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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.0:00
This is a 52-year-old patient
0:02
presenting for a screening mammogram.
0:05
In the right breast,
0:06
we can see a, uh, scar marker, um,
0:09
which is here and here on the MLO view.
0:12
Uh, this denotes, uh, previous excisional biopsy
0:14
of these by clinical history. In the left breast,
0:18
uh, there are some, uh, complications, sort of
0:23
a little more focal up here, uh, and back here.
0:26
I'll make those views a little bit bigger.
0:28
So.
0:31
Look at the left breast.
0:32
We see these, uh, coarse calcifications
0:35
in the central left breast here, which
0:36
correspond to these ones a little more inferior,
0:38
perhaps these here. The ones of interest are
0:41
these calcifications a little bit further,
0:43
uh, posterior breast in this retro
0:45
mammary, um, fat, um, and the
0:48
corresponding calcifications are seen here.
0:50
So these calcifications would be considered in
0:51
the left breast at approximately 12 o'clock position,
0:54
posterior depth.
0:57
Uh, these were thought to be new comparison to prior
1:00
exams, and so a diagnostic mammogram was recommended.
1:03
Further evaluation, we got a magnified CC and ML
1:09
view, the left breast looking in that specific area.
1:12
And if I make this quite a bit larger, we
1:14
can look at these calcifications, um, in
1:17
the posterior depth here on the CC view.
1:19
Just have a little bit of an amorphous or what
1:21
people would describe as a smudgy appearance.
1:24
We see the corresponding calcifications in
1:26
the superior left breast on this ML view.
1:29
And if we magnify itself quite a bit, we can see that
1:32
several of these calcifications demonstrate a layering
1:34
appearance with sort of a teacup kind of shape.
1:36
Um, some of them are a little bit bigger than others.
1:38
Um, some of 'em have a little bit
1:40
more of an, more of a shape to 'em.
1:42
Um.
1:43
That's okay.
1:44
I think on the whole, we can consider these
1:46
calcifications are, um, all layering and
1:49
all compatible with milk of calcium, which
1:51
falls into one of our typically benign
1:52
classifications and can be considered benign.
1:55
Patient is return for routine screening.
Calcifications - Typically Benign - Milk of Calcium - Case 2
HIDEInteractive Transcript
0:00
This is a 52-year-old patient
0:02
presenting for a screening mammogram.
0:05
In the right breast,
0:06
we can see a, uh, scar marker, um,
0:09
which is here and here on the MLO view.
0:12
Uh, this denotes, uh, previous excisional biopsy
0:14
of these by clinical history. In the left breast,
0:18
uh, there are some, uh, complications, sort of
0:23
a little more focal up here, uh, and back here.
0:26
I'll make those views a little bit bigger.
0:28
So.
0:31
Look at the left breast.
0:32
We see these, uh, coarse calcifications
0:35
in the central left breast here, which
0:36
correspond to these ones a little more inferior,
0:38
perhaps these here. The ones of interest are
0:41
these calcifications a little bit further,
0:43
uh, posterior breast in this retro
0:45
mammary, um, fat, um, and the
0:48
corresponding calcifications are seen here.
0:50
So these calcifications would be considered in
0:51
the left breast at approximately 12 o'clock position,
0:54
posterior depth.
0:57
Uh, these were thought to be new comparison to prior
1:00
exams, and so a diagnostic mammogram was recommended.
1:03
Further evaluation, we got a magnified CC and ML
1:09
view, the left breast looking in that specific area.
1:12
And if I make this quite a bit larger, we
1:14
can look at these calcifications, um, in
1:17
the posterior depth here on the CC view.
1:19
Just have a little bit of an amorphous or what
1:21
people would describe as a smudgy appearance.
1:24
We see the corresponding calcifications in
1:26
the superior left breast on this ML view.
1:29
And if we magnify itself quite a bit, we can see that
1:32
several of these calcifications demonstrate a layering
1:34
appearance with sort of a teacup kind of shape.
1:36
Um, some of them are a little bit bigger than others.
1:38
Um, some of 'em have a little bit
1:40
more of an, more of a shape to 'em.
1:42
Um.
1:43
That's okay.
1:44
I think on the whole, we can consider these
1:46
calcifications are, um, all layering and
1:49
all compatible with milk of calcium, which
1:51
falls into one of our typically benign
1:52
classifications and can be considered benign.
1:55
Patient is return for routine screening.
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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