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Hollis H. Notgrass, MS, PA(ASCP)
Lead Pathologists’ Assistant (PA)
University of Texas Southwestern
Dallas, TX


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5110-103A: The Art & Science of Breast Specimen
Radiography & Pathology ARCHIVE


A free, certified recording of a one-hour webinar recorded on February 27, 2020 for radiologists, surgeons, pathologists, nurses, and radiologic technologists

Format: Archived Webinar
Credit: 1.0 AMA PRA Category 1
  1.0 ANCC Contact hour
  1.0 ARRT Category A
Tuition:  FREE

Lecture Overview
During breast biopsy or breast cancer surgery, the goal of the radiologist and surgeon is to ensure adequate tissue excision. Specimen radiography: enables radiologists to view the biopsy tissue in the procedure room, reducing the need for calling the patient back to the biopsy suite; provides the surgeon an accurate method for assessing complete excision of the cancerous lesion, reducing the need for re-excision; and allows the pathology team to remotely review specimens, permitting findings to be quickly communicated to the healthcare team while the patient is still on site.1-3

Ms. Notgrass discusses the art and science of specimen pathology in breast care and best practices for specimen radiography and handling, including optimization of work flow among the pathology, surgical, and radiology teams. Ms. Notgrass addresses how new techniques and technology can be used throughout the pathology lab, and briefly discusses the role molecular diagnostics will play in patient care.  ‚Äč

1. Funk A, Heil J, Harcos A, et al. Efficacy of intraoperative specimen radiography as margin assessment tool in breast conserving surgery. Breast Cancer Res Treat. 2019. doi:10.1007/s10549-019-05476-6. [Epub ahead of print]

2. Naz S, Masroor I, Afzal S, et al. Accuracy of Specimen Radiography in Assessing Complete Local Excision with Breast-Conservation Surgery. Asian Pac J Cancer Prev. 2018;19:763-767.

3. Williams D, McCormack S. Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines [Internet]. Ottawa, CA: Canadian Agenda for Drugs and Technologies in Health; 2019.

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

  • Discuss the benefits of incorporating specimen radiography into the operating room and breast biopsy suite
  • Improve efficiency and accuracy when reviewing biopsy and surgical specimens using current technology and techniques, including the use of molecular pathology
  • Optimize pathology workflow using specimen radiography and interdisciplinary electronic communication

Hollis Notgrass, MS, PA(ASCP)
Ms. Notgrass began her career in pathology as a histotechnican in Central Texas, where she also served in lab management and supervisory roles. She completed her master's degree at Rosalind Franklin University of Medicine and Science (RFUMS) in North Chicago, and trained at the Houston Medical Center at Methodist and St. Luke’s Hospitals in Houston.

Currently Ms. Notgrass serves as Lead Pathologists’ Assistant (PA) with a team of six PAs at UT Southwestern in Dallas, TX. She is also the preceptor for the RFUMS PA student program at Clements University Hospital in Dallas.

Hollis is active in the American Association of Pathologists’ Assistants, volunteering as a member of the Marketing and Communications electronic media team, and strives to be an advocate and ambassador for her profession.

Joint Accreditation Statement

In support of improving patient care, this enduring material 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

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

How to Receive a Credit Certificate

  • Log-in to your account at
  • View the entire educational activity session. At the conclusion of the lecture, close the Vimeo window.
  • Return to the course in your account at
  • 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

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

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.

Hollis H. Notgrass, MS, PA(ASCP), has received consulting fees from Hologic, Inc.

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:

               Jointly provided by

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

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.