Mammography Practice Test Questions And Answers

The breast is located on the anterior thoracic wall. Its physical boundaries are:

Superior: Clavicle (collarbone)

Medial: Sternum (breastbone)

Inferior: Inframammary crease (the fold where the breast meets the chest)

Lateral: Midaxillary line (an imaginary line running vertically down the armpit)

Understanding these boundaries is important for clinical breast examinations, imaging, and surgical procedures.

The correct answer is "all of the above". Mammography films show breast calcifications better than chest x-rays due to a combination of factors. Firstly, there is more photoelectric effect, which means that the x-rays are absorbed more by the breast tissue, making the calcifications more visible. Additionally, mammography machines typically have a smaller focal spot, resulting in sharper images with better resolution. Lastly, mammography films use single emulsion film, which reduces the scattering of x-rays and improves the clarity of the image.

Fibroadenomas are benign tumors commonly found in the breast tissue. They are non-cancerous and do not pose a threat to health. Fibroadenomas can calcify, meaning that calcium deposits can form within the tumor. This can be seen on imaging tests such as mammograms. Additionally, fibroadenomas have the ability to involute, which means that they can shrink or disappear on their own over time. Therefore, all of the given statements - being benign, capable of calcification, and able to involute - are true for fibroadenomas.

Masking refers to the technique of enhancing the visibility of an image by reducing the influence of unwanted or distracting elements. By applying a mask to the image, certain areas can be selectively altered or highlighted, thereby improving the ability to detect low contrast details. This process helps to eliminate background noise or clutter, making the desired features more prominent and easier to identify.

Under MQSA guidelines, a mammography technologist must perform a minimum of 200 mammograms in a 2-year period. This ensures that the technologist has enough experience and practice to effectively perform mammograms and accurately interpret the results. Performing a sufficient number of mammograms also helps to maintain the technologist's skills and proficiency in this specialized field.

An adequate range of force for a compression device is 25 to 45 pounds. This range ensures that the device is capable of providing enough pressure to compress and support the desired area effectively, without causing excessive discomfort or potential harm to the user. It strikes a balance between being strong enough to achieve the desired therapeutic effect and being gentle enough to avoid causing any unnecessary pain or injury.

A grid is not used when performing magnification. Magnification is typically achieved through the use of lenses or other optical devices that enlarge the size of an object or image. A grid, on the other hand, is a pattern of intersecting lines that is used in various fields such as photography or graphic design to assist with composition or alignment. Therefore, the statement that a grid may be used when performing magnification is false.

If microcalcification clustering is present on routine screening views, the best next step would be to perform magnification views. Magnification views provide a closer and more detailed look at the microcalcifications, allowing for a more accurate assessment of their characteristics. This can help determine if further diagnostic tests, such as a biopsy, are necessary. Ultrasound may also be used in conjunction with magnification views to further evaluate the microcalcifications. One-year follow-up may be considered if the microcalcifications are determined to be benign and do not require immediate intervention.

A family history of breast disease is considered a major risk factor for breast cancer because it suggests a genetic predisposition to the disease. Previous treatment for breast disease is also a major risk factor as it indicates a previous presence of abnormal cells in the breast. The first pregnancy at age 22 is not considered a major risk factor for breast cancer. Therefore, the correct answer is 1 & 3.

not-available-via-ai

The base of the breast is considered to be the area closest to the chest wall. This means that it is the part of the breast that is located nearest to the underlying muscles and bones of the chest. The base of the breast does not include the nipple, the inframammary fold (IMP), or the axilla (armpit).

The cleavage view would best demonstrate the deep medial aspect of the breast. This view allows for visualization of the innermost portion of the breast tissue, which is important for detecting any abnormalities or lesions in that area. The axillary tail view focuses more on the outer portion of the breast, while the medial lateral and rolled views do not specifically target the deep medial aspect of the breast.

The ML 90 degree or LM 90 degree positions are most helpful in demonstrating tissue in the 12:00 or 6:00 position. These positions involve a lateral view of the breast with the patient's arm raised and the breast pulled away from the chest wall. This allows for better visualization of the upper and lower portions of the breast, which correspond to the 12:00 and 6:00 positions. The ML 90 degree position is obtained by rotating the patient's body 90 degrees, while the LM 90 degree position is obtained by rotating the mammography machine 90 degrees. Both positions provide optimal imaging of the tissue in the desired locations.

Possible causes of poor film screen contact include trapped air, warped cassettes, and foreign bodies within cassettes.

The statement is false because lymph node enlargement, nipple inversion, nipple discharge, skin thickening, and breast lumps are not always a sign of breast cancer. While these symptoms can be associated with breast cancer, they can also be caused by other conditions such as infections, hormonal changes, or benign breast conditions. It is important to consult a healthcare professional for proper evaluation and diagnosis.

Performing breast self-examination (BSE) is recommended for several reasons. Firstly, mammograms can have a certain level of inaccuracy, up to 20%, so BSE can help compensate for any potential missed abnormalities. Secondly, BSE can detect cancers that may not be visible on a mammogram, even when looking back retrospectively. Lastly, BSE is important for women who do not have access to or choose not to undergo mammograms. Therefore, all of the reasons mentioned above contribute to the importance of performing BSE.

BSE (Breast Self-Examination) should not be done in a random pattern using the fingertips. The correct technique for BSE involves using the pads of the fingers in a systematic pattern to thoroughly examine the entire breast, including the surrounding areas and underarms. This helps in detecting any lumps or changes in the breast tissue that may require further medical evaluation.

The correct answer is 2 and 4. Rhodium and Molybdenum are used as anode target materials in mammography.

not-available-via-ai

The recommended positions for a complete study of the augmented breast are Routine CC & MLO and Modified CC & MLO (push back, Eklund). These positions provide different views and angles of the breast, allowing for a comprehensive examination of the augmented breast. The 30 degree oblique position is not necessary for a complete study of the augmented breast.

The typical range of kVp used in mammography is 22-32. This range is specifically chosen to provide optimal image quality while minimizing radiation dose to the patient. Higher kVp values can improve image contrast and reduce scatter radiation, while lower values can increase image sharpness. Therefore, the range of 22-32 kVp is considered ideal for mammography examinations.

Male breast carcinoma is a rare form of breast cancer that affects men. It accounts for less than 2% of all breast carcinomas, making it a very small portion. This low percentage is due to the fact that breast cancer is more commonly found in women, with men having a significantly lower risk. Therefore, less than 2% accurately reflects the proportion of male breast carcinomas compared to all breast carcinomas.

The average degree of obliquity used to perform the mediolateral oblique projection in medical imaging, such as in mammography, is typically around 45 degrees. This angle helps to visualize specific structures or regions of interest by providing a different perspective and reducing the overlap of tissues in the image. This angle might vary based on the specific imaging procedure and the patient's anatomy.

To perform successful magnification mammography, a small focal spot is required. This is because a small focal spot helps in achieving higher resolution images, allowing for better visualization of small details and abnormalities in the breast tissue. A larger focal spot would result in lower resolution images, making it difficult to detect small abnormalities. Decreased or increased FFD (focus-to-film distance) does not directly affect the magnification mammography process.

The American Cancer Society (ACS) does not recommend routine mammograms for women below the age of 40. Mammograms are X-ray images of the breast used to detect breast cancer early. However, the ACS guidelines suggest that women aged 40 and older should have mammograms every 1 to 2 years. This is because the risk of breast cancer increases with age, and mammograms are more effective in detecting cancer in older women. Therefore, women below the age of 40 are not recommended to have routine mammograms according to ACS guidelines.

None of the above conditions mentioned are considered malignant. Dermal calcifications are calcium deposits in the skin and are not necessarily indicative of cancer. Accessory nipple refers to an extra nipple, which is a benign condition. Fibroadenoma is a common benign tumor in the breast. Therefore, none of these conditions are considered malignant.

Darkroom cleanliness is a crucial aspect of maintaining the quality of photographs. Daily cleaning ensures that dust, dirt, and other contaminants are regularly removed, preventing them from affecting the development process or appearing as imperfections on the final prints. Regular cleaning also helps to maintain the functionality of equipment and prevents the buildup of chemicals or residues that can compromise the darkroom's performance. Therefore, daily cleaning is necessary to ensure a clean and optimal working environment in the darkroom.

The statement suggests that the digital detector has the capability to function as the Automatic Exposure Control (AEC). This means that the digital detector can automatically adjust the exposure settings, such as the radiation dose or image brightness, based on the specific requirements of the imaging procedure. This feature helps in optimizing image quality and reducing unnecessary radiation exposure to the patient. Therefore, the statement is true.

The correct answer is "all of the above". Density artifact bands running parallel to the direction of film travel can be caused by the build-up of developer on the processor rollers, improper cleaning of the crossover rack assembly, and uneven roller pressure in the developer tank. Each of these factors can contribute to uneven development and result in density artifact bands on the film.

During pregnancy and lactation, the breast undergoes significant changes to prepare for milk production and breastfeeding. Glandular tissue is responsible for milk production and secretion. It consists of lobes and ducts that produce and transport milk. The amount of glandular tissue increases during pregnancy and lactation to meet the demands of milk production. Adipose tissue, on the other hand, provides support and cushioning to the breast but does not directly contribute to milk production. Coopers ligaments provide structural support to the breast, while sebaceous glands are responsible for producing oil to lubricate the nipple.

The patient's arm on the side being examined should be positioned down and slightly pulled back for the CC projection. This position helps to separate the breast tissue and allows for better visualization of the breast on the mammogram. It also helps to minimize superimposition of the arm on the breast tissue, ensuring a clear and accurate image.

The ACR (Automated Compression Release) allows for a maximum amount of compression of 45 lbs. This means that the ACR can compress an object or material up to 45 lbs of force. It is important to adhere to this limit to ensure proper functioning and avoid any potential damage or malfunctioning of the ACR system.

1 in 8 women will develop breast cancer over their lifetimes. This statistic indicates that there is a significant risk for women to develop breast cancer. It highlights the importance of regular screenings, early detection, and awareness about breast cancer and its risk factors.

A facility has up to 30 days to notify a woman of her screening mammogram results following her screening mammogram. This allows sufficient time for the facility to review and interpret the results accurately and inform the woman of any findings.

Lumpectomy is the correct answer because it is a surgical procedure that removes only the tumor and a small margin of surrounding healthy tissue, while preserving the rest of the breast. This treatment option is preferred for localized breast carcinoma with minimal disfiguration as it allows women to retain their breast shape and size to a greater extent compared to more extensive surgeries like radical mastectomy or modified radical mastectomy. Additionally, lumpectomy is often followed by radiation therapy to ensure complete removal of any remaining cancer cells. Needle localization is a technique used to guide the surgeon during a lumpectomy procedure.

The most effective combination of procedures for early detection of breast cancer is a combination of breast self-examination, physical examination, and mammography. Breast self-examination allows women to become familiar with their own breasts and detect any changes or abnormalities. Physical examination by a healthcare professional can help identify any lumps or other signs of breast cancer. Mammography, which is an X-ray of the breast, can detect breast cancer at its earliest stages, often before any symptoms are present. By combining all three methods, the chances of detecting breast cancer early are maximized.

Extended cycle processing refers to a method of developing film that involves longer periods of time in the developer tank compared to standard cycle processing. This extended time allows for increased speed and contrast of the film being processed. Therefore, all of the given options are correct as extended cycle processing does indeed increase the speed and contrast of the film being processed, and the determining factor is the amount of time spent in the developer tank.

Microcalcifications associated with malignancy typically have the following characteristics: they are fine in size, have a clustered appearance, and are very numerous. These features are often indicative of a malignant process and can help in the diagnosis of breast cancer. The round shape is not necessarily a characteristic of malignancy, as microcalcifications can have various shapes. Therefore, the correct answer is 1, 2, & 4.

The correct height of the image receptor in relation to the breast for routine CC projection is at the level of the inframammary fold (IMF) with the breast at a 90 degree angle to the chest. This positioning ensures that the entire breast tissue is captured on the image and allows for accurate evaluation of the breast.

A core sample biopsy is not considered curative breast surgery because it is a diagnostic procedure rather than a treatment option. It involves removing a small sample of breast tissue for further examination to determine if cancer is present. While it helps in the diagnosis and staging of breast cancer, it does not remove the entire tumor or treat the disease. On the other hand, lumpectomy, quadectomy, and modified radical mastectomy are all surgical procedures aimed at removing the cancerous tissue and potentially curing the disease.

Myelography is not a breast interventional procedure. Myelography is a diagnostic imaging technique used to visualize the spinal cord and nerve roots by injecting a contrast dye into the spinal canal. It is primarily used to diagnose conditions affecting the spinal cord, such as herniated discs or spinal tumors. In contrast, pneumocystography, stereotactic core needle biopsy, and galactography are all breast interventional procedures. Pneumocystography involves injecting air or a gas into the breast ducts to visualize any abnormalities, while stereotactic core needle biopsy is a minimally invasive procedure to obtain tissue samples from breast lesions. Galactography is a procedure used to evaluate and diagnose breast duct problems, such as nipple discharge or recurrent infections.

View markers in a mammogram are placed as close to the axilla (armpit) as the position allows. This is done to provide a reference point for the radiologist when interpreting the images and to ensure proper orientation of the breast tissue. Placing the markers in this location helps in identifying any abnormalities or changes in the breast tissue accurately.

Upon receiving a Level 2 citation during an annual FDA inspection, the facility is given 30 days to correct the problem. This allows the facility ample time to identify and address the issue, ensuring that it meets the necessary standards and regulations set by the FDA.

Advanced age is the greatest risk factor for breast cancer because as a person gets older, their risk of developing the disease increases. This is because breast tissue changes over time and becomes more susceptible to cancerous growths. Additionally, as a person ages, they may have been exposed to more environmental factors or lifestyle choices that can contribute to the development of breast cancer. Therefore, advanced age is considered the greatest risk factor for breast cancer.

The technologist should review the patient's personal history form with the patient before obtaining the mammogram images to ensure they have all the necessary information about the patient's medical history. They should also review the patient's previous mammogram images, if available, to compare them with the new images and look for any changes or abnormalities. This helps in providing accurate and comprehensive results.

In order to improve positioning capability for the Craniocaudal projection on a kyphotic patient, the alternate projection that should be performed is:

Exaggerated medial craniocaudal (XCCM)

This projection is specifically designed to better visualize the breast tissue in patients with increased kyphosis. It allows for better separation of the breast tissue from the chest wall, resulting in improved image quality.

The tangential (TAN) view would be most useful in determining whether calcifications are within the skin rather than within the breast parenchyma. This is because the TAN view allows for a more oblique angle of the breast tissue, which can help differentiate between calcifications that are superficial (in the skin) and those that are deeper within the breast tissue. The other views listed (Rolled, Axillary Tail, Cleavage) may not provide the same level of visualization or differentiation in this specific scenario.

For a complete mammographic study of a patient after a mastectomy, multiple positions may be required to ensure a thorough examination. Position 1, MLO (Mediolateral Oblique) of the skin of the affected breast, is necessary to assess any abnormalities in the remaining breast tissue. Position 2, CC (Craniocaudal) and MLO of the unaffected breast, is important for comparison and to establish a baseline for future examinations. Position 3, an axillary view of the affected breast, helps to evaluate the axillary lymph nodes and detect any abnormalities. Position 4, a spot view of any area of concern, is necessary to focus on specific regions that require further investigation. Therefore, all of the above positions may be required for a complete mammographic study after a mastectomy.

The maximum MQSA-allowed radiation dose per exposure for a 4.2 cm average breast is 300 mrad. This dose limit is set to ensure that the radiation exposure during mammography does not exceed a safe level. It is important to control and limit the radiation dose to minimize the potential risks associated with radiation exposure, especially for sensitive tissues like the breasts. The MQSA guidelines aim to strike a balance between obtaining high-quality images for accurate diagnosis and ensuring patient safety by setting a maximum dose limit.

When changing from the moly to the rhodium filter, the x-ray beam energy increases. This is because rhodium has a higher atomic number than molybdenum, which means it has more protons in its nucleus. As a result, the rhodium filter is more effective at absorbing lower energy x-rays, allowing higher energy x-rays to pass through. Therefore, the x-ray beam energy increases when using a rhodium filter compared to a molybdenum filter.

The breasts are separated from the pectoral muscle by a layer of adipose tissue. Adipose tissue is a type of connective tissue that contains fat cells. It provides cushioning and support to the breasts, and also helps in maintaining their shape. This layer of adipose tissue acts as a barrier between the breasts and the underlying pectoral muscle, allowing for movement and flexibility.

During puberty, the breast tissue undergoes significant development and growth. This growth is primarily due to the accumulation of adipose tissue, or fat, in the breast. As a person progresses through the different life stages, such as middle age, mature adulthood, and post menopause, the amount of adipose tissue in the breast tends to increase. Therefore, post puberty would be the life stage where the breast contains the least amount of adipose tissue.

Magnification views in mammography require longer exposure times compared to routine mammography. This is because magnification views involve zooming in on a specific area of interest, which requires more time for the X-ray machine to capture a detailed image. By increasing the exposure time, the image quality is enhanced, allowing for better visualization of small abnormalities or calcifications in the breast tissue.

The correct answer is photoelectric. In the process of photoelectric interaction, an x-ray photon is completely absorbed by an inner shell electron, resulting in the ejection of the electron from its orbit. This interaction provides the contrast for the radiograph as it produces a high level of absorption and allows for the visualization of structures with different densities.

The wide exposure latitude of FFDM refers to its ability to capture a wide range of image densities without significant loss of image quality. This means that the system can handle a variety of breast sizes and tissue densities, resulting in fewer repeat exams. With a wider exposure latitude, the chances of under or overexposure are reduced, leading to improved image quality and decreased need for repeat imaging.

The correct answer is "front screen facing the x-ray source." When a single intensifying screen is used, it is typically placed with the front screen facing the x-ray source. This arrangement allows the front screen to receive the x-rays first and convert them into light, which in turn exposes the film. The back screen then helps to intensify the light emitted by the front screen, resulting in a clearer image on the film.

Numerous clustered microcalcifications on a mammographic image would indicate breast cancer at the earliest possible time. Microcalcifications are tiny calcium deposits that can be a sign of early breast cancer. When these microcalcifications are clustered together, it suggests the presence of abnormal cells in the breast tissue. Detecting these clustered microcalcifications early can help in early diagnosis and treatment of breast cancer.

In the MLO projection, the image receptor should be placed parallel to the pectoral muscle. This positioning allows for better visualization of the breast tissue and the pectoral muscle, reducing overlap and distortion. Placing the image receptor perpendicular to the pectoral muscle would not provide an optimal view of the breast tissue and may result in a less accurate interpretation of the image.

The given description states that the tube assembly is rotated to a 90-degree position from vertical, meaning that the x-ray beam is parallel to the floor. The patient is erect and the arm on the side being examined is at a right angle to the body. The edge of the image receptor is along the sternum, and the central ray is directed perpendicular to the image receptor from lateral to medial. This description matches the projection known as Lateral medial (LM).

The automatic exposure control (AEC) is a feature in radiography that automatically adjusts the exposure factors such as radiation dose and exposure time based on the thickness and density of the body part being imaged. It helps to ensure consistent image quality and minimize unnecessary radiation exposure. However, when it comes to a patient with breast implants in place, the AEC may not be suitable as the implants can interfere with the accuracy of the exposure control system. Therefore, AEC may not be used for a patient with breast implants in place.

The base of the breast and the inframammary crease are not the same. The base of the breast refers to the area where the breast tissue attaches to the chest wall, while the inframammary crease is the natural fold or line where the bottom of the breast meets the chest wall. These two terms refer to different anatomical structures and locations within the breast.

Architectural distortion refers to changes in the normal structure or arrangement of breast tissue, often seen as irregular or spiculated lines on a mammogram. It is most commonly associated with invasive breast carcinoma, which is a type of breast cancer that has spread from the milk ducts or lobules into the surrounding tissue. Fibroadenoma, papillomatosis, and intramammary lymph node are all benign conditions that typically do not cause architectural distortion. Therefore, invasive breast carcinoma is the most likely cause of this finding.

When a biopsied lesion has calcifications, it is important to radiograph the core specimens. Calcifications can indicate the presence of abnormal tissue, such as tumors or cysts, and radiographing the core specimens can provide additional information about the size, shape, and distribution of the calcifications. This can help in the diagnosis and treatment planning for the patient.

Beam limitation is most critical at the chest wall of the patient because this is the area where the radiation beam needs to be carefully controlled and limited to avoid unnecessary exposure to healthy tissues and organs. The chest wall is a sensitive and vital area, so it is crucial to minimize radiation dose to this region while still ensuring proper imaging of the target area. By limiting the beam at the chest wall, the technologist can protect the patient from potential harm and achieve accurate diagnostic results.

The effective focal spot is always largest on the cathode side of the field because the cathode is the source of the x-ray beam. As the x-rays are emitted from the cathode, they diverge and spread out, resulting in a larger focal spot. On the other hand, the anode side of the field receives the x-rays after they have been focused by the anode, resulting in a smaller focal spot. Therefore, the effective focal spot is largest on the cathode side.

Chemical reactions depend on various factors such as time, temperature, and chemical strength. However, pressure is not a factor that directly affects the occurrence or rate of a chemical reaction. While pressure can have an indirect influence on reactions involving gases, it is not a fundamental requirement for all chemical reactions. Therefore, pressure is the only option among the given choices that is not essential for chemical reactions.

A broken parallel set of calcifications refers to the presence of calcium deposits that are not arranged in a uniform, parallel pattern. This is commonly seen in arteries, particularly in conditions such as atherosclerosis where plaque buildup can cause irregular calcifications. The other options, such as the areola, cystic walls, and the skin, are less likely to exhibit this specific pattern of calcifications.

To determine milk of calcium, the additional position that should be performed is ML 90 or LM 90. This position allows for a lateral view of the breast, which can help identify the presence of milk of calcium. Tangential and roll positions are not necessary for determining milk of calcium.

The most commonly used magnification factor for mammography is 1.5 times. This means that the image produced during mammography is enlarged by a factor of 1.5, allowing for better visualization of small abnormalities or lesions in the breast tissue. This magnification factor is widely used in mammography because it provides a good balance between image quality and radiation dose to the patient.

Reciprocity failure refers to the phenomenon where the sensitivity of film decreases when it is exposed to very long or very short exposure times. This means that the film may not accurately capture the intended image due to the altered sensitivity. The other options listed, such as exceeding D-max, depleting developer, or using expired film, do not directly relate to the concept of reciprocity failure.

A mammography technologist may not count needle localizations toward her MQSA performance requirement of 200 mammograms every 2 years because needle localizations are not considered mammograms. Mammograms involve using X-rays to capture images of the breast tissue, while needle localizations are a procedure used to guide a needle to a specific area of concern in the breast, such as a lump or abnormality. Therefore, needle localizations are not included in the count of mammograms for the performance requirement.

If the nipple is rotated up or down instead of in profile, it means that the current view is not providing a clear image of the nipple. In order to obtain a proper image, it is recommended to discontinue the attempt on that view and try again. This suggests that the current angle or positioning of the tube is not suitable for capturing the desired image and a different approach is needed.

The technologist would check the medial and lateral aspects of the breast for the proper amount of compression on the CC projection.

After a lesion has been completely removed during a post core needle biopsy, it is necessary to place a microclip before the patient is released from the stereotactic unit. Placing a microclip helps to mark the area where the lesion was located, allowing for easier identification during follow-up examinations or surgeries if needed. This ensures proper tracking and monitoring of the site where the lesion was resected.

The typical SID (Source-to-Image Distance) for mammographic imaging is 60-65 cm. This refers to the distance between the X-ray source and the image receptor or detector. A shorter SID can result in magnification of the image, while a longer SID can result in reduced image sharpness. Therefore, a SID of 60-65 cm is commonly used to obtain clear and accurate mammographic images.

In mammography, scattered radiation can affect the quality of the image. To reduce scattered radiation, two items are commonly used: an air gap and a moving grid. The air gap is a space between the patient and the image receptor, which helps to reduce the amount of scattered radiation reaching the receptor. A moving grid is a device that is placed between the patient and the receptor, and it moves during the exposure to absorb scattered radiation. Therefore, options 2 and 3 (air gap and moving grid) are the correct answer.

Beam restriction in mammography refers to limiting the size of the x-ray beam to only the area of interest. This restriction helps to reduce scatter radiation, resulting in improved contrast in the mammography image. Scatter radiation can decrease image quality by causing blurring and reducing the ability to distinguish subtle differences in tissue density. By restricting the beam, the amount of scatter radiation is minimized, leading to clearer and more detailed images with improved contrast.

Adipose tissue is the correct answer because it contains a high percentage of fat cells, which have a low atomic number and therefore attenuate the x-ray beam the least. This means that adipose tissue allows more x-rays to pass through, resulting in less absorption and a lighter appearance on the x-ray image. In contrast, fibro-glandular tissue, fibrous tissue, and fibro-fatty tissue have higher atomic numbers and therefore attenuate the x-ray beam to a greater extent, resulting in more absorption and a darker appearance on the x-ray image.

A unilateral dark or bloody nipple discharge is most likely to be associated with an abnormal galactogram. Galactogram is a diagnostic test used to evaluate the ducts of the breast for any abnormalities. Dark or bloody nipple discharge can indicate the presence of a lesion or tumor within the ducts, which would be detected through the galactogram. Unilateral discharge suggests that the abnormality is localized to one breast, further indicating the need for diagnostic investigation.

Core biopsies of the breast are performed with a 14 gauge needle. This is because a larger gauge needle allows for a larger tissue sample to be obtained during the biopsy procedure. A 14 gauge needle is thicker than an 18, 20, or 22 gauge needle, making it more suitable for obtaining an adequate tissue sample for diagnosis.

Calcifications associated with benign growths typically have smooth borders and a round shape. This is because benign calcifications are usually formed as a result of normal tissue changes or benign conditions. These calcifications tend to be well-defined and uniform in appearance, often appearing as small, round dots on imaging. Presence in clusters and numerous microcalcifications are more commonly associated with malignant growths.

Beryllium is used in the x-ray tube's window because it allows photons to pass through. Beryllium is a lightweight and transparent material that has low atomic number and high x-ray transmission efficiency. It is commonly used in x-ray tubes because it can withstand high temperatures and has good mechanical properties.

According to MQSA guidelines, a mammography technologist is required to obtain 15 continuing education credits every 3 years. This ensures that the technologist stays updated with the latest advancements and practices in mammography, maintaining their competence and providing quality care to patients.

The mediolateral oblique (MLO) projection is the best projection to demonstrate the posterior portion of the breast, including the axillary tail. The MLO view allows for better visualization of the posterior breast tissue and the axillary tail, which is important for detecting any abnormalities or lesions in these areas. The craniocaudal (CC) projection may not provide a clear view of the posterior breast tissue, while the XCCL and LM projections are not commonly used for breast imaging.

To correct a mammographic image that appears to be properly penetrated but slightly underexposed, the variable that should be altered is MAs (milliamperes-seconds). MAs determines the amount of radiation used during the imaging process. By increasing the MAs, more radiation will be used, resulting in a higher exposure and a properly exposed image.

The equation "pixel size = FOV / matrix size" is correct because in order to calculate the pixel size, we need to divide the field of view (FOV) by the matrix size. This equation makes sense because the pixel size is inversely proportional to the matrix size - as the matrix size increases, the pixel size decreases, and vice versa. Additionally, dividing the FOV by the matrix size aligns with the concept that the FOV should be divided into smaller segments represented by the matrix size to determine the size of each pixel.

The amount of compression used during pre-operative needle localizations should not be equal to that of the routine mammogram. This is because the purpose of pre-operative needle localizations is to precisely locate and mark a specific area of concern for surgery, whereas routine mammograms aim to screen the entire breast for any abnormalities. Therefore, the compression used during pre-operative needle localizations may vary depending on the specific needs of the procedure.

A Mammotome is a core biopsy needle. A core biopsy is a procedure used to remove a small amount of tissue from the breast for further examination. The Mammotome is a specialized needle that is designed to accurately and efficiently remove a core sample of breast tissue. It is commonly used in the diagnosis of breast abnormalities or to evaluate suspicious areas found on a mammogram or ultrasound. The Mammotome allows for a minimally invasive approach to obtaining tissue samples, reducing the need for more invasive surgical procedures.

The use of a grid increases contrast by reducing scatter radiation, which improves the clarity of the image. However, it also increases the radiation dose because the grid absorbs some of the primary radiation, requiring the machine to produce more radiation to compensate. Therefore, both contrast and radiation dose increase when a grid is used.

The average focal film distance (FFD) available on dedicated Mammography units is typically 60 to 65 cm. This distance refers to the distance between the focal spot on the x-ray tube and the image receptor or film. It is an important parameter in mammography as it affects the magnification and sharpness of the images produced. A longer FFD allows for better image quality and reduced distortion, which is crucial in detecting and diagnosing breast abnormalities.

Before the pneumocystogram films are done, air is injected into the cystic lesion. This is done to visualize the internal structure of the lesion and to create contrast on the X-ray images. Injecting air helps to outline the boundaries of the cystic lesion and allows for better visualization of any abnormalities or pathologies present.

The molybdenum target is advantageous over the tungsten target for mammography because it is able to produce more characteristic photons of approximately 20 keV. Characteristic photons are produced when an electron interacts with an inner shell electron in the target material, causing it to be ejected and creating a vacancy. When an outer shell electron fills this vacancy, it emits a characteristic photon with a specific energy level. These photons are important for producing high-quality mammography images.

Analog-to-digital (A to D) conversion is the process of converting continuous analog signals into discrete digital signals. In the context of image processing, this conversion typically occurs before any digital processing or manipulation takes place. This is because digital processing requires discrete, quantized data, which is obtained through A to D conversion. Therefore, the correct answer is "before".

The crossover procedure is done to establish new operating levels for a new box of film. This means that when a new box of film is used, the crossover procedure is performed in order to determine the correct settings and adjustments needed to achieve optimal results with the new film. It helps to calibrate the equipment and ensure that the film is processed correctly, resulting in high-quality images.

A smaller anode angle results in a smaller field size and is used with a small focal spot. The anode angle refers to the angle at which the x-ray beam is emitted from the anode of the x-ray tube. A smaller anode angle will result in a narrower beam and therefore a smaller field size. The focal spot refers to the area on the anode where the electrons strike to produce x-rays. A small focal spot is used when fine detail is required in the image, such as in radiography of small bones or dental imaging.

ACR accreditation is applied for every 3 years in mammography facilities in the United States. This means that these facilities undergo a rigorous evaluation process by the American College of Radiology (ACR) every 3 years to ensure that they meet the highest standards of quality and safety in mammography services. This accreditation helps to ensure that patients receive accurate and reliable mammograms, and that the facilities are equipped with the necessary technology and expertise to provide effective breast cancer screening.

Level 1 is the most serious citation a facility can obtain upon an FDA annual inspection. This suggests that there are multiple levels of citations, with Level 1 being the highest level of severity. It implies that Level 1 citations indicate significant violations or non-compliance with FDA regulations, potentially posing a serious risk to public health and safety.

The correct answer is the visualization of 4 fibers, 3 speck groups, and 3 masses. This means that in order to pass the evaluation for the Phantom test, the minimum requirement is to be able to visualize 4 fibers, 3 speck groups, and 3 masses. The other options do not meet this requirement as they either have fewer fibers, speck groups, or masses.

The breast attenuates 99% of incident x-rays. This means that when x-rays pass through the breast tissue, 99% of the radiation is absorbed or scattered, while only 1% is able to pass through. This high level of attenuation is important in medical imaging, as it helps to create clear and detailed images of the breast for diagnostic purposes.

Extended processing involves increasing the developer temperature. This means that the temperature of the developer solution used in the photographic development process is raised. This can have several effects on the final image, such as increased contrast, enhanced shadow detail, and improved overall image quality. By increasing the developer temperature, the development time can be shortened while still achieving the desired results. Additionally, warmer wash water may also be used in extended processing to further enhance the final image.

Subjecting processed films to high temperatures and low humidity can cause the emulsion, which is the light-sensitive layer of the film, to crack. This can occur due to the contraction and expansion of the film base and emulsion layers, leading to stress on the emulsion. Cracking can result in visible lines or fractures on the film surface, affecting the quality and integrity of the image.

In a medical report, especially for a mammogram, the required information typically includes:

Name of the lead interpreting physician: To identify who interpreted the results.

Name of the technologist who performed the mammogram: To document who conducted the procedure.

Name of the facility: To specify where the procedure took place.

An additional patient qualifier is not a standard required element on a medical report. Therefore, the correct answer is "additional patient qualifier."

A percentage range of 40-60% is given as the answer. This suggests that a significant proportion (between 40% and 60%) of mammographic images of malignant disease present microcalcifications.

Mammography films need to be kept for 5 years if the woman is a returning patient. This is because mammography films are used for screening and diagnosing breast cancer, and keeping them for 5 years allows for comparison with previous films to track any changes or developments in the breast tissue. This duration ensures that there is sufficient historical data available for accurate analysis and evaluation of the patient's breast health.

A ghost image refers to any electrical charge remaining in the detector after image data readout. This residual charge can create a faint or distorted image that appears alongside the main image. It is considered a form of image noise caused by incomplete removal of the charge during the readout process.

The CC view in mammography refers to the cranio-caudal view, which is an X-ray image taken from the top of the breast to the bottom. The breast is compressed between two plates during this view. In the given question, the correct answer is "posterior - superior." This means that the area of the breast that is not visualized on the CC view is the upper and back part of the breast.