Mammography and Ultrasound
Teacher
Dr Nooka Raju Chintala
Category
Core Courses
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Course Name : Mammography and Ultrasound
Code(Credit) : CUTM1769 (3-0-1)
Course Objectives
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To obtain Knowledge about the preparation and positioning of the patient during the imaging.
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To familiarize the student with the requirements and principles of imaging of the breast using X-ray mammography.
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To develop the technical skills of ultrasound, and doppler techniques to bring good quality images for better analysis.
Learning Outcomes
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Can acquire knowledge to perform the positions of the patient during the imaging
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One can technically know the functionality of the mammography, Ultrasound, and Doppler techniques to work with the patient in real-time.
Course Syllabus
Module-1: Anatomy and Physiology:
a. Breast Margins, b. Nipple, c. Areola, d. Montgomery's glands
Internal anatomy - a. Glandular tissue, b. Parenchyma, c. Connective tissue, d. Pectoralis muscle
Module-2: Positioning
Cranio-caudal, Medio-lateral oblique, 90-degree lateral, medio-lateral and latero-medial, Latero-medial oblique, Caudal-cranial. Exaggerated cranial-caudal, Spot compression, Cleavage, Tangential, Axillary tail
Module-3: Professional ethics and patient care
Patient preparation, care of special patient populations: patient concerns, early detection, patient education, visual inspection- areas of interest (perimeter, nipples, lymph nodes);
Module-4: Technical aspects of mammography
Breast composition; fundamental of image quality; methods of improving image quality, Image receptor, screen//film combination; cathode (purpose, effect on focal spot, orientation), focal spot size; anode/target (purpose, material, anode angle, line focus principle, heel effect); window material, filtration, source-to-image distance; use of grids, magnification; compression (pressure settings, hand versus foot pedal use)
Module-5: Ultrasound
Principle & history of Ultrasound, advantages, and disadvantages of ultrasound, Types of Ultrasound, Equipment description, Indication and Clinical Application, Physics of ultrasound imaging, Physics of transducers, Physics of Doppler, Ultrasound tissue characterization, Potential for three-dimensional ultrasound, Artifacts in ultrasound, Comparison of ultrasound equipment Computerization of data, Image recording, Ultrasound jelly & Safety of ultrasound
Module-6: Abdomen and pelvis ultrasound & USG Contrast Media
Pathologies and indications, patient preparation, positioning, and scanning technique. Types of Ultrasound Contrast media and its advantages
Module-7: Color Doppler imaging, The obstetric Ultrasound examination
Doppler effect, Doppler ultrasound applications; CWD, PWD, Color Doppler Method of gynecologic ultrasound examination, Assessment of Normal fetal growth, fetal behavior states, fetal breathing movements, fetal cardiac activity
Text Books:
1. Basic Radiology Physics –K.Thayalan,
2. Full Field Digital Mammography [Print Replica] Kindle Edition by A. Jain (Author)
3. Step by Step Ultrasound Hardcover – 1 January 2010 by Satish K. Bhargava (Author)
Session Plan
Session 1
Anatomy of Breast Margins, Nipple, Areola
Session 2
Anatomy of Montgomery''s glands, Internal anatomy - Glandular tissue, Parenchyma
Mammography-Physics and Technique-PDF
https://www.slideshare.net/MehulTandel/glands-histology-122876029
Session 3
Internal anatomy -Connective tissue, Pectoralis muscle
Session 4
Positioning - Cranio-caudal, Medio-lateral oblique, 90-degree lateral, medio-lateral and latero-medial
Session 5
Latero-medial oblique, Caudal-cranial. Exaggerated cranial-cauda
Session 6
Spot compression, Cleavage, Tangential, Axillary tail
Session 7
Professional ethics and patient care - patient preparation, care of special patient populations
Session 8
patient concerns, early detection, patient education
Session 9
visual inspection- areas of interest (perimeter, nipples, lymph nodes)
Session 11
Fundamental of image quality; methods of improving image quality
Session 13
cathode (purpose, effect on focal spot, orientation),focal spot size
Session 14
Anode/target (purpose, material, anode angle,, line focus principle, heel effect)
Session 15
Window material, filtration, source-to-image distance
Session 16
Use of grids, magnification; compression (pressure settings,, hand versus foot pedal use)
Session 17
Principle & history of Ultrasound, advantages and disadvantages of ultrasound
Session 18
Types of Ultrasound, Equipment description
Types of Ultrasound, Equipment description
Session 19
Indication and Clinical Application, Physics of ultrasound imaging
Session 21
Ultrasound tissue characterization, Potential for three-dimensional ultrasound
Session 22
Artifacts in ultrasound, Comparison of ultrasound equipment Computerization of data
Session 23
Image recording, Ultrasound jelly & Safety of ultrasound
Session 25
Pathologies and indications, patient preparation
Session 28
Doppler effect, Doppler ultrasound applications
Session 29
CWD, PWD, Color Doppler Method of gynecologic ultrasound examination
Session 30
Assessment of Normal fetal growth, fetal behavior states
Session 31
Fetal breathing movements, fetal cardiac activity
Our Main Teachers
Working as Associate Professor and Head, Department of Radiology, CUTM-AP, Vizianagaram from Jun-2018 to till date. Having an experience of 15 years in teaching and research. Earlier worked as an Assistant Professor in the Department of Biomedical Engineering in various reputed Engineering colleges at Rajahmundry (for about five years) and Visakhapatnam (for about eight years), […]