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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
Okay. This is a, um, 75-year-old female
0:03
presenting with a palpable abnormality in
0:05
the inferior aspect of the left breast.
0:09
Looking at image quality, these, uh, images look good.
0:12
This pec is a little bit concave.
0:14
Um, might wanna get a little more
0:15
pectoralis muscle in there, but it's okay.
0:18
IMFs are okay.
0:20
And if we focus on the left breast, on the CC
0:23
and O views, we can see our palpable BB marker
0:26
sort of in the medial inferior aspect of.
0:29
And already on this SMV, the, um, MLO view.
0:33
Pull that up.
0:33
Here we can see our pal marker, and there's
0:35
an underlying mass, which is entirely fat
0:37
containing, and there's a thin circumscribed margin
0:40
surrounding, uh, that area of fat on the CC view.
0:44
If we look to try to find this area.
0:48
We'll have to look at the
0:48
inferior aspect of the breast.
0:50
So if we scroll down that area,
0:51
we can see our palpable marker.
0:53
But you can see that it's very difficult to see.
0:55
Um, perhaps you can't see it at all.
0:58
That area of fat in the same way.
1:00
Um, and this happens a lot with, uh, things
1:02
like lipoma or other fat-containing mass.
1:04
It can be very difficult to see in one view,
1:06
but very well seen in another view, and this is
1:08
because we can't see that thin margin very well.
1:11
So the fat just sort of blends into the background.
1:14
If we scroll through the DBT slices on our
1:17
MLO view where we're able to see a lot better,
1:19
we can again see that thin, uh, circumscribed
1:22
margin and it looks thin and circumscribed
1:24
throughout the whole, uh, image stack, uh,
1:27
at the location of that fat-containing mass.
1:30
These imaging features are
1:31
compatible with benign lipoma.
1:33
Patient really doesn't need to
1:34
go on with any further evaluation.
1:36
However, it could be confirmed
1:37
by ultrasound if he desired.
Lipoma - Case 3
HIDEInteractive Transcript
0:00
Okay. This is a, um, 75-year-old female
0:03
presenting with a palpable abnormality in
0:05
the inferior aspect of the left breast.
0:09
Looking at image quality, these, uh, images look good.
0:12
This pec is a little bit concave.
0:14
Um, might wanna get a little more
0:15
pectoralis muscle in there, but it's okay.
0:18
IMFs are okay.
0:20
And if we focus on the left breast, on the CC
0:23
and O views, we can see our palpable BB marker
0:26
sort of in the medial inferior aspect of.
0:29
And already on this SMV, the, um, MLO view.
0:33
Pull that up.
0:33
Here we can see our pal marker, and there's
0:35
an underlying mass, which is entirely fat
0:37
containing, and there's a thin circumscribed margin
0:40
surrounding, uh, that area of fat on the CC view.
0:44
If we look to try to find this area.
0:48
We'll have to look at the
0:48
inferior aspect of the breast.
0:50
So if we scroll down that area,
0:51
we can see our palpable marker.
0:53
But you can see that it's very difficult to see.
0:55
Um, perhaps you can't see it at all.
0:58
That area of fat in the same way.
1:00
Um, and this happens a lot with, uh, things
1:02
like lipoma or other fat-containing mass.
1:04
It can be very difficult to see in one view,
1:06
but very well seen in another view, and this is
1:08
because we can't see that thin margin very well.
1:11
So the fat just sort of blends into the background.
1:14
If we scroll through the DBT slices on our
1:17
MLO view where we're able to see a lot better,
1:19
we can again see that thin, uh, circumscribed
1:22
margin and it looks thin and circumscribed
1:24
throughout the whole, uh, image stack, uh,
1:27
at the location of that fat-containing mass.
1:30
These imaging features are
1:31
compatible with benign lipoma.
1:33
Patient really doesn't need to
1:34
go on with any further evaluation.
1:36
However, it could be confirmed
1:37
by ultrasound if he desired.
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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