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Hello, my name is Julia Birnbaum

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and I am a breast radiologist at the University

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of Pennsylvania, where I have practiced

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for the past 27 years.

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I did a fellowship in women's imaging

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and initially practiced in ultrasound

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as well as breast radiology.

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But for the past nine years have limited my practice solely

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to breast radiology.

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My responsibilities include teaching residents

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and fellows as well as taking care of patients.

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One of my special interests is percutaneous biopsies

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of the breast, um,

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and other procedures that we do in breast radiology.

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And I think that specifically mammographic guided core

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biopsies, although they are initially intimidating,

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are actually fairly easy to perform,

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and all radiologists

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who perform breast procedures should be comfortable

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with this type of procedure.

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For today's talk, uh, we are going

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to cover general considerations for core biopsies

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of the breast, and then specifically

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what are the indications

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for biopsies With mammographic guidance,

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we'll spend some time talking about the two different

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techniques that can be utilized

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during mammographic guided core biopsies,

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and I will mention contrast enhanced mammography.

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We will review challenges specific

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to the technique we are using

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and as well as specific patient challenges

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and some modifications that we can use

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to overcome these challenges.

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Towards the end, we will do one procedure from beginning

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to end, and then I will follow with, uh, some comments

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regarding radiology pathology concordance.

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The goals for today are, uh, to have an understanding

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of mammographic guided core biopsies.

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In general, understand the difference

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between targeting using stereotaxis

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and tomosynthesis to know the typical targets.

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For mammographic guided core biopsies, you should be able

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to troubleshoot challenging cases, understand the importance

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of advanced preparation,

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and understand the basics of radiology pathology correlation

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specifically for mammographic guided core biopsies.