Breast Anatomy

• Gross Anatomy of the Breast 

• Categories of Breast Density 

• Calcifications on a Mammogram 

• Overview of Common Breast Conditions (DCIS, IDC, ILC, IBC) 

Principles of Stereotactic Biopsy

• Definition of a Core Biopsy 

• Key Principles of Stereotactic Biopsy 

• Understanding the Coordinate System 

• Needle Positioning Techniques 

Stereotactic Biopsy 

• Definition of "Stereo" in the Context of Biopsy 

• Indications for Stereotactic Breast Biopsy 

• Pros and Cons of the Procedure 

• Comparison of Prone vs. Upright Machines 

• Typical Outcomes of the Procedure 

Roles and Responsibilities in a Stereotactic Breast Biopsy Procedure 

• Role of the Radiologist 

• Role of the Mammographer 

• Role of the Nurse 

• Role of the Patient 

• Role of the Physicist 

• Role of the Referring Physician 

Biopsy Equipment

• Overview of Equipment Types 

• Prone vs. Upright Equipment Considerations 

• Types of Machines 

• Affirm Prone 

• Affirm Upright 

• Pristina Upright 

• Biopsy Devices 

• Mammotome Revolve 

• Brevera 

• ATEC Sapphire 

• Eviva Needle 

• Patient Positioning for Prone Review 

Stereotactic Breast Biopsy Accreditation and Quality Control (QC)

• Overview of Stereo Accreditation Requirements 

• ACR Checklist 

• Medical Physicist Survey Criteria 

• Technologists’ Requirements 

• Radiologist Requirements 

• QC Checklist 

• Case Studies for Review 

Importance of Quality Control (QC)  

• Importance of Proper Documentation 

• Organizing the QC Book 

• Addressing Violations 

• Enforcement and Sanctions 

• Goals of QC 

Objectives: 

• Identify the gross anatomy of the breast and its structural components. 

• Explain the categories of breast density and their relevance in imaging. 

• Recognize calcifications on a mammogram and their clinical implications. 

• Describe common breast conditions, including DCIS, IDC, ILC, and IBC. 

• Define what a core biopsy is and understand its purpose in breast diagnostics. 

• Discuss the principles and techniques of stereotactic biopsy. 

• Understand the role of the coordinate system in biopsy procedures. 

• Demonstrate accurate needle positioning techniques in stereotactic biopsies. 

• Define "stereo" and understand its application in breast biopsy. 

• Identify the primary indications for a stereotactic breast biopsy. 

• Evaluate the pros and cons of the stereotactic biopsy procedure. 

• Compare the use of prone versus upright machines in biopsy procedures. 

• Analyze expected outcomes of stereotactic breast biopsy. 

• Define the roles of each team member involved in a stereotactic breast biopsy procedure. 

• List different types of biopsy equipment and their applications. 

• Identify specific biopsy machines and devices 

• Demonstrate proper patient positioning for prone biopsy procedures. 

• Understand the stereo accreditation requirements and ACR checklist. 

• Outline the survey criteria required for medical physicists. 

• Emphasize the need for thorough documentation in QC. 

• Recognize common violations and understand enforcement measures and sanctions. 

• Define the primary goals of QC in ensuring safe and accurate procedures.