Mastery Series

Breast Tomosynthesis (DBT)

Content Reviewed: 2022-10-11

Mastery Series is included with Membership

Learn alongside world-renowned radiologists with interactive Mastery Courses. Watch expert-led lectures and case reviews from anywhere with short, bite-sized videos and practice on fully scrollable cases.

Included with All Membership Plans

3.25 CME

71 Videos

3 Hours 20 Minutes of Video

3.25 CME

Course Description

Digital Breast Tomosynthesis (DBT) has become increasingly common in breast imaging practices and is a well-established improvement over standard full-field digital mammography (FFDM) for detecting breast cancer. Understanding the imaging appearances of classic findings on DBT improves accuracy and confidence in your daily interpretation.

In this course, Dr. Ryan Woods (University of Wisconsin-Madison) reviews several topics related to Tomosynthesis, including imaging acquisition techniques, screening and diagnostic performance, and CAD/AI applications.

Learn alongside Dr. Woods as he walks through classic tomosynthesis cases you may run into in your daily practice. Dr. Woods shares tips and tricks on how he approaches DBT cases, including lesion localization, common artifacts, architectural distortion, and the challenges of calcifications on tomo.

This course will prepare you to confidently approach a variety of findings seen on screening mammograms using Tomosynthesis, including:

Dermal calcifications, Pseudocalcifications
Asymmetries and masses
Gynecomastia
Fat containing lesions (Lipoma, Hamartoma, Fat Necrosis)
Locally Advanced Breast Carcinoma
Invasive Ductal Carcinoma (IDC)
Invasive Lobular Carcinoma (ILC)
…and more!

The course also highlights important considerations when reviewing DBT cases in male patients and also different patient settings, including post-breast reduction, post-radiation, post-lumpectomy, and silicone injections.

Optimize your learning:

Review at your own pace – Reminder to utilize the video player features to speed up or slow down the video, pause or rewind to best fit your available time and learning needs
Learn alongside Dr. Woods – We suggest viewing the video in full screen (or collapse the left navigation to make the screen bigger) while you watch Dr. Woods review the cases

After you’re done, check out these additional Breast Imaging Mastery Courses for further in-depth case review:

In this course, Dr. Ryan Woods provides a case-based look at the imaging appearances of classic findings on Digital Breast Tomosynthesis (DBT). Take this course to gain confidence using Tomosynthesis and earn CME credits to help you meet MQSA requirements.

Learning Outcomes & CME Information

View CME Activity Information

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

Ryan W. Woods, MD, MPH

Assistant Professor of Radiology

University of Wisconsin School of Medicine and Public Health

Advisors

Rachel F Brem, MD, FACR, FSBI

Professor and Vice-Chair- George Washington University

Director- Breast Imaging and Interventional Center

Show Content Titles

Lesson

Pre-Course Activities

1 min.

Watch this case review for free!

2 m.

Lesson

Introduction to Tomosynthesis

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

23 min.

Approach to Screening Mammogram w/DBT - Left Breast Mass

4 m.

Approach to Interpretation on Tomosynthesis - Overview

4 m.

Lesion Localization Tips & Pitfalls on Tomosynthesis

10 m.

Approach to Dermal Calcifications

3 m.

Approach to Asymmetry

4 m.

Lesson

Normal Imaging Findings

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

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

4 min.

Gynecomastia - Diffuse

2 m.

Gynecomastia - Marked Dendritic

2 m.

Gynecomastia- Mild Dendritic

1 m.

Lesson

Fat-containing Lesions

18 min.

Fat-containing Lesions on Tomosynthesis - Overview

5 m.

Lipoma - Case 1

2 m.

Lipoma - Case 2

3 m.

Lipoma - Case 3

2 m.

Hamartoma - Case 1

2 m.

Hamartoma - Case 2

2 m.

Fat Necrosis - Post Traumatic

3 m.

Fat Necrosis - Post Surgical

3 m.

Lesson

Architectural Distortion

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

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

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

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.

Breast Tomosynthesis (DBT)

Course Description

Faculty Planning and Disclosures

Instructors

Advisors

Lesson

Pre-Course Activities

Lesson

Introduction to Tomosynthesis

Lesson

Approach to Interpretation and Lesion Localization

Lesson

Normal Imaging Findings

Lesson

Asymmetries and Masses

Lesson

Gynecomastia

Lesson

Fat-containing Lesions

Lesson

Architectural Distortion

Lesson

Calcifications

Lesson

Associated Findings

Lesson

Postsurgical Findings

Course Evaluation

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