Maricopa Community Colleges  ICE255AB   20012-99999 
Official Course Description:   MCCCD Approval:  11/28/00  
ICE255AB     20012-99999 LEC 0.50 Credit(s) 0.50 Period(s)
Stereotactic Biopsy
Stereotactic biopsy examinations. Imaging design and geometry of equipment. Quality control for biopsy equipment. Principles of stereotactic localization. Pathology correlation. Prerequisites: ICE250AC, or currently practicing as a mammographer.
 
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MCCCD Official Course Competencies:
 
ICE255AB   20012-99999 Stereotactic Biopsy
1. Explain the operation of mammography x-ray equipment to include quality control and safety. (I)
2. Describe the principles of stereotactic beast localization. (II)
3. Explain differences between specific types of biopsy techniques to include fine needle aspiration, core needle biopsy and Mammotome biopsy. (II)
4. Determine which type biopsy technique should be utilized for specific types of pathology. (III)
5. List patient care provided during a biopsy procedure. (IV)
6. List the American College of Radiology (ACR) accreditation requirements for stereotactic biopsy. (V)
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MCCCD Official Course Outline:
 
ICE255AB   20012-99999 Stereotactic Biopsy
    I. Equipment
        A. Imaging system design and geometry (upright vs. prone)
          1. mechanical assembly/ locks
          2. gantry angulation
          3. focal spot, compression device and image receptor
          4. source-image receptor distance
          5. collimation and collimators
        B. X-ray tube (and spectrum) and generator design review
          1. x-ray source assembly (tube material, window material and filtration)
          2. beam quality, wave form, kV adjustment
          3. radiation output
          4. focal spot resolution
          5. technique factors
          6. grid mechanisms and assembly
          7. compression devices
        C. Automatic exposure control
          1. detector
          2. reproducibility
        D. Ancillary equipment (laser printer, processing)
          1. digitizer principles
          2. digital imaging
          3. processing film/screen and laser printing
        E. Quality control for biopsy equipment
          1. daily, weekly, monthly, yearly
          2. general qc for mammographic activities
          3. physicist responsibility / survey (ACR)
        F. Safety
          1. electrical
          2. mechanical
          3. table drive mechanism
          4. patient
          5. cleaning/ maintenance
      II. Principles of stereotactic localization
          A. Overview / historical data
          B. Methods of stereotactic localization
            1. Dedicated table
            2. Add-on upright
            3. Planar imaging
            4. Stereoscopic imaging
          C. Needle apparatus (depending on manufacturer)
            1. Fine needle
            2. Core needle
            3. Mammotome
          D. Care/Decontamination of equipment and biopsy materials
            1. Critical Devices
            2. Semi-critical devices
            3. Non-critical devices
          E. Standard precautions/ sterile technique
        III. Pathology correlation
            A. Types of pathology leading to breast biopsy
            B. Biopsy technique options
          IV. Patient Care
              A. Technologist communication skills
              B. Patient counseling
                1. patient care skills
                2. post pathological findings when applicable
            V. ACR Accreditation Requirements
                A. Exams
                B. Continuing education credits
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