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.
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.
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.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
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.
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.
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.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
5 topics, 22 min.
4 topics, 15 min.
2 topics, 6 min.
3 topics, 12 min.
0:00
Now we move on to women with average
0:02
risk who get supplemental MR screening.
0:04
This was another Christiana
0:05
cool, very important study.
0:07
Um, and she had, um, over 2,000 women
0:10
who had multiple sequential screens
0:12
and these were full protocol MR.
0:15
She found 60 additional cancers.
0:17
Good combination of DCIS
0:18
and invasive cancers.
0:18
There were 48 at that 1st
0:18
round, 13 at the 2nd round.
0:20
There was 1 cancer actually found by
0:21
all 3 modalities in retrospect, but no
0:24
cancer diagnosed only by mammography
0:25
or only by ultrasound and not by MR.
0:29
0 interval cancer rate and
0:31
cancer detection rate by MR
0:34
15.
0:34
5 per 1,000.
0:37
Good rate.
0:38
And it wasn't about density.
0:39
This was women of all densities.
0:41
So here's the numbers.
0:42
You can see the different density
0:43
categories, A, B, C, and D.
0:45
And you see the percent of women across the whole,
0:46
all the women who had, um, cancer diagnosed.
0:47
And so it shows you that even in those low
0:50
density breasts, cancers were detected by MR only.
0:53
And these MRs, uh, the MR detected
0:56
cancers tended to be small, node negative,
0:59
yet high grade, so aggressive cancers.
1:01
Those are the ones we really want to find.
1:02
Find them early.
Interactive Transcript
0:00
Now we move on to women with average
0:02
risk who get supplemental MR screening.
0:04
This was another Christiana
0:05
cool, very important study.
0:07
Um, and she had, um, over 2,000 women
0:10
who had multiple sequential screens
0:12
and these were full protocol MR.
0:15
She found 60 additional cancers.
0:17
Good combination of DCIS
0:18
and invasive cancers.
0:18
There were 48 at that 1st
0:18
round, 13 at the 2nd round.
0:20
There was 1 cancer actually found by
0:21
all 3 modalities in retrospect, but no
0:24
cancer diagnosed only by mammography
0:25
or only by ultrasound and not by MR.
0:29
0 interval cancer rate and
0:31
cancer detection rate by MR
0:34
15.
0:34
5 per 1,000.
0:37
Good rate.
0:38
And it wasn't about density.
0:39
This was women of all densities.
0:41
So here's the numbers.
0:42
You can see the different density
0:43
categories, A, B, C, and D.
0:45
And you see the percent of women across the whole,
0:46
all the women who had, um, cancer diagnosed.
0:47
And so it shows you that even in those low
0:50
density breasts, cancers were detected by MR only.
0:53
And these MRs, uh, the MR detected
0:56
cancers tended to be small, node negative,
0:59
yet high grade, so aggressive cancers.
1:01
Those are the ones we really want to find.
1:02
Find them early.
Report
Faculty
Emily F. Conant, MD
Professor of Radiology, Chief of Breast Imaging, Vice Chair of Faculty Development
Department of Radiology, University of Pennsylvania
Tags
Screening
Neoplastic
MRI
Diagnosis & Staging
Breast
© 2024 Medality. All Rights Reserved.