A Comprehensive Practical Approach to Breast …A Comprehensive Practical Approach to Breast Imaging...

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7 Days Intimate Atmosphere Give and Take Interactions Audience Participation Encouraged Educational Symposia A Comprehensive Practical Approach to Breast Imaging August 6 - 13, 2016 Inside Passage with Glacier Bay aboard the Crown Princess Roundtrip from Seattle, Washington

Transcript of A Comprehensive Practical Approach to Breast …A Comprehensive Practical Approach to Breast Imaging...

Page 1: A Comprehensive Practical Approach to Breast …A Comprehensive Practical Approach to Breast Imaging Inside Passage with Glacier Bay aboard the Crown Princess Roundtrip from Seattle,

7Days

Intimate Atmosphere Give and Take Interactions Audience Participation Encouraged

Educational Symposia

A Comprehensive Practical Approach to Breast ImagingAugust 6 - 13, 2016Inside Passage with Glacier Bay aboard the Crown PrincessRoundtrip from Seattle, Washington

Page 2: A Comprehensive Practical Approach to Breast …A Comprehensive Practical Approach to Breast Imaging Inside Passage with Glacier Bay aboard the Crown Princess Roundtrip from Seattle,
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A Comprehensive Practical Approach to Breast ImagingInside Passage with Glacier Bay aboard the Crown Princess

Roundtrip from Seattle, Washington

August 6 - 13, 2016

Dear Course Participant,

Thank you for your participation in this course. You should have received an e-mail to the Course Landing Page. On this page you will find the link to the Course Evaluation.

The course evaluation is an accreditation requirement. Below please find a direct link:

https://www.surveymonkey.com/r/CBIC16

The feedback you provide as a course participant will help us evaluate the effectiveness of this program and will assist us in developing future activities.

Thank you!Educational Symposia

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In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, Educational Symposia requires that all Planning Committee, academic faculty members, and peer reviewer(s) involved in the development of CME content disclose financial relationships which have relevance to the CME content of the activity. An individual has a relevant financial relationship if he or she (or his or her spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in this CME activity, and over which the individual has content control.

The Planning Committee, academic faculty members, and peer reviewer(s) for this symposium were required to complete a Full Disclosure Form, and their disclosures, if any, are listed below. If relationships were identified, those Planning Committee and/or faculty members, and/or peer reviewer(s) attested that such relationship(s) would not cause them to be commercially biased. In addition, each has signed a Resolution of Conflict of Interest form agreeing that, when developing or presenting content discussing healthcare products or services with those manufacturers or providers with whom he or she (or his or her spouse/partner) has a relevant financial relationship, they will: (1) use the “best available evidence” in the specialty or therapeutic area as support for any statements he or she makes about those products or services; (2) not make patient care or practice recommendations based on his or her “clinical experience” only, although he or she may indicate that a particular product or service is utilized in his or her practice; and (3) not express a personal or professional preference for those products or services.

Faculty members have been advised that if their lectures will include discussion of off label or investigational use of any product, they must disclose this to the audience.

The Planning Committee, academic faculty members, and peer reviewer(s) for this activity have no relevant financial relationships to disclose.

A Comprehensive Practical Approach to Breast ImagingInside Passage with Glacier Bay aboard the Crown Princess

Roundtrip from Seattle, Washington

August 6 - 13, 2016

FULL DISCLOSURE POLICY AFFECTING CME ACTIVITIES

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A Comprehensive Practical Approach to Breast ImagingInside Passage with Glacier Bay aboard the Crown Princess

Roundtrip from Seattle, Washington

August 6 - 13, 2016

PROGRAM

Physician SUNDAY, AUGUST 7, 2016 Credit 8:00 – 8:30 AM What’s All the Recent Drama About Screening Mammography Guidelines? 2.0 8:30 – 9:00 Will Tomosynthesis Solve All Our Problems? 9:00 – 9:30 Screening Breast Ultrasound and the Dense Breast Controversy 9:30 – 10:00 MR Screening in High Risk Women Including Abbreviated MRI 10:00 – 10:15 Coffee Break 10:15 – 10:45 Clinical Indications for Breast MRI 2.0 10:45 – 11:15 MR Interpretation - Why the Hype About Background Enhancement? 11:15 – 11:45 Controversies in Breast MRI 11:45 – 12:15 PM Interactive Case Review 12:15 – 2:00 Lunch Break on Your Own 2:00 – 2:30 What Has Changed in the New BIRADS® 2.0 2:30 – 3:00 BIRADS® 3 Lesions 3:00 – 3:3 High Risk Lesions - What’s the Latest? 3:30 – 4:00 Interactive Case Review 4:00 End of Session

THURSDAY, AUGUST 11, 2016 2:00 – 2:30 PM Image Guided Biopsy - Tips and Tricks 2.0 2:30 – 3:00 Seed Localization 3:00 – 3:30 Do Margins Matter? What Radiologists Need to Know 3:30 – 4:00 Follow Up After Biopsy: Am I Done? 4:00 End of Session

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A Comprehensive Practical Approach to Breast ImagingInside Passage with Glacier Bay aboard the Crown Princess

Roundtrip from Seattle, Washington

August 6 - 13, 2016

PROGRAM

PhysicianFRIDAY, AUGUST 12, 2016 Credit 8:00 – 8:30 AM Surveillance of the Breast Cancer Survivor 2.0 8:30 – 9:00 Imaging After Oncoplastic Surgery and Implants 9:00 – 9:30 Contrast Enhanced Mammography 9:30 – 10:00 Interactive Case Review 10:00 – 10:15 Coffee Break 10:15 – 10:45 What Does Personalized Medicine Mean to Breast Patients? 2.0 10:45 – 11:15 Imaging During Neoadjuvant Chemotherapy 11:15 – 11:45 What Cool Stuff is in the Future? 11:45 – 12:15 PM Interactive Case Review 12:15 End of Course

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A Comprehensive Practical Approach to Breast ImagingInside Passage with Glacier Bay aboard the Crown Princess

Roundtrip from Seattle, Washington

August 6 - 13, 2016

FACULTY

Elizabeth A. Morris, M.D., FACRChief, Breast Imaging Service Member, Memorial Sloan Kettering Cancer CenterProfessor of RadiologyWeill Cornell Medical CollegeNew York, NY

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A Comprehensive Practical Approach to Breast ImagingInside Passage with Glacier Bay aboard the Crown Princess

Roundtrip from Seattle, Washington

August 6 - 13, 2016

TARGET AUDIENCE

EDUCATIONAL OBJECTIVES

ACCREDITATION

This CME activity provides a broad overview of breast imaging from screening basics to brand new technologies. A major focus is on breast MRI. Screening guidelines and controversies, along with biopsy, tomosynthesis and ultrasound applications will be discussed. Rounding out the program are multiple case discussions designed to tie the didactic lectures to every day practice.

Attendees should, at the completion of this course, be able to:

• Reviewscreeningmammographyprinciples.

• Discusstheutilityofbreasttomosynthesisinthescreeningsetting.

• Describethecurrentapplicationofbreastultrasound.

• ExplaintheutilityofbreastMRIinthescreeninganddiagnosticsetting.

No special educational preparation is required for this CME activity.

Physicians: Educational Symposia is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Educational Symposia designates this live activity for a maximum of 12.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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Page 13: A Comprehensive Practical Approach to Breast …A Comprehensive Practical Approach to Breast Imaging Inside Passage with Glacier Bay aboard the Crown Princess Roundtrip from Seattle,

A Comprehensive Practical Approach to Breast ImagingInside Passage with Glacier Bay aboard the Crown Princess

Roundtrip from Seattle, Washington

August 6 - 13, 2016

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TABLE OF CONTENTSSUNDAY, AUGUST 7, 2016

What’s All the Recent Drama About Screening Mammography Guidelines? ..................................................................... 1

Will Tomosynthesis Solve All Our Problems?.................................................................................................................. 17

Screening Breast Ultrasound and the Dense Breast Controversy ................................................................................... 45

MR Screening in High Risk Women Including Abbreviated MRI ...................................................................................... 55

Clinical Indications for Breast MRI .................................................................................................................................. 69

MR Interpretation - Why the Hype About Background Enhancement? ........................................................................... 75

Controversies in Breast MRI .......................................................................................................................................... 89

Interactive Case Review ............................................................................................................................................... 105

What Has Changed in the New BIRADS® ................................................................................................................... 125

BIRADS® 3 Lesions ..................................................................................................................................................... 135

High Risk Lesions - What’s the Latest? ....................................................................................................................... 149

Interactive Case Review ............................................................................................................................................... 163

THURSDAY, AUGUST 11, 2016

Image Guided Biopsy - Tips and Tricks ....................................................................................................................... 189

Seed Localization ........................................................................................................................................................ 211

Do Margins Matter? What Radiologists Need to Know ................................................................................................. 221

Follow Up After Biopsy: Am I Done? ............................................................................................................................ 233

FRIDAY, AUGUST 12, 2016

Surveillance of the Breast Cancer Survivor ................................................................................................................... 251

Imaging After Oncoplastic Surgery and Implants .......................................................................................................... 263

Contrast Enhanced Mammography ............................................................................................................................. 277

Interactive Case Review ............................................................................................................................................... 289

What Does Personalized Medicine Mean to Breast Patients? ....................................................................................... 311

Imaging During Neoadjuvant Chemotherapy ................................................................................................................ 323

What Cool Stuff is in the Future? ................................................................................................................................. 335

Interactive Case Review ............................................................................................................................................... 347

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