View the up-to-date information for the 2024 Annual Meeting.
More Than a Stereotactic Breast Biopsy Course
A Practical Management Strategy in Imaging the High-Risk/Dense Breast Patient
7:30 AM–5:30 PM
Course Description:
The course may be taken as a half-day morning session or as a full day (morning and afternoon session) for those interested in becoming proficient in stereotactic breast biopsy.
The stereotactic portion of the course has been scheduled for the final 4 hours of the program, which will include detailed lectures on the procedure, problem solving, certification tips including a hands-on workshop. This course provides those interested in performing stereotactic breast biopsy the fundamentals as well as the required CME for certification and re-certification. The morning advanced imaging portion of the day will provide for a broader audience, advanced imaging techniques that can be used to provide patients with both early detection and diagnosis of breast cancer. The course will include a clear management strategy in screening the patient with the dense/complex breast and/or high risk. The standard and emerging imaging (3D Tomo, whole breast ultrasound, abbreviated MRI) will be explored. There will be an in-depth mammography interpretation primer to better understand micro-calcifications and other indications for image-guided biopsy. Pathologic dilemmas in dealing with indeterminate and high-risk lesions will be addressed.
CME credits claimed by course attendees may be applied toward the CME requirements for stereotactic certification. CME for radiation Safety can be obtained on the Society Website.Course Objectives:
- Discuss management of women with dense breast parenchyma and elevated risk including the role of breast MRI or other advanced breast-specific technology in patient management
- Know the indications and effectiveness of whole-breast automated ultrasound, as well as its implementation and impact on screening including the benefits and cost effectiveness of manual whole-breast ultrasound screening vs automated whole-breast technology
- Interpret mammographic microcalcifications and determine the indications for stereotactic breast biopsy
- Understand the imaging and pathologic correlation for image-guided breast biopsy
- Demonstrate the basic operation of appropriate equipment for stereotactic biopsy
- Summarize general principles for stereotaxis and radiation safety
- Understand the indications and patient selection for stereotactic biopsy
- Demonstrate the technique of stereotactic breast biopsy on breast phantoms
- Become familiar with alternative and new biopsy platforms
- Discuss the certification process and submitting a successful application
CME Information:
Self-Assessment Information (full-day only):
Agenda:
| 7:00 AM | Check-in and Breakfast
|
| 7:30 AM | Welcome and Introduction
Tina Hieken, MD, FACS; Scott Karlan, MD, FACS |
Evaluation and Management Strategy for the Patient at High Risk and/or with Dense Breasts |
|
| 7:40 AM | Digital Breast Tomosynthesis (3D Mammography)
Jocelyn Rapelyea, MD |
| 8:10 AM | Whole Breast Ultrasound: Overview of Technology, Costs, Integration
Jocelyn Rapelyea, MD |
| 8:40 AM | Molecular Breast Imaging (MBI)/Positron Emission Mammography (PEM)
Tina Hieken, MD, FACS |
| 9:10 AM | Abbreviated Breast MRI
Jocelyn Rapelyea, MD |
| 9:30 AM | Break
|
| 9:45 AM | Imaging Interpretation for the Surgeon: A Closer Evaluation of Abnormalities Requiring Further Intervention
Jocelyn Rapelyea, MD |
| 10:15 AM | Stereotactic Breast Biopsy: Which Patients Are Candidates and How Is the Procedure Performed?
Michael Farrell, MD, FACS |
| 11:00 AM | Management of High Risk and Indeterminate Core Biopsy Pathology Case Presentations
Farnaz Dadmanesh, MD, FRCPC; Scott Karlan, MD, FACS |
| 11:40 AM | Q&A
|
| 12:00 PM | Lunch
|
Afternoon Session - Available to full-day attendees only |
|
| 1:00 PM | Prone Stereotactic Biopsy Procedure: Positioning to Dressing
Michael Berry, MD, FACS |
| 1:30 PM | Upright Stereotactic Biopsy
Michael Farrell, MD, FACS |
| 2:00 PM | Stereotactic Problem-Solving: Positioning to Dressing
Scott Karlan, MD, FACS |
| 2:40 PM | Stereotactic Certification: How to Pass the First Time! Tips on Image Submission to Preparing for the Written Exam
Sharla Gayle Patterson, MD, MBA, FACS |
| 3:00 PM | Break
|
| 3:15 PM | Introduction to Equipment and Biopsy by Faculty
Michael Berry, MD, FACS; Sharla Gayle Patterson, MD, MBA, FACS |
| 3:30 PM | Hands-on Workshop: Attendees Perform Biopsies with Phantoms
|
| 5:15 PM | Wrap Up and Q&A
|
| 5:30 PM | Adjourn
|
