By Debra Ikeda
Vital publication on scientific imaging of Breast
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Extra info for Breast Imaging The Requisites
A) A mediolateral oblique (MLO) view after biopsy and radiation therapy shows tiny bright white specks (arrows) over the biopsy scar compatible with dust on the film. Dust can interfere with a search for microcalcifications. Note the nipple marker and linear scar marker showing the previous biopsy site. (B) Patient’s fingertip (arrow) is visible in the film. (C) Pacemaker (arrow) is seen in the upper left breast in left MLO view. Note the linear scar marker showing the previous biopsy site. detector-associated artifacts such as bad pixels, bad lines, or detector element failures; collimator misalignment; underexposure; grid lines; grid misplacement; vibration artifact; and edge of small breast paddle; Figs.
9 Mammography Quality Standards Act Qualifications for Interpreting Physicians FIG. 27 Out-of-plane artifacts on tomosynthesis. Tomosynthesis-synthesized two-dimensional (2D) image shows multiple lines (arrows) under the linear scar marker that were caused by ghost artifacts from the metallic marker in out-of-focus planes. Be licensed to practice medicine in a state, and Be certified by a body approved by the Food and Drug Administration to certify interpreting physicians or have 3 months’ full-time training in mammography interpretation, radiation physics, radiation effects, and radiation protection, and Have earned 60 hours of documented mammography continuing medical education (CME) (time in residency will be accepted if documented in writing) and 8 hours of training in each modality (such as screen-film or digital mammography), and Have read at least 240 examinations in the preceding 6 months under supervision or have read mammograms under the supervision of a fully qualified interpreting physician (see the Federal Register for exact requirements), and Have read 960 mammograms over a period of 24 months, and Have earned at least 15 Category 1 CME credits in mammography over a 36-month period, with 6 credits in each modality used, and To perform a new imaging modality (eg, digital mammography, digital breast tomosynthesis), the interpreting physician must have 8 CME credits specific to that modality before starting the modality.
Technologists and medical physicists also must have documented training by appropriately qualified individuals; for example, the manufacturer’s application specialists or other qualified individuals should train technologists, and medical physicists qualified in digital mammography should provide hands-on training for medical physicists. The completion of the required 15 hours of Category 1 CME in mammography every 3 years must be documented in writing. ” Each digital manufacturer has a detailed QC manual specifying tests, test frequencies, and pass–fail criteria.