Standard set
Breast Sonography
Standards
Showing 96 of 96 standards.
a
Identify anatomy, congenital and developmental variants, and sonographic appearances of normal breast structures.
b
Demonstrate knowledge of physiology and pathophysiology in both normal and abnormal breast structures.
c
Demonstrate knowledge of the sonographic technique, measurements, sonographic appearances, integration of data, and Doppler patterns in both normal and abnormal breast structures.
d
Demonstrate knowledge in interventional and intraoperative procedures.
e
Evaluate scanning protocol and modification(s) based on the sonographic findings and the differential diagnoses.
f
Demonstrate knowledge of treatment options.
g
Demonstrate achievement of clinical competency through the performance of sonographic examinations of the breast, according to practice parameters established by national professional organizations and the protocol of the clinical affiliate/clinical education centers. Clinical competencies must include evaluation and documentation of:
a.1
Areolar complex/nipple
a.2
Fibrous planes
a.3
Cooper’s ligaments
a.4
Ductal system
a.5
Lymph nodes
a.6
Vasculature
a.7
Variants
b.1
Embryologic development
b.2
Age-related development of the breast to involution
b.3
Normal blood flow patterns within the breast and its components
b.4
Lymphatic drainage
b.5
Effect of pregnancy
b.6
Lactation
b.7
Male breast
b.8
Infectious processes
b.9
Neoplasms
b.10
Trauma
c.1
Scan planes
c.2
Scan techniques
c.3
Patient position
c.4
Imaging techniques
c.5
Image labeling/distance from nipple
c.6
Image optimization
c.7
Artifacts
c.8
Implants
c.9
Lymph node assessment
c.10
Postoperative biopsy site
c.11
BI-RADS assessment categories
c.12
Correlation of other imaging modalities
c.13
Spectral Doppler of the vasculature related to a mass
c.14
Color Doppler of a mass/lesion
c.15
Power Doppler of a mass/lesion
d.1
Role of sonographer in ultrasound-guided procedures and sentinel lymph node biopsy
d.2
Clinical information
d.3
Informed consent
d.4
Procedural time out
d.5
Transducer guidance
d.6
Sterile setup
d.7
Pre-and post-procedural documentation
d.8
Sonography assisted procedures
e.1
Indications and contraindications
e.2
History and physical examination
e.3
Related imaging, laboratory, and functional testing procedures
e.4
Clinical differential diagnosis
e.5
Role of sonography in patient management
e.6
Elastography
e.7
Role of three-dimensional sonography
f.1
Medical
f.2
Surgical
f.3
Brachytherapy
g.1
Identification of anatomical and relational structures
g.2
Differentiation of normal from pathological/disease process
g.3
Image optimization techniques in grayscale
g.4
Image optimization techniques in Doppler (where applicable)
g.5
Measurement techniques (where applicable)
g.6
Breast competencies
g.7
Fine needle aspiration
g.8
Core biopsy
g.9
Needle localization
a.2.a
Skin
a.2.b
Subcutaneous fat
a.2.c
Mammary zone
a.2.d
Retromammary space
a.2.e
Muscle layers
a.2.f
Rib cage and intercostal muscles
a.6.a
Arterial
a.6.b
Venous
a.7.a
Amastia
a.7.b
Amazia
a.7.c
Athelia
a.7.d
Polymastia
a.7.e
Polythelia
a.7.f
Nipple inversion/flattening
a.7.g
Early ripening
a.7.h
Age-related sonographic changes of breast tissue and its components
b.9.a
Cystic
b.9.b
Benign
b.9.c
Malignant
e.3.a
Correlation with mammography
e.3.b
BIRADS
e.3.c
Correlation with MRI
e.3.d
Correlation with Nuclear Medicine
g.6.a
Targeted exam
g.6.b
Lymph node evaluation
g.6.c
Cystic lesion
g.6.d
Solid lesion
g.6.e
Doppler evaluation of mass
g.6.f
Implant
g.6.g
Breast interventional procedures