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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
In this case, we have a 45-year-old female
0:02
presenting for routine screening mammography.
0:06
Image quality of the exam looks good.
0:09
And as we look over sort of in a general way over
0:13
this case, we don't see anything that stands out,
0:15
uh, in particular being a normal finding.
0:19
I'm gonna pull down just the left.
0:22
Images, uh, just to demonstrate our finding here,
0:25
and as we look at the SM views in both breasts,
0:27
again, we don't see anything that stands out as
0:29
particularly, uh, from the rest of the breast tissue.
0:32
We see normal scattered fibroglandular density, uh,
0:35
maybe a few benign type of calcifications, uh, and.
0:39
Too worried about, uh, too exciting.
0:42
As we scroll through the DBT images,
0:44
um, you direct your attention to this
0:46
lateral portion of the left breast.
0:48
Uh, as we get to this point here, we can see
0:50
there's this, uh, oval, uh, fat-containing
0:52
mass, which has a thin circumscribed margin
0:55
in the lateral aspect of the left breast.
0:58
As we can scroll further along
0:59
the study, see nothing else that.
1:03
Gonna go back and stop there.
1:05
If we use our tomo scroll bar to maybe get a sense
1:08
of where this finding is, we can switch over to the
1:11
DBT stack and should be sort of somewhere central
1:14
ish, at least according to this, um, in the breast.
1:17
Now again, we need to remember that the center
1:20
on this scroll bar doesn't always necessarily
1:23
mean the center of the breast, uh, in itself.
1:26
So we gotta find the nipple.
1:28
And we can see here the nipple here is,
1:30
uh, directed a little more inferiorly.
1:31
And so this finding.
1:33
It's more likely to be even more superior,
1:36
uh, in the breast than it, than we
1:37
would think based on the scroll bar.
1:39
So if you scroll through on our, uh, MLO
1:43
view, we get to this point here, uh, mid
1:46
portion of the left breast, um, looks
1:48
more superior as we might have expected.
1:50
Um, but again, if we look very
1:52
closely at the margins, not as thin.
1:55
Circumscribed margins and a
1:57
mass containing entirely fat.
1:59
This is compatible with a lipoma, which is benign,
2:02
and the patient can go back to routine screening.
Lipoma - Case 2
HIDEInteractive Transcript
0:00
In this case, we have a 45-year-old female
0:02
presenting for routine screening mammography.
0:06
Image quality of the exam looks good.
0:09
And as we look over sort of in a general way over
0:13
this case, we don't see anything that stands out,
0:15
uh, in particular being a normal finding.
0:19
I'm gonna pull down just the left.
0:22
Images, uh, just to demonstrate our finding here,
0:25
and as we look at the SM views in both breasts,
0:27
again, we don't see anything that stands out as
0:29
particularly, uh, from the rest of the breast tissue.
0:32
We see normal scattered fibroglandular density, uh,
0:35
maybe a few benign type of calcifications, uh, and.
0:39
Too worried about, uh, too exciting.
0:42
As we scroll through the DBT images,
0:44
um, you direct your attention to this
0:46
lateral portion of the left breast.
0:48
Uh, as we get to this point here, we can see
0:50
there's this, uh, oval, uh, fat-containing
0:52
mass, which has a thin circumscribed margin
0:55
in the lateral aspect of the left breast.
0:58
As we can scroll further along
0:59
the study, see nothing else that.
1:03
Gonna go back and stop there.
1:05
If we use our tomo scroll bar to maybe get a sense
1:08
of where this finding is, we can switch over to the
1:11
DBT stack and should be sort of somewhere central
1:14
ish, at least according to this, um, in the breast.
1:17
Now again, we need to remember that the center
1:20
on this scroll bar doesn't always necessarily
1:23
mean the center of the breast, uh, in itself.
1:26
So we gotta find the nipple.
1:28
And we can see here the nipple here is,
1:30
uh, directed a little more inferiorly.
1:31
And so this finding.
1:33
It's more likely to be even more superior,
1:36
uh, in the breast than it, than we
1:37
would think based on the scroll bar.
1:39
So if you scroll through on our, uh, MLO
1:43
view, we get to this point here, uh, mid
1:46
portion of the left breast, um, looks
1:48
more superior as we might have expected.
1:50
Um, but again, if we look very
1:52
closely at the margins, not as thin.
1:55
Circumscribed margins and a
1:57
mass containing entirely fat.
1:59
This is compatible with a lipoma, which is benign,
2:02
and the patient can go back to 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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