Siemens. Mammography Positioning Technique BREAST SEMINAR SERIES. Nov 21-23, 2013

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1 Siemens D image of the breast tissue LÁSZLÓ TABÁR, M.D.,F.A.C.R (Hon) and ANN PETERSEN, R.T. St. Goran Hospital, Stockholm, Sweden Mammography Positioning Technique Nov 21-23, 2013 Centrum Profilaktyki Nowotworów Centrum Onkologii Instytut im. Marii Skłodowskiej-Curie ul.w.k.roentgena 5, Warsawa The normal TDLUs have bud-like acini Designed for: Radiology Technologists 3D image of the breast tissue This hands-on teaching course provides extensive knowledge about the basic positioning techniques in mammography: * The medio-lateral oblique projection (MLO) * The cranio-caudal projection (CC) * The latero-medial horizontal beam projection (LM) * The cleavage view (CV)

2 FACULTY MEMBERS F.A.C.R. (Hon)., Department of Mammography, Falun Central Hospital, Falun, Sweden Ann Petersen,R.T. Department of Mammography UNILAB St. Goran Hospital Stockholm Sweden II

3 CREDITS We would like to thank the sponsors for their support of this teaching course: SIEMENS Poland Barbara Bobek-Billewicz, M.D., Assoc. Professor, Institute of Oncology in Gliwice Images from the non-profit Tabar Foundation for Research and Education for Breast Cancer III

4 1st day Morning lectures between 8:30 AM and 12:00 PM 8:30 INTRODUCTION FOLLOWED BY DIDACTIC LECTURES COVERING: THE BASIS FOR EFFICIENT INTERPRETATION OF THE MAMMOGRAPHIC IMAGE Correlative 3-dimensional, subgross anatomy and mammography of the normal breast The problem: The variable appearance of the normal mammogram. The solution: classification into structural subtypes, mammographic parenchymal patterns, based on 3D/subgross histologic-mammographic correlation. The dynamic change of mammographic patterns and its application in clinical practice Positiong techniques in mammography - the basics Breaks at 10:00 and at 11:00 AM MAMMOGRAPHIC PARENCHYMAL PATTERNS Practical implication, problems and solutions. Mammographic patterns and the risk of developing breast cancer. Understanding the mammograms of dense breasts. I II III IV V 12:00-1:00 L u n c h IV

5 2013 1st day Afternoon lectures between 1:00 PM and 4:30 PM 1:00 THE DIDACTIC TEACHING SESSIONS WILL COVER THE FOLLOWING TOPICS: HANDS-ON SESSIONS FOR EACH ATTENDEE: LEARNING PROPER POSITIONING OF THE MEDIO-LATERAL (MLO) OBLIQUE PROJECTION ON LIVE MODELS SUPERVISED BY THE TEACHER. Immediate feedback through live broadcasting Question and answer sessions Discussion of successes and pitfalls, correction of mistakes individualized tube angle Prerequsites for successful positioning: chest wall / cassette table positioning and individualized tube angle 4:30 End of Day 1 V

6 2nd DAY Morning lectures between 8:30 AM - 12:00 PM 8:30 Continuation: HANDS-ON SESSIONS FOR EACH ATTENDEE: LEARNING PROPER POSITIONING OF THE MEDIO-LATERAL (MLO) OBLIQUE PROJECTION ON LIVE MODELS SUPERVISED BY THE TEACHER. Immediate feedback through live broadcasting Question and answer sessions Discussion of successes and pitfalls, correction of mistakes Breaks at 10:00 AM and at 11:00 AM HOW TO FIND THE INVASIVE BREAST CANCER WHEN IT IS STILL SMALL. SCREENING COMBINED WITH AN ANALYTICAL APPROACH FOR THE DIFFERENTIAL DIAGNOSIS OF STELLATE/ SPICULATED LESIONS A systematic method for viewing mammograms. Areas on the mammogram where most breast cancers will be found Viewing dense breasts Viewing relatively easy-to-read breasts PRACTICE IN PERCEPTION OF SUBTLE, NON-CALCIFIED CANCERS Multifocal invasive and in situ carcinoma on an area measuring 180X60 mm pn 4/9 12:00-1:00 L u n c h VI

7 2nd DAY Afternoon lectures between 1:00 PM - 4:30 PM 1:00 HANDS-ON SESSIONS FOR EACH ATTENDEE: LEARNING PROPER POSITIONING OF THE CRANIO-CAUDAL (CC) PROJECTION ON LIVE MODELS SUPERVISED BY THE TEACHER. Immediate feedback through live broadcasting Question and answer sessions Discussion of successes and pitfalls, correction of mistakes Breaks at 2:30 PM and at 3:30 PM 4:30 End of Day 2 VII

8 3rd DAY Morning lectures between 8:00 AM - 12:00 PM 8:30 Continuation: HANDS-ON SESSIONS FOR EACH ATTENDEE: LEARNING PROPER POSITIONING OF THE CRANIO-CAUDAL (CC) PROJECTION ON LIVE MODELS SUPERVISED BY THE TEACHER. HANDS-ON SESSIONS FOR EACH ATTENDEE: LEARNING PROPER POSITIONING OF THE LATERO-MEDIAL HORIZONTAL BEAM PROJECTION ON LIVE MODELS SUPERVISED BY THE TEACHER. HANDS-ON SESSIONS FOR EACH ATTENDEE: LEARNING PROPER POSITIONING OF THE CLEAVAGE VIEW ON LIVE MODELS SUPERVISED BY THE TEACHER. Immediate feedback through live broadcasting Question and answer sessions Discussion of successes and pitfalls, correction of mistakes Breaks at 10:00 AM and at 11:00 AM 12:00 - End of course VIII

9 For more information and registration please contact: Marcin Łukaszewicz Phone: or 22/ Fax: The schedule is subject to change without notice and does not represent a commitment on the part of M.E.I. All rights reserved including the right of reproduction in whole or in part of any form. Visit us on the Internet: Copyright Computer simulation images of the development of Grade 2 in situ carcinoma within the TDLU. The lobule becomes gradually distended and deformed. Calcifications are formed within the necrotic debris and are seen on the mammogram as crushed stone-like calcifications. IX

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