Course Description

Total hours of CME:  15.0 AMA PRA Category 1 credits, 16.0 ASRT Category A Credits, and up to 8 SAM’s credits.

Educational Description

A practical clinically focused approach to breast imaging will be presented.  Focused discussions on the use of mammography, ultrasound and magnetic resonance imaging in the detection and evaluation of lesions are intended to optimize needed clinical, imaging and pathological concordance.  The data in support of aggressive screening guidelines and the impact of digital breast tomosynthesis on work flow will also be examined.

 

Educational Objectives

By the end of this program participates should be able to:

• Use historical and current data that support the annual use of screening mammography in all women at average risk for breast cancer starting at age 40 and to effectively communicate with, and educate, referring physicians and patients regarding the benefits of a robust screening program.
• Determine the technical adequacy of mammographic images and recognize issues with positioning prior to image interpretation.
• Effectively apply the BI-RADS® Mammography lexicon.
• Recognize and minimize some of the more common causes for delaying or missing the diagnosis of breast cancer.
• Detect. efficiently evaluate and confidently determine management options for  breast masses, calcifications, parenchymal asymmetries and diffuse breast changes.
• Assess patients presenting with nipple discharge and establish appropriate evaluation strategies.
• Establish algorithms for when and how to image the axilla and the appropriateness of ultrasound guided sampling for tissue diagnosis.
• Outline the current uses of breast ultrasound in the diagnostic setting.
• Recognize the importance and absolute need for establishing clinical, imaging and pathologic concordance.
• Assess the impact on work-flow and applications of digital breast tomosynthesis in screening and diagnostic settings.
• Recognize the MRI findings of non-invasive and invasive breast cancers as well as in the altered breast and the potential roll of breast MRI in problem solving.
• Implement a clinically focused breast imaging program with direct communication between the breast imaging radiologist, patients and the multidisciplinary breast health team.

Target Audience

Radiologists and radiology residents, Mammography technologists, radiology nurses and physician assistants, Breast surgeons, Administrators involved with breast imaging.

Accreditation

The International Institute for Continuing Medical Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation

The International Institute for Continuing Medical Education, Inc., designates this live activity for a maximum of 15.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Modality Breakdown

Total hours of CME:  15.0 hrs, 16 ASRT Category A Credits, and up to 8 SAM’s credits.

Breakdown of hours:
Breast Ultrasound:  7 hours
Breast MR:  5 hours
Digital Mammography:  6 hours
Digital Breast Tomosynthesis: 1 hour

Schedule

Friday, November 03

7:00 – 7:45 AM	Registration and Continental Breakfast
Screening Mammography
7:45 – 8:00 AM	Welcome and Announcements
8:00 - 8:45 AM	Screening Guidelines (L)
8:45 - 9:30 AM	Clinical Image Quality and Evaluation (C)
9:30 - 10:15 AM	BI-RADS for Mammography (L)
10:15 – 10:30 AM	BREAK
10:30 – 11:15 AM	Missed Cancers: Causes and Cures (C)
11:15 AM – 12:00 NOON	Features of Masses Requiring Biopsy (T)
12:00 – 1:00 PM	LUNCH
1:00 – 1:45 PM	Features of Calcifications Requiring Biopsy (E)
1:45 – 2:30 PM	Parenchymal Asymmetries: Definitions, Evaluation and management (S)
2:30 – 3:15 PM	Clinical Breast Imaging and the Role of the Radiologist in the Management of Patients with Breast Diseases (C)

Saturday, November 04

7:00 – 7:45 AM	Continental Breakfast
7:45 – 8:30 AM	Nipple Discharge: Evaluation and Management (C)
8:30 - 9:15 AM	Diffuse Breast Changes: Evaluation and Management (S)
9:15 - 10:00 AM	Diagnostic Uses of Breast US (K)
10:00 - 10:15 AM	BREAK
10:15 - 11:00 AM	When Do I Evaluate the Axilla? (S)
11:00 AM - 11:45 AM	Talking to Patients (L)
11:45 - 12:30 PM	Establishing Clinical Imaging and Pathology Concordance (C)

Sunday, November 05

7:00 – 7:45 AM	Continental Breakfast
7:45 - 8:30 AM	Tomosynthesis (L)
8:30 - 9:15 AM	MR of Non-Invasive Lesions (J)
9:15 - 10:00 AM	MR of Invasive Lesions (T)
10:00 - 10:15 AM	BREAK
10:15 - 11:00 AM	Tomosynthesis Work Flow and Case Studies (L)
11:00 - 11:45 AM	Use of MR in Problem Solving (B-C)
11:45 AM - 12:30 PM	MR of the Altered Breast (C)

Speakers

Co-Program Director

Gilda Cardeñosa, M.D. FSBI FACR

Michael Linver, M.D. FSBI FACR

Faculty

Kelly Brozetti-Cronin M.D.

Assistant Professor of Radiology

Wake Forest University Medical School
Winston Salem, NC

 

Gilda Cardeñosa, MS, MD, FACR, FSBI

Former Professor of Breast Imaging

Virginia Commonwealth University
Richmond, Virginia

 

Elizabeth H.  Ellison M.D.

Director of Breast Imaging, Radiology and Nuclear Medicine Services

Hunter Holmes McGuire VA Medical Center

Assistant Professor of Radiology

Virginia Commonwealth University Medical Center
Richmond VA

 

Nicole Kelleher, M.D.

Director of Breast Imaging

Johnston-Willis Hospital

Radiology Associates of Richmond
Richmond, VA

 

Michael N. Linver, MD, FACR, FSBI

Director of Mammography

X-Ray Associates of New Mexico, PC

Clinical Professor of Radiology

University of New Mexico School of Medicine
Albuquerque, New Mexico

 

Janae Johnson M.D.

Director of Breast Imaging

Tidewater Multispecialty Medical Group
Newport News, Virginia

 

Priti A. Shah, M.D.

Assistant Professor of Radiology

Virginia Commonwealth University
Richmond VA

 

Tiffany M. Tucker, M.D.

Assistant Professor of Radiology

Virginia Commonwealth University
Richmond VA