Radiology Department Professionals Quiz

Sales 300: Day 1 (Breast Care)

• Intravenous Injection (SAG): SAG is injected intravenously and binds to plasma proteins.
• Real-time Imaging: Cameras capture and display blood flow/lymphatic system in real time.
• SPY Laser (3R): Information on what type of laser the SPY phi is.
• Radiation/Protective Gear: SPY does not emit radiation, so no additional protective gear is needed.
• Sterility of SPY: SPY is sterile.
• Infrared Fluorescence: SPY fluoresces under infrared light.
• Agent Green Concentration: 2.5 mg/mL.
• Lymphatic Kit Differences: The lymphatic kit has an extra vial of aqueous solvent and a 22g needle, which is not in the SPY kit.
• NKDA: No known drug allergies.
• ICG Half-Life: 3-4 minutes.
• Re-injection Interval: Wait 15-20 minutes before injecting ICG again.
• ICG Composition: Contains less than 5% sodium iodide.
• ICG Filtering/Excretion: Filtered by the liver and excreted in bile/bile ducts.
• Maximum ICG Dosage: Is mg/kg.
• ICG Nephrotoxicity: ICG is not nephrotoxic.
• Tight Bolus Flush: Performed after ICG injection via IV.
• Saline for Flush: 10cc of saline.
• ICG Stability: Stable for 6 hours.
• Single-Use ICG Vial: No, a vial of ICG cannot be used for multiple patients.
• Sterile Technique for ICG: Yes, sterile technique is needed when reconstituting ICG.
• ICG Use in Pregnancy/Lactation: No, not indicated for use by pregnant or lactating women.
• SPY Side Effects: Mild side effects include headache, warmth sensation, and skin rash.
• Nipple Darkening: Nipples may appear darker using SPY compared to surrounding breast tissue because of smooth muscle.
• Smallest Wire-free Loc: MOLLI is the smallest wire-free loc.
• MOLLI MRI Placement: MOLLI can be placed in conditional locations and/or nodes.
• MOLLI Ultrasound Detection: MOLLI is described as echogenic (able to be seen on ultrasound).
• MOLLI MRI Safety: MOLLI introducer is not safe for use in MRI scans.
• MOLLI Gauge: 14 gauge.
• MOLLI Profile Size: 9mm
• Oncopen Tip Angle: 30 degrees
• Oncopen Tactile Identifier: Small tactile dots on the oncopen.
• MOLLI Tablet Functions: Volume and power buttons, mode switching, mounting on IV pole
• MOLLI Tablet Recharge: Rechargeable.
• Stereotactic Introducer Size: 12cm
• Skin Nicking for Penetration: Skin-nicking helps reduce penetration pressure in denser breasts.
• MOLLI Breakage/Loss of Signal: MOLLI is not susceptible to breakage or loss of signal.
• MOLLI Detection: MOLLI is detectable in calcifications and dense areas.
• MOLLI Additional Equipment: No additional capital equipment is necessary.
• Wand Error Codes (WAND100/300): Troubleshooting details for specific error codes.
• MOLLI Feedback Types: 3D directional, auditory, visual, and distance.
• MOLLI Metal/Electrocautery Compatibility: Works with metal instruments and electrocautery.
• MOLLI Accuracy: ±1mm
• MRI Compatibility Range: 1-3 Tesla
• Marker Placement Issues: If marker won't adhere, use a surrounding cavity creation method.
• Removing/Replacing Markers: No, saving/replacing is not possible at one time.
• Savi Limitations: Cannot reflect through hematomas/dense breast tissue.
• MOLLI Marker Spacing: 4cm.
• MOLLI Disadvantages: Uses fragile locators, inaccurate calculations due to space limitations.
• Marker Use Limitations: Maximum of 3 markers allowed in use for one localization.
• MOLLI Localization Enhancements: Additional compression.
• Localization System: Uses RFID (Radio-frequency Identification).
• Single-Use Probe: The LOCalizer has a single-use probe tip.
• Metal Instrument Compatibility: Magseed cannot be used with metal instruments and has no directional feedback.
• Capital Component: Sentimag console.
• Electrocautery-Compatible Probes: Elucents' Navi Slim and Smartclip probes can be used with electrocautery.
• Wire-free Localization (Savi): First non-radioactive wire-free localization.
• Localization Probe Description (Navi Slim): Elucents probe.
• Wireless Localization Use for Procedure: First wireless localization system.
• Imaging Department Divisions: Separate from general radiology departments.
• Mammography Team Members: Radiologist, mammo tech, ultrasound tech, supervisor, and navigator.
• Ideal Localization Placement: Should be within 1.1 cm of a lesion.
• Ultrasound Calcification Detection: No, calcifications cannot be seen on ultrasound; mammo needed.
• Ultrasound Imaging Wave Type: Sound waves.
• Ultrasound Adjustment: Gain, depth.
• Ultrasound Abbreviation: CC, (cranial-caudal)
• Ultrasound Abbreviation 2: MLO(medial-lateral-oblique)
• MOLLI Placement Procedure Use: First used to place markers.
• Post-Placement Imaging: After-placement mammography is important for reviews.
• Mammography Imaging Type Uses x-ray.
• Mammography Imaging Units: Upright and prone.
• Mammography Components: Foot pedal, stereo add-ons, compression plates, paddles, grids.
• Directional Mammography: Used for diagnosis only; upright only.
• Mammography Paddles: 8cm and repositionable/adjustable; paddles used to position area being examined and compress it.