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A Practical Approach to Breast Imaging

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A Practical Approach to Breast Imaging

  1. 1. A PRACTICAL APPROACH TO BREAST IMAGING P AND OPTIONAL DIGITAL MAMMOGRAPHY N NOVEMBER 5–9, 2012 / RANCHO LAS PALMAS RESORT – RANCHO MIRAGE, CA SAN FRANCISCOUNIVERSITY OF CALIFORNIA BIOMEDICAL IMAGING RADIOLOGY AND
  2. 2. A PRACTICAL APPROACH TO BREAST IMAGING NOVEMBER 5–9, 2012 This course is designed for the clinical radiologist who specializes in breast imaging, or who practices general diagnostic radiology including breast imaging. It is intended to provide an overview and update on clinically relevant topics in diagnostic imaging of the breast, including recent developments such as relevant changes in the new 5th edition of BI-RADS. A practical approach will be emphasized, which will include interactive panel question and discussion sessions, small group workshops with case reviews, and three lectures focusing on breast MR interpretation and biopsy. This course satisfies the continuing medical education requirement for MQSA in breast imaging. Earn SAM Credit An opportunity for completion of a Self-Assessment Module will be offered. “Breast MRI” is pending approval by the American Board of Radiology for 1 SAM credit and for meeting the criteria for self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification Program. SAM credits are required for radiologists certified since 2002. At the end of the general breast imaging sessions, the attendee should be able to: 1. Apply and utilize BI-RADS categories as appropriate; 2. Develop a skillful and practical approach to performing and interpreting mammography, breast US and breast MRI; 3. Anticipate and resolve potential medicolegal issues relevant to breast imaging. Northerly view of Indian Canyon Drive with the Coachella mountains2
  3. 3. Course Director UCSF FacultyDorota J. Wisner, MD, PhD Natasha Brasic, MDAssistant Professor of Radiology Assistant Professor of RadiologyUCSF School of Medicine Bonnie N. Joe, MD, PhD Associate Professor of RadiologyGuest Faculty Chief, Women’s Imaging Mt. Zion Medical CenterMark A Helvie, MDProfessor of Radiology Elissa R. Price, MDDirector of Breast Imaging Assistant Professor of RadiologyUniversity of Michigan Health System Edward A. Sickles, MD, FACRAnn Arbor, Michigan Professor Emeritus of RadiologyEnrollmentTUITIONPre-register by September 7, 2012 and save $75 on the following registration fees:$1050 for practicing physicians; $1000 for UCSF Radiology Alumni;$900 for fellows, residents, technologists and nurses (with a letter of verification)ON-SITE REGISTRATIONMonday, November 5, 2012 at 7:00 amRancho Las Palmas Resort & Spa – Rancho Mirage, CaliforniaWe are generally able to accommodate onsite registration at our courses, but somedo reach capacity. To inquire about registration status, please call the UCSF CMERegistration Office at 415–476–5808.SYLLABUS Printable PDFs of presentations will be available online one week prior tothe course, and attendees should print out and bring pertinent presentations withthem. An electronic syllabus and paper notebook will be provided.You must provide an email address with your registration to receive advance syllabusinformation. Paper copies of presentations will not be provided onsite. 3
  4. 4. BREAST IMAGING PROGRAMMONDAY, NOVEMBER 5, 2012 7:00 am Registration and Continental Breakfast____________________________________________________________________________________ 7:25 Welcome and Introduction ______________________ Dorota J. Wisner, MD, PhD____________________________________________________________________________________ _____________________ MON 7:30 Breast MRI: Indications and Interpretation ______________________ Bonnie N. Joe, MD, PhD____________________________________________________________________________________ ____________________ 8:15 SAM Breast MR: Technique, Artifacts and Pitfalls ______________________ Bonnie N. Joe, MD, PhD____________________________________________________________________________________ ____________________ 9:00 Breast MRI: Evaluating the Extent of Disease Natasha Brasic, MD____________________________________________________________________________________ 9:45 Recess____________________________________________________________________________________ 10:00 Breast MRI: Point and Counterpoint Mark A. Helvie, MD____________________________________________________________________________________ 10:45 Panel: Breast MRI Course Faculty____________________________________________________________________________________ 11:30 AdjournTUESDAY, NOVEMBER 6, 2012 7:00 am Continental Breakfast____________________________________________________________________________________ 7:30 SAM Breast MRI: Quiz and Answers Dorota J. Wisner, MD, PhD____________________________________________________________________________________ 8:00 The New (5th) Edition of BI-RADS: Mammography Edward A. Sickles, MD____________________________________________________________________________________ 8:45 Breast Ultrasound: Tips and Tricks Natasha Brasic, MD____________________________________________________________________________________ 9:15 Stereotactic Core Biopsy __________________ Dorota J. Wisner, MD, PhD TUE____________________________________________________________________________________ _____________ 9:45 Recess____________________________________________________________________________________ __________________ ______________ 10:00 Mammographic Follow-up as an Alternative to Biopsy: Edward A. Sickles, MD Strengths, Limitations, Pitfalls____________________________________________________________________________________ 10:45 Panel: Performance Benchmarks and Course Faculty Appropriate Use of BI-RADS____________________________________________________________________________________ 11:30 Adjourn Accreditation The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. UCSF designates this live activity for a maximum of 18.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. These continuing medical education hours satisfy FDA requirements for mammography education (MQSA) as follows: 18.5 credits for mammography, 3.75 for digital mammography. The following credits can be applied to voluntary ACR accreditation programs: 7.5 credits for breast MRI, 3.5 for breast ultrasound and 3.0 for stereotactic biopsy. Attendees will have reviewed 20 mammography cases. Physician Assistants The National Commission on Certification of Physician Assistants (NCCPA) states that AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification. This educational activity meets the requirement under California State Assembly Bill 1195, continuing education and cultural and linguistic competency.4
  5. 5. WEDNESDAY, NOVEMBER 7, 2012 7:00 am Continental Breakfast____________________________________________________________________________________ 7:30 Radiology Pathology Correlation Dorota J. Wisner, MD, PhD____________________________________________________________________________________ 8:15 How to Practice Evidence-based Imaging Mark A. Helvie, MD WED WED WED and Management of Symptomatic_________ _________ _ Patients ______________________________________________________________________________________ ____________ ______ ___ _ ___ __ _ 9:00 Imaging the Post-surgical Breast, __________ Including Implants _ Edward A. Sickles, MD____________________________________________________________________________________ _______ ___________ _ __ ________ ______ _____ 9:45 Recess____________________________________________________________________________________ 10:00 Breast Cancer Screening: Making Sense Mark A. Helvie, MD of Recent Controversies____________________________________________________________________________________ 10:45 Panel: Screening in Breast Imaging Course Faculty____________________________________________________________________________________ 11:45 AdjournTHURSDAY, NOVEMBER 8, 2012Concurrent Workshop Sessions 7:00 am Continental Breakfast____________________________________________________________________________________ 7:30 Concurrent Workshops – Session 1 ______________________________________________________________________________________________________ 9:00 THR Concurrent Workshops – Session 2 ______________________________________________________________________________________________________ 10:30 Recess ____________________________________________________________________________________________________ 10:45 Concurrent Workshops – Session 3 __________________ ____________________________________________________________________________________________________ 12:15 pm Adjourn Workshop Topics Challenging Cases from the Great Lake State Mark A. Helvie, MD Multimodality Case Review Elissa R. Price, MD Mammographic Interpretation at the Edward A. Sickles, MD Digital Workstation: Challenging Cases Registrants will be divided into three groups at the beginning of the course, and each group will rotate through all three workshops. Dr. Sickles’ workshop is based on 20 “unknown” cases that will be displayed on digital workstations. Registrants should plan an adequate block of time to preview these cases prior to attending this workshop (cases will be available for viewing starting at 8:00 am on Monday morning).FRIDAY, NOVEMBER 9, 2012 7:00 am Registration and Continental Breakfast____________________________________________________________________________________ FRI FRI FRI R 7:30 Medicolegal Aspects of Breast Imaging ___ _________ Edward A. Sickles, MD____________________________________________________________________________________ ______________ __ ___ 8:15 In situ Cancer: What Radiologists Should____________ __ Know __ _________ __ __ Mark A. Helvie MD____________________________________________________________________________________ 9:00 Panel: Medicolegal Issues and Unresolved Questions __ Course Faculty____________________________________________________________________________________ ___ _________ _ ____ __ ____ 10:00 Adjourn 5
  6. 6. DIGITAL MAMMOGRAPHY MINI-COURSE (Optional) NOVEMBER 5−6, 2012 Concurrent with the five-day breast imaging program, an optional two-day mini-course in full-field digital mammography will be available to registrants on Monday and Tuesday afternoons (following the regular sessions). This course provides 8 hours of formal CME training in digital mammography, which fulfills the requirements for initial MQSA accreditation. This course will provide a concentrated overview of the current status of and recent clinical developments in full-field digital mammography for both breast imaging specialists and general radiologists. The application of digital mammographic techniques to breast cancer detection and diagnosis will be emphasized. The material covered in the course is designed to help radiologists build their digital mammography practices on a firm foundation of knowledge. At the completion of these sessions, the attendee should be able to: 1. Apply the current status of digital mammography and results of clinical trials using full-field digital mammography; 2. Describe practical approaches to the implementation of full-field digital mammography in a breast imaging practice; 3. Gain practice in analyzing and interpreting digital mammography cases. Cycling Shopping on Golf El Paseo Joshua Tree Jeep Tours Enrollment Pre-registration is encouraged to ensure your space in this course. TUITION $ 295 (registration in the general session is required). ON-SITE REGISTRATION Monday, November 5, 2012 at 7:00 am Rancho Las Palmas Resort & Spa – Rancho Mirage, California6
  7. 7. DIGITAL MAMMOGRAPHY PROGRAM (Optional)MONDAY, NOVEMBER 5, 2012Moderator: Bonnie N. Joe, MD, PhD 1:00 pm Introduction to Digital Mammography (Jeopardy) Bonnie N. Joe, MD, PhD____________________________________________________________________________________ 1:45 Digital Breast Tomosynthesis Mark A. Helvie, MD____________________________________________________________________________________ 2:30 Digital Mammography Case Review: Bonnie N. Joe, MD, PhD Aunt Minnie or Mystery?____________________________________________________________________________________ ______________________ _____________________ 3:00 Recess____________________________________________________________________________________ ______________________ ____________________ 3:15 Challenges in Digital Mammography: Mark A. Helvie, MD CAD, Remote Reading, Emerging Technology____________________________________________________________________________________ 4:00 Digital Mammography Case Review: Problem Solving Bonnie N. Joe, MD, PhD____________________________________________________________________________________ 4:45 Challenges and Opportunities in the Digital Era: PACS, RIS, EMR integrations Faculty Panel____________________________________________________________________________________ 5:15 AdjournTUESDAY, NOVEMBER 6, 2012Moderator: Edward A. Sickles, MD 1:00 pm Managing the Transition to Digital Mammography Edward A. Sickles, MD____________________________________________________________________________________ 1:45 Systematic Approach to Diagnostic Mammography Dorota J. Wisner, MD, PhD____________________________________________________________________________________ 2:15 Digital Mammography Clinical Trials _________________ Edward A. Sickles, MD TUE____________________________________________________________________________________ _____________ 3:00 Recess____________________________________________________________________________________ _________________ _______________ 3:15 Calcifications on Digital Mammography_________________ Dorota J. Wisner, MD, PhD____________________________________________________________________________________ _______________ 3:45 Computer-aided Detection of Breast Lesions: Edward A. Sickles, MD A Clinical Perspective____________________________________________________________________________________ 4:15 Optimizing Digital Mammography Workflow Faculty Panel____________________________________________________________________________________ 5:15 Adjourn Date Museum Accreditation The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. UCSF designates this live activity for a maximum of 8 AMA-PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. The approved credits satisfy FDA requirements for digital mammography education (under the Mammography Quality Standards Act) for both the initial training requirement (8 hrs) and the continuing experience requirement (6 hrs every three years). 7
  8. 8. Hotel Reservations tel: 866–423–1195 / 760–568–2727 www.rancholaspalmas.com / online code: ucsf2012 Reservation deadline: Friday, October 5, 2012 Run of House: $169 When making your accommodation decisions, please take into consideration that staying at the host hotel helps UCSF meet its contractual obligations and keeps registration fees reasonable. To ensure the conference Spa Jacuzzi rate, please book directly with the hotel, using the website or phone number listed above. The Las Palmas has reserved a limited block of rooms at special room rates for this conference. Call the Reservations Department directly at the number above and mention that you are attending the UCSF Radiology course to receive the discounted rates. Conference rates for reservation requests made after the deadline cannot be guaranteed and will be extended on a space-available basis only. A credit card number is required to guarantee your reservation. The room rate includes in-room high-speed internet access, fitness center access, local and toll-free calls, and in-room coffee. The daily resort fee ($25) has been waived for UCSF attendees who book directly with the hotel at the conference rate. A third person is $15 per night, fourth person $25; no additional charge for children under 18. Check-in is 4:00 pm, check-out is 12:00 pm. Rates exclude 10% state & local taxes, 2% business development fee, .15% state tourism fee (subject to change). Cancellations made less than 7 days from scheduled arrival, and no-shows, will be charged a one night’s stay. Early departure fee is $75. Valet and Self-parking are both complimentary. Rancho las Palmas interior grounds8
  9. 9. Rancho Las Palmas Resort & Spawww.rancholaspalmas.com41-000 Bob Hope Drive – Rancho Mirage, CA 92270Recently renovated, Rancho Las Palmas is the embodiment of new desert cool. Guestswill find exciting new experiences including Splashtopia, a fun family pool complex,and bluEmber, the signature restaurant in the heart of the plaza, which exudes thesun-drenched charm and relaxed elegance of the Southern California desert.Adjacent to the Resort is a 27-hole Ted Robinson-designed golf course, with threedistinct 9-hole layouts. Rounding out the dramatic changes are a new lobby,enhanced guest rooms, the refurbished 20,000-square-foot European-style Spa LasPalmas, an Internet marketplace, and the sporty R Bar & Lounge.Within walking distance of the Resort is The River, a family-friendly shopping,restaurant and theater complex. El Paseo Drive and the Westfield Shopping Centerare only two miles away.SplashtopiaFamily PoolAir TravelUCSF Radiology has negotiated special fares with American and United Airlines forradiology course attendees. To ensure the lowest fares, please book with the airlinedirectly using the codes below:Airport code: PSP www.palmspringsairport.comAirline Online Code TelAmerican www.aa.com 77N2AY 800–433–1790United www.united.com ZMYV352692 800–521–4041 ($25 fee via phone)The ONTario airport is about 80 miles or 1.5 hours away.LAX and SAN Diego are about 130 miles / 2.5 hours away.Car RentalHertz 800–654–2240 / CV # 01SY0251, UCSF Breast ImagingArrangements have been made with Hertz Car Rental for special rates during this UCSFmeeting, as well as one week before and after this meeting. Rentals can be arranged foreither Palm Springs or Ontario airports. Reserve using the phone and CV numberslisted above. 9
  10. 10. The Greater Palm Springs Area www.palmspringsusa.com Palm Springs is located about 130 miles or a two-hour drive east of Los Angeles. The area includes the neighboring towns of Cathedral City, Rancho Mirage, Palm Desert and Indian Wells, as you travel southeast along Route 10 or Highway 111. The area has an averge 350 days of sunshine a year, and winter temperatures are usually in the 70’s. The mix of southwestern culture and California history combine to make the Palm Springs area an eclectic mix of food, culture, outdoor activities, and an ideal opportunity for the art aficionado or furniture collector to enjoy the search for that unique find. Featured Attraction: Sunnylands Center at the Annenberg Estate http://sunnylands.org Nicknamed the “Camp David” of the west, Sunnylands was conceived by philanthropists Walter and Leonore Annenberg, who commissioned architect Quincy A. Jones of USC to build a contemporary residence on their 200-acre estate in Rancho Mirage. The bright, open, inviting building that Jones created was then decorated by noted designers Haines and Graber. The Estate has been used as a retreat for world leaders, politicians and foreign dignitaries for over 40 years, and also hosts one of the finest private collections of Impressionist and Post-Impressionist art. The Center is open free to the public Thursday through Sunday, and features select artwork and the Gardens. Tours of the home are limited and tickets can only be purchased in advance. For more information on these and other activities: www.visitpalmsprings.com Thursday Night Village Fest − enjoy an array of artists, artisans, entertainers, snacks and a farmers market in downtown Palm Springs. El Paseo Drive − stroll and shop on one of the most bountiful upscale shopping venues. Living Desert Zoo and Gardens − 1,200 acres of scenic trails and exhibits including gardens, live animal shows, a play park, a model train exhibit and tram rides. Children’s Discovery Museum − with over fifty hands-on exhibits, Moorten Botanical Gardens & Cactarium − examine over 3,000 examples of southwestern cacti and plants. Palm Springs Air Museum − experience one of the world’s largest collections of WW2 fighter planes Aerial Tram − ascend 8,000 feet in the world’s largest rotating tramcars, with a spectacular, never-ending panoramic view of Palm Springs below. Joshua Tree National Park − located on the northeast edge of the Palm Springs area, the nearly 800,000 acre park encompasses the most interesting geologic displays found in California’s deserts.10
  11. 11. REGISTRATIONBREAST IMAGING & OPTIONAL DIGITAL MAMMOGRAPHY (RAD 13 012)November 5–9, 2012 / Rancho Las Palmas Resort & Spa – Rancho Mirage, CAEarly Enrollment Deadline: September 7. 2012Four easy ways to register:1. Online at www.cme.ucsf.edu 2. Fax this form to 415−502−17953. Mail this form to UCSF Office of CME, PO Box 45368, San Francisco, CA 94145–03684. Phone using Visa, Amex or Mastercard. Call 415−476−5808, 8:30 am - 4:00 pm (Pacific Time)REGISTRANT INFORMATION (PLEASE PRINT)Name ______________________________________________________________________ First Last DegreeAddress ____________________________________________________________________ ______________________________________________________________________Tel ________________________________ Fax ________________________________ Area Code Area CodeE-mail _____________________________________________________________________You must provide an email address with your registration to receive advance syllabusinformation. Paper copies will not be provided on site.Would you like to receive general UCSF Radiology CME email notices?  Yes  No.Month/Day of Birth for record verification: _______ / _______ / X X month dayCOURSE REGISTRATIONCheck one: BY 9/7/12 AFTER 9/7/12 Physician $ 975 $ 1050 UCSF Radiology Alumnus / Active Military $ 925 $ 1000 Resident/fellow/nurse/sonographer/ $ 825 $ 900 technologist (with letter of verification)DIGITAL MAMMOGRAPHY – Monday/Tuesday (registration in the general session required) Optional and Separate Fee $ 295METHOD OF PAYMENT Check enclosed, payable to UC Regents.Please charge my:  Visa  Mastercard  American ExpressCard No. _____________________________________________________________________Exp. Date ______________________ Signature _________________________________Payment may be made by credit card or by check or money order drawn on a U.S. bank in U.S.currency. We regret that we cannot accept checks drawn on foreign banks. Enrollment confirmationwill be mailed to you within two weeks of receipt of the application.CANCELLATION A refund of the enrollment fee, less $75, will be made upon receipt of a writtenrequest only by Friday, 10/26/2012. No refunds will be made after this date. In the unlikely eventthat the program is cancelled, UCSF Radiology will refund the registration fee in full, but cannot beresponsible for any hotel or travel costs. 11
  12. 12. 12 RAD 13 012 Nonprofit Org. U.S. Postage PAID UPCOMING CME CONFERENCES Univ. of California View, print brochures, and register online: www.radiology.ucsf.edu/postgrad Radiology Postgraduate Education 3333 California Street, Suite 375 DATED MATERIAL Program dates, topics, and locations are subject to change. San Francisco, CA 94143-0629 PLEASE POST Sep 10–13, 2012 Advances in Neuroimaging San Francisco, CA ______________________________________________________________ Sep 20–22 Virtual Colonoscopy Workshop San Francisco, CA ______________________________________________________________ Sep 30–Oct 5 Women’s Imaging in Wine Country Sonoma, CA ______________________________________________________________ Oct 8–12 Interventional Radiology Review San Francisco, CA ______________________________________________________________ Oct 28-Nov 2 Diagnostic Imaging Maui, HI ______________________________________________________________ Nov 5–9 Breast Imaging & Digital Mammography Palm Springs, CA ______________________________________________________________ Dec 2–7 Imaging Warm-up in the Caribbean St. John, USVI Jan 6–11, 2013 Breast Imaging & Digital Mammography Kona, HI ______________________________________________________________ Jan 13–18 Body Imaging Update Kona, HI ______________________________________________________________ Jan 27–29 Cardiovascular & Pulmonary Imaging Palm Springs, CA ______________________________________________________________ Jan 30-Feb 1 Abdominal & Pelvic Imaging Palm Springs, CA ______________________________________________________________ Feb 3-8 UCSF Radiology Annual Review San Fancisco, CA ______________________________________________________________ Feb 10–15 Neuro & Musculoskeletal Imaging Kona, HI ______________________________________________________________ Mar 3–8 Spring Training for Radiologists Scottsdale, AZ ______________________________________________________________ Mar 22–24 Breast Imaging Update San Francisco, CA ______________________________________________________________ May 19–24 Practical Body Imaging Yosemite, CA ______________________________________________________________ Jun 23–28 Practical Tips for Covering On-Call Bermuda BREAST IMAGING & DIGITAL MAMMOGRAPHY ADDRESS CHANGES: To facilitate change-of-address, please return the NOVEMBER 5–9, 2012 / RANCHO MIRAGE, CA full mailing panel and do not cross out the original address. Thank you. RANCHO LAS PALMAS RESORT & SPA This course is self-supporting and receives no state funding.

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