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Explore the Latest Advances

Comprehensive Review of Breast Imaging 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 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 MRI Cases to Leave For Your Partner – Bonnie N. Joe, MD, PhD Difficulties with NME: Is it BPE or DCIS? – Katja Pinker, MD, PhD, EBBI Challenges with BIRADS-3 in Breast MRI – Christopher E. Comstock, MD, FACR Breast MRI in the Preoperative Setting – Sarah M. Friedewald, MD Current Status of Breast DWI – Bonnie N. Joe, MD, PhD The Effective Use of Breast MRI as a Problem Solver – Katja Pinker, MD, PhD, EBBI Breast MRI in the Post Lumpectomy Patient – Christopher E. Comstock, MD, FACR MRI Biopsies: From Basics to Tips and Tricks – Sarah M. Friedewald, MD Controversies in Breast MRI – Are They Real? – Christopher E. Comstock, MD, FACR 3T vs 1.5T in Breast: What Are the Benefits? Are They Needed? – Katja Pinker, MD, PhD, EBBI

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 Ultrasound Needs “Non-Mass” Descriptors in its Lexicon that Correspond to MRI “Non-Mass Enhancements (NME)” – A. Thomas Stavros, MD, FACR Sonographic Evaluation of Breast Cysts That Are “Not Simple” – A. Thomas Stavros, MD, FACR Radiologic Pathologic Correlation in Breast Ultrasound – Terri-Ann Gizienski, MD, MPH Mammographic-Sonographic and Clinical-Sonographic Correlation – A. Thomas Stavros, MD, FACR An Analysis of Ultrasound False Negative Findings – A. Thomas Stavros, MD, FACR Ultrasound of Solid Breast Masses – A Feature Scoring System – A. Thomas Stavros, MD, FACR Ultrasound of Pregnant and Lactating Patients – Jocelyn Rapelyea, MD Ultrasound of Nipple Discharge and Papillary Lesions – A. Thomas Stavros, MD, FACR Ultrasound Breast Biopsy and Other Interventional Procedures – Terri-Ann Gizienski, MD, MPH Sonographic Breast Anatomy – A. Thomas Stavros, MD, FACR

Breast Ultrasound

Fundamentals of Breast Ultrasound Equipment and Technique – A. Thomas Stavros, MD, FACR Z-011 and Imaging of the Axilla – Is it Still Relevant? – A. Thomas Stavros, MD, FACR An Update on BI-RADS for Breast Ultrasound – Jocelyn Rapelyea, MD Preoperative Breast Localization: More Than Wires – Daniel Herron, MD Why Breast Imagers Should Use BI-RADS 4 Subcategories? – A. Thomas Stavros, MD, FACR Breast Imaging in Women Receiving Neoadjuvant Chemotherapy – Maxine S. Jochelson, MD Breast Cancer Screening Using Automated 3D US – Jocelyn Rapelyea, MD Whole Breast US Scanning Techniques and Methods – Daniel Herron, MD High Risk Screening: The Devil is in the Details – Maxine S. Jochelson, MD Breast Density Legislation – Jocelyn Rapelyea, MD Lifestyle Choices to Help Prevent Breast Cancer – Daniel Herron, MD Contrast Enhanced Mammography: State of the Art – Maxine S. Jochelson, MD US of Invasive Lobular Carcinoma – a Multi-Modality Approach – Jocelyn Rapelyea, MD The Multi-modality Imaging of the Male Breast – Terri-Ann Gizienski, MD, MPH

Breast Imaging – II

The Evaluation and Treatment of Breast Pain – Daniel Herron, MD Case Studies of Potential Lawsuits – What Can We Learn? – Edward A. Sickles, MD Challenging Cases in Tomosynthesis, What Can We Learn? – Stamatia Destounis, MD, FACR Am I Missing Something? Minimizing False Positives with Tomosynthesis – Elizabeth A. Rafferty, MD Architectural Distortion on the Mammogram – Detection and Workup Algorithm Leading to the Correct Diagnosis – László K. Tabár, MD How to Reduce the Frequency of Missed Cancers – Edward A. Sickles, MD Tomosynthesis in the Screening and Diagnosis Environments – Stamatia Destounis, MD, FACR Tomosynthesis – It Just Keeps Getting Better! – Elizabeth A. Rafferty, MD Modern and Effective Calcification Analysis – László K. Tabár, MD Medicolegal Issues in Breast Imaging – Edward A. Sickles, MD Current Screening Guidelines: One Step Forward, Two Steps Back? – Elizabeth A. Rafferty, MD The Community-based Breast Imaging Center – How to Make it Efficient and Profitable – Stamatia Destounis, MD, FACR

Intended Audience

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

Topics/Speaker:

Breast Imaging – I

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

Expand Your Skills

Available online or via USB, Comprehensive Review of Breast Imaging provides a maximum of 28 AMA PRA Category 1 Credits ™ and access to unbiased, evidence-based content and case-based reviews so you can expand your knowledge and incorporate the latest guidelines into your daily practice.

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