Breast Imaging: A Comprehensive State of the Art Review

Part I

Breast MRI in High Risk Screening                                                                          Monticciolo

An Overview of Diagnostic Indications for Breast MRI                                            Joe

Advanced Breast MRI                                                                                             Comstock

MRI Biopsy – Making Sure You Hit Your Target                                                      Chikarmane

Breast MRI in the Newly Diagnosed Cancer Patient                                              Monticciolo

Breast MRI Case Review – What to Biopsy                                                           Joe

The New BI-RADS for Breast MRI – Hot off the Press                                          Comstock

When and How to Use Breast MRI as a Problem Solver                                      Chikarmane

MRI of the Post-Surgical Breast                                                                            Monticciolo

Breast MRI Case Review:  Pitfalls and Challenges                                               Joe

Creating an Abbreviated Breast MR Program, and Issues

We Need to Think About                                                                                        Comstock

Benign and Malignant NME – a Case Based Approach                                       Chikarmane

Part II

The New BI-RADS for Mammography and Ultrasound                                             Sung

Breast Asymmetries (Part I)                                                                                      Sickles

Breast Asymmetries (Part II)                                                                                     Sickles

Managing Atypia, LCIS & other High-risk Lesions                                                    Sung

An Update on Contrast-enhanced Mammography                                                   Sung

Building a Successful Screening Breast Ultrasound Program                                 Destounis

Breast Ultrasound Findings: When to Worry, When to Not                                      Destounis

Ultrasound of Papillary Lesions and Nipple Discharge                                            Destounis

Pearls and Pitfalls of Ultrasound Screening                                                            Herron

Breast Imaging Procedures: Optimizing Accuracy, Safety, & Pain Control             Herron

The Role of the Radiologist in Breast Care                                                             Ulissey

Contrast-enhanced Mammography Challenging Cases
 Jochelson

Challenging Stereotactic and DBT Biopsy Cases
 Joe

Improving Performance in Breast Imaging- Sometimes it’s the Little Things That Count
 Ulissey

OVERVIEW: Over the past 40 years, breast imaging has evolved from a nascent radiologic stepchild to a multifaceted, multimodality life-saving powerhouse. Its ascent to radiologic prominence has been almost dizzying in its speed and complexity, demanding imaging competence of its practitioners along many paths at once. The focus of this teaching set is to add a sizeable measure of support to that competence by addressing the following

OBJECTIVES:

• Improve overall diagnostic accuracy in breast imaging
• Understand the new BI-RADS manual lexicon and changes for MRI, ultrasound and mammography
• Update knowledge regarding high-risk breast lesions and new consensus strategies regarding their management
• Receive update on contrast-enhanced mammography, including indications and clinical utility
• Appreciate the role of the radiologist in the overall care of the patient presenting with a breast problem
• Review the expanding role of screening breast ultrasound, and the recommended measures for setting up a screening ultrasound program
• Embrace the advances in new breast imaging techniques and technologies, especially within the realm of Breast MRI.

Section 1: BREAST MRI

OVERVIEW: This section covers the emerging and broad reaching applications of breast MRI in the breast cancer screening, diagnostic, and treatment arenas. A talented cadre of the world’s most knowledgeable experts on breast MR provides a rich array of superb lectures covering the current indications for breast MR, integration of breast MR into the texture of other breast imaging modalities, and the new applications of breast MR in breast cancer detection and treatment. The technical aspects of breast MR image optimization, interpretation, and biopsy are also addressed in detail.

Section 2: THE BROADER TAPESTRY OF BREAST IMAGING

OVERVIEW: This section provides a broad yet intimate overview of many of the important breast imaging issues of today, presented by an outstanding group of world class speakers. The new BI-RADS lexicon and the ever-evolving roles of breast ultrasound and contrast-enhanced mammography are discussed, as well as new concepts in the management of atypia and asymmetry. The information therein will serve as a useful guide to the novice and expert alike.

BREAST MRI
PROGRAM DIRECTOR:
Michael J. Ulissey, MD, FACR
The University of Texas Health
Sciences Center in San Antonio

Sona A. Chikarmane, MD, FSBI
Brigham & Women’s Hospital

Christopher E. Comstock, MD,
FACR
Memorial Sloan Kettering Center
Brigham and Women’s Hospital

Bonnie N. Joe, MD, PhD
UCSF Department of Radiology
and Biomedical Research

Debra L. Monticciolo, MD, FACR
Massachusetts General Hospital /
Harvard Medical School

BREAST IMAGING
PROGRAM DIRECTOR:
Michael J. Ulissey, MD, FACR
The University of Texas Health
Sciences Center in San Antonio

Stamatia Destounis, MD, FACR

Elizabeth Wende, Breast Care

Daniel Herron, MD
Dignity Health Advanced
Imaging
Sacramento, CA

Edward A. Sickles, MD
University of California
San Francisco

Janice Sung, MD
Memorial Sloan Kettering Center

Maxine Jochelson, MD
Director of Imaging Breastlink Beverly Hills
Vice President Beverly Radiology Medical Group
RADNET

ADVANCED TOPICS IN BREAST
PROGRAM DIRECTOR:
Michael J. Ulissey, MD, FACR
The University of Texas Health
Sciences Center in San Antonio

Bonnie N. Joe, MD, PhD
UCSF Department of Radiology
and Biomedical Research

Edward A. Sickles, MD
University of California, San
Francisco

Download the faculty pdf

ACCREDITATION
World Class CME designates this enduring material for a maximum of 15 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American Nurses Credentialing Center and the American Academy of Nurse Practitioners Certification Program accept continuing education credits sponsored by organizations, agencies, or educational institutions accredited or approved by the Accreditation Council for Continuing Medical Education (ACCME).

The American Academy of Physician Assistants accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME.

DISCLOSURE
This program has been planned and implemented in accordance with ACCME essentials and standards. World Class CME relies on its CME faculty to provide program content that is evidence-based and free of commercial bias. Therefore, any faculty, program director, reviewer and/or provider industry relationships will be disclosed and resolved. Speakers are required to openly disclose any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations.

Please click here to view faculty conflict of interest disclosures