By Ellen Shaw deParedes MD
Featuring over 1,500 mammographic pictures, this atlas is a entire advisor to examining mammograms. It provides the entire spectrum of manifestations of breast ailments, in addition to circumstances concerning the postsurgical and augmented breast. Chapters are geared up in response to the development noticeable at the mammogram to enhance readers' development reputation talents and to permit speedy and entire definition of etiologies and scientific implications for a selected finding.
This version 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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IMPRESSION: Small mass in the upper inner quadrant, highly suspicious for carcinoma. HISTOPATHOLOGY: Invasive ductal carcinoma. 32 Positioning of the patient for the axillary tail view shows the upper aspect of the breast and the axilla included in the field of view. 33 Proper positioning and contrast on the axillary view demonstrate an enlarged axillary node. qxd 22/02/2007 10:42 AM Page 48 Techbooks 48 Atlas of Mammography A. B. 34 HISTORY: An 82-year-old woman for screening mammography. MAMMOGRAPHY: Bilateral MLO views (A) show normal parenchyma and some prominent lymph nodes in the axillae.
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 plates are scanned by a laser beam, and the images are printed onto film. Like digital mammography, the phosphor plates offer a higher dynamic range than film mammography (26). Digital images may be interpreted as hard copy or soft copy. With hard-copy interpretation, the images are laser printed onto film. Soft-copy interpretation involves interpretation at a high-resolution workstation. Because of the amount of information in one image, the images are not displayed at full resolution on a 2 K ϫ 2 K workstation.
Atlas of Mammography by Ellen Shaw deParedes MD