Description:
The mammographic, ultrasound, MRI, and histologic images of a wide range of breast diseases will be explained using the latest presentation technology tools in a multiple-screen presentation format.
Didactic correlation between the clinical picture, mammograms, galactogram, and thick section / 3D histology is an approach which can be readily understood and applied in practice.
Illustration of the entire spectrum of breast pathology as it presents on the mammogram/3D US and MRI using comparisons with unique large histology sections (10 x 8 cm) and subgross / 3D pathology.
The subgross thick-section histologic images graphically illustrate the normal breast structure and its alterations with disease. This type of presentation will help the attendees understand the underlying pathophysiology, explaining the mammographic and ultrasound appearance of the alterations.
Breast ultrasound lectures by A. Thomas Stavros, M.D., F.A.C.R (USA Courses Only)
Breast MRI lectures by Gillian Newstead, M.D., F.A.C.R., Christophe Frouge, M.D., Ph.D., and
Robert Schmidt, M.D., F.A.C.R. (USA Courses Only)
Reading sessions: Normal mammograms and breast MRI cases mixed with early breast cancer cases displayed on digital viewing stations. Immediate feedback following reading. (USA courses Only)
For Radiology Technologist – Hands-on positioning workshop with live models.
Instructors: Joan Berry, R.T. and Sandy Reynaga, R.T. ( Select USA courses)
THE ATTENDEES HAVE TWO OPTIONS TO CHOOSE FROM in the courses held in the USA:
1) An extended course, amounting to a four-and-a-half day, with Day 1 devoted exclusively to breast MRI,
with the remaining MRI lectures and activities distributed throughout the rest of the course. See the Description
and Program Objectives on pp 3 & 4. Attendance in this option will provide a maximum of 32 Category I CME
credits, of which 15 credit hours of breast MRI, fulfi lling the MIPPA accreditation requirements for breast
MRI. In addition, the course will provide 2 hrs of Category I CME credits in breast ultrasound. The course tuition
is $ US 1,500.-
2) Those who wish, can choose the classic three-and-a-half day MEI course, starting on Day 2 of the extended
MULTIMODALITY DETECTION AND DIAGNOSIS OF BREAST DISEASES course. See the
Description and Program Objectives above. Detailed course schedule can be viewed on MEI’s website: www.mammographyed.com This course will provide a total of 24 hrs of Category I CME credits, including 2 hrs of
Category I CME credits in ultrasound and 6 hrs of Category I CME credits of breast MRI. The tuition for attending
this course is $ US1,300 (residents/fellows/military: $ US 1200.-, RTs: $ US 695.-)
THE EXTENDED MEI COURSE FULFILLS THE MIPPA ACCREDITATION
REQUIREMENTS
MEI offers a four-and-a-half day long, extended CME course option for the potential attendees in 2011
- MIPPA requires accreditation in breast MRI reimbursement by MEDICARE and MEDICAID effective
Jan 2012.
- The course MEI offers is going to fulfi ll the accreditation requirements for breast MRI as the course
will provide 15 Category I CME credit hours of breast MRI
- In addition to the lectures outlined in the detailed schedule, the registrants will be able to view cases on
individual workstations and interpret studies under supervision
LEARNING OBJECTIVES of the EXTENDED COURSE
- Assess the clinical role of breast MRI in patient selection and in improving the detection, diagnosis
and treatment of breast diseases
- Evaluate current guidelines regarding the indications and clinical role of regular surveillance of
high risk women; staging and response to treatment; application to practice when appropriate
- Describe the current clinical roles of breast MRI, review the image patterns of benign and
malignant diseases, correlate the fi ndings with the underlying pathology
- Analyze the recent technical advances in breast MRI, including imaging protocols and techniques
needed to produce high quality breast MRI images; review methods for optimizing MRI in keeping
with current recommended standards
- Characterize breast lesions utilizing multimodality imaging and MRI-guided interventions. The goal
is to accurately and effi ciently identify, interpret and report on breast MRI examinations in
accordance with the ACR BI-RADS MRI module
- Use MRI guided breast biopsy tools effectively and safely
OUTLINE of the EXTENDED COURSE
  Breast MRI is fast becoming an essential tool in the evaluation of breast diseases.
Despite
the rapid growth of MR imaging procedures, many radiologists lack practical experience
with this technique. This course will cover material dedicated to improving the
way physicians utilize MRI to image the breast and evaluate disease. Participants will
review new fi ndings regarding MRI quality assurance and practice audit, and this experience
should result in improved diagnoses and thus improved patient outcomes.
The
course content will ensure quality as outlined in the Practice Guidelines for Performing
and Interpreting Magnetic Resonance Imaging (MRI) set forth by the American College
of Radiology (ACR). Moreover, the program will play a pivotal role in allowing facilities
that perform only breast imaging to fulfi ll any applicable accreditation requirements under
the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA).
Under
MIPPA, all facilities in which the technical component of advanced diagnostic-imaging
services is provided must become accredited by a CMS-designated accrediting organization
by January 1, 2012, in order to qualify for Medicare reimbursement. On completion
of the course participants will be able to obtain15 hours of Category 1 Continuing
Medical Education (CME) in breast MRI towards meeting the requirements of Breast
MRI accreditation.
TARGET AUDIENCE
The extended course is intended for practicing radiologists, radiology technologists,
nurses, physician assistants, fellows, residents, scientists, and anyone interested in
multimodality approach to the diagnosis of breast diseases.
Brief overview of course content and methodology of the three-and-half day portion of the course, and the non-U.S. courses, with a few image examples:
- Unique thick-section histologic images graphically illustrate (click here) the normal breast structure and its alterations with disease. This type of presentation will help the attendees understand the underlying pathophysiology, explaining the mammographic and ultrasound appearance of the alterations.
- Didactic correlation between the clinical picture, mammograms, galactogram, and thick section / 3D histology is an approach which can be readily understood and applied in practice. Example:
- Illustration of the entire spectrum of breast pathology using:
- large histology sections (10 x 8 cm)
- thick section / 3D pathology
- the corresponding mammography images
- Breast ultrasound lectures by A.Thomas Stavros, M.D., F.A.C.R.
Sutter Pacific Women’s Health Center,
Santa Rosa, CA
- Breast MRI lectures by Gillian Newstead, M.D., F.A.C.R.
Professor of Radiology, University of Chicago
Diagnostic Radiology
- Breast MRI lectures by Christophe Frouge, M.D., Ph.D.
Medical Director of Breast Imaging
Valley Radiologists,
an affi liate of Southwest
Diagnostic Imaging
- Breast MRI lectures by Robert Schmidt, M.D.
Professor of Radiology, University of Chicago
Diagnostic Radiology
- Film reading session:
normal mammograms and MRI cases displayed on viewing stations. Immediate feedback following reading.
Example from the "test yourself" cases:
- Hands-on positioning workshop with live models for technicians only.
Instructors: Joan Berry, R.T. and
Sandy Reynaga, R.T.
- Interactive lecture by radiologist and surgeon regarding the diagnosis and treatment of DCIS subtypes and invasive breast cancers.
Faculty:
László Tabár, M.D., F.A.C.R. (Hon)
Professor, Course Director
University of Uppsala School of Medicine, Sweden
Medical Director, Dept. of Mammography
Falun Central Hospital, Falun, Sweden
Gillian Newstead, M.D., F.A.C.R.
Professor of Radiology, University of Chicago
Diagnostic Radiology
Christophe P. Frouge , M.D., PhD
Valley Radiologists Partner and Board Certified
Directory of Mammography Services
Glendale, AZ
Robert Schmidt, M.D.
Professor of Radiology, University of Chicago
Diagnostic Radiology
A.Thomas Stavros, M.D., F.A.C.R.
Sutter Pacific Women’s Health Center,
Santa Rosa, CA
Program Objectives:
Having participated in this course, the physician should:
• Be familiar with the varying appearance of a normal mammogram and how to avoid unnecessary callback.
• Understand the subgroups of in situ and invasive breast cancer.
• Have competence in the differential diagnosis of breast diseases.
• Be able to guide the diagnostic workup using mammog¬raphy, ultrasound and perform needle biopsy.
• Be able to analyze the mammographic and ultrasound image and determine which adjunctive methods will be most appropriate for each of the subgroups of breast diseases.
• Appreciate the importance of weekly tumor board meet¬ings and cooperation among radiologists, surgeons and pathologists.
• Understand the value and relationship of the main prognostic factors in order to predict the outcome of the disease.
• The technologists having attended the course should be proficient in mammographic technique and understand the rationale of mammographic workup in order to be a valuable member of the diagnostic team. This course is particularly recommended for technologists already familiar with mammography.
Multimodality Detection and Diagnosis / Mammographic differential diagnosis in depth:
• How to find breast cancer in early stages
• How to differentiate normal from abnormal tissue
• How to increase sensitivity and specifi city
• Differential diagnosis in depth of the fi ndings
• Adjunctive diagnostic tools, interventional methods
Topics Covered:
- Normal breast - mammographic appearance; variations, impact of HRT.
- In Situ Cancer and its subtypes - a special challenge.
- The many histologic subgroups of invasive breast cancer and their varying
mammographic appearance.
- Description of the natural history of breast cancer subtypes.
- Mammographic differential diagnosis in depth :
- calcifications
- stellate lesions
- circular / oval shaped lesions
- lymphedema of the breast
- Mammographic-pathologic correlation with long term follow up data from a mammography screening trial.
- Therapeutic implications: How can good, correlative mammography and
pathology assist the surgeon in decision making?
- Description of the sentinel node technique .
- New insights into the natural history of breast cancer. Who should be
screened and how often?
DCIS and nonpalpable invasive breast cancer:
-
diagnostic criteria and new classifications
-
thorough mammographic/histologic correlation of breast cancer subtypes
-
tips for finding breast cancer at its earliest detectable stages
-
interventional diagnostic procedures: indications and contraindications for many new needle biopsy options and/or surgical biopsy
New therapeutic options in early stage breast cancer: smaller cancer - lesser treatment?
Axillary dissection: re-evaluation of its role. Sentinel node technique.
- The role of local and systemic treatment in the management of mammographically detected breast cancer.
- Description of indications and contraindications of interventional
diagnostic procedures while solving diagnostically challenging cases.
Testimonials by previous attendees:
“A truly wonderful experience! This was my first opportunity to attend a Tabar Conference and I hope it will not be my last!
The syllabus will be a wonderful resource to refer to in the future and to share with my colleagues.
Dr. Tabar has amazing audiovisuals and cases studies to present – keep things very interesting.”
I am an interventional radiologist to interpret mammograms after a five year break after residency. This course will help me tremendously. Not only the content was superb and comprehensive, but also found the course extremely inspiring. I am excited about detecting early breast cancer. This was the most valuable CME meeting I have ever attended.”
“Outstanding!! Thanks so much.”
“This is my 7th course with you. You inspired me to do mammography since my first course in the late 90s. Your interest and research has been excellent throughout these years, Many thanks for wonderful courses.”
“This is an amazing course – I feel like I gained many practical tools, increasing my capabilities as a mammographer. I cannot wait to go to work Monday!”
“I think everyone who is involved in the diagnosis and therapy for breast malignancies should take this course.”
Superb intellectual clarity. Motivating. A polished presentation.”
“Dr. Tabar lectures like a teacher. At most breast conferences the lecturers are busy telling the general radiologist that he/she is totally unqualified to read mammograms. I never leave these conferences enthusiastic. Not so with this course! Thanks. The handout is so more like a textbook. It’s the best I have ever received. Great audiovisuals, also the best I have seen.”
“Excellent course!! PowerPoint presentations and animation videos about histology were extremely effective. MRI lectures were very appropriate and up to date.”
“Excellent course. Highly recommended, applies to my practice of mammography. Do not change to a more condensed course or time (4 days is very good!). Thank you all!”
“Wonderful course, very informative! Great tools to take home.”
“Excellent course – I would encourage other mammographers to attend.”
“Dr. Tabar is incredible – I am grateful to him for teaching me so much. I admire his passion for his work and for saving lives! Best syllabus I have seen.”
“Overall an excellent course. Dr. Tabar continues to be a leader in the field of screening mammography. His slides are among the best in the world – a valuable resource! This is my 3rd Tabar course and I learn a lot from each course.”
“The extra 90 cases on the multiviewer were very educational. Thank you for the tremendous amount of time and effort you put into giving this course. This is by far the best, most helpful course I have ever been to in my career. I will definitely enroll in your future meetings.”
“Dr. Tabar is an exceptional teacher and speaker, going through voluminous material with great ease. Thoroughly informative and enjoyable.”
“I am very sorry to hear that the screening course will no longer be held. Excellent course! Superb radiologic-pathologic correlations…the basis for all radiologic interpretation!“
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