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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.
Lesson
Pre-Course Activities
1 topic, 2 min.
Lesson
Introduction to Breast MRI
2 topics, 5 min.
Lesson
Indications and Protocol
5 topics, 33 min.
Lesson
MRI BI-RADS
3 topics, 14 min.
Lesson
Enhancing MRI Findings
8 topics, 28 min.
Lesson
Other Findings
4 topics, 20 min.
Lesson
Interpretation and Reporting
4 topics, 25 min.
Lesson
BI-RADS Case Review
22 topics, 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.0:01
So this case is discussing a focus, and it's
0:05
a 71-year-old woman for high-risk screening.
0:08
She has a history of right breast cancer,
0:10
and bilateral excisional biopsies, and
0:12
there's a pretty strong family history.
0:15
So, this is the case that I just described,
0:17
and we're seeing STIR images on the left
0:21
and the contrast-enhanced images on the right.
0:26
And just going through this, this
0:30
patient has some foci that are enhancing.
0:35
There's a lumpectomy site
0:37
here in the right breast.
0:41
Then when we get down to this
0:43
lower inner right breast, there's
0:45
this focus that really stands out.
0:49
And a little hard to tell whether
0:52
it's T2 bright, maybe a little bit.
0:56
There's a lot of T2 signal in this
0:57
patient's breast, so it can be hard to tell.
1:00
But this was definitely unique from
1:02
background, and it was new from previous exams.
1:05
So, because it was new, it went ahead to MRI
1:09
guided biopsy, and this was a benign biopsy.
New Focus of Enhancement – Benign
HIDEInteractive Transcript
0:01
So this case is discussing a focus, and it's
0:05
a 71-year-old woman for high-risk screening.
0:08
She has a history of right breast cancer,
0:10
and bilateral excisional biopsies, and
0:12
there's a pretty strong family history.
0:15
So, this is the case that I just described,
0:17
and we're seeing STIR images on the left
0:21
and the contrast-enhanced images on the right.
0:26
And just going through this, this
0:30
patient has some foci that are enhancing.
0:35
There's a lumpectomy site
0:37
here in the right breast.
0:41
Then when we get down to this
0:43
lower inner right breast, there's
0:45
this focus that really stands out.
0:49
And a little hard to tell whether
0:52
it's T2 bright, maybe a little bit.
0:56
There's a lot of T2 signal in this
0:57
patient's breast, so it can be hard to tell.
1:00
But this was definitely unique from
1:02
background, and it was new from previous exams.
1:05
So, because it was new, it went ahead to MRI
1:09
guided biopsy, and this was a benign biopsy.
Report
Description
Faculty
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
Tags
Women's Health
MRI
Breast
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