6700-101A The Evolution of Wire-Free Breast Localization
Perspectives from a radiologist and a surgeon

A free online lecture recorded May 30, 2019, with Mary K. Hayes, MD, and Erica Bloomquist, MD, FACS
for radiologists, radiologic technologists, breast surgeons, and nurses.'

IMPORTANT NOTE: This course expires July 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 June 30, 2021

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

Lecture Overview
Wire localization of breast tumors has traditionally been used when patients require breast cancer surgery. The disadvantages of wire localization include difficulty coordinating radiology and surgery schedules on the day of the procedure and external exposure of the wire that is not only distressing for the patient but risks being dislodged while the patient awaits surgery.

This lecture will discuss alternatives for tumor localization that obviate the need for wire placement, including wire-free localizers that can be placed well in advance of surgery, creating scheduling flexibility for the OR, breast imaging center, and the patient.

Join Dr. Mary K. Hayes and Dr. Erica Bloomquist for a lecture on considerations for incorporating wire-free breast tumor localization in Radiology and Surgery Departments; techniques for wire-free localization in the breast and/or axilla; the use of wire-free localization in the setting of neoadjuvant treatment; and the impact of wire-free localization on oncoplastic breast surgery techniques.

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

• Discuss the advantages and disadvantages of wire vs wire-free breast tumor localization for surgical guidance
• Describe techniques for wire-free localization in the breast and/or axilla
• Explain the use of wire-free localization in the setting of neoadjuvant treatment
• Review the impact of wire-free localization on oncoplastic breast surgery techniques

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 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 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
Mary K. Hayes, MD
Dr. Mary K. Hayes is a board certified radiologist specializing in Women’s Imaging. She earned her medical degree from Rutgers New Jersey Medical School and completed her training in Los Angeles, with a residency at Cedars Sinai Medical Center and fellowship training at the UCLA Iris Cantor Center for Breast Imaging. In 1992, she joined Memorial Healthcare System, Hollywood, FL, and served as Chief of Women’s Imaging Centers for over 20 years. These four centers are ACR-BICOE and NAPBC accredited and staffed by 10 dedicated breast radiologists who work closely with a multidisciplinary team to treat over 700 new breast cancer patients each year.

Dr. Hayes has served on national panels including the ACR Committee on Practice Parameters and Appropriateness Criteria – Breast Imaging, NCoBC National Quality Measurements Committee, and with collaborative teams across the US on tomosynthesis research. She has been an invited speaker at the bipartisan Congressional Women’s Healthcare Summit in Washington, DC. In addition to a busy community-based breast imaging practice, for which she received the Spirit of Healing award, Dr. Hayes has been an early adopter of innovative imaging and intervention technology and trained radiologists on four continents on Breast Imaging and Intervention. Her current research includes expanded application of wire-free localizations in the breast and axilla.  

Erica Bloomquist, MD
Erica Bloomquist, MD, is a board-certified general surgeon and breast surgical oncologist. She earned her medical degree from Wake Forest University School of Medicine in 2002, followed by a residency in general surgery at Naval Medical Center, San Diego. Dr. Bloomquist completed her fellowship in breast surgical oncology at Bryn Mawr Hospital in Bryn Mawr, PA.

Additionally, Dr. Bloomquist served as an active-duty Naval officer, Lieutenant Commander, Medical Corps.

Dr. Bloomquist is a member of the ACS, ASBrS, SSO, ASCO, and Broward County Medical Association.

Currently, Dr. Bloomquist is an attending surgeon at Memorial Cancer Institute Breast Cancer Center in Hollywood, FL. Dr. Bloomquist is passionate about performing evidence-based breast cancer surgery in a way that leaves her patients with the best possible body self-image, removing the smallest amount of breast tissue necessary to achieve negative margins and minimizing breast deformities with oncoplastic closures.

In collaboration with Dr. Mary Hayes, Dr. Heather Wright and healthcare system administrators brought wireless localization to Memorial.

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.

Mary K. Hayes, MD, has received consulting fees from Hologic, Inc., Merit Medical, and QT.

Erica Bloomquist, MD, has no disclosures to report.

Memorial Healthcare System received equipment loan and research support from Hologic, Inc. (2012-current, unrelated to this presentation)

ICPME and PIM planners and managers have no disclosures to report.

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:
Email: information@icpmed.com
 

               Jointly provided by
               
 

This activity is supported by an independent educational grant from Cianna Medical/Merit Medical

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