Comprehensive Review of Breast Imaging 2020

Comprehensive Review of Breast Imaging 2020

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Comprehensive Review of Breast Imaging

World Class CME and Oakstone Clinical Update

Expert faculty interpret the latest clinical advances and illustrate current management strategies in this far-reaching review of breast imaging.

Overview

Explore the Latest Advances

Comprehensive Review of Breast Imaging is a broad introduction to recent advances and current standards of practice. Lead 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 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

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

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.

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.