Right of Entry to Mammography Suppliers for Enforcement

PURPOSE: This rule authorizes the right of entry by agents of the Department of Health. (1) Agents of the Department of Health charged with the enforcement of the provisions of this chapter shall have the right of entry and free access during normal business hours to any building or structure for the purposes of inspection, evaluation and examination of records and equipment. AUTHORITY: sections 192.762 and 192.766, RSMo Supp. 1992.* This rule was previously filed as 19 CSR 20-11.100. Emergency rule filed Oct. 5, 1992, effective Oct. 15, 1992, expired Feb. 12, 1993. Emergency rule filed Feb. 3, 1993, effective Feb. 13, 1993, expired June 12, 1993. Original rule filed Nov. 4, 1992, effective June 7, 1993. Changed to 19 CSR 30-11.100 July 30, 1998. *Original authority 1992. Appendix A Topics to be Covered in Mammography Instruction A. Anatomy and Physiology of the Female Breast 1. Mammary glands 2. External anatomy 3. Subdivision for localization 4. Retromammary space 5. Central portion 6. Cooper’s ligament 7. Vessels, nerves, lymphatics 8. Breast tissue B. Classification of Breast Tissue 1. Fibro-granular 2. Fibro-fatty 3. Fatty 4. Lactating C. Epidemiology of the Breast, Breast Cancer Detection Methods and Information Sources D. Influence of Technical Factors E. Positioning of the Breast 1. Cranio-caudad 2. Medial lateral oblique 3. Axillary 4. Magnification 5. Errors in positioning 6. Special techniques for mammography for the postoperative breast and the augmented breast 7. Special radiographic techniques for breast localization and specimen radiography F. Film or Image Evaluation, or both, and Critique 1. What constitutes optimum quality mammography radiographs or images 2. “Scanning” radiographs and images 3. Detection of pathology 4. Benign and malignant lesions 5. Mass lesion borders a. Smooth b. Irregular c. Calcification G. Radiation Biology and Radiation Protection