Course Objectives

At the conclusion of the program, participants will be able to:

Breast Tomosynthesis:  Current State of the Art  

1.  Describe benchmarks for increased cancer detection after implementation of tomosynthesis for mammographic screening.

2.  Describe benchmarks for reduction in recall rate after implementation of tomosynthesis for mammographic screening.

3.  Outline the performance of one-view vs. two-view tomosynthesis for cancer detection and recall rate reduction.

Breast Tomosynthesis:  Approach to the Diagnostic Evaluation

1.  Outline evidence for using tomosynthesis rather than additional conventional mammographic views for evaluation mass margins.

2.  Outline approaches for biopsy of tomosynthesis findings occult on 2D mammography.

3.  Outline considerations for measuring and reporting findings seen on tomosynthesis imaging.

Case Review Sets 1 and 2:  Analysis at the Workstation

1.  Describe approaches for integrating information from prior 2D and 3D mammographic imaging into evaluation of a current study.

2.  Outline strategies for evaluating potential summation artifact using tomosynthesis.

3.  Outline strategies for evaluating architectural distortion seen only on tomosynthesis imaging.

4.  Describe strategies for reducing false negative interpretations of tomosynthesis imaging studies.

5.  Describe considerations for inter-modality correlation of tomosynthesis imaging with breast ultrasound and MRI.

Use of the Synthetic Mammogram

1.  Describe how the synthetic mammogram is generated.

2.  Describe differences in radiation dose between standard combination 2D/3D imaging and tomosynthesis read in conjunction with the synthetic mammogram.

3.  Outline the published evidence supporting the use of the synthetic mammogram rather than the standard 2D mammogram to be read in conjunction with tomosynthesis imaging.

Current Screening Recommendations: How Can Tomosynthesis Shift the Equation?

1.  Outline current guidelines and rationale for mammographic screening put forward by the United States Preventative Services Task Force.

2.  Outline current guidelines and rationale for mammographic screening put forward by the American Cancer Society.

3.  Outline strategies for using performance benchmarks from tomosynthesis implementation to address concerns for harm/benefit analysis in mammographic screening in clinical practice.  


Educational Materials and Breaks

Participants will receive a syllabus containing lecture abstracts, references, and notes pages.

Continental breakfast and refreshment breaks will be provided by World Class CME. 

Upon course completion, participants will be emailed a CME certificate.

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