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Jules H. Sumkin, DO, FACR
Professor and UPMC Endowed Chair
of Women's Imaging
Chief of Radiology
Magee-Womens Hospital of UPMC
University of Pittsburgh Medical Center
Pittsburgh, PA


Margarita L. Zuley, MD
Associate Professor of Radiology
Medical Director Breast Imaging
Magee-Womens Hospital of UPMC
University of Pittsburgh Medical Center
Pittsburgh, PA



Equipment Requirements
PC: Win7/Win8, Pentium processor or faster, at least 2GB RAM, Internet Explorer version 10/11, Mozilla FireFox version 33.0.

MAC: OS version 10.8/10.9, Intel processor, at least 2GB RAM, Safari version 6.2, FireFox 33.0


5103-103A Digital Breast Tomosynthesis: Case Studies and DBT-guided Biopsy ARCHIVE

presented by Drs. Jules Sumkin and Margarita Zuley

Recording of a live webinar presented on October 17, 2013

Format: Archived Webinar
Credit:  1.0 AMA PRA Category 1

Credit:  1.0 ARRT Category A
Fee for Credit Certificate: $0


A certified one-hour prerecorded webinar for radiologists who diagnose and treat patients with breast disease.

Course Overview
The final in a series of three, one-hour webinars for radiologists focuses on building skills in interpreting digital breast tomosynthesis (DBT) cases. Similarities and differences between 2D and 3D mammography will be highlighted, faculty will share their initial experiences with DBT-guided biopsy, and several case studies will be reviewed.

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

  • Evaluate the potential role of DBT as a complementary imaging modality for screening and diagnostic patients.
  • Explain the similarities and differences between 2D and 3D mammography.
  • Develop a systematic strategy for interpreting breast tomosynthesis images for improved diagnostic accuracy.
  • Discuss the role of DBT-guided biopsy in clinical practice.

Accreditation & Credit
ACCME Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Postgraduate Institute for Medicine and International Center for Postgraduate Medical Education.  The Postgraduate for Medicine 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.

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 events and e-learning materials. For more information go to

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
This program is offered by ICPME through WebEx webinar service.  There are no fees or prerequisites for this program.

  • Click the blue link. Complete the precourse evaluation, then 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 WebEx Player.

Your online account with ICPME serves as a permanent record of credit certificates earned through

  • Log-in to your account at
  • View the entire one-hour session. The question-and-answer period at the end of the lecture is not required to receive credit.
  • At the conclusion of the lecture, close the WebEx Player window.
  • 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, you will be able to print a certificate of credit from your account on

Faculty Biographies

Jules H. Sumkin, DO, FACR
Dr. Sumkin currently serves as a Professor of Radiology and Endowed Chair of Women’s Imaging at the University of Pittsburgh School of Medicine, in addition to serving as the Chief of Radiology at the Magee-Womens Hospital of UPMC.

Dr. Sumkin completed his bachelor’s degree at the University of Michigan, Ann Arbor, and medical degree in osteopathy at Ohio University, Athens. Dr. Sumkin completed a rotating internship at Doctor’s Hospital, Columbus, Ohio. He also completed a residency at Mt. Sinai Hospital, Cleveland, Ohio, and a fellowship at University of Pittsburgh Medical Center.

Dr. Sumkin’s professional memberships include the American Roentgen Ray Society, the Society of Breast Imaging, and the Radiological Society of North America. He is also an elected fellow of the American College of Radiology.

Dr. Sumkin has published over 70 articles in scientific journals, including Radiology, Medical Physics, American Journal of Roentgenology, and Journal of Surgical Oncology. He has authored a number of invited papers, proceedings, books, chapters, and has spoken widely in his areas of expertise.

Dr. Sumkin serves on the editorial board of Reports in Medical Imaging and on the international editorial board of Journal of Breast Health.

Margarita L Zuley, MD
Dr. Zuley is an Associate Professor of Radiology at the University of Pittsburgh School of Medicine and the Medical Director of Breast Imaging at Magee-Womens Hospital of UPMC.  She completed her residency at University of Pittsburgh Medical College and her fellowship training at Magee-Womens Hospital.

Dr. Zuley sits on several committees for the American College of Radiology, the American Board of Radiology, and the Society of Breast Imaging. She also serves as a reviewer for NIH grants and as a consultant to the FDA Radiologic Devices Panel.

Active areas of research currently include new technology evaluation, including digital breast tomosynthesis and cone beam CT. Dr. Zuley is currently the principal investigator on grants from the Susan G. Komen Foundation and from industry to investigate these new technologies.

Disclosure of Conflicts of Interest
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. The existence or absence of COI for everyone in a position to control content will be disclosed to participants prior to the start of each activity.

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

Jules H. Sumkin, DO, FACR     Has received consulting fees from Meda Corp. and has performed contracted research for Hologic, Inc.

Margarita L. Zuley, MD     Has performed contracted research for Hologic, Inc.

The following planners and managers 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:

Sharon Cancino
Laura Excell, ND, NP, MS, MA, LPC, NCC
Trace Hutchison, PharmD
Samantha Mattiucci, PharmD, CCMEP
Linda McLean, MS
Victoria Phoenix,BS
Jan Schultz, RN, MSN, CCMEP

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.

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.