By Ellen Shaw deParedes MD
Featuring over 1,500 mammographic photographs, this atlas is a entire consultant to analyzing mammograms. It provides the total spectrum of manifestations of breast ailments, in addition to circumstances concerning the postsurgical and augmented breast. Chapters are geared up in response to the trend visible at the mammogram to enhance readers' trend attractiveness talents and to permit fast and whole definition of etiologies and medical implications for a selected finding.
This version comprises new chapters at the augmented breast, the function 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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To position the patient for this view, the tube and cassette holder are tilted 45 to 60 degrees toward the contralateral breast (Fig. 15). The medial aspect of the breast to be examined is placed against the cassette holder, and the ipsilateral arm rests over the receptor. The breast is elevated so that it does not droop, and compression is applied from the lateral direction. This view is also used for patients who are very kyphotic or in patients with a pacemaker or a port located in the upper inner quadrant.
B. C. D. 16 HISTORY: A 44-year-old gravida 3, para 2, abortus 1 woman with no palpable findings, for screening. MAMMOGRAPHY: Right MLO (A), CC (B), XCCM (C), and LMO (D) views. Although on the routine MLO view (A) no abnormality is seen, the edge of a well-circumscribed mass (arrow) is present far medioposteriorly on the CC view (B). An XCCM view (C) demonstrates the lesion more clearly. To identify the exact position of the mass, the LMO view (D) was performed and showed the mass to be in the upper inner quadrant.
A. C. 38 Positioning the patient with implants: the CC view. (A) The breast including the implant is included in the field of view. (B) The technologist is displacing the implant posteriorly as she is pulling the parenchyma anteriorly and placing it over the receptor. (C) The implant-displaced CC view includes only the anterior parenchyma in the field of view. qxd 22/02/2007 10:43 AM Page 53 Techbooks Chapter 2 • Techniques and Positioning in Mammography A. B. D. C. 39 Normal implants and mammography.
Atlas of Mammography by Ellen Shaw deParedes MD