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  • ASRT approval for ARRT Category A credit
  • All Courses eligible of international radiographers' CPD requirements
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  • Approval: This course is approved by ASRT - an approved continuing education provider of ARRT.
  • Release Date: 6/24/2020
  • Expiration Date: 7/1/2023
  • Credit Hours: 1 Credit
  • Course Description and objectives:

    Course Description
    Breast-conservation surgery (BCS) is a standard of treatment for patients with early stage breast cancer, yielding long-term survival rates that compare favorably with mastectomy. Successful performance of the procedure demands a precise evaluation of lesion size, disease extent, and possible involvement of adjacent tissue. Conventional imaging is an essential part of initial screening, and assessment for BCS and is also critical during the procedure to confirm a negative surgical margin. Standard imaging techniques, which include radiography, magnetic resonance imaging, and sonography, have a number of practical limitations, producing high rates of positive margins. In both the pre- and intraoperative settings, new modalities are under investigation to improve the staging and extent of disease, and through the delivery of full volumetric pictures, more accurate margin detection. Postoperative imaging surveillance also is necessary to distinguish benign findings from those that are suggestive of recurrent disease. Newer 3-dimensional imaging techniques offer the potential of improving the characterization of typical imaging findings, thereby avoiding unnecessary workups and stress for patients.


    Learning Objectives
    After reading this article, the participant should be able to:

    • EXPLAIN the role of breast conservation surgery in the treatment of early stage breast cancer.
    • COMPARE the advantages and disadvantages of the different imaging modalities used in preoperative assessment, intraoperative margin detection, and postoperative follow-up.
    • DISTINGUISH the imaging findings that may be safely ignored from those requiring further evaluation or surveillance.
    Categories: Mammography, Sonography/Ultrasound, MRI, CT.

  • CE Information:

    In order to receive CE credit, you must first complete the activity content. When completed, go to the "Take CE Test!" link to access the post-test.

    Submit the completed answers to determine if you have passed the post-test assessment. You must answer 8 out of 10 questions correctly to receive the CE credit. You will have no more than 3 attempts to successfully complete the post-test.

    Participants successfully completing the activity content and passing the post-test will receive 1.0 ARRT Category A credit.

    Approved by the American Society of Radiologic Technologists for ARRT Category A credit.

    Approved by the state of Florida for ARRT Category A credit.

    Texas direct credit.

    This activity may be available in multiple formats or from different sponsors. ARRT does not allow CE activities such as Internet courses, home study programs, or directed readings to be repeated for CE credit in the same biennium.

  • Structured Education Credit Valuations:

    CategoryContent AreaCredits
    Breast SonographyPatient Care0.25
    Breast SonographyProcedures0.75
    Magnetic ResonanceProcedures0.5
    MammographyPatient Care0.5
    MammographyProcedures0.5
    Radiologist AssistantProcedures0.5
    SonographyProcedures0.5

  • CQR Credit Valuations:

    CategorySubcategoryCredits
    Breast SonographyPathology0.25
    Breast SonographyPatient Interactions and Management 0.25
    Breast SonographySurgical/Treatment Changes and Interventional Procedures 0.5
    Magnetic ResonanceBody0.5
    MammographyAnatomy, Physiology and Pathology0.25
    MammographyMammographic Positioning, Special Needs and Imaging Procedures0.25
    MammographyPatient Interactions and Management 0.5
    Radiologist AssistantThoracic Section 0.5
    SonographySuperficial Structures and Other Sonographic Procedures0.5


The Place of Imaging in Breast Conservation Surgery for Early Stage Disease

By Steven Marks

*President, MedCom Consultants, Inc, Potomac MD

Address correspondence to: Steven Marks, MedCom Consultants Inc, 1311 Fallsmead Way, Potomac MD 20854. Email: steven.marks52@gmail.com

Disclosure statement: Steven Marks reports having no financial or advisory relationship with any corporate, medical, or political organization doing work related to this paper or other business activity at MedCom Consultants, Inc.

ABSTRACT

Breast-conservation surgery (BCS) is a standard treatment for patients with early stage breast cancer, yielding long-term survival rates that compare favorably with mastectomy. Successful performance of the procedure demands a precise evaluation of lesion size, disease extent, and possible involvement of adjacent tissue. Conventional imaging is an essential part of initial screening, and assessment for BCS and is also critical during the procedure to confirm a negative surgical margin. Standard imaging techniques, which include radiography, magnetic resonance imaging, and sonography, have a number of practical limitations, producing high rates of positive margins. In both the pre- and intraoperative settings, new modalities are under investigation to improve the staging and extent of disease, and through the delivery of full volumetric pictures, more accurate margin detection. Postoperative imaging surveillance also is necessary to distinguish benign findings from those that are suggestive of recurrent disease. Newer 3-dimensional imaging techniques offer the potential of improving the characterization of typical imaging findings, thereby avoiding unnecessary workups and stress for patients. 

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Sample eRADIMAGING Course *

* This sample course is for reference purposes only. It is not currently available for earning CE credits. To earn ARRT CE credits please subscribe to eRADIMAGING where you will see a complete listing of all active and eligible CE courses.

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