BREAST ULTRASOUND: ACR BIRADS 5th EDITION WALKTHROUGH & TIPS PDF
Preview BREAST ULTRASOUND: ACR BIRADS 5th EDITION WALKTHROUGH & TIPS
BREAST ULTRASOUND: ACR BIRADS 5th EDITION WALKTHROUGH & TIPS BRYAN JORDAN, MD EASTERN RADIOLOGISTS STAFF BREAST & DIAGNOSTIC IMAGING 1 PROFESSIONAL BACKGROUND Medical School: University of South Alabama 06-10’ • Radiology Residence: University of South Alabama 10-15’ • Breast Imaging Fellowship: University of Texas MD • Anderson Cancer Center 15-16’ Eastern Radiologists Breast Imaging Center Staff: • started 7/1/2016 2 3 BREAST ULTRASOUND PERCEPTIONS “Life is like a box of chocolates. You never know what you are going to • get!” - Forest Gump “If you are not systematic in the way you approach and respect • ultrasound, you are lost before you begin.” - Bruno Fornage, MD 4 ACR BIRADS 5th EDITION BREAST ULTRASOUND CO-AUTHOR DR. GARY WHITMAN • MD ANDERSON STAFF • RADIOLOGIST BREAST IMAGING DEPARTMENT 5 BREAST ULTRASOUND PERCEPTIONS “Some people do not respect BIRADS. In my mind they are saying ‘I • SPIT ON YOU BIRADS!’” - Jessica Leung, MD Section Chief MD Anderson 6 BREAST ULTRASOUND TALK OVERVIEW I. GENERAL ANATOMY * KEY * • IMAGE QUALITY **KEY** • LABELING & MEASUREMENTS • DOCUMENTATION • II. US LEXICON TISSUE COMPOSITION • MASSES • CALCIFICATIONS • ASSOCIATED FEATURES • SPECIAL CASES • 7 BREAST ULTRASOUND TALK OVERVIEW III. REPORTING SYSTEM ORGANIZATION • ASSESSMENT CATEGORIES • WORDING • IV. GUIDANCE LEXICON • PROBABLY BENIGN (CATEGORY 3) ASSESSMENTS • FREQUENTLY ASKED QUESTIONS • V. QUESTIONS 8 BASIC US BACKGROUND INFO USES: • 1. EVALUATION OF PALPABLE(S). Investigate yourself! • 2. MAMMOGRAPHY FINDINGS. Confirm before you start! • 3. MRI SECOND LOOK. Correlate and verify! • NO STANDARD US ACQUISITION TECHNIQUE EXISTS YET… • ACRIN 6666 TRIAL PROPOSED AS A MODEL FOR STANDARD • ACQUISITION TECHNIQUE 9 ACR RECOMMENDATIONS REPORTING REPORTS TO BE MINIMALISTIC EVEN IN ACTIONABLE CASES • ORGANIZATION OF REPORTING: • INDICATION • STATEMENT OF SCOPE AND TECHNIQUE OF BREAST US EXAM • CLEAR DESCRIPTION OF IMPORTANT FINDINGS. Cut down on jargon! • COMPARISONS (PE, US, MAMMO, MRI). Very important for future planning! • COMPOSITE REPORTS. Keep it simple? • ASSESMENT • MANAGEMENT • 10
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