Breast Imaging

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Albert Einstein - One of the best experts on this subject based on the ideXlab platform.

  • Medical Directors of Breast Imaging Centers: Beyond Films
    Journal of The American College of Radiology, 2006
    Co-Authors: Jay R. Parikh, Albert Einstein
    Abstract:

    Over the past decade, Breast radiologists have been increasingly asked to fulfill a new dynamic role as medical directors of Breast Imaging centers. To our knowledge, there are no standardized job descriptions nor defined roles and responsibilities for this position. Job descriptions are usually crafted to fit unique institutional and individual situations. To be an effective medical director of a Breast Imaging center, Breast imagers must be more than just film readers. In this article, the authors describe the diverse roles of contemporary medical directors of Breast Imaging centers.

  • Medical directors of Breast Imaging centers: Beyond films
    Journal of the American College of Radiology, 2006
    Co-Authors: Jay Parikh, Albert Einstein
    Abstract:

    Over the past decade, Breast radiologists have been increasingly asked to fulfill a new dynamic role as medical directors of Breast Imaging centers. To our knowledge, there are no standardized job descriptions nor defined roles and responsibilities for this position. Job descriptions are usually crafted to fit unique institutional and individual situations. To be an effective medical director of a Breast Imaging center, Breast imagers must be more than just film readers. In this article, the authors describe the diverse roles of contemporary medical directors of Breast Imaging centers. Copyright © 2006 American College of Radiology.

Jay Parikh - One of the best experts on this subject based on the ideXlab platform.

  • Medical directors of Breast Imaging centers: Beyond films
    Journal of the American College of Radiology, 2006
    Co-Authors: Jay Parikh, Albert Einstein
    Abstract:

    Over the past decade, Breast radiologists have been increasingly asked to fulfill a new dynamic role as medical directors of Breast Imaging centers. To our knowledge, there are no standardized job descriptions nor defined roles and responsibilities for this position. Job descriptions are usually crafted to fit unique institutional and individual situations. To be an effective medical director of a Breast Imaging center, Breast imagers must be more than just film readers. In this article, the authors describe the diverse roles of contemporary medical directors of Breast Imaging centers. Copyright © 2006 American College of Radiology.

Stephen A. Feig - One of the best experts on this subject based on the ideXlab platform.

  • Survey of Radiology Residents: Breast Imaging Training and Attitudes
    Radiology, 2003
    Co-Authors: Lawrence W. Bassett, Dione M. Farria, Stephen A. Feig, Barbara Monsees, Robert A. Smith, Lily Wang, Parizad Hooshi, James Sayre, Valerie P. Jackson
    Abstract:

    PURPOSE: To investigate the training and attitudes of residents regarding Breast Imaging. MATERIALS AND METHODS: A telephone survey was conducted with 201 4th-year residents (postgraduate medical school year 5) and 10 3rd-year residents (postgraduate medical school year 4) at 211 accredited radiology residencies in the United States and Canada. Survey topics included organization of the Breast Imaging section, residents’ role in the section, clinical practice protocols of the training institution, residents’ personal thoughts about Breast Imaging, and their interest in performing Breast Imaging in the future. RESULTS: Of 211 programs, 203 (96%) had dedicated Breast Imaging rotations; 196 (93%) rotations were 8 weeks or longer; 153 (73%), 12 weeks or longer. Residents dictated reports in 199 (94%) programs. Residents performed real-time ultrasonography (US) in 186 (88%) programs, needle localization in 199 (94%), US-guided biopsy in 174 (82%), and stereotactically guided biopsy in 181 (86%). One hundred ei...

  • ECONOMIC CHALLENGES IN Breast Imaging: A Survivor's Guide to Success
    Radiologic Clinics of North America, 2000
    Co-Authors: Stephen A. Feig
    Abstract:

    Radiologists who practice Breast Imaging have long known that the field provides observational and interpretative challenges second to no other area of radiology. More recently, they also appreciate the challenges of keeping their Breast Imaging centers economically afloat. At the current low reimbursement rates, only efficiently run Breast Imaging centers can survive without financial losses. Countless women's lives have been saved because of the advances in Breast Imaging during the last quarter of the twentieth century. Continuation of the current high level of care into the next millennium requires that Breast Imaging centers be economically sustainable.

  • Society of Breast Imaging residency and fellowship training curriculum
    Radiologic Clinics of North America, 2000
    Co-Authors: Stephen A. Feig, Debra M. Ikeda., G.w. Eklund, Ferris M. Hall, Ellen B. Mendelson, Eva Rubin, Mark C. Segel, Alfred B. Watson, Carol B. Stelling, Valerie P. Jackson
    Abstract:

    A curriculum for resident education in Breast Imaging has recently been developed by the Society of Breast Imaging (SBI) in response to a request from the Curriculum Committee of the Association of Program Directors in Radiology. The curriculum is the result of several years of work on the part of the SBI Ad Hoc Committee on Breast Imaging Training and also incorporates suggestions made by SBI fellows. Residency curricula for several other branches of radiology, including pediatric radiology and musculoskeletal radiology, have already been published by their respective subspecialty societies. The Breast Imaging residency curriculum is intended to serve three purposes: First, to provide guidance to academic chairpersons, residency program directors, and academic section chiefs in developing, assessing, and improving their residency training programs. Second, to list for residents the topics they need to learn and the experience they should try to acquire during their residency. Third, to specify for practicing radiologists the material they need to know to remain up to date in the practice of screening, diagnostic, and interventional Breast Imaging. The curriculum contains extensive and detailed lists of key concepts that the resident is expected to know in 14 areas. The curriculum also makes recommendations about residency training including the types of interventional Breast procedures that the resident should learn to perform, the number of mammography examinations he or she should interpret, the educational resources that should be available, and the length of time that should be spent on the Breast Imaging rotation. Although the curriculum recommends that the resident become familiar with several specific documents, such as the American College of Radiology (ACR) Mammography Quality Control Manual 3 and the ACR Breast Imaging Reporting and Data System (BI-RADS), 2 the curriculum leaves the selection of other textbooks to the discretion of the resident and his or her mentors. The committee hopes that residents familiarize themselves with curriculum topics by means of many different learning resources. The curriculum should raise awareness of the full scope and complexity of material required for Breast Imaging. The committee hopes that the curriculum (1) influences residency program directors to allot a proportionate number of slots in their department lecture schedules to Breast Imaging conferences, (2) encourages Breast Imaging attendings to include curriculum topics in their conferences and discussions with residents, and (3) stimulates residents to devote more after-hours studying to Breast Imaging and also to observe and perform more interventional procedures under faculty guidance. In addition to developing a residency curriculum guide, the SBI Curriculum Committee also developed a curriculum guide for Breast Imaging fellowships. Breast Imaging is a subspecialty with an expanded role in patient care that incorporates knowledge from such fields as anatomy, pathology, physics, technology, and epidemiology. Breast Imaging has undergone enormous growth and change in recent years and these trends may be expected to continue in the future. As a result, the residency and fellowship curricula will likely require periodic updates.

  • An introduction to economic issues in Breast Imaging.
    Radiologic Clinics of North America, 2000
    Co-Authors: Dione M. Farria, Stephen A. Feig
    Abstract:

    Mammography facilities face significant economic challenges in today's health care market. In an era of decreasing reimbursement, increasing patient demands, and strict federal regulations, it is difficult for many Breast Imaging centers to provide high-quality services without accepting a financial loss. For radiologists and administrators, understanding Breast Imaging economic issues is critical. This article discusses some of the economic factors that shape the practice of mammography in the United States, including Medicare reimbursement, the role of new technology, the cost-effectiveness of screening mammography, and current economic challenges. A glossary of relevant economic terms is included at the end of this article.

  • Society of Breast Imaging residency and fellowship curriculum
    Radiologic Clinics of North America, 2000
    Co-Authors: Stephen A. Feig, Debra M. Ikeda., G.w. Eklund, Ferris M. Hall, Ellen B. Mendelson, Eva Rubin, Mark C. Segel, Alfred B. Watson, Carol B. Stelling, V. P. Tackson
    Abstract:

    A recently developed Society of Breast Imaging curriculum for residency training is intended to provide guidance to residents and their mentors, and to practicing radiologists who want to keep up to date in screening, diagnosis, and interventional procedures. The curriculum contains lists of key concepts in 14 subject areas: epidemiology; anatomy; pathology, and physiology; equipment and technique; quality control; interpretation; problem-solving mammography; ultrasound; interventional procedures; reporting and medicolegal aspects; screening; MR Imaging; therapeutic considerations; and patient management principles. The curriculum also makes recommendations about residency training, including the number of examinations the resident should interpret, and the time the resident should spend in Breast Imaging. Recommendations for fellowship training are also discussed.

Edward A. Sickles - One of the best experts on this subject based on the ideXlab platform.

  • The Evolution of Breast Imaging: Past to Present
    Radiology, 2014
    Co-Authors: Edward A. Sickles
    Abstract:

    The practice of Breast Imaging has transitioned through a wide variety of technologic advances from the early days of direct-exposure film mammography to xeromammography to screen-film mammography to the current era of full-field digital mammography and digital Breast tomosynthesis. Along with these technologic advances, organized screening, federal regulations based on the Mammography Quality Standards Act, and the development of the American College of Radiology Breast Imaging Reporting and Data System have helped to shape the specialty of Breast Imaging. With the development of Breast ultrasonography and Breast magnetic resonance Imaging, both complementary to mammography, additional algorithms for diagnostic workup and screening high-risk subgroups of women have emerged. A substantial part of Breast Imaging practice these days also involves Breast interventional procedures—both percutaneous biopsy to obtain tissue diagnosis and localization procedures to guide surgical excision. This article reviews t...

  • The ACR/Society of Breast Imaging Resident and Fellowship Training Curriculum for Breast Imaging, Updated
    Journal of The American College of Radiology, 2012
    Co-Authors: Debra L. Monticciolo, Murray Rebner, Catherine M. Appleton, Mary S. Newell, Dione M. Farria, Edward A. Sickles, Heidi R. Umphrey, Priscilla F. Butler
    Abstract:

    The education committees of the ACR Commission on Breast Imaging and the Society of Breast Imaging have revised the resident and fellowship training curriculum to reflect the current state of Breast Imaging in the United States. The original curriculum, created by the Society of Breast Imaging in 2000, had been updated only once before, in 2006. Since that time, a number of significant changes have occurred in the way mammography is acquired, how adjunctive Breast Imaging methods are used, and how pathology is assessed. This curricular update is meant to reflect these and other changes and to offer guidance to educators and trainees in preparing those interested in providing Breast Imaging services.

  • American College of Radiology/Society of Breast Imaging Curriculum for Resident and Fellow Education in Breast Imaging
    Journal of The American College of Radiology, 2006
    Co-Authors: Edward A. Sickles, Debra M. Ikeda., Debra L. Monticciolo, Dione M. Farria, Liane E. Philpotts, Brett T. Parkinson, Natalya M. Lvoff, Maynard High, Richard A. Carlson, Elizabeth S. Burnside
    Abstract:

    The ACR and the Society of Breast Imaging have revised the curriculum for resident and fellow education in Breast Imaging on the basis of substantial changes in Breast Imaging practice since the initial curriculum was published in 2000. This curriculum provides guidance to academic chairs, residency program directors, and academic section chiefs in assessing and improving their residency and fellowship training programs and indicates to residents and Breast Imaging fellows the topics they need to learn and the experience they should try to acquire during their training. Radiologists already in practice also may find the curriculum useful in outlining the material they need to know to remain up to date in the practice of Breast Imaging.

  • Breast Imaging: From 1965 to the Present
    Radiology, 2000
    Co-Authors: Edward A. Sickles
    Abstract:

    The current state of the art for Breast Imaging is reviewed in comparison with the methods of practice commonly in use 25–35 years ago to demonstrate the most important advances that have taken place in Imaging techniques, operational considerations, interpretive approaches, and interventional procedures. Since 1965, Breast Imaging has progressed from the simple assessment of Breast disease in a selected small number of symptomatic women to the comprehensive evaluation of both Breast health and disease in a substantial percentage of all women aged 40 years and older. In the process, Breast Imaging has become an established radiologic subspecialty that accounts for at least 10% of all examinations performed by radiologists. Indeed, mammography now is the most common Imaging examination that directly results in the reduction of mortality from disease.

  • A Digital Breast Imaging Teaching File.
    1996
    Co-Authors: Edward A. Sickles
    Abstract:

    Abstract : Because of inefficient utilization of current mammography teaching facilities and existing deficiencies in training resources for radiologists, there is a need to supplement or replace the traditional film-based method of training. The purpose of this research is to develop a digital Breast Imaging teaching file (DBITF) as an interactive training tool for learning and continuing education for radiologists. Two hypotheses are being investigated: (1) a comprehensive DBITF can be designed and implemented using current technology, and (2) this DBITF's interactive response-driven type of instruction is more effective than the traditional "show and tell" type of instruction used with film-based teaching files. To test these hypotheses, our current film-based Breast Imaging teaching file, which contains over 1,000 pathologically proved state-of-the-art Imaging cases, has been converted to digital format. Current technologies in high resolution film digitization, high resolution soft-copy image display, relational database architecture, and computer-aided instruction models have been used to create a DBITF containing these cases. The effectiveness of using the DBITF to teach Breast Imaging interpretation will be compared with traditional passive film-based teaching. As a result of this research, we expect to develop a comprehensive DBITF as a national resource, which should be superior to other methods of teaching.

Valerie P. Jackson - One of the best experts on this subject based on the ideXlab platform.

  • Survey of Radiology Residents: Breast Imaging Training and Attitudes
    Radiology, 2003
    Co-Authors: Lawrence W. Bassett, Dione M. Farria, Stephen A. Feig, Barbara Monsees, Robert A. Smith, Lily Wang, Parizad Hooshi, James Sayre, Valerie P. Jackson
    Abstract:

    PURPOSE: To investigate the training and attitudes of residents regarding Breast Imaging. MATERIALS AND METHODS: A telephone survey was conducted with 201 4th-year residents (postgraduate medical school year 5) and 10 3rd-year residents (postgraduate medical school year 4) at 211 accredited radiology residencies in the United States and Canada. Survey topics included organization of the Breast Imaging section, residents’ role in the section, clinical practice protocols of the training institution, residents’ personal thoughts about Breast Imaging, and their interest in performing Breast Imaging in the future. RESULTS: Of 211 programs, 203 (96%) had dedicated Breast Imaging rotations; 196 (93%) rotations were 8 weeks or longer; 153 (73%), 12 weeks or longer. Residents dictated reports in 199 (94%) programs. Residents performed real-time ultrasonography (US) in 186 (88%) programs, needle localization in 199 (94%), US-guided biopsy in 174 (82%), and stereotactically guided biopsy in 181 (86%). One hundred ei...

  • Society of Breast Imaging residency and fellowship training curriculum
    Radiologic Clinics of North America, 2000
    Co-Authors: Stephen A. Feig, Debra M. Ikeda., G.w. Eklund, Ferris M. Hall, Ellen B. Mendelson, Eva Rubin, Mark C. Segel, Alfred B. Watson, Carol B. Stelling, Valerie P. Jackson
    Abstract:

    A curriculum for resident education in Breast Imaging has recently been developed by the Society of Breast Imaging (SBI) in response to a request from the Curriculum Committee of the Association of Program Directors in Radiology. The curriculum is the result of several years of work on the part of the SBI Ad Hoc Committee on Breast Imaging Training and also incorporates suggestions made by SBI fellows. Residency curricula for several other branches of radiology, including pediatric radiology and musculoskeletal radiology, have already been published by their respective subspecialty societies. The Breast Imaging residency curriculum is intended to serve three purposes: First, to provide guidance to academic chairpersons, residency program directors, and academic section chiefs in developing, assessing, and improving their residency training programs. Second, to list for residents the topics they need to learn and the experience they should try to acquire during their residency. Third, to specify for practicing radiologists the material they need to know to remain up to date in the practice of screening, diagnostic, and interventional Breast Imaging. The curriculum contains extensive and detailed lists of key concepts that the resident is expected to know in 14 areas. The curriculum also makes recommendations about residency training including the types of interventional Breast procedures that the resident should learn to perform, the number of mammography examinations he or she should interpret, the educational resources that should be available, and the length of time that should be spent on the Breast Imaging rotation. Although the curriculum recommends that the resident become familiar with several specific documents, such as the American College of Radiology (ACR) Mammography Quality Control Manual 3 and the ACR Breast Imaging Reporting and Data System (BI-RADS), 2 the curriculum leaves the selection of other textbooks to the discretion of the resident and his or her mentors. The committee hopes that residents familiarize themselves with curriculum topics by means of many different learning resources. The curriculum should raise awareness of the full scope and complexity of material required for Breast Imaging. The committee hopes that the curriculum (1) influences residency program directors to allot a proportionate number of slots in their department lecture schedules to Breast Imaging conferences, (2) encourages Breast Imaging attendings to include curriculum topics in their conferences and discussions with residents, and (3) stimulates residents to devote more after-hours studying to Breast Imaging and also to observe and perform more interventional procedures under faculty guidance. In addition to developing a residency curriculum guide, the SBI Curriculum Committee also developed a curriculum guide for Breast Imaging fellowships. Breast Imaging is a subspecialty with an expanded role in patient care that incorporates knowledge from such fields as anatomy, pathology, physics, technology, and epidemiology. Breast Imaging has undergone enormous growth and change in recent years and these trends may be expected to continue in the future. As a result, the residency and fellowship curricula will likely require periodic updates.