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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Pre-Course Activities
1 topic, 1 min.
Lesson
Introduction to Tomosynthesis
7 topics, 21 min.
Welcome to Advanced Tomosynthesis Mastery Course
1 m.Introduction to Tomosynthesis (DBT) - Why Learn about Tomosynthesis?
3 m.Image Acquisition Technique, Positioning, and Physics
5 m.Screening & Diagnostic Performance of Tomosynthesis
4 m.CAD/AI in Tomosynthesis
2 m.Image Quality and Common Artifacts
8 m.Motion Artifact Case Example on Tomosynthesis
2 m.Lesson
Approach to Interpretation and Lesion Localization
5 topics, 23 min.
Lesson
Normal Imaging Findings
10 topics, 29 min.
Normal Findings - Palpable Lump Focal Fibroglandular Tissue
4 m.Normal Findings - Palpable Lump Unilateral Axillary
4 m.Normal Findings - Palpable Lump Bilateral Axillary
4 m.Normal Findings - Screening Mammogram - Calcifications
3 m.Normal Findings - Screening Mammogram - Dermal Calcifications
3 m.Normal Findings - Screening Mammogram - Deodorant Artifact Example 1
4 m.Normal Findings - Screening Mammogram - Deodorant Artifact Example 2
3 m.Normal Findings - Screening Mammogram - Deodorant Artifact Example 3
2 m.Normal Findings - History of Lumpectomy
4 m.Normal Findings - Diagnostic Mammogram after Right Breast Masses on Screening
4 m.Lesson
Asymmetries and Masses
8 topics, 24 min.
Mammographic Asymmetries and Masses - Overview
7 m.Asymmetry - Invasive Ductal Carcinoma
3 m.Focal Asymmetry - Focal Fibroglandular Tissue - Benign
4 m.Developing Asymmetry
4 m.Solitary Mass - Fibroadenoma
2 m.Solitary Mass - Malignancy
3 m.Multiple, Bilateral Masses - Case 1
3 m.Multiple, Bilateral Masses - Case 2
2 m.Lesson
Gynecomastia
3 topics, 4 min.
Lesson
Fat-containing Lesions
8 topics, 18 min.
Lesson
Architectural Distortion
5 topics, 17 min.
Architectural Distortion on Tomosynthesis - Imaging & Management - Overview
6 m.Pseudodistortion on Screening Mammogram, Normal on DBT
4 m.Architectural Distortion - Radial Scar / Complex Sclerosing Lesion
4 m.Architectural Distortion - Radiating Lines, Asymmetry / Invasive Ductal Carcinoma (IDC)
3 m.Architectural Distortion - Radiating Lines, Mass / Invasive Lobular Carcinoma (ILC)
3 m.Lesson
Calcifications
8 topics, 22 min.
Calcifications on Tomosynthesis - Overview
5 m.Pseudocalcifications - Case 1
3 m.Pseudocalcifications - Case 2
3 m.Calcifications - Typically Benign - Milk of Calcium - Case 1
3 m.Calcifications - Typically Benign - Milk of Calcium - Case 2
2 m.Calcifications - Suspicious - Amorphous / Malignancy (BI-RADS 4B)
4 m.Calcifications - Suspicious - Coarse Heterogeneous / Benign
2 m.Calcifications - Suspicious - Segmental Fine Linear Branching / Invasive Ductal Carcinoma (BI-RADS 4C)
4 m.Lesson
Associated Findings
7 topics, 18 min.
Associated Nipple Retraction, Palpable Mass / Invasive Ductal Carcinoma
3 m.Axillary Adenopathy - Unilateral / Chronic Lymphocytic Leukemia (CLL)
3 m.Axillary Adenopathy - Bilateral / History of Chronic Lymphocytic Leukemia (CLL)
2 m.Skin Thickening - Prior Lumpectomy, Post Radiation
2 m.Skin Thickening, Asymmetry - Inflammatory Carcinoma / Invasive Ductal Carcinoma
4 m.Skin Thickening, Calcifications - Inflammatory Carcinoma / Invasive Ductal Carcinoma
3 m.Skin Thickening, Mass - Locally Advanced Breast Carcinoma
3 m.Lesson
Postsurgical Findings
9 topics, 19 min.
Post Breast Reduction - Case 1
4 m.Post Breast Reduction - Case 2
2 m.Post Breast Reduction - Case 3
2 m.Post Lumpectomy - Benign Findings - Case 1
3 m.Post Lumpectomy - Benign Findings - Case 2
2 m.Post Lumpectomy - Recurrence
5 m.Post Lumpectomy - Benign Fat Necrosis
3 m.Silicone Injection
3 m.Concluding Remarks
1 m.0:01
This is a, uh, 42-year-old female presenting
0:03
for routine and screening mammogram.
0:06
Image quality in this exam is good.
0:08
We see Alis, uh, muscles in both cases.
0:11
Good.
0:11
IMFs and nipple in profile, at least
0:13
one view looks like appropriate depth
0:16
for both CC and MLO projections.
0:20
Um, looking sort of globally, we do see
0:23
some calcifications in both breasts.
0:25
They look, uh, a little bit like coarse
0:27
heterogeneous calcifications at this
0:30
point. We look at just the right side moment.
0:35
Um, this, uh, group of calcifications here, um, would
0:40
probably fall under the coarse heterogeneous grouping.
0:43
We would describe them, um, either
0:46
central or potentially 12 o'clock in the
0:49
right breast, in the posterior depth.
0:52
You zoom up on them, um, you can tell
0:54
they have a little bit of variable
0:56
appearance, some bigger than others.
1:00
But certainly would warrant some further workup.
1:02
These were recalled from the screening exam, and
1:05
diagnostic, uh, magnified mammogram was obtained.
1:11
Those images are shown here.
1:12
We have a, a magnified right CC view, and
1:14
we see those same calcifications here in
1:16
the central right breast posterior depth.
1:19
You see the corresponding calcifications, um,
1:22
the ML view, and I think some of the forms here
1:25
are large enough that we could probably consider
1:27
these either coarse or maybe coarse heterogeneous, but
1:30
probably trending more towards the coarse side.
1:34
Um, if we looked at prior exams and we saw
1:35
these were sort of developing in size, getting
1:38
larger and more coarse in appearance, we could,
1:40
you know, call these benign, um, which is what
1:42
we did in this particular case, calling these
1:45
coarse calcifications that were developing.
1:48
Which were sufficiently coarse that
1:50
we felt that they were fall
1:51
the typically benign category.
1:53
This patient returned for routine screening mammogram.
Calcifications - Suspicious - Coarse Heterogeneous / Benign
HIDEInteractive Transcript
0:01
This is a, uh, 42-year-old female presenting
0:03
for routine and screening mammogram.
0:06
Image quality in this exam is good.
0:08
We see Alis, uh, muscles in both cases.
0:11
Good.
0:11
IMFs and nipple in profile, at least
0:13
one view looks like appropriate depth
0:16
for both CC and MLO projections.
0:20
Um, looking sort of globally, we do see
0:23
some calcifications in both breasts.
0:25
They look, uh, a little bit like coarse
0:27
heterogeneous calcifications at this
0:30
point. We look at just the right side moment.
0:35
Um, this, uh, group of calcifications here, um, would
0:40
probably fall under the coarse heterogeneous grouping.
0:43
We would describe them, um, either
0:46
central or potentially 12 o'clock in the
0:49
right breast, in the posterior depth.
0:52
You zoom up on them, um, you can tell
0:54
they have a little bit of variable
0:56
appearance, some bigger than others.
1:00
But certainly would warrant some further workup.
1:02
These were recalled from the screening exam, and
1:05
diagnostic, uh, magnified mammogram was obtained.
1:11
Those images are shown here.
1:12
We have a, a magnified right CC view, and
1:14
we see those same calcifications here in
1:16
the central right breast posterior depth.
1:19
You see the corresponding calcifications, um,
1:22
the ML view, and I think some of the forms here
1:25
are large enough that we could probably consider
1:27
these either coarse or maybe coarse heterogeneous, but
1:30
probably trending more towards the coarse side.
1:34
Um, if we looked at prior exams and we saw
1:35
these were sort of developing in size, getting
1:38
larger and more coarse in appearance, we could,
1:40
you know, call these benign, um, which is what
1:42
we did in this particular case, calling these
1:45
coarse calcifications that were developing.
1:48
Which were sufficiently coarse that
1:50
we felt that they were fall
1:51
the typically benign category.
1:53
This patient returned for routine screening mammogram.
Report
Faculty
Ryan W. Woods, MD, MPH
Assistant Professor of Radiology
University of Wisconsin School of Medicine and Public Health
Tags
Women's Health
Tomosynthesis
Oncologic Imaging
Mammography
Breast
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