2017 AAPM Annual Meeting
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Session Title: Advanced Breast Imaging: Stereotactic Breast Biopsy Updates and Contrast Enhanced Spectral Mammography
Question 1: What is the number of views and images per breast generated during a clinical CESM exam after a single contrast injection?
Reference:Lobbes MBI , Smidt ML, Houwers J, Tjan-Heijnen VC, Wilderberger JE. Contrast enhanced mammography: Techniques, current results, and potential implications. Clin Radiol. 2013; 68(9):935-44.
Choice A:One view, two images.
Choice B:Two views, four images.
Choice C:One view, one image.
Choice D:Four views, eight images
Question 2: The contrast agent used in CESM is:
Reference:Skarpathiotakis M, Yaffe MJ, Bloomquist AK, Rico D, Muller S, Rick A, Jeunehomme F. Development of contrast digital mammography. Med Phys. 2002;29(10):2419-26.
Choice A:Gadolinium.
Choice B:Iodine.
Choice C:Iron.
Choice D:None of the above
Question 3: The subtracted image in CESM is an image of:
Reference:Smith A. The Principles of Contrast Mammography. http://www.hologic.com/sites/default/files/Principles%20of%20Contrast.pdf
Choice A:Breast parenchyma.
Choice B:Adipose tissue.
Choice C:Contrast distribution in the breast.
Choice D:All of the above
Question 4: What are the minimum continuing education requirements for the physicist performing stereotactic breast biopsy system surveys for the ACR Accreditation program?
Reference:Stereotactic Breast Biopsy Program Requirements: American College of Radiology http://www.acraccreditation.org/~/media/ACRAccreditation/Documents/Stereotactic/Requirements.pdf?la=en
Choice A:1 CEU in stereotactic breast biopsy in the prior 6 months.
Choice B:1 CEU in stereotactic breast biopsy in the prior 12 months.
Choice C:2 CEU’s in stereotactic breast biopsy in the prior 24 months.
Choice D:3 CEU’s in stereotactic breast biopsy in the prior 36 months.
Question 5: What is the maximum allowable dose per view to a 4.2 cm compressed breast as recommended by the ACR?
Reference:Stereotactic Breast Biopsy Quality Control Manual, Medical Physicist Section Breast Entrance Exposure, Average Glandular Dose, and Exposure Reproducibility
Choice A:1.0 mGy
Choice B:2.0 mGy
Choice C:3.0 mGy
Choice D:4.0 mGy
Question 6: What are the minimum scores for a digital receptor when using the ACR mammography accreditation phantom?
Reference:Stereotactic Breast Biopsy Quality Control Manual, Medical Physicist Section Image Quality Evaluation
Choice A:3.0 Fibers, 3.0 Spec groups, 3.0 Masses.
Choice B:4.0 Fibers, 3.0 Spec groups, 3.0 Masses.
Choice C:5.0 Fibers, 4.0 Spec groups, 3.5 Masses.
Choice D:6.0 Fibers, 5.0 Spec groups, 4.0 Masses.
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