Atlas of Mammography by Ellen Shaw deParedes MD

By Ellen Shaw deParedes MD

Featuring over 1,500 mammographic photographs, this atlas is a entire advisor to examining mammograms. It provides the complete spectrum of manifestations of breast illnesses, in addition to situations related to the postsurgical and augmented breast. Chapters are equipped in keeping with the trend visible at the mammogram to strengthen readers' development attractiveness talents and to permit speedy and whole definition of etiologies and scientific implications for a selected finding.

This variation comprises new chapters at the augmented breast, the position of ultrasound and MRI in breast imaging, and imaging-guided breast interventions. The terminology of the BI-RADS® lexicon is used throughout.

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The craniocaudal (CC) view and the mediolateral oblique (MLO) view (29) are recommended as standard projections. Before the determination of the MLO projection, the views for mammography were a CC and a mediolateral (ML). With the advent of MLO positioning, more posterior tissue could be included in the field of view (Fig. 3). Additional views may be necessary to evaluate specific areas within the breast (30–32), and the techniques for positioning the patient for these various views are described in this chapter.

Another use of spot compression is in the evaluation of a palpable nodule not clearly seen on mammography. The technologist rotates the palpable lesion into tangent with the beam and spot compresses the area (30). qxd 22/02/2007 10:42 AM Page 34 Techbooks 34 Atlas of Mammography A. B. C. 18 On the standard CC view (A and B), a lesion located posterolaterally may not be included on the image, but by rotating the patient for the XCCL view (C), the lesion projects into the radiographic field. For this position, the breast is rotated medially so that the far lateral and posterior aspect of the breast is included in the field of view.

The film should be processed according to the manufacturer’s recommendations. The purity of the chemistry, the replenishment rate of the chemicals, and the temperature all affect the contrast. The time for processing also affects contrast significantly. Extended cycle processing has been used for mammography to increase the contrast of the images. Another major effect on contrast is scattered radiation. The use of grids in mammography reduces scatter and increases contrast. The grid attenuates the primary A.

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