(Tuesday, 4/10/2018) 8:00 AM - 10:00 AM
Room: Marquis Ballroom 1-4
This two part session will focus on breast imaging in the clinic with an introduction to Clinical Mammogrpahy followed by a presentation on multi-modality breast imaging biopsy systems and the new ACR Breast Imaging Center of Excellent Accreditation.
Part 1: Clinical Breast Imaging: What Every Physicist Should Know
Screening mammography is a hotly debated topic and generates much discussion. Additionally, the recent guidelines put forth by the United States Preventive Services Task Force (USPSTF), the American Cancer Society (ACS) and the National Comprehensive Cancer Network (NCCN) aid to the confusion regarding when to commence and how often to screen patients. This talk will be focused on sorting through these recommendations, as well as reviewing newer technologies such as digital breast tomosynthesis (DBT) and its future role in breast imaging. Finally other screening techniques such as whole breast screening ultrasound and abbreviated MRI will be reviewed.
Learning Objectives:
1. Identify current guidelines regarding screening mammography
2. Discuss the benefits and future of digital breast tomosynthesis
3. Review the indications for whole breast ultrasound and abbreviated breast MRI
4. Predict the future of breast imaging
Part 2: Breast Biopsy from the Physics Perspective
Breast biopsies are performed using several different modalities. These modalities include x-ray imaging (stereotactic and tomosynthesis guided biopsies) ultrasound guided biopsies and MRI guided biopsies. In the near future we may also see breast biopsies routinely being performed using molecular breast imaging (MBI) and contrast enhanced digital mammography (CEDM).
In October 2007 the American College of Radiology started a new program called the Breast Imaging Center of Excellence (BICOE). The BICOE designation is awarded to breast imaging centers that have earned accreditation in the ACR’s voluntary breast-imaging accreditation programs including breast ultrasound with ultrasound guided biopsy, stereotactic breast biopsy, breast MRI as well as the mandatory mammography accreditation program.
This lecture will provide the medical physicist with the knowledge he or she will need to assist their women’s imaging facilities obtain and maintain accreditation in stereotactic breast biopsy, ultrasound guided breast biopsy as well as how to help set up a program for performing breast biopsies using MRI guidance. Future directions in breast biopsy using MBI or CEDM will also be discussed.
Learning Objectives:
1. Review and understand the test requirements for stereotactic breast biopsy systems and ultrasound systems
2. Understand how MRI guided biopsies are performed.
Handouts
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