Early Invasive Breast Cancers

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification for enrollments starting after February 8, 2023:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Breast Sonography: 2.25
Patient Care: 0.50
Patient Interactions and Management: 0.50
Image Production: 0.50
Evaluation and Selection of Representative Images: 0.50
Procedures: 1.25
Anatomy and Physiology: 0.25
Pathology: 0.75
Breast Interventions: 0.25

Mammography: 2.25
Patient Care: 0.25
Patient Interactions and Management: 0.25
Image Production: 0.25
Image Acquisition and Quality Assurance: 0.25
Procedures: 1.75
Anatomy, Physiology, and Pathology: 1.00
Mammographic Positioning, Special Needs, and Imaging Procedures: 0.75

Magnetic Resonance Imaging: 1.50
Patient Care: 0.25
Patient Interactions and Management: 0.25
Procedures: 1.25
Body: 1.25

Nuclear Medicine Technology: 1.50
Patient Care: 0.25
Patient Interactions and Management: 0.25
Procedures: 1.25
Endocrine and Oncology Procedures: 1.25

Registered Radiologist Assistant: 2.25
Procedures: 2.25
Thoracic Section: 2.25

Sonography: 1.50
Patient Care: 0.25
Patient Interactions and Management: 0.25
Procedures: 1.25
Superficial Structures and Other Sonographic Procedures: 1.25

Radiation Therapy: 2.25
Patient Care: 1.00
Patient and Medical Record Management: 1.00
Procedures: 1.25
Treatment Sites and Tumors: 1.25

Outline

1. Introduction
2. An Approach to Detecting Masses and Focal Asymmetries at Screening Mammography
   1. Asymmetric Breast Tissue versus Focal Asymmetry
   2. Detecting Focal Asymmetries
3. Evaluating a Mass or Focal Asymmetry Identified at Screening
   1. Diagnostic Evaluation of Masses and Focal Asymmetries
4. Management of Breast Masses and Focal Asymmetries
   1. The Worst Feature Wins
   2. Malignant Features
   3. Benign Features
   4. Probably Benign
5. Summary

Objectives

Upon completion of this course, students will:

1. identify how invasive breast cancer will appear on a mammogram
2. understand why early detection of a mass or asymmetry is important
3. identify survival rates for women with invasive breast carcinoma
4. define a mass according to the BI-RADS reporting system
5. define a focal asymmetry according to the BI-RADS reporting system
6. identify the most common type of breast cancer
7. learn the most efficient way to interpret mammograms
8. list the required views for a screening mammogram
9. explain why global asymmetry is of concern
10. state the percentage of all cancers that are invasive lobular carcinomas
11. explain how invasive lobular carcinoma spreads
12. describe how cancer will manifest in dense breast tissue
13. identify a positional necessity to image the retroareolar region
14. know the importance of the appearance of Cooper’s Ligaments
15. list which masses are typically benign
16. understand why a typically benign mass may not be benign
17. explain which interpretation practices can improve sensitivity
18. identify the next step in patient care after identifying a mass or asymmetry at screening mammography
19. list the reasons for additional imaging
20. identify the views required during recall examinations
21. name the views for lateral projections
22. list the views helpful in localizing a lesion
23. identify another modality helpful in confirming a focal asymmetry
24. identify views helpful in finding a lesion only seen on a CC view
25. identify views helpful in finding a lesion only seen on a MLO view
26. describe how lesions move during positioning
27. list indications for breast MRI
28. list mammographic indications for breast biopsy
29. list features found on ultrasound that would indicate breast biopsy
30. describe how to effectively follow benign features
31. name the BI-RADS category for a new lesion with benign features
32. know the most frequently misapplied BI-RADS category
33. list the primary reasons for a probably benign assessment
34. know how to assure proper use of BI-RADS category 3
35. understand characteristics which would make an asymmetric finding worrisome