2509 1430 Scaranelo Mri Guided Biopsy Salsa Cpd Utoronto Ca-Books Pdf

2509 1430 Scaranelo MRI Guided Biopsy Salsa cpd utoronto ca
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23 09 2015,Everything starts on a routine,First MRI biopsy case. screening average risk patient OBSP,AUG 2013 56 YEARS. AUG 2013 56 YEARS 03 DEC 2014 57 YEARS,BEFORE AFTER. 03 DEC 2014 57 YEARS AUG 2013 56 YEARS 03 DEC 2014 57 YEARS. 23 09 2015,BEFORE AFTER,AUG 2013 56 YEARS 03 DEC 2014 57 YEARS. 2015 many many options,Rethorical question,spot compression views.
tomosynthesis,targeted ultrasound,whole breast ultrasound. elastography,2015 many options,nothing back to routine screening. second opinion show it to a colleague,excluded repeat spot. repeat ultrasound,tomosynthesis,solving problem MRI. 6 month follow up mammo,6 month follow up ultrasound.
6 mo FU mammo US,23 09 2015,2015 many many options. second opinion show it to a colleague,obtain CC view orthogonal planes. excluded repeat spot compression views,tomosynthesis. repeat targeted ultrasound,obtain whole breast ultrasound. solving problem MRI,RESULTS PLEASE,CANCER or BENIGN.
Second MRI biopsy case,23 09 2015,46 years old baseline MRI. 1 year later 47 years old,sister with breast cancer age 47. Positioning,Depending on the position of the area of. enhancement the technologist may be,required to rotate the patient to have this area. moved away from the chest wall,Positioning of patient rotated.
Diagnostic MR with the area of,medially to move the area of. enhancement close to the chest,enhancement away from the. chest wall,RESULTS PLEASE CANCER or BENIGN,23 09 2015. Characteristics and outcome of enhancing foci,followed on breast MRI with management impli. cations Ha R Sung J Lee C Comstock C Wynn R,Morris E Clin Radiol 2014 Jul 69 7 715 20.
111 patients with 136 enhancing foci,excluded Malignancy rate 2 9 4 136 95 CI 0 9 7 6. Kinetic analysis showed no statistical difference,Washout 5 1 2 39 vs Persistent 3 2 2 62 NS. T2 dark 8 7 4 46 New focus 13 6 3 22,Enlarging focus was 6 7 1 15. Combination New T2 dark highest PPV for,malignancy 27 2 3 11 95 CI 9 2 57 1. Third MRI biopsy case,21 SEP 2012 37 YEARS,Surgeon asked me to review the case.
prior surgery 68 F with palpable,axillary nodes malignant left axilla. 23 09 2015,Can you guess the results of each,lesion below too. Rethorical question,CAN YOU BELIEVE,Rethorical question. 23 09 2015,How to choose the right one,Brain forms thoughts. Daniel Kahneman 2011,System 1 Fast automatic frequent.
emotional stereotypic subconscious, System 2 Slow effortful infrequent logical excluded. calculating conscious,Coherence attention laziness association. jumping to conclusions and how one forms, Shleifer A Journal of Economic Literature 2012 50 4 1 12. http dx doi org 10 1257 jel 50 4 1,RESULTS PLEASE CANCER or BENIGN. 23 09 2015,21 SEP 2012 37 YEARS,OUTSIDE MRI from Sep 2012 for 2nd June 2013.
opinion consultation almost a year later,June 2013 and a request for new MRI. Family history breast and ovarian cancer,Lifetime risk 25 not a carrier. Left breast benign biopsy Sep 2012 9 10 o clock,To be Enrolled on OBSP high risk in our. institution,Last year current exam,Rethorical question. Sep 2012 June 2013,23 09 2015,2015 many many options.
normal exam 1 year follow up,stable routine follow up. second look ultrasound excluded,MRI guided biopsy,6 month follow up MRI. Left mammography,Second Look US June 2013,reported normal Rethorical question. 2015 many many options,normal exam 1 year follow up. stable routine follow up,second look ultrasound excluded.
MRI guided biopsy,6 month follow up MRI,Left mammography. 23 09 2015,2015 many many options,Rethorical question. normal exam 1 year MRI follow up,marked BPE 1 year MRI follow up. second look ultrasound,MRI guided biopsy,6 month follow up MRI. Left mammography,Bilateral mammography,Second Look US Feb 2014.
no suspicious lesions,2015 many many options,Rethorical question. normal exam 1 year MRI follow up,marked BPE 1 year MRI follow up. second look ultrasound,MRI guided biopsy,6 month follow up MRI. Left mammography,23 09 2015,2015 many many options. normal exam 1 year follow up,stable routine follow up.
excluded persistent second look ultrasound,persistent MRI guided biopsy. persistent surgical excision,another 6 month follow up MRI. Reasons for refusing breast MRI screening,ACRIN 6666 N 1215 54 8 y. 512 42 1 declined, 130 25 4 claustrophobia 27 5 3 owing to additional. 93 18 2 time constraints biopsy or other procedures that. might be required,62 12 1 financial concerns subsequently excluded.
47 9 2 MR imaging was not 21 4 1 owing to MR imaging. indicated scheduling constraints,40 7 8 not interested 11 2 2 travel required. 39 7 6 medically intolerant 7 1 4 owing to gadolinium. to MR imaging related risks or allergies,29 5 7 did not want to 6 1 2 for unknown reasons. undergo intravenous injection,Case 5 MRI guided biopsy Case 5 MRI guided biopsy. RB normal LB segmental area of dendritic enhancement at 3. 65Y F Sister with Breast Cancer age 45 o clock position measuring 2 9 x 0 7 cm 6 cm from the nipple. 28 APR 2007 RIGHT SIDE 28 APR 2007 LEFT SIDE,23 09 2015. 01 JUNE 2007 18 JUNE 2007 POST CONTRAST,18 JUNE 2007 MRI guided bx 18 JUNE 2007 POST CLIP.
RESULTS PLEASE CANCER or BENIGN,23 09 2015, From Diagnostic Concordance Among Pathologists Interpreting Breast Biopsy Specimens. Elmore JG Longton G Carney PA Geller B Onega T Tosteson ANA Nelson HD Pepe MS Allison KH Schnitt SJ O Malley FP Weaver DL. JAMA 2015 313 11 1122 1132 doi 10 1001 jama 2015 1405. Figure Legend, Comparison of 115 Participating Pathologists Interpretations vs the Consensus Derived Reference Diagnosis for 6900 Total Case. InterpretationsaDCIS indicates ductal carcinoma in situ. aConcordance noted in 5194 of 6900 case interpretations or 75 3. bReference diagnosis was obtained from consensus of 3 experienced breast pathologists. Copyright 2015 American Medical,Association All rights reserved. Case 6 MRI guided biopsy,52y High risk screening, Elmore JG Longton G Carney PA Geller B Onega T Tosteson ANA Nelson HD Pepe MS Allison KH Schnitt SJ O Malley FP Weaver DL. JAMA 2015 313 11 1122 1132 doi 10 1001 jama 2015 1405. 52y High risk screening,negative SLU,23 09 2015,RESULTS PLEASE CANCER or BENIGN.
What is your BIRADS,Developing density on mammography. Persistent nodularity on spot view,Solid benign looking mass lesion on excluded. ultrasound,High risk patient,Positioning, There is a significant amount of compression required to. stabilize the breast It may take a couple of sequences. for the lesion to enhance, If there is minimal compression there may be significant. tenting of the skin in that area an option would be to use. a scalpel to help decrease tenting of the skin,Breast with.
Tenting of the,breast due to,compression,sub optimal.

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