Course Description
Breast cancer is the most frequently diagnosed cancer in women and is the second-leading cause of cancer-related death. Technological advancements in breast imaging  have evolved to digital mammography and the development of digital breast tomosynthesis (DBT), all of which have improved clinicians' abilities to detect small, early stage breast cancers. Digital mammography is the initial diagnostic modality used in breast imaging, and its results determine if a patient requires additional studies such as targeted breast sonography, DBT, contrast-enhanced mammography, and breast magnetic resonance imaging (MRI). Regardless of the current advances in technology, knowledge of proper patient and breast positioning are still critical in order for radiologic technologists and mammographers obtain high-quality diagnostic images that can rule out the presence of breast disease. This CE course will review the standard and supplemental projections that pertain to both screening and diagnostic mammography examinations for the detection of breast disease in women. Troubleshooting common image quality issues and how best to resolve them will be described. Finally, the anatomy of the breast will be reviewed, various breast pathologies will be outlined, and detail supplementary breast projections to accommodate a variety of patient types will be described.

Learning Objectives
After completing this course, the participant should be able to:

• OUTLINE the anatomy of the female breast.
• DESCRIBE the role of mammography in the visualization of breast pathology.
• EXPLAIN the evolution from conventional film-screen mammography to digital mammography and digital breast tomosynthesis (DBT).
• DESCRIBE the projections, compression, and patient positioning techniques used both in digital mammography and DBT.
• IDENTIFY and OUTLINE supplementary mammographic projections.
• SUMMARIZE various positioning problems encountered in mammography and DESCRIBE how to best remediate them.

Categories: Mammography, Digital Radiography

In order to receive CE credit, you must first complete the activity content. When completed, go to the "Take CE Test!" link to access the post-test.

Submit the completed answers to determine if you have passed the post-test assessment. You must answer 26 out of 35 questions correctly to receive the CE credit. You will have no more than 3 attempts to successfully complete the post-test.

Participants successfully completing the activity content and passing the post-test will receive 4.0 ARRT Category A credits.

Approved by the American Society of Radiologic Technologists for ARRT Category A credit.

Approved by the state of Florida for ARRT Category A credit.

Texas direct credit.

This activity may be available in multiple formats or from different sponsors. ARRT does not allow CE activities such as Internet courses, home study programs, or directed readings to be repeated for CE credit in the same biennium.

Category	Content Area	Credits
Breast Sonography	Patient Care	0.5
Breast Sonography	Procedures	0.5
Magnetic Resonance	Procedures	0.5
Mammography	Image Production	0.75
Mammography	Patient Care	0.25
Mammography	Procedures	3
Nuclear Medicine	Procedures	0.5
PTH	Procedures	0.5
Radiation Therapy	Patient Care	0.5
Radiation Therapy	Procedures	0.5
Radiologist Assistant	Procedures	1.25
Sonography	Procedures	0.5

Category	Subcategory	Credits
Breast Sonography	Anatomy and Physiology	0.25
Breast Sonography	Pathology	0.25
Breast Sonography	Patient Interactions and Management	0.5
Magnetic Resonance	Body	0.5
Mammography	Anatomy, Physiology and Pathology	1
Mammography	Image Acquisition and Quality Assurance	0.75
Mammography	Mammographic Positioning, Special Needs and Imaging Procedures	2
Mammography	Patient Interactions and Management	0.25
Nuclear Medicine	Endocrine and Oncology Procedures	0.5
PTH	Treatment Sites	0.5
Radiation Therapy	Patient and Medical Records Management	0.5
Radiation Therapy	Treatment Sites and Tumors	0.5
Radiologist Assistant	Thoracic Section	1.25
Sonography	Superficial Structures and Other Sonographic Procedures	0.5

Category	Credits
Digital	0
Fluoroscopy	0
Mammography	3.5