XP & WH Education- Mammography Positioning

This presentation uses the preinstalled Office font Calibri. If you send it to someone internally or externally, please convert it into a pdf to ensure that the content stays as intended. SIEMENS Healthineers Our template contains layout guidelines. Their purpose is to indicate key margins and mandatory areas on slides. Copy and paste Copy only full slides when they use the same new design. Otherwise the file The image must be size will be very large. Mammography User Services exchanged on the layer background Use the function Mammography SH Insert > Insert Content > Go to Design > Background Unformatted Text Styles > Format Background to paste a copied text. The text will now use the Positioning Select Fill > Image Fill. same existing format. Placeholder Eye-catcher Each presentation needs to for notes and third party be categorized, with the logos Placement can be author being responsible for varied in heights. choosing the right category: If it is not needed, please delete this element. Unrestricted – Restricted – Confidential – Strictly confidential Mammo team, India – The preset default category HOOD05162002930107 Edit “Author | Department” for presentations is Effective date: 11/10/2018 “restricted”. Unrestricted © Siemens Healthcare GmbH, 2018 in the “Header and footer” for all pages. new category ©” Start > Replace > insert “Restricted ©” and “the How to change paragraph levels Mammography Patient Preparation SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet,  Remove deodorant , talcum powder , or lotion under the arms or on breasts on the day of the exam. indent 7.5 mm. (These can appear on the x-ray film as calcium spots.) Switch between Text- and bullet levels:  Patient must describe any breast symptoms or problems to the technologist performing the exam. ● click  Previous mammograms must available to the radiologist at the time of the current exam.  In addition , before the examination , the patient asked to remove all jewelry and clothing above the waist and will be given a gown that opens in the front. HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 2 XP Education | HC APC IN SV MAMMO How to change paragraph levels Breast Positioning SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is  The primary goal in Breast Positioning is to show as much tissue as possible. - chapter description: Regular, no bullet, indent 7.5 mm.  The nipple should be shown in profile in at least 1 view. Switch between Text-  When the nipple is not shown in profile in any view, an extra view for the nipple can be done. and bullet levels: click  In positioning patients for a routine mammogram, the following views are considered as standard. ●  Cranio Caudal View (CC)  Mediolateral Oblique View (MLO) HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 3 XP Education | HC APC IN SV MAMMO How to change paragraph levels Breast Perimeter SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, Perimeter D indent 7.5 mm. E Switch between Text- and bullet levels: ● click Pectoralis muscle C A B PNL The perimeter of the breast. A) Lateral D) Superior B) Inferior E) Extension of superior C) Medial border HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 4 XP Education | HC APC IN SV MAMMO Mammography- Standard Views RCC / cranio-caudal right RMLO/right mediolateral olique LCC / cranio-caudal left LMLO/left mediolateral olique - From head to feet From the middle of the chest out to side of the body with the X-ray tube at an angle HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 5 XP Education | HC APC IN SV MAMMO How to change paragraph levels CC View- Cranio Caudal SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet,  No Motion indent 7.5 mm.  Nipple in profile Switch between Text- and bullet levels:  All pertinent anatomy demonstrated. CC ● click  Tissue thickness distributed evenly .Retromammary space  Dense areas penetrated ·Pectoral muscle  High contrast and optimal resolution.  Absence of artifact  Patient ID and Marker visible .Skin reflection of 11 MAR 2004 the cleavage HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 6 XP Education | HC APC IN SV MAMMO How to change paragraph levels Cranio Caudal (CC) Projection SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm.  This view visualizes the breast looking down from the top of the patient. Switch between Text- and bullet levels:  The anatomy visualized in this projection is mainly ● click for the medial portion of the breast.  Detector angle 0 degree HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 7 XP Education | HC APC IN SV MAMMO How to change paragraph levels Perfect Cranio Caudal SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is breast symmetrical to include - chapter description: Regular, no bullet, axillary tail indent 7.5 mm. nipple should be in profile Pectoral muscle Switch between Text- should allways and bullet levels: Nipple should point straight not click be seen: ● pointing lateral or medial Artefacts acceptable provided they PNL do not obscurate breast tissue from the nipple to the Ok to edge of the pectoral muscle is include a bit included of cleavage The length of the posterior nipple line is within 1 cm of the posterior nipple line on the MLO view breast symmetrical to include medial border HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 8 XP Education | HC APC IN SV MAMMO How to change paragraph levels Perfect CC view SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. Switch between Text- and bullet levels: ● click HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 9 XP Education | HC APC IN SV MAMMO How to change paragraph levels Medio Lateral Oblique (MLO) Projection SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet,  No motion A indent 7.5 mm.  Pectoral muscle to the level of nipple visualized Switch between Text- and bullet levels:  Breast pulled away from chest wall ● click  Nipple in profile  Dense areas penetrated  High contrast and optimal resolution  Absence of artifact  Marker and patient ID visible Mediolateral oblique (MLO)* HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 10 XP Education | HC APC IN SV MAMMO How to change paragraph levels Medio Lateral Oblique(MLO) projection SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet,  In MLO view the X-ray is directed from the supero-medial to the infero-lateral aspect. indent 7.5 mm.  The MLO view lets you visualize the maximum amount of Breast tissue in a single view. Switch between Text- and bullet levels:  The plane of the object table can be angled anywhere between 30 to 60 degrees from the horizontal, such that the click ● plane of the cassette/detector is parallel to the pectoral muscle.  Though the standard angulation angle is 45 degree, tall & thin patients may require a steeper angle( 50 to 60 degrees) & short and heavy patients require lesser of an angle (30 to 40 degrees)  If pectoral muscle is not parallel, less of tissue is captured in the image obtained. HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 11 XP Education | HC APC IN SV MAMMO How to change paragraph levels Mediolateral Oblique projection SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is An optimal MLO view must include: - chapter description: Regular, no bullet,  Inclusion of all the breast tissue within the perimeter RMLO indent 7.5 mm.  Axilla fully visualised Switch between Text- and bullet levels:  Tissue well separated ● click  Tissue visualised back to retromammary space.  Infra Mammary Fold HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 12 XP Education | HC APC IN SV MAMMO How to change paragraph levels Perfect Medio Lateral Oblique SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Skin folds over pectoral Regular, no bullet, indent 7.5 mm. muscle are acceptable 20º Switch between Text- 3 cm of pectoral muscle at and bullet levels: click ● top of image(20 degree) The length of the posterior nipple line is within 1 cm of Pectoral the posterior nipple line on PNL muscle is the CC view down to · Nipple in profile(retro-areolar nipple tissue well separated ) level Iframammary fold 1 well demonstrated HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 13 XP Education | HC APC IN SV MAMMO How to change paragraph levels Perfect Medio Lateral Oblique SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. RIVLO LMLC Level 2, 3, 4 and 5 is - chapter description: - TR - TR Regular, no bullet, indent 7.5 mm. Switch between Text- and bullet levels: click ● HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 14 XP Education | HC APC IN SV MAMMO How to change paragraph levels Additional Views SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. Switch between Text- and bullet levels: ● click WHY DO WE NEED ADDITIONAL VIEWS? HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 15 XP Education | HC APC IN SV MAMMO Additional Views SIEMENS Healthineers Additional views are done to show a specific component of the anatomy not seen on standard views ( CC & MLO)  To show an area of concern in better detail.  To counteract superimposition of structures.  To triangulate a lesion. HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 16 XP Education | HC APC IN SV MAMMO Additional Views SIEMENS Healthineers  Lateral (LM/ML)  Rolled Views (RL/RM/RI/RS)  Spot Compression (S)  Tangential (TAN)  Magnification (M)  Superolateral to Inferomedial (SIO)  Axillary Tail (AT)  Caudocranial (FB)  Exaggerated craniocaudal (XCC)  Implant displaced (Eklund) (ID)  Cleavage view (CV) HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 17 XP Education | HC APC IN SV MAMMO How to change paragraph levels Lateral Projection SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet,  Ninety degrees or true lateral projection is the most commonly used additional view. indent 7.5 mm.  This view is used to triangulate the exact location of the lesions in the breast. Switch between Text- and bullet levels:  The ninety degree lateral view is also used to demonstrate the gravity-dependent calcification (Milk of calcium) ● click  When an abnormality shows on one standard view but not on the other (Cc or MLO), a lateral view is taken to determine if the abnormality is real, superimposed tissue, artifact on the radiograph or in the skin. HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 18 XP Education | HC APC IN SV MAMMO How to change paragraph levels Lateral projection SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. Switch between Text- and bullet levels: Lateral projection is of 2 types: ● click LM- Latero Medial ML- Medio Lateral LM-> +ML HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 19 XP Education | HC APC IN SV MAMMO How to change paragraph levels Lateral Projection SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. Switch between Text- and bullet levels: ● click DDD SBI Mediolateral Lateromedial HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 20 XP Education | HC APC IN SV MAMMO How to change paragraph levels Spot Compression SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is  Spot or Coned compression is a simple technique. - chapter description: Regular, no bullet, indent 7.5 mm.  It is specially helpful with obscure and equivocal findings in areas of dense tissue. Switch between Text-  Spot compression allows for more localized compression of an area of the breast. and bullet levels: ● click  It allows for higher contrast and more precise evaluation of findings.  The original Mammogram is used to determine the placement of the compression plate by determining the location of the lesion. HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 21 XP Education | HC APC IN SV MAMMO How to change paragraph levels Spot Compression SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is Two functions of compression: - chapter description: Regular, no bullet,  Decrease the thickness of the breast. Compression indent 7.5 mm. paddle  Reduce OID (Object to Image) distance of breast structures Switch between Text- and bullet levels: ● click Chest wall Compression force around 100 Newtons Cassette HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 22 XP Education | HC APC IN SV MAMMO How to change paragraph levels Spot Compression SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. Switch between Text- and bullet levels: ● click HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 23 XP Education | HC APC IN SV MAMMO How to change paragraph levels Spot Compression SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Spot Compression view of a suspicious area of a Regular, no bullet, mammogram showing high density spiculated mass indent 7.5 mm. (indicated with red arrow) with heterogeneous linear Switch between Text- calcifications and bullet levels: ● click HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 24 XP Education | HC APC IN SV MAMMO How to change paragraph levels Magnification SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description:  Magnification views with or without spot compression can be helpful in differentiating benign from malignant lesion by Regular, no bullet, permitting a more precise evaluation of margins and other architectural characteristics of a focal density or mass. indent 7.5 mm.  These views also provide better delineation of the number, distribution and morphology of calcification. Switch between Text- and bullet levels:  Magnification view requires an X-ray tube with micro focal spot to offset the geometric unsharpness. ● click  It also requires a magnification platform to separate the compressed breast from the cassette for a 1.5 to 1.8 times magnification.  The air gap resulting from separation of the breast from the image receptor prevents a significant amount of scattered radiation. Grid is not used. HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 25 XP Education | HC APC IN SV MAMMO How to change paragraph levels Magnification SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Method Regular, no bullet, indent 7.5 mm.  0.1 mm focal spot Switch between Text-  Magnification table for 1.5 to 1.8 times = and bullet levels: enlargement (magnification) ● click Magnification table Image Reader (Cassette) HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 26 XP Education | HC APC IN SV MAMMO How to change paragraph levels Magnification SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is -X-ray source - chapter description: Regular, no bullet, to indent 7.5 mm. S Switch between Text- and bullet levels: (SOD) ● click Compression paddle Lesion Source-to-Object Distance Breast tissue (SID) -Magnification stand Source-to-Image Distance Digital Detector LE 4.2 Geometric principles of magnification in mammography. HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 27 XP Education | HC APC IN SV MAMMO How to change paragraph levels Axillary Tail SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm.  This view is used to demonstrate the entire axillary tail as well as most of the Switch between Text- and bullet levels: lateral aspect of the breast. ● click  The tube is rotated to an angle that will place the casette holder parallel to the axillary tail. LAT Left Axillary Tail HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 28 XP Education | HC APC IN SV MAMMO How to change paragraph levels Exaggerated Cranio Caudal SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is An exaggerated Cranio Caudal view depicts lesions in the deep lateral or medial portion of the breast. - chapter description: Regular, no bullet, indent 7.5 mm. Switch between Text- and bullet levels: ● click XCCL DDD HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 29 XP Education | HC APC IN SV MAMMO How to change paragraph levels Exaggerated Cranio Caudal SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. Switch between Text- and bullet levels: ● click  Superior profile illustrating how placement of the flat edge of the IR against the curved chest wall excludes a portion of the breast tissue (shaded area)  Dashed line indicates placement of IR for exaggerated position. HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 30 XP Education | HC APC IN SV MAMMO How to change paragraph levels Exaggerated Cranio Caudal SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. XCC CC Switch between Text- and bullet levels: ● click JLF HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 31 XP Education | HC APC IN SV MAMMO How to change paragraph levels Cleavage View SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted.  The cleavage view (valley view, double breast compression view) is performed to visualize deep lesions in the Level 2, 3, 4 and 5 is - chapter description: posteromedial aspects of breast. Regular, no bullet, indent 7.5 mm.  It is the visualization of the medial breast in the CC view. Switch between Text- and bullet levels: ● click HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 32 XP Education | HC APC IN SV MAMMO How to change paragraph levels Cleavage View SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. R cv Switch between Text- and bullet levels: ● click HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 33 XP Education | HC APC IN SV MAMMO How to change paragraph levels Rolled Views SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted.  The rolled views is used to separate superimposed breast tissues. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet,  The purpose is to confirm the presence of an abnormality to define a lesion indent 7.5 mm. better or to determine the location of a finding seen only in one of the standard views (CC and MLO) Switch between Text- and bullet levels:  Rolled Medial & Rolled Lateral are performed on CC views ● click  Rolled superior & Rolled Inferior are performed on MLO views. Cranio Caudal Projection with rolled lateral HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 34 XP Education | HC APC IN SV MAMMO How to change paragraph levels Rolled Views SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. Switch between Text- and bullet levels: ● click Right Rolled Lateral Right Rolled Medial HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 35 XP Education | HC APC IN SV MAMMO How to change paragraph levels Tangential View SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is  Tangential view is used for palpable lesions that are obscured by surrounding dense glandular tissue on the - chapter description: Regular, no bullet, mammogram. indent 7.5 mm.  The Mammography C-arm is rotated such that the X-ray beam is tangential to the palpable lump. Switch between Text- and bullet levels:  These views can be obtained by placing a lead marker (BB) directly over the lump and directing the X-ray beam ● click tangential to the lead marker.  These views can also be used to verify the calcifications seen on a mammogram that are located within the skin HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 36 XP Education | HC APC IN SV MAMMO How to change paragraph levels Tangential Views SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. Switch between Text- and bullet levels: ● click HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 37 XP Education | HC APC IN SV MAMMO How to change paragraph levels Tangential Views SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. Switch between Text- and bullet levels: ● click SBI HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 38 XP Education | HC APC IN SV MAMMO How to change paragraph levels Superlateral to Inferomedial Projection SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. • This is an oblique view that can be performed with the central ray directed from upper outer to lower-inner Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, indent 7.5 mm. Switch between Text- L SIO and bullet levels: ● click DDD HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 39 XP Education | HC APC IN SV MAMMO How to change paragraph levels Caudocranial Projection SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is  This view improves visualization of lesions in the uppermost aspect of the breast due to the reduced object-to-image - chapter description: Regular, no bullet, receptor distance. indent 7.5 mm.  Since the compression paddle comes from below, this view will exclude the fixed posterior tissue in the superior aspect Switch between Text- of the breast. and bullet levels: ● click  This view is commonly used for patients who are kyphotic or in male patients. HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 40 XP Education | HC APC IN SV MAMMO How to change paragraph levels Implant Displaced Projection SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted.  This projection is used to help image the breast tissue in front of an implant. Imaging the augmented breast presents Level 2, 3, 4 and 5 is special problems and challenges. - chapter description: Regular, no bullet, indent 7.5 mm.  The routine CC and MLO implant-included views require manually set exposure factors, and degree of compression is limited by the compressibility of the implant. Switch between Text- and bullet levels:  In addition to these views, the patient should also have implant displaced views done. ● click  For a CC implant displaced view, the tissue superior and inferior to the prosthesis will be pulled forward along with all the anterior tissue.  For a MLO implant displaced view, the tissue superomedial and inferolateral will be pulled forward with the anterior tissue.  This procedure can greatly improve the visibility of breast tissue. HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 41 XP Education | HC APC IN SV MAMMO How to change paragraph levels Implant Displaced Projection SIEMENS All levels font Calibri Healthineers - 26 pt. Level 1 is chapter - title: Bold, bulleted. Level 2, 3, 4 and 5 is - chapter description: Regular, no bullet, A B indent 7.5 mm. Switch between Text- Step 2 and bullet levels: 181411 ● click C D HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 42 XP Education | HC APC IN SV MAMMO Facts about Breast Cancer Risk Factors that cause Myths & Facts Breast Cancer · Breast cancer only affects older women & Factors that Cannot & Lifestyle Risks . If you have a risk factor for breast be Prevented & Oral Contraceptive Use cancer, you're likely to get the disease & Gender & Not Having Children & Aging Hormone Replacement · Using antiperspirants causes breast & Genetic Risk Factors Therapy (inherited) Not Breast Feeding cancer. & Family History À Alcohol Use & Obesity . A breast cancer diagnosis is an & Personal History Race & High Fat Diets automatic death sentence. Menstrual Cycle A Physical Inactivity Estrogen & Smoking · Breast cancer is preventable MAS 850 Group Presentation 2014 HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 43 XP Education | HC APC IN SV MAMMO Summary SIEMENS Healthineers Patient Preparation Mammography Standard Views Mammography Additional/Special Views HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 44 XP Education | HC APC IN SV MAMMO Thanks for the attention!!! HOOD05162002930107 Unrestricted © Siemens Healthcare GmbH, 2018 Effective date: 11/10/2018 Mammography Positioning Page 45 XP Education | HC APC IN SV MAMMO SIEMENS Healthineers Thank you HOOD05162002930107 Effective date: 11/10/2018 Unrestricted © Siemens Healthcare GmbH, 2018