Initial Training for Mammography Course Descriptions

Complete the courses in this sequence 

40-Category A credits 

ANATOMY & PHYSIOLOGY; BREAST SELF-EXAM; PATIENT HISTORY
This unit of study includes comprehensive information on the anatomy and physiology of the breast. A summary of Breast Self-Examination is included so the mammographer can reinforce the practice of this important procedure to the patient. Additional information pertaining to an accurate and complete patient history is included. The mammographer will better comprehend the importance of the interview process and its correlation with breast cancer risks. In this way, we may better serve as a valuable liaison between the patient and the radiologist.

RISK FACTORS FOR BREAST CANCER
This unit of study provides an explanation of the risk factors for breast cancer. The mammographer will be introduced to breast cancer as a disease and learn the current statistical estimates provided by the American Cancer Society. Various risk factors and current research findings will be presented. The mammographer will better understand the importance of presenting this information to the radiologist via the patient breast history form for thorough evaluation of a patient’s risk of developing breast cancer.

BREAST COMPRESSION AND IMAGE LABELING
This unit of study provides an explanation of proper breast compression during mammography. The mammographer will be introduced to various aspects of breast compression including patient care, physical aspects of compression specific to each manufacturer, and mandatory quality control testing. The mammographer will also learn the advantages of adequate compression and how to best support the patient during breast compression. A review of proper identification procedures according to the ACR’s standardized labeling system is also included.

MAMMOGRAPHIC POSITIONING, BASIC & ADVANCED
This unit of study provides an explanation of proper breast positioning during mammography. The mammographer will be introduced to the basic screening projections, as well as the advanced diagnostic projections. The mammographer will learn the value of each projection and be able to identify those situations when supplemental views are useful in breast imaging. The switch from analog to digital mammography will also be discussed as well as the differences encountered in patient positioning.

BREAST IMPLANTS AND MAMMOGRAPHY
This unit of study provides an overview of breast augmentation. Various types of implants will be discussed as well as various surgical procedures and complications. The mammographer will learn how to manipulate the implanted breast during mammography and recognize important aspects of the patient’s history that will assist in the radiologist’s interpretation. The imaging of breast implants with ultrasound and MRI will also be explained as well as biopsy techniques and breast cancer treatments for women with breast implants.

MAMMOGRAPHY OF THE MALE PATIENT
This unit provides an overview of male breast disease. It examines male breast anatomy, benign breast conditions, and associated risk factors for breast cancer in the male patient. Treatment options and patient prognosis for male breast cancer patients is included. The mammographer will also study standard mammographic positioning for the male patient and alternate projections.

BREAST PATHOLOGY
This unit of study begins with an overview of breast cancer categories and the American Cancer Society’s estimated incidence rates from 2006 to 2010. A review of breast anatomy & physiology is followed by detailed information on breast imaging terminology from the American College of Radiology. The characteristics of masses, calcifications, and other mammographic findings are explained in great detail, and then correlated with numerous illustrations and radiographic images. All benign, high risk, and malignant breast conditions are covered. The unit closes with interesting case reviews that examine the appropriate action of the technologist and radiologist leading to interpretation of the study.

INTERPRETING THE MAMMOGRAPHY REPORT
This unit of study provides an explanation of the recommended terminology used in the mammography report, as recommended by the American College of Radiology. This information will enable the mammographer to differentiate between a negative report with benign findings and a report that identifies abnormal findings. The sensitivity and specificity of mammography, as well as the ACR Breast Imaging Reporting and Data System (BI-RADS) are explained. Breast Imaging lexicon (terminology) is defined as it relates to the description of masses, calcifications, and areas of asymmetry. The seven assessment categories are also defined and examples of mammography reports are included for review.

BREAST IMAGING & ANCILLARY STUDIES FOR DIAGNOSIS
This unit of study provides an overview of the various techniques for breast imaging. The examination of methods will encompass a full spectrum of imaging systems in the United States from 1930 to the present. It includes an explanation of xeromammography, ultrasonography (U/S), thermography, transillumination, computed tomography (CT), magnetic resonance imaging (MRI), breast-specific gamma imaging (BSGI), positron emission tomography (PET), digital mammography, computer-assisted detection (CAD). Special procedures such as galactography, pneumocystography, sentinel node biopsy, and additional new diagnostic tools still under investigation are also discussed.

STEREOTACTIC BREAST BIOPSY
Completion of this study unit satisfies the ACR voluntary accreditation requirements for the mammography technologist. This unit of study provides an overview of breast biopsy procedures with an emphasis on the stereotactic method. The mammographer will be introduced to the various methods of stereotactic biopsy, patient selection, pathological findings, and follow-up patient care. The mammographer will also learn how to best support the patient during a stereotactic breast biopsy.

DIGITAL MAMMOGRAPHY
This unit of study compares traditional analog mammography to digital mammography. Equipment variations and a comparison of system components demystify the technical aspects of this new technology. The DMIST study is examined and subtypes of women are identified according to whom benefits the most from digital mammograms. The difficulties encountered with patient positioning and suggestions for corrections are included. FFDM QC requirements for the technologist with corrective actions are also explained. This course satisfies 4 of the 8 hours of training required by MQSA. The additional 4 hours may be obtained with hands-on training at your facility by completing the Digital Mammography Training Log, which is available on the website under “Resources”.

DIGITAL BREAST TOMOSYNTHESIS
This unit of study introduces the newest breast imaging modality, also known as 3D Breast Tomo, approved by the FDA in 2011. Clinical studies have indicated that DBT is able to detect more early cancers resulting in fewer unnecessary diagnostic imaging studies and procedures, thereby significantly reducing patient callbacks. 3D Breast Tomo provides radiologists with the ability to view inside the breast layer by layer, helping to identify the fine details more clearly by minimizing overlapping tissue. This course satisfies 4 of the 8 hours of training required by MQSA. The additional 4 hours may be obtained with hands-on training at your facility by completing the DBT clinical experience log, which is available on the website under “Resources”.

TECHNICAL FACTORS IN MAMMOGRAPHY
This unit of study provides an explanation of the technical parameters involved in mammography. Image quality depends on several factors. In order to practice quality mammography, an understanding of these factors is necessary. Instrumentation, films/screens, breast compression, exposure factors and an overview of the transition from analog to digital mammography are discussed. There is a direct relationship between the physical qualities of mammography and the radiologist’s ability to detect and interpret various features on the image. PLEASE NOTE: THIS COURSE CONTAINS SCREEN-FILM TECHNOLOGY. THERE ARE OVER 400 ANALOG UNITS STILL ACCREDITED BY THE FDA. UNTIL THESE UNITS ARE NO LONGER IN OPERATION, WE WILL INCLUDE THIS COURSE IN OUR INITIAL TRAINING MAMMOGRAPHY PROGRAM. 

MAMMOGRAPHIC QUALITY ASSURANCE & ANALOG QUALITY CONTROL
This unit of study provides an explanation of the relationship between high quality mammography and a comprehensive quality assurance and quality control program. Quality control is a valuable management tool that continually evaluates the quality of medical care we are providing to our patients. This continuing education study unit will enable the mammographer to consistently produce optimal mammograms, from one day to the next. The process of ACR image evaluation is explained as well as corrective actions that should be taken when measures fail. Detailed charts for analog mammography help the mammographer understand failures in the mammographic chain.

PLEASE NOTE: THIS COURSE CONTAINS SCREEN-FILM TECHNOLOGY. THERE ARE OVER 400 ANALOG UNITS STILL ACCREDITED BY THE FDA. UNTIL THESE UNITS ARE NO LONGER IN OPERATION, WE WILL INCLUDE THIS COURSE IN OUR INITIAL TRAINING MAMMOGRAPHY PROGRAM. 

Mammography Mock Registry Exam This practice test contains 275 questions written according to the ARRT’s Content Specifications for the Mammography Certification Exam. All ARRT-registry categories are included for study:

•  Patient Factors

• Instrumentation

• Breast Imaging Procedures

The answers are presented in paragraph form to provide you with a better understanding of the material. When you complete and self-correct this mock registry review, you will be able to identify those categories in which you need additional study. This is a non-credit product.

ARRT Mammography Certification Exam Review 2015 This Comprehensive Study Tool for the ARRT Mammography Certification Exam includes updated statistics, images, an extensive Glossary of Terms, and important information on Digital Mammography to help you prepare for the ARRT Certification Exam in Mammography. The material is arranged by subject matter according to the ARRT Mammography Examination Handbook.

This material is a non-credit.