Tomosynthesis-guided Breast Biopsy Solutions

An online lecture recorded April 25, 2019, presented by Dr. Harriet Borofsky
for radiologists, nurses, and radiologic technologists

Available for CME, CNE, and CE credit

IMPORTANT NOTE: This course expires June 1, 2021

If you want credit, this course must be completed (i.e. view course content PDF file), pass the posttest, AND print the certificate)
by no later than 5PM Eastern Standard Time on May 31, 2021

Please note, after this course has expired, no aspect of the course will be accessible, including the course material.

Course Overview
As breast imaging practices move from stereotactic to tomosynthesis-image guided biopsy, new solutions have emerged to improve throughput, diagnostic accuracy, and patient comfort.

This course will discuss the pros and cons of tomosynthesis-guided breast biopsy for abnormalities found on 3D mammography including upright and prone biopsy techniques and real-time specimen processing.^1,2

1. Omofoye TS, Martaindale S, Teichgraeber DC, Parikh JR. Implementation of Upright Digital Breast Tomosynthesis-guided Stereotactic Biopsy. Acad Radiol. 2017;24(11):1451-1455.

2. Shin K, Teichgraeber D, Martaindale S, Whitman GJ. Tomosynthesis-Guided Core Biopsy of the Breast: Why and How to Use it. J Clin Imaging Sci. 2018;8:28.

Educational Objectives
At the conclusion of this activity, participants should be better able to:

• Discuss the pros and cons of using tomosynthesis-guided breast biopsy for sampling mammographic abnormalities
• Compare upright vs prone tomosynthesis-guided breast biopsy techniques
• Discuss how new breast biopsy solutions are improving workflow, diagnostic accuracy, and patient comfort

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and International Center for Postgraduate Medical Education. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Physician Continuing Medical Education
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

SA-CME: This activity meets the criteria for self-assessment toward the purpose of fulfilling requirements in the American Board of Radiology (ABR) Maintenance of Certification Program.

The European Accreditation Council for CME (EACCME®)
The UEMS-EACCME® has mutual recognition agreements with the American Medical Association (AMA) for live event and e-learning materials.

For more information go to https://www.uems.eu/areas-of-expertise/cme-cpd/eaccme/mutual-recognition-with-the-united-states

Nurse Continuing Medical Education
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.0 contact hours.

Radiologic Technologists
This program has been approved by the American Society of Radiologic Technologists (ASRT) for 1.0 hour of ARRT Category A continuing education credit.

How to Enroll and Participate

There are no fees or prerequisites to participate in this program. Estimated time to complete this activity is one hour.

Click ENROLL NOW, CONTINUE, CONFIRM ORDER, and ACCESS COURSE NOW.

• Click on the blue link. Complete the precourse questions and SUBMIT.
• Click on the blue link again to view the recording.

How to Receive a Certificate of Credit

• Log-in to your account at www.icpme.us
• View the entire educational activity session. At the conclusion of the lecture, close the Vimeo window.
• Return to the course in your account at www.icpme.us.
• From the COURSE HOME page, click the button for POSTTEST and for EVALUATION.
• A passing grade of at least 75% is required to receive credit. You may take the test up to three times.
• Upon receipt of a passing grade, you will be able to print a certificate of credit from your account at www.icpme.us

Your certificate of credit will remain in your account at www.icpme.us as a permanent record of your participation.

Faculty

Harriet B. Borofsky, MD
Medical Director, Breast Imaging
Mills-Peninsula Medical Center
Burlingame, CA

After receiving her medical degree at Harvard Medical School, Dr. Borofsky completed her residency and fellowship in radiology, breast imaging, and body imaging at Stanford Medical Center. As Medical Director of Breast Imaging at Mills-Peninsula Women’s Center, Dr.  Borofsky is a champion for women’s health and early detection and diagnosis of breast cancer. Her passion for breast health has kept

Mills-Peninsula in the forefront of the latest, most important, and impactful technologies, including digital breast tomosynthesis (3D mammography), tomographic-guided biopsies, and wireless needle localization procedures.

Dr. Borofsky has also taken a leadership role in campaigning activities to assure that all women in the community have access to screening mammography. Her work with the Foundation Board enables over 500 uninsured women to participate in the community screening program annually.  Dr. Borofsky has written numerous articles and has been an invited speaker and guest lecturer on topics related to early detection and diagnosis of breast cancer. She received the San Francisco Bay Area Top Doctors Award, San Francisco Magazine, for the past four consecutive years; the Mills-Peninsula Physician of the Year award in 2006; the “Making a Difference for Women” award from the Mid-Peninsula chapter of Soroptimist International in 2007; and the deGuigne Award from the Mills-Peninsula Foundation in 2010.  Dr. Borofsky is a also principle investigator for the STRIVE Study.

Disclosure Information
Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

Harriet Borofsky, MD, has received fees for non-CME/CE services from Hologic, Inc.

ICPME and PIM planners and managers have no disclosures.

Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. 

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners.  Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Questions?
For questions regarding this program, please contact ICPME:
Email: information@icpmed.com

Jointly Provided by

This activity is supported by an independent educational grant from
Hologic, Inc.

Disclaimer
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.