Mammography, US and MRI in Breast Cancer Screening

A review of the indications and efficacy of mammography, ultrasound and magnetic resonance imaging as both screening and diagnostic tools in the fight against breast cancer.

Course ID: Q00328 Category:
Modalities: , ,


Satisfaction Guarantee


Targeted CE per ARRT’s Discipline, Category, and Subcategory classification for enrollments starting after June 11, 2024:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Breast Sonography: 2.00
Patient Care: 1.25
Patient Interactions and Management: 1.25
Procedures: 0.75
Pathology: 0.75

Mammography: 2.75
Patient Care: 0.75
Patient Interactions and Management: 0.75
Procedures: 2.00
Anatomy, Physiology, and Pathology: 0.75
Mammographic Positioning, Special Needs, and Imaging Procedures: 1.25

Magnetic Resonance Imaging: 2.00
Patient Care: 0.75
Patient Interactions and Management: 0.75
Procedures: 1.25
Body: 1.25

Registered Radiologist Assistant: 2.75
Procedures: 2.75
Thoracic Section: 2.75

Sonography: 2.00
Patient Care: 0.75
Patient Interactions and Management: 0.75
Procedures: 1.25
Superficial Structures and Other Sonographic Procedures: 1.25

Radiation Therapy: 2.75
Patient Care: 2.00
Patient and Medical Record Management: 2.00
Procedures: 0.75
Treatment Sites and Tumors: 0.75


  1. Introduction
  2. Breast Cancer Screening
    1. Screening Mammography
    2. Breast US Screening
    3. Breast MRI Screening
  3. Imaging Features of Benign and Malignant Lesions
    1. Mammography
    2. Ultrasound
    3. Magnetic Resonance Imaging
  4. Problem Solving Using Mammography, Ultrasound, and MRI
    1. Abnormal Mammogram
    2. Preoperative Staging of Newly Diagnosed Breast Cancer
    3. MRI-Directed “Second-Look” US of the Breast
    4. Postoperative Breast
    5. Evaluation of Occult Breast Cancer
    6. Palpable Breast Masses and Pain
    7. Nipple Discharge
    8. Mastitis
    9. Evaluation of the Male Breast
    10. Unusual Findings
  5. Conclusions


Upon completion of this course, students will:

  1. identify the most common cancer found in women
  2. recognize how much screening mammography has reduced mortality since the 1990s
  3. learn the factor most responsible for reducing the sensitivity of mammography
  4. know the recommended frequency of screening mammography
  5. realize that limitations with mammography have led to other developments in breast imaging
  6. understand attributes of ultrasound for breast imaging
  7. identify which patient population benefits most by adding ultrasound imaging to screening mammography
  8. know factors that cause women to be placed in a group of high-risk individuals for contracting breast cancer
  9. identify the imaging modality most sensitive for occult breast cancer detection in a high-risk population
  10. learn the sensitivity of the combination of screening mammography and breast MRI for the high-risk population
  11. understand how repeated radiation to the chest before age 40 affects breast cancer risk
  12. understand attributes of MRI for breast cancer screening
  13. recognize the characteristics of malignancy on mammography
  14. identify benign conditions that share mammographic features of malignancies
  15. realize the main diagnostic function of breast ultrasound
  16. know characteristics of cysts on ultrasound
  17. know characteristics of solid masses on ultrasound
  18. realize how a small, potentially malignant mass can be overlooked on ultrasound
  19. understand how benign US findings following a suspicious mammographic finding affects the course of action
  20. learn how to visualize breast cancer on MRI via dynamic contrast enhancement studies
  21. identify MRI pulse sequences used for dynamic contrast enhancement breast exams
  22. recognize dynamic contrast enhancement patterns on breast MRI exams and interpret what they mean
  23. learn about differentiating benign and malignant lesions with breast MRI
  24. realize the first course of action after a suspicious area is identified on a screening mammogram
  25. know what findings of coarse microcalcifications on ultrasound may indicate
  26. learn valid reasons to refer to breast MRI after an inconclusive mammogram
  27. know when ultrasound is beneficial in evaluating the extent of breast disease
  28. identify the most accurate imaging technique in the determination of the extent of breast disease in women with a new diagnosis of breast cancer
  29. realize why US-guided biopsy is often preferred over MRI-guided tissue sampling
  30. understand that “second look” US may not correlate with MRI breast lesion findings
  31. identify normal mammographic findings in a post-lumpectomy breast
  32. know what increased vascularity at the surgical site of a postoperative breast may be indicative of
  33. realize how patient age affects the course of evaluation when presented with breast pain or a palpable lump
  34. recognize the usual methods to evaluate nipple discharge
  35. know common causes for nipple discharge
  36. learn the best course of action to differentiate between mastitis and inflammatory breast disease
  37. know the percentage of breast cancer found in males
  38. recognize the usual diagnosis in the male referred for a mammogram
  39. identify common cancers that metastasize to the breast
  40. identify new technology being developed to improve early detection of breast cancer