Comprehensive Review of Breast Imaging

Overview

Learn Now: Advances in Breast Imaging

Comprehensive Review of Breast Imaging, an online CME course, is a broad introduction to recent advances and current standards of practice. Led by Michael J. Ulissey, MD, FACR, it provides highly focused information on clinically relevant topics such as evaluation and treatment of breast pain, tomosynthesis, MRI biopsies, breast MRI, solid breast masses, and more. It’s continuing medical education that will help you to better:

• Improve ultrasound-guided breast biopsy and interventional skills
• Identify both mass and non-mass sonographic findings suspicious for malignancy
• Become familiar with optoacoustic Imaging
• Understand the anatomic and histopathologic basis for ultrasound appearances
• Recognize the range of normal and abnormal appearances for breast implants
• Select the most apt ultrasound equipment, machine settings, and scan techniques for better diagnostic evaluations

For information on upcoming World Class CME courses, go to worldclasscme.com.

Topics / Speakers

Breast Imaging - I

A Revolutionary New Era in the Diagnosis and Treatment of Breast Cancer, Past, Present and Future
László K. Tabár, MD

The Community-based Breast Imaging Center - How to Make it Efficient and Profitable
Stamatia Destounis, MD, FACR

Current Screening Guidelines: One Step Forward, Two Steps Back?
Elizabeth A. Rafferty, MD

Medicolegal Issues in Breast Imaging
Edward A. Sickles, MD

Modern and Effective Calcification Analysis
László K. Tabár, MD

Tomosynthesis - It Just Keeps Getting Better!
Elizabeth A. Rafferty, MD

Tomosynthesis in the Screening and Diagnosis Environments
Stamatia Destounis, MD, FACR

How to Reduce the Frequency of Missed Cancers
Edward A. Sickles, MD

Architectural Distortion on the Mammogram - Detection and Workup Algorithm Leading to the Correct Diagnosis
László K. Tabár, MD

Am I Missing Something? Minimizing False Positives with Tomosynthesis
Elizabeth A. Rafferty, MD

Challenging Cases in Tomosynthesis, What Can We Learn?
Stamatia Destounis, MD, FACR

Case Studies of Potential Lawsuits - What Can We Learn?
Edward A. Sickles, MD

Breast Imaging - II

The Evaluation and Treatment of Breast Pain
Daniel Herron, MD

The Multi-modality Imaging of the Male Breast
Terri-Ann Gizienski, MD, MPH

US of Invasive Lobular Carcinoma – a Multi-Modality Approach
Jocelyn Rapelyea, MD

Contrast Enhanced Mammography: State of the Art
Maxine S. Jochelson, MD

Lifestyle Choices to Help Prevent Breast Cancer
Daniel Herron, MD

Breast Density Legislation
Jocelyn Rapelyea, MD

High Risk Screening: The Devil is in the Details
Maxine S. Jochelson, MD

Whole Breast US Scanning Techniques and Methods
Daniel Herron, MD

Breast Cancer Screening Using Automated 3D US
Jocelyn Rapelyea, MD

Breast Imaging in Women Receiving Neoadjuvant Chemotherapy
Maxine S. Jochelson, MD

Why Breast Imagers Should Use BI-RADS 4 Subcategories?
A. Thomas Stavros, MD, FACR

Preoperative Breast Localization: More Than Wires
Daniel Herron, MD

An Update on BI-RADS for Breast Ultrasound
Jocelyn Rapelyea, MD

Z-011 and Imaging of the Axilla – Is it Still Relevant?
A. Thomas Stavros, MD, FACR

Breast Ultrasound

Fundamentals of Breast Ultrasound Equipment and Technique
A. Thomas Stavros, MD, FACR

Sonographic Breast Anatomy
A. Thomas Stavros, MD, FACR

Ultrasound Breast Biopsy and Other Interventional Procedures
Terri-Ann Gizienski, MD, MPH

Ultrasound of Nipple Discharge and Papillary Lesions
A. Thomas Stavros, MD, FACR

Ultrasound of Pregnant and Lactating Patients
Jocelyn Rapelyea, MD

Ultrasound of Solid Breast Masses – A Feature Scoring System
A. Thomas Stavros, MD, FACR

An Analysis of Ultrasound False Negative Findings
A. Thomas Stavros, MD, FACR

Mammographic-Sonographic and Clinical-Sonographic Correlation
A. Thomas Stavros, MD, FACR

Radiologic Pathologic Correlation in Breast Ultrasound
Terri-Ann Gizienski, MD, MPH

Sonographic Evaluation of Breast Cysts That Are "Not Simple"
A. Thomas Stavros, MD, FACR

Ultrasound Needs "Non-Mass" Descriptors in its Lexicon that Correspond to MRI "Non-Mass Enhancements (NME)"
A. Thomas Stavros, MD, FACR

Breast MRI

Point-Counter-Point: Abbreviated Screening Breast MRI Versus Breast MRI - Keep the Full Protocol
Sarah M. Friedewald, MD, and Bonnie N. Joe, MD, PhD

3T vs 1.5T in Breast: What Are the Benefits? Are They Needed?
Katja Pinker, MD, PhD, EBBI

Controversies in Breast MRI - Are They Real?
Christopher E. Comstock, MD, FACR

MRI Biopsies: From Basics to Tips and Tricks
Sarah M. Friedewald, MD

Breast MRI in the Post Lumpectomy Patient
Christopher E. Comstock, MD, FACR

The Effective Use of Breast MRI as a Problem Solver
Katja Pinker, MD, PhD, EBBI

Current Status of Breast DWI
Bonnie N. Joe, MD, PhD

Breast MRI in the Preoperative Setting
Sarah M. Friedewald, MD

Challenges with BIRADS-3 in Breast MRI
Christopher E. Comstock, MD, FACR

Difficulties with NME: Is it BPE or DCIS?
Katja Pinker, MD, PhD, EBBI

Breast MRI Cases to Leave For Your Partner
Bonnie N. Joe, MD, PhD

Faculty

Accreditation

Oakstone Publishing is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation

Oakstone Publishing designates this enduring material for a maximum of 28 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The 28 Breast Imaging credits are inclusive of:
Breast MRI: 9.25
Breast Ultrasound: 14.00
Digital Mammography: 12.50
Ultrasound-Guided Breast Biopsy: 2.75
Stereotactic Breast Biopsy: 1.75
MRI-Guided Breast Biopsy: 1.75

Date of Original Release: March 15, 2020
Date of Credit Termination: March 15, 2023
Estimated Time to Complete: 28 hours

CME credit is awarded upon successful completion of a course evaluation and post-test.

This activity qualifies as SA-CME which can be used toward the Part 2 Lifelong Learning and Self-Assessment requirement of the ABR's MOC Program.

Learning Objectives

At the conclusion of this CME activity, the participant will be able to:

• Understand the differences in pre-test probabilities and guidelines for interpretation between diagnostic, supplemental screening, and MRI-directed indications for breast ultrasound and how that affects management and interpretation
• Select the most appropriate ultrasound equipment, machine settings, and scan techniques for better diagnostic evaluations
• Understand the anatomic and histopathologic basis for ultrasound appearances
• Correlate areas of clinical, mammographic, screening ultrasound, or MRI concern with ultrasound, and understand the anatomic and histopathologic basis for ultrasound appearances
• Identify both mass and non-mass sonographic findings that are suspicious for malignancy, how to use them in classifying breast masses and in staging breast cancers
• Understand a new way of classifying ultrasound features that can aid in more objectively using and achieving ACR PPV benchmarks for BI-RADS 4 subcategories and function better as biomarkers than prior methods of classification
• Identify the few truly suspicious complex cystic and solid masses that require biopsy and distinguish them from the myriad of non-simple breast cysts that are definitively benign
• Understand the roles of ultrasound and galactography in diagnosis and guiding biopsy in patients presenting with nipple discharge
• Recognize the range of normal and abnormal appearances for breast implants
• Enhance ultrasound-guided breast biopsy and interventional skills

Intended Audience

This educational activity was planned for diagnostic radiologists, breast imaging specialists, technologists, and other health care providers interested in breast radiology.

Quick Facts

Provider: World Class CME and Oakstone CME

Course Director:
Michael J. Ulissey, MD, FACR
The University of Texas

Health Sciences Center in San Antonio

Credits: Earn a maximum of 28 AMA PRA Category 1 Credits™
Qualifies as SA-CME