1. A program of instruction in mammography
that is undertaken to meet the requirements for issuance of a mammographer's
certificate must be approved by the Health Division and comply with the
provisions of this section.
2. The
program must include instruction in:
(a) The
anatomy and physiology of the female breast, with instruction in the following
topics:
(1) Mammary glands.
(2) External anatomy.
(3) Subdivision for localization.
(4) Retromammary space.
(5) Central portion.
(6) Cooper's ligament.
(7) Vessels, nerves and lymphatics.
(8) Breast tissue.
(b) The classification of breast
tissue.
(c) The epidemiology of the
breast, methods of detecting breast cancer and sources of information relating
to epidemiology of the breast.
(d)
The effects of adjustments relating to the setting of the exposure timer,
current and voltage.
(e) The
positioning of the breast for mammography, with instruction in:
(1) The following positions:
(I) Craniocaudal.
(II) Medial lateral oblique.
(III) Axillary.
(IV) Lateral.
(V) Mediolateral.
(VI) Lateromedial.
(VII) Exaggerated angled
craniocaudal.
(VIII) Craniocaudal
without compression.
(IX)
"Cleopatra" or 30 degrees oblique.
(X) Coned or spot compression.
(XI) Lateral oblique.
(XII) "Coathanger" or displaced.
(XIII) Modified craniocaudal.
(XIV) Modified mediolateral
oblique.
(XV) Other positions as
required.
(2)
Magnification.
(3) Errors in
positioning.
(4) Special techniques
for mammography of the postoperative breast and the augmented breast.
(5) Special radiographic techniques for
breast localization and specimen radiography.
(f) The evaluation and critique of
mammograms, with instruction in the following topics:
(1) Criteria for determining the quality of
images.
(2) The scanning of
images.
(3) The detection of
pathology.
(4) Benign and malignant
lesions.
(5) Mass lesion
borders.
(6)
Calcifications.
(g) The
biological effects of radiation and protection from radiation.
(h) The techniques and methods of quality
assurance.
(i) The methods of
breast imaging other than mammography.
3. A program of instruction in mammography
must provide to each person who is enrolled in the program at least 40 contact
hours of training specific to mammography.
4. A person who is enrolled in a program of
instruction in mammography pursuant to this section shall not operate a machine
for mammography unless a mammographer is present while that person operates the
machine and is able to stop the procedure for performing the mammogram at any
time.
Added to NAC by Bd. of Health, eff.
1-24-92; A 7-7-94; R033-06, 6-28-2006
