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Stephen L. Rose, MD, Moderator
President, Houston Breast Imaging
Houston, TX

Sarah M. Friedewald, MD
Section Chief, Breast Imaging
Co-Medical Director, Caldwell Breast Center
Advocate Lutheran General Hospital
Park Ridge, IL

Mary K. Hayes, MD
Medical Director
Women’s Imaging Centers
Memorial Healthcare System
Hollywood, FL



Equipment Requirements

PC: Windows XP/Vista/Win7, Pentium processor or faster, at least 1 GB RAM, Internet Explorer version 8 and 9, Mozilla FireFox version 15.

MAC: OS version 10.6/10.7/10/8, Intel processor or faster, at least 1 GB RAM, Safari version 5, FireFox version 15.

Real World Tomo:
Implementing Digital Breast Tomosynthesis in Clinical Practice ARCHIVE
Recording of a live webinar presented on November 8, 2011

Format: Archived Webinar
MD Credit:  1.0 AMA PRA Category 1
(Available for physician credit only)
RT Credit:   No ARRT credit available
Fee for Credit Certificate: $0

Click the ENROLL NOW icon to the left to view this program online.

Course Overview

In February 2011, the FDA approved digital breast tomosynthesis (DBT) for use in breast imaging. The approval of DBT adds to the already wide range of breast screening and diagnostic imaging options available to physicians.

With FDA approval of DBT, the medical community is faced with evaluating DBT in terms of providing improved care for their patient population and the impact of this new technology on their medical practice. This evaluation process involves consideration of the pros and cons of the technology compared to their current practice, patient selection criteria, and operational concerns.

The faculty panel is comprised of radiologists who have successfully integrated DBT into their own practice. Faculty will briefly describe their type of practice, share their experience about the impact of DBT on patient care, and how they planned for integration of DBT into their clinical practice. The remainder of the webinar will be devoted to a Q&A session, providing attendees the opportunity to have their questions answered by the panelists.

Educational Objectives

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

  • Evaluate the potential role of digital breast tomosynthesis (DBT) for enhancing the screening and diagnosis of breast disease
  • Identify the types of patients in your own practice who may benefit from DBT
  • Consider the operational and educational issues of integration of DBT into the clinical practice

Accreditation & Credit

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Postgraduate Institute for Medicine (PIM) and the International Center for Postgraduate Medical Education (ICPME). PIM is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

How to Participate
You will need a computer with Internet access. There are no fees or prerequisite for this program.

  • Click the blue link. Complete the precourse evaluation and click SUBMIT.
  • Once the precourse evaluation is submitted, click on the blue link again to view the course.
  • Click on PLAYBACK. To view the streaming video, you may have to download the WebEx Player or Java.

Please note: The WebEx platform will play on desktop or laptop computers only. It will not play on mobile devices.

How to Receive Credit

  • View the entire one-hour session.
  • At the conclusion of the lecture, close the WebEx Player window. You will be redirected to the ICPME website.
  • From the COURSE HOME page, click the buttons 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, click the certificate tab to print a credit certificate.

Faculty Biographies

Stephen L. Rose, MD, Moderator
Stephen L. Rose is Founder and President of Houston Breast Imaging, Houston’s largest group of breast imaging specialists.

Dr. Rose is a graduate of the Johns Hopkins University School of Medicine. His residency in Diagnostic Radiology was completed at the University of Texas at Houston, including training at M.D. Anderson, Texas Children’s, Memorial Hermann, and St. Joseph’s Hospital of Houston, Texas. He is a board certified, nationally known breast radiologist and has dedicated his practice to the diagnosis of early breast cancer for more than two decades.

Dr. Rose was part of a multicenter national trial investigating digital breast tomosynthesis.

Sarah M. Friedewald, MD
Sarah M. Friedewald, MD, is the Section Chief of Breast Imaging and Co-Medical Director of the Caldwell Breast Center at Advocate Lutheran General Hospital in Park Ridge, IL, near Chicago.

Dr. Friedewald received her medical degree from Columbia University, College of Physicians and Surgeons in New York City. After a surgical internship, she attended the Diagnostic Radiology residency program at the Johns Hopkins Hospital. Her fellowship in women’s imaging was completed at the Hospital of the University of Pennsylvania.

Dr. Friedewald participates in breast imaging multicenter trials, teaches residents and medical students, and is involved in hospital administration. Additionally, she is a Clinical Image Reviewer for the Breast Ultrasound Accreditation Program for the American College of Radiology.

Mary K. Hayes, MD
Mary K. Hayes joined Radiology Associates of Hollywood after completing her fellowship training at the Iris Cantor Breast Imaging Center at UCLA.  She is the Medical Director of Women’s Imaging at Memorial Healthcare System Hospitals (Memorial Regional, Memorial West, Memorial Pembroke, Memorial Miramar, and Memorial Regional South hospitals).

Dr. Hayes is a member of the American College of Radiology Breast Committee on Appropriateness Guidelines. She has been awarded research grants from the National Institutes of Health, Hologic, Inc., and Naviscan, Inc. to study breast patients with Digital Breast Tomosynthesis and PEM (PET mammography) imaging.

Dr. Hayes works with a team of 12 fellowship-trained, dedicated breast imaging radiologists in a community hospital-based practice where over 700 new breast cancer patients are diagnosed each year. Weekly breast interdisciplinary tumor boards with dedicated breast surgeons, plastic surgeons, breast medical oncologists, breast pathologists, breast genetics counselors and nurse navigators enrich the patient care experience. Support from nutritionists, massage, and complementary medicine helps provide treatment tailored to each individual patient. 

Conflict of Interest

The Postgraduate Institute for Medicine (PIM) assesses conflict of interest with its instructors, planners, managers, and other individuals who are in a position to control the content of CME activities. All relevant conflicts of interest that are identified are thoroughly vetted by PIM for fair balance, scientific objectivity of studies utilized in this activity, and patient care recommendations. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty below have reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Sarah M. Friedewald, MD has received consulting fees from Hologic, Inc.
Mary K. Hayes, MD has received consulting fees from Hologic, Inc.
Stephen L. Rose, MD has received consulting fees from Hologic, Inc.

The planners and managers below reported NO financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Trace Hutchison, PharmD
Julia Kimball, RN, BSN
Samantha Mattiucci, PharmD
Linda McLean, MS
Victoria Phoenix, BS
Jan Schultz, RN, MSN, CCMEP
Lisa Schleelein, MEd
Patricia Staples, MSN, NP-C, CCRN

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. PIM, ICPME and Hologic 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 PIM, ICPME, and Hologic. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

For questions regarding this program, please contact ICPME:
Phone: 607-257-5860 x10




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.