From Our Past To Our Future: Breast Imaging in Colonial Williamsburg

This course presents a clinically focused approach to breast imaging. The data in support of aggressive screening and the impact of digital breast tomosynthesis on practice patterns and work-flow will be examined. The concept of clinical breast imaging will be advanced with presentations on the genetics of breast cancer, the nuances of risk modeling and the need for genetic counseling. Focused discussions on the use of mammography, ultrasound and magnetic resonance imaging in the detection and evaluation of breast lesions are intended to lead to the optimization of clinical imaging and pathological concordance. Newer technologies including contrast enhanced mammography, alternative to preoperative wire localizations and the status of abbreviated breast MRI for screening will also be presented.

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.
• Understand the requirements for the ACR accreditation programs for mammography, ultrasound (US) and magnetic resonance imaging (MRI).
• Effectively use the 203 BI-RADS^® lexicon (mammography, US and MRI).
• Understand the current knowledge on the genetics of breast cancer.
• Conceptualize the nuances risk assessment models and the need to couple these with genetic counseling.
• Assess the potential use and overall effectiveness of the existing alternatives to preoperative wire localizations for breast lesions.
• Detect, efficiently evaluate and confidently determine management options for breast masses, 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 applications of digital breast tomosynthesis in screening and diagnostic settings and the impact on work-flow patterns.
• Assess the potential uses of abbreviated breast MRI protocols for screening.
• Recognize the MRI findings of in-situ and invasive breast cancers and the roll of breast MRI in problem solving.
• Understand the principles of contrast enhanced mammography as well as its potential uses and limitations.
• Implement a clinically focused breast imaging program with direct communication between the breast imaging radiologist, patients and the multidisciplinary breast health team.

Target Audience

This course is intended for Radiologists and radiology residents, Mammography technologists, radiology nurses and physician assistants, Breast surgeons, and 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 [acf field=”iicme_course_credits”] AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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