Oakstone Clinical Update (SA-CME)

This comprehensive audio program focuses on new concepts, successful implementation strategies, and practical approaches to breast imaging and intervention. Includes 8 hours of DBT lectures.

Keep Pace with the Latest in Breast Imaging

Topics in Mammography is the seventh edition of our comprehensive breast imaging program. This audio CME course features engaging commentary and an information-packed virtual slideshow, rich with charts, graphics and radiology images. Through case studies and literature reviews, speakers will guide you in evaluation of the potentials and pitfalls of both current and new imaging approaches.

Topics in Mammography delivers:

• A full 8-hour course in tomosynthesis — evidence-based analysis of its strengths, applications, and limitations
• A balanced, up-to-date evaluation of management of percutaneous core biopsy results and new localization techniques
• Practical approaches to evaluation and management dilemmas — asymmetries, the pregnant patient, young women with cancer
• State-of-the-art discussions of breast MRI indications and future directions
• Simplified objective perspectives on common imaging issues — masses, calcifications, and surveillance
• A comprehensive medical legal overview of common breast imaging situations and suggested solutions
• Critical considerations regarding breast density and supplementary imaging strategies

Learning Objectives

• Differentiate the imaging findings of benign and malignant breast masses
• Recognize the features of benign or malignant calcifications on mammogram
• Formulate approaches to one- and two-view asymmetries seen on screening mammogram
• Recognize the issues regarding and methods to detect sentinel lymph nodes of the breast
• Evaluate the issues regarding risk and breast density
• Analyze the different approaches to supplementary screening imaging modalities beyond mammography
• Recognize the indications and limitations of stereotactic breast biopsy
• Analyze different approaches and limitations of ultrasound guided breast techniques
• Compare different methods of preoperative image-guided localization of nonpalpable lesions for surgical excision
• Decide on appropriate management recommendations following percutaneous breast biopsies of “high risk” lesions
• Distinguish the criteria and conditions for recommending surveillance imaging as opposed to biopsy for probably benign breast lesions identified on imaging
• Recognize the signs of silicone implant rupture
• Analyze the indications and outcome expectations of applied criteria for interpreting MRI studies

Intended Audience

This course is intended for radiologists in academics or private practice, and involved in breast imaging and interventional procedures. Any physician (e.g. surgeons) working in the field of evaluation and treatment of breast disease who desires a more comprehensive understanding of the imaging aspects of evaluation.

Session 1: General Topics

• Evaluation of Mammographic Masses – R. James Brenner, MD, JD, FACR, FCLM
• Evaluation of Calcifications: The Good, the Bad, the Ugly – R. James Brenner, MD, JD, FACR, FCLM
• Lesions Initially Seen in One (or Two) View Only Evaluation – R. James Brenner, MD, JD, FACR, FCLM
• Screening for Breast Cancer – Mohammad Eghtedari, MD, PhD

Session 2: Special Imaging

• Breast Cancer in Patients Under the Age of Forty – Haydee Ojeda-Fournier, MD
• Evaluation of the Pregnant or Lactating Patient – Rebecca Rakow-Penner, MD, PhD
• Evaluation of the Sentinel Node: What the Radiologist Needs to Know – R. James Brenner, MD, JD, FACR, FCLM
• Breast Density: Masking and Risk Assessment – R. James Brenner, MD, JD, FACR, FCLM
• Galactography: Technique, Potentials and Pitfalls – Haydee Ojeda-Fournier, MD
• Issues of Masking: Dense Breasts Supplementary Screening Imaging – R. James Brenner, MD, JD, FACR, FCLM

Session 3: Intervention

• Stereotactic Biopsy of Breast Lesions – R. James Brenner, MD, JD, FACR, FCLM
• Ultrasound Guided Intervention – R. James Brenner, MD, JD, FACR, FCLM
• New Approaches to Preoperative Localization – R. James Brenner, MD, JD, FACR, FCLM
• Controversies in Percutaneous Breast Biopsy – R. James Brenner, MD, JD, FACR, FCLM
• Surveillance Breast Imaging – R. James Brenner, MD, JD, FACR, FCLM

Session 4: Breast MRI

• Magnetic Resonance Imaging Breast: Silicone Evaluation – R. James Brenner, MD, JD, FACR, FCLM
• Magnetic Resonance Imaging Breast: Tumor Studies – Michael Andre, PhD
• Diffusion Imaging – Rebecca Rakow-Penner, MD, PhD
• MRI Interventions – Mohammad Eghtedari, MD, PhD

Session 5: Digital Breast Tomosynthesis

• Physics of Digital Breast Tomosynthesis – Michael Andre, PhD, FAAPM, FAIUM
• Diagnostic Breast Imaging in the Age of Digital Breast Tomosynthesis: How We Do It – Haydee Ojeda-Fournier, MD
• Issues in Implementation of Digital Breast Tomosynthesis (DBT) into Clinical Practice – R. James Brenner, MD, JD, FACR, FCLM
• Digital Breast Tomosynthesis of Benign Lesions – Mohammad Eghtedari, MD, PhD
• Digital Breast Tomosynthesis: Detected Cancers – Haydee Ojeda-Fournier, MD
• Digital Breast Tomosynthesis of Calcifications – Rebecca Rakow-Penner, MD, PhD
• Digital Breast Tomosynthesis: Interventions – Haydee Ojeda-Fournier, MD

Session 6: Medical Legal Aspects of Breast Imaging

• General Principles Relating to Screening and Diagnosis – R. James Brenner, MD, JD, FACR, FCLM
• Preventable Causes of False Negative Mammograms and Issues in Reporting – R. James Brenner, MD, JD, FACR, FCLM