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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
Introduction
5 topics, 23 min.
Lesson
CEM in Clinical Practice
3 topics, 14 min.
Lesson
Future Directions
2 topics, 7 min.
Lesson
Noteworthy Mentions
2 topics, 2 min.
Lesson
Case Review: Normal
5 topics, 21 min.
Introduction to CEM Case Review
4 m.How to Use the Case Viewer to Best Evaluate the Images in this Course
2 m.Minimal Background Parenchymal Enhancement and Artifacts
5 m.Moderate/Marked Background Parenchymal Enhancement
9 m.Dense Breasts, Mild Background Parenchymal Enhancement, Axillary Enhancement Artifact
3 m.Lesson
Case Review: Benign
4 topics, 15 min.
Lesson
Case Review: Malignant
13 topics, 57 min.
Rim Enhancement of Hematoma Obscuring Enhancing Cancer
6 m.High Conspicuity Enhancing Mass of Invasive Lobular Carcinoma
6 m.Low Conspicuity, Delayed Enhancement of Mucinous Carcinoma
6 m.Rim Enhancing Invasive Ductal Carcinoma in Patient With Implants
4 m.Low Conspicuity Invasive Ductal Carcinoma in Extremely Dense Breasts
4 m.Multiple Masses and Non Mass Enhancement of Invasive Lobular Carcinoma
6 m.Focal Non-mass Enhancement of Invasive Ductal Carcinoma
6 m.Linear Non-mass Enhancement of Ductal Carcinoma In Situ
3 m.Non-mass Enhancement of Ductal Carcinoma In Situ; Using CEM For Biopsy Planning
7 m.Calcified Ductal Carcinoma In Situ With No Enhancement
3 m.Invasive Ductal Carcinoma as Linear Non-mass Enhancement
4 m.Limitations of Background Parenchymal Enhancement in Cancer Staging
4 m.True Positive CEM in Post-Surgical Breast
5 m.Lesson
Summary
1 topic, 1 min.
0:00
Another area to, um, for the future, is there's a—
0:05
we're gonna look at how contrast mammo specifically
0:09
applies to palpable lumps, pathologic nipple discharge,
0:12
high-risk screening, evaluation, and screening
0:13
recalls. More studies to see, to see
0:17
how it compares to our standard of care.
0:20
There's a great trial called, um,
0:23
it's called the RACER Trial, Rapid Access to
0:25
Contrast-Enhanced Spectral Mammography in
0:27
women recalled from breast cancer screening.
0:29
This trial, um, is doing— is randomizing patients
0:33
to standard of care, which is mammography,
0:37
ultrasound versus CEM, and they're gonna look
0:39
at what the different performance is in terms of
0:42
cancer detection, follow-ups, biopsies, et cetera.
0:46
Missed cancers.
0:47
So that is gonna be really one of— this is gonna—
0:50
the results of this trial are gonna be really great
0:52
to help us figure out is contrast mammo better?
0:55
Maybe it has a slightly better or better cancer
0:57
detection rate, but maybe, um, there are other
0:59
challenges that we need to be mindful of.
1:03
Lastly, for future directions,
1:04
we're gonna talk about radiomics.
1:07
Uh, radiomics are really looking at differentiating
1:11
cancer subtypes, trying to figure out can we use
1:14
contrast mammo and the contrast that we see on these
1:17
images to differentiate benign from malignant disease,
1:20
and lastly, to evaluate axillary metastases.
Diagnostic CEM and Radiomics
HIDEInteractive Transcript
0:00
Another area to, um, for the future, is there's a—
0:05
we're gonna look at how contrast mammo specifically
0:09
applies to palpable lumps, pathologic nipple discharge,
0:12
high-risk screening, evaluation, and screening
0:13
recalls. More studies to see, to see
0:17
how it compares to our standard of care.
0:20
There's a great trial called, um,
0:23
it's called the RACER Trial, Rapid Access to
0:25
Contrast-Enhanced Spectral Mammography in
0:27
women recalled from breast cancer screening.
0:29
This trial, um, is doing— is randomizing patients
0:33
to standard of care, which is mammography,
0:37
ultrasound versus CEM, and they're gonna look
0:39
at what the different performance is in terms of
0:42
cancer detection, follow-ups, biopsies, et cetera.
0:46
Missed cancers.
0:47
So that is gonna be really one of— this is gonna—
0:50
the results of this trial are gonna be really great
0:52
to help us figure out is contrast mammo better?
0:55
Maybe it has a slightly better or better cancer
0:57
detection rate, but maybe, um, there are other
0:59
challenges that we need to be mindful of.
1:03
Lastly, for future directions,
1:04
we're gonna talk about radiomics.
1:07
Uh, radiomics are really looking at differentiating
1:11
cancer subtypes, trying to figure out can we use
1:14
contrast mammo and the contrast that we see on these
1:17
images to differentiate benign from malignant disease,
1:20
and lastly, to evaluate axillary metastases.
Report
Faculty
Jordana Phillips, MD
Division Chief of Breast Imaging, Boston Medical Center
Boston Medical Center
Tags
Oncologic Imaging
Neoplastic
Mammography
Diagnosis & Staging
Breast
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