLS
54
form the glandular unit of the breast
LUMINAL AND MYOEPITHELIAL CELLS
55
form the structural component of the surrounding breast tissue
FIBROBLASTS
56
produce proteins important for maintaining breast structure
FIBROBLASTS
57
- imaging of microcalcifications requires
SMALL FOCAL SPOT
58
FOCAL SPOT SIZE FOR ___
SPATIAL RESOLUTION
59
LARGE FS
0.3 mm
60
SMALL FS
0.1 mm
61
positioned at the chest wall
CATHODE SIDE
62
INHERENT FILTRATION
0.1 mm
63
W target: ___ filter
MOLYBDENUM OR RHODIUM
64
purpose of each filter is to reduce the higher-energy bremsstrahlung x-rays
Mo or Rh FILTER
65
W TARGET = Mo, Rh filter
50 um
66
for thick and dense breast
W TARGET = Mo, Rh filter
67
Mo target = Mo filter
30 um
68
most common target and filter combi
Mo target = Mo filter
69
Mo target = Rh filter
30 um
70
Rh target = Rh filter
25 um
71
IMMOBILIZATION OF BREAST
REDUCED MOTION BLUR
72
UNIFORM THICKNESS
UNIFORM X-RAY EXPOSURE OF THE IR
73
REDUCED SCATTER RADIATION
IMPROVED CONTRAST RESOLUTION
74
SHORTER OID
IMPROVED SR
75
THINNER TISSUE
REDUCED PX DOSED
76
flat Lexan paddle attached to a pneumatic or mechanical assembly
COMPRESSION PADDLE
77
EFFECT OF BREAST COMPRESSION
1. DECREASED TISSUE THICKNESS | 2. BREAST STRUCTURES CLOSER TO FILM
78
- positions after the IR to minimize the OID & improve spatial resolution
AEC
79
SKIN DOSE
800 - 900 mrad
80
MGD of the breast
130 - 150 mrad