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Effective: Winter 2012
R T 65MAMMOGRAPHY3 Unit(s)

Prerequisites: Prerequisite: R T 62A or current certification in Radiologic Technology.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
2.5 hours lecture, 1.5 hours laboratory. (48 hours total per quarter)

Student Learning Outcomes -
  • Demonstrate knowledge of the human structure, function, pathology and radiographic positioning relating to the human breast.
  • Explain image production and related equipment components to the mammography imaging process including quality assurance and quality control.
Description -
Technical and procedural aspects of mammography including breast anatomy, physiology, positioning, compression, quality assurance techniques, implant imaging and mass localization. Successful completion of this course entitles the student to a Certificate of Completion of a 40 hour course in mammography education. Intended for students in the radiologic technology program.

Course Objectives -
The student will be able to:
  1. discuss methods and techniques for patient education and assessment.
  2. identify and describe the instrumentation of a dedicated mammographic unit system.
  3. describe various ways of maintaining and performing quality control in mammography.
  4. identify and label normal anatomy of the human breast.
  5. compare and contrast normal/abnormal radiographic appearances of the breast as related to various pathological conditions.
  6. discuss the factors that effect mammographic technique and image quality.
  7. describe breast positioning imaging techniques.
  8. differentiate special positioning and radiographic techniques for the augmented breast, post-operative patient and breast specimen imaging.
  9. list and describe proper positioning methods used during general mammography, mass localization and needle localization.
Special Facilities and/or Equipment -
Classroom with multimedia equipment, illuminators and Internet access.

Course Content (Body of knowledge) -
  1. Patient Care: Education and Assessment (Lec)
    1. Patient Communication
      1. Pre-exam instructions
      2. Explanation of mammographic procedure
      3. ACS guidelines
      4. Breast self-examination (BSE)
      5. Clinical breast examination (CBE)
    2. Patient Assessment
      1. Epidemiology of breast cancer
      2. Incidence
      3. Risk factors
      4. Signs and symptoms of breast cancer
      5. Documentation of medical history
    3. Treatment Options
      1. Surgical options
      2. Non-surgical options
      3. Reconstruction
      4. Tumor staging
  2. Instrumentation and Quality Assurance (L-L)
    1. Design Characteristics of Mammography Units
      1. Techniques settings
      2. Mammography tube
      3. Compression devices
      4. Grids
      5. AEC
      6. System geometry
    2. Acquisition and Display
      1. Analog systems
      2. Digital systems
      3. Computer aided detection
  3. Quality Assurance and Evaluation (L-L)
    1. Accreditation and certification
    2. MQSA
    3. Quality Control
      1. Technologist tests
      2. Medical physicist test
      3. Digital QC test
  4. Anatomy and Physiology (L-L)
    1. External Anatomy
    2. Internal Anatomy
    3. Histology
    4. Localization Terminology
  5. Pathology (L-L)
    1. Imaging terminology
    2. Bengin conditions
    3. High risk conditions
    4. Malignant conditions
  6. Mammographic Technique and Image Evaluation (L-L)
    1. Technical factors
    2. Image Quality Evaluation
  7. Breast Imaging Procedures (Lec)
    1. Mammographic Positioning
      1. Standard views
      2. Additional views
      3. Positioning techniques
  8. Special Patient Situations (Lec)
    1. Imaging Options
    2. Implants
    3. Augmented breast
    4. Post-operative patient
    5. Breast specimen imaging
  9. Interventional Procedures (Lec)
    1. Fine needle
    2. Mass localization
    3. Needle localization










Methods of Evaluation -
  1. Directed Readings Assignments
  2. Midterms
  3. Final Examination.
Representative Text(s) -
Peart, Olive. Mammography and Breast Imaging: Just the Facts. 1st Edition. McGraw Hill, 2005. ISBN 9780071431200
Peart, Olive. Appleton & Lange Review of Mammography. 1st Edition. McGraw Hill, 2002. ISBN 9780071548359

Disciplines -
Radiologic Technology.
 
Method of Instruction -
  1. Lecture
  2. Discussion
  3. Demonstration
  4. Group Activities
 
Lab Content -
  1. Radiographic image anatomy identification.
  2. Equipment recognition.
  3. Quality assurance and quality control testing.
  4. Radiographic pathology identification.
  5. Mammographic technique and image evaluation.


 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Reading Assignments: Weekly reading assignments from course syllabus and textbook.
  2. Outside Assignments: Directed Readings throughout the quarter.