MATERIALS 2026 EXPERT ANSWERS
SUPPLIED
◍ MRI based on magnetic properties of ----- ------- in the body.
Answer: Hydrogen atoms
◍ --------- --------- ----------- involves injecting contrast while breast is
under compression Answer: Contrast digital mammography
◍ Dual energy subtraction used for what 3 reasons? Answer: Enhance
masses
Eliminate obscuring structures
Separate soft tissue from contrast or Ca+ deposits
◍ 3 types nuclear medicine studies used w/mammography Answer:
PET
Breast scintigraphy
Lymphoscintigraphy
◍ PET imaging uses ------ based on the need that cancer cells have
for sugar Answer: FDG-fluorodeoxyglucose
,◍ Breast scintigraphy aka -------
Or by the trade name -------. Answer: Scintimammography
Miraluma
◍ Breast scintigraphy uses what isotope? What kind of camera?
Answer: Tc-99m sestamibi
Gamma
◍ _______ can be used to reduce blind dissection of axillary nodes &
resultant side effects Answer: Lymphoscintigraphy
◍ Lymphoscintigraphy aka Answer: Sentinel node mapping
◍ Lymphoscintigraphy uses injection of radio isotope where?
Answer: Around the tumor
◍ Principle behind Lymphoscintigraphy Answer: First node, sentinel
node, receives drainage from a tumor & can be used to predict
presence or absence of tumor in remaining nodes
◍ Technology that uses 11 low dose images taken during 7-11
seconds; x-ray tube rotates 50 deg. arc around breast Answer: Digital
tomosynthesis
,◍ which technology produces high resolution 3D , cross section
images of breast? Answer: Digital tomosynthesis
◍ CT laser mammography based on what principle? Answer:
angiogenesis
◍ ______ involves removal of content of cyst and is often performed
under u/s guidance Answer: cyst aspiration
◍ FNA ideal for cyst eval. and aspiration. Uses ___ to ____ gauge
needle Answer: 22-25
◍ which breast intervention usually requires a cytotechnologist eval
of sample Answer: Fine needle aspiration
◍ 3 treatments for breast cancer Answer: surgery, drugs
(chemo/hormone therapy), radiation therapy
◍ _________ removes breast tissue and some of underarm lymph
nodes Answer: modified radical mastectomy
◍ Removal of entire breast, leaving most of the lymph nodes intact
Answer: Mastectomy
, ◍ which mastectomy removes entire breast, lymph nodes, and chest
wall muscles? Answer: Radical mastectomy (RARELY
PERFORMED)
◍ Removal of malignant tumor & the surrounding margins, often
combined w/ chemo, radiation or hormone tx Answer: Lumpectomy
◍ two common types of flap techniques Answer: TRAM, latissimus
dorsi flap
◍ more common form of radiation therapy Answer: External beam,
Uses high energy radiation to destroy cx cells in the chest wall, axilla,
and breast. Can be used in to shrink the tumor before sx
◍ internal beam radiation (brachytherapy) usually lasts ______ to
____ days and can begin immediately after surgery. Answer: 5 to 9
days (instead of weeks). Less irritation of healthy breast tissue
◍ How long is Radiation therapy and how long after surgery can it
begin? Answer: 6 to 8 weeks; 1 month after surgery to allow breast to
heal. Tx time approx: 15-30 mins, 5x/wk
◍ Which of 3 treatments is systemic treatment? Answer:
Chemotherapy (affects all cells, tissues, organs of the body)
◍ common antiestrogen drug Answer: tamoxifen