Welcome to the Medality (formerly MRI Online) Breast MRI Fellowship!

This is a case-based curriculum that over 5 weeks will enable you to:

1. Discuss common indications for breast MRI 
2. Apply the 2013 ACR BI-RADS lexicon to report findings
3. Identify and categorize common artifacts
4. Recognize typical physiological changes
5. Identify, evaluate and discriminate between common benign and malignant findings on contrast-enhanced MRI
6. Recognize findings that impact breast cancer staging 
7. Formulate management plans based on MRI findings
8. Interpret non-enhanced breast MRI implant rupture studies 

This course will include 25 cases supported by additional video and PDF materials.

Here are the prerequisites:

Before the course starts, you are required to view the following:

Breast MRI common findings & cases

Covers:

• Typical MRI features
• IDC
• ILC
• Inflammatory breast cancer
• DCIS
• Post treatment changes
• Fat necrosis
• Fibrocystic disease
• Physiological enhancement
• Cysts
• Fibroadenomas
• Example cases

Breast MRI interpretation

Covers:

• Typical MRI sequences
• Quality Control
• Background enhancement
• How to analyze enhancement and sequences
• Important areas to evaluate: chest wall, nodes, areas outside of breast
• CAD
• Lesion management choices
• Interpretive theories

Breast MRI technique

Covers:

• Basic hardware/software needs
• Crucial imaging factors
• Typical basic sequences for contrast enhanced breast MR
• CAD/kinetic basics

Breast MRI current uses  

Covers:

• Screening high risk patients who meet criteria of genetic, calculated risk, hx of chest radiation, etc
• Diagnostic extent of disease in newly diagnosed breast cancer ipsilateral, contralateral breasts and locoregional LN
• Diagnostic LN+ but occult primary site
• Diagnostic neoadjuvant chemotherapy pre- and post-therapy response
• Diagnostic other examples are bloody nipple discharge, problem-solving mammogram finding, etc
• Diagnostic noncontrast study silicone breast implant integrity

Breast MRI BIRADS

Dr. Lewis provides pearls and exceptional examples of the ACR BIRADS Reference card page 2 MR. NB: it is very helpful to frequently refer to the reference card during this video.

ACR MRI BIRADS lexicon

BPE: Interpreting Breast MRI

MRI Guided Breast Biopsies: Technique and Challenges (optional)

Covers:

• Targeting, mispositioning
• Superficial lesions
• Posterior lesions
• Non-visualization of a suspected abnormality
• Retroareolar lesions
• Patients with implants
• Thin breasts
• Hematomas and clip migration
• Results
• Manual targeting

Before the course starts we suggest you review the following:

• Mastery Series: High Risk Screening Breast MRI
• Mastery Series: Evaluation of Newly Diagnoses, Pre-Operative Breast Cancer Patients
• Expert Case Review: Breast MRI Expert Case Review

NOTE: If you do not have time prior to the course, we encourage you to complete it at your earliest convenience.  If you are an Medality (formerly MRI Online) member, you will have access to prerequisites for the course as long as you are a member.  If you are not an Medality (formerly MRI Online) member, you will have access to prerequisites for two years after the first day of the course.

You will not need any additional textbooks or materials for the course. All of the materials for the course will be here on Medality (formerly MRI Online). Reference source data is offered with PDF hyperlinks for your use during and following the course. See the “Recommended Bibliography” section located within the Brest MRI Remote Fellowship course.

— The Medality (formerly MRI Online) Team