Breast MRI

Content Reviewed: 2022-01-24

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3.5 CME

49 Videos

37 Clinical Cases

3.5 CME

Course Description

Course Instructor: Lisa Mullen, MD Breast Imaging Advisor: Rachel F. Brem, MD FACR FSBI

Learning Outcomes & CME Information

View CME Activity Information

SA-CME now available! In addition to earning AMA PRA Category 1 Credit(s)™, this course is eligible for SA-CME credit. Note: the course evaluation must be completed and SA-CME selected in order to claim SA-CME credit.

After completing this course, you will be better able to:

Apply appropriate search patterns to ensure high quality case assessment
Identify key anatomical landmarks, variations, and abnormalities on imaging
Accurately interpret advanced imaging cases
Formulate definitive diagnoses and limited differentials

Instructors

Lisa Ann Mullen, MD

Assistant Professor; Breast Imaging Fellowship Director

Johns Hopkins Medicine

Advisors

Rachel F Brem, MD, FACR, FSBI

Professor and Vice-Chair- George Washington University

Director- Breast Imaging and Interventional Center

Lesson

Pre-Course Activities

1 Clinical Cases

2 min.

Watch this case review for free!

3 m.

Lesson

Introduction to Breast MRI

5 min.

Introduction to Breast MRI Basics – BI-RADS and Approach to Interpretation

1 m.

Overview and Rationale for Breast MRI

5 m.

Lesson

Indications and Protocol

2 Clinical Cases

33 min.

Indications for Breast MRI

13 m.

Breast Anatomy

4 m.

Positioning, Technique, Protocol for Breast MRI

10 m.

Protocol – 43 yo woman – High Risk Screening

6 m.

Protocol – 31 yo woman – Family History

4 m.

Lesson

MRI BI-RADS

5 Clinical Cases

14 min.

MRI BI-RADS Lexicon – Amount of Fibroglandular Tissue

4 m.

Background Parenchymal Enhancement (BPE)

6 m.

Changing BPE Over 3 Time Points

6 m.

Lesson

Enhancing MRI Findings

4 Clinical Cases

28 min.

Enhancing MRI Findings

4 m.

New Focus of Enhancement – Benign

2 m.

New Focus of Enhancement – Malignant

2 m.

Masses – Overview

6 m.

Non-Mass Enhancement (NME) – Overview

6 m.

Clustered Ring NME – Benign

2 m.

Clumped and Clustered Ring NME – DCIS

2 m.

Kinetic Curve Assessment

8 m.

Lesson

Other Findings

2 Clinical Cases

20 min.

Benign Findings

10 m.

Axillary Lymph Node Anatomy – After Covid 19 Vaccine

3 m.

Associated Features on MRI

2 m.

Associated Findings on MRI

7 m.

Lesson

Interpretation and Reporting

4 Clinical Cases

25 min.

Location of Lesion & How to Report It

7 m.

Interpretation and Reporting

7 m.

Interpretation and Report – 4mm Focus Right Breast

8 m.

Report Organization and Examples

5 m.

Lesson

BI-RADS Case Review

23 Clinical Cases

1 hr. 17 min.

BI-RADS Assessment Categories – Overview

11 m.

BI-RADS 1

5 m.

BI-RADS 2 – Left Lumpectomy

4 m.

BI-RADS 2 – Right Lumpectomy, Right Non-Enhancing Mass

2 m.

BI-RADS 2 – Left Post Excisional Biopsy Change

3 m.

BI-RADS 2 – Marked BPE, Stable

3 m.

BI-RADS 2 – Bilateral Stable Findings

4 m.

New focus of enhancement on a high risk patient (BI-RADS 4)

3 m.

BI-RADS 3 – Changing Pattern of Background

2 m.

BI-RADS 4 – Linear NME, Left Breast

4 m.

BI-RADS 4 – Right Extensive DCIS, Left Dominant Focus

4 m.

BI-RADS 4 – New Diagnosis Left Cancer, Focal NME left

3 m.

BI-RADS 4 – New Diagnosis Right Breast Cancer, Nodes on Right

5 m.

BI-RADS 4 – Left Axillary Node Metastasis, Evaluate for Breast Cancer

3 m.

BI-RADS 5 – Suspicious Mass in Left Breast, Not Biopsied Yet

5 m.

BI-RADS 5 – Left Breast Cancer, MRI Shows Right Cancer

5 m.

BI-RADS 5 – New Diagnosis Right Cancer, Suspicious Masses in Right Breast

3 m.

BI-RADS 5 – Right Inflammatory Cancer, Bilateral Nodes

4 m.

BI-RADS 6 – Right Breast Cancer, No Other Findings

3 m.

BI-RADS 6 – Left Breast Cancer, No Other Findings

2 m.

BI-RADS 6 – Left Breast Cancer, Index Mass

4 m.

BI-RADS 6 – Pre and Post Neoadjuvant Chemotherapy (NAC) for Left Breast Cancer

5 m.

Breast MRI

Course Description

Instructors

Advisors

Lesson

Pre-Course Activities

Lesson

Introduction to Breast MRI

Lesson

Indications and Protocol

Lesson

MRI BI-RADS

Lesson

Enhancing MRI Findings

Lesson

Other Findings

Lesson

Interpretation and Reporting

Lesson

BI-RADS Case Review

Course Evaluation

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