Mammography Education, Inc.

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Mammography Education, Inc. 2012 3D image of the breast tissue How to Find Breast Cancer when it is still Small * Hands-on training in screening * Diagnosis and Differential Diagnosis using the Multimodality Approach FLORENCE, Italy December 4-7, 2012 Grand Hotel Baglioni Firenze Galactography of a lobe LÁSZLÓ TABÁR, M.D.,F.A.C.R (Hon) Course Director Professor of Radiology and ALFONSO FRIGERO, M.D. Designed for: Radiologists This course provides extensive knowledge about how to find breast cancer in its early stages, about diagnostic breast imaging, differential diagnosis of breast diseases using the multimodlaity approach 26 hours of Category I CME credits

FACULTY László Tabár, M.D., F.A.C.R. (Hon). Course Director Professor emeritus of Radiology, University of Uppsala School of Medicine, Sweden Department of Mammography, Falun Central Hospital, Falun, Sweden Regional Reference Center for Breast Cancer Screening, CPO-Piemonte, S. Giovanni Battista Hospital, Torino, Italy II

Mammography Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. Mammography Education, Inc. designed these medical education activities for a maximum of XX credit hours in Category I of the Physicians' Recognition Award of the American Medical Association. Each physician should claim only those hours of credit that he / she actually spent in the educational activity. This course also applies for the Italian System of CME credits (ECM). Italian physicians may claim only those hours of credit that she/he actually spent in the educational activity. The credits can be claimed through our Italian agen KONICAB (see below) Italian Scientific Organizing Committee Dott., Ospedale S. Giovanni Battista, Torino, Italy e-mail:.alfonso.frigerio@cpo.it CREDITS We would like to thank the sponsors for their support of the teaching seminars of Mammography Education, Inc (list of vendors will be presented at the beginning of the course) Information on hotel reservations and information for the Italian attendees Ms. Paola Garuffi, Konicab Congressi srl - Bologna, Italy. Phone: (0039) - 051-385 328. Fax: (0039) 051-311 350. English with simultaneous translation to Italian. III

1st DAY Lectures between 9:00 AM and 12:00 for all attendees 9:00 INTRODUCTION FOLLOWED BY DIDACTIC LECTURES COVERING: Break at 10:30 AM HOW TO READ A MAMMOGRAM? THE BASIS FOR EFFICIENT INTERPRETATION OF THE MAMMOGRAPHIC IMAGE - Tabar L Correlative 3-dimensional, subgross anatomy and mammography of the normal breast MAMMOGRAPHIC PARENCHYMAL PATERNS 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 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 - Tabar L 12:00 Lunch 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 IV

1st DAY Hands-on screening and didactic lecture series 1:00 PM - 5:00 PM 1:00-2:15 GROUP 1 HANDS ON SCREENING - Frigerio, A. 1:00-2:15 GROUP 2: ASYMMETRIC DENSITY WITH ARCHITECTURAL DISTORTION. Faculty-audience interaction - Tabar L Break 2:15 and 3:45 Hands-on training in screening 2:30-3:45 GROUP 2 HANDS ON SCREENING - Frigerio, A. 2:30-3:45 GROUP 1: ASYMMETRIC DENSITY WITH ARCHITECTURAL DISTORTION Faculty-audience interaction - Tabar L 4:00-5:00 GROUPS 1& 2: DISCUSSION OF THE SCREENING CASES AND LECTURES OF THE 5:00 PM End of Day 1 AFTERNOON SESSION V

2nd DAY Hands-on screening and didactic lecture series 8:30-12:15 8:30-9:45 GROUP 1 HANDS ON SCREENING - Frigerio, A. 8:30-9:45 GROUP 2: DIDACTIC LECTURE SERIES COVERING THE FOLLOWING TOPICS: SCHEME FOR THE ANALYSIS OF MAMMOGRAPHIC CALCIFICATIONS. PART I - Tabar L Breaks at 9:45 and 11:00 AM Mammographic-histologic correlation of crushed stone-like calcifications 10:00-11:00 GROUP 2 HANDS ON SCREENING - Frigerio, A. 10:00-11:00 GROUP 1: DIDACTIC LECTURE SERIES COVERING THE FOLLOWING TOPICS: SCHEME FOR THE ANALYSIS OF MAMMOGRAPHIC CALCIFICATIONS. PART I - Tabar L 11:15-12:15 GROUPS 1& 2: DISCUSSION OF THE SCREENING CASES AND LECTURES OF THE MORNING SESSION VI Lunch 12:15 PM - 1:30 PM

2nd DAY Hands-on screening and didactic lecture series 1:30-5:00 PM 1:30-2:30 GROUP 1 HANDS ON SCREENING - Frigerio, A. 1:30-2:30 GROUP 2: DIDACTIC LECTURE SERIES COVERING THE FOLLOWING TOPICS: SCHEME FOR THE ANALYSIS OF MAMMOGRAPHIC CALCIFICATIONS PART I I - Tabar L Mammographic-histologic correlation of powdery/cotton ball-like calcifications Breaks at 2:30 and 3:45 PM 2:45-3:45 GROUP 2 HANDS ON SCREENING - Frigerio, A. 2:45-3:45 GROUP 1: DIDACTIC LECTURE SERIES COVERING THE FOLLOWING TOPICS: SCHEME FOR THE ANALYSIS OF MAMMOGRAPHIC CALCIFICATIONS PART II - Tabar L 4:00-5:00 GROUPS 1& 2: DISCUSSION OF THE SCREENING CASES AND LECTURES OF THE AFTERNOON SESSION 5:00 PM End of Day 2 VII

3rd DAY Hands-on screening and lectures between 8:30 AM and 12:00 8:30-9:45 GROUP 1 HANDS ON SCREENING - Frigerio, A. 8:30-9:45 GROUP 2: DIDACTIC LECTURE SERIES COVERING THE FOLLOWING TOPICS: SCHEME FOR THE ANALYSIS OF MAMMOGRAPHIC CALCIFICATIONS. PART III - Tabar L Breaks at 9:45 and 11:00 Imaging-histologic correlation of skipping stone-like calcifications 10:00-11:00 GROUP 2 HANDS ON SCREENING - Frigerio, A. 10:00-11:00 GROUP 1: DIDACTIC LECTURE SERIES COVERING THE FOLLOWING TOPICS: SCHEME FOR THE ANALYSIS OF MAMMOGRAPHIC CALCIFICATIONS. PART III - Tabar L 11:15-12:15 GROUPS 1& 2: DISCUSSION OF THE SCREENING CASES AND LECTURES OF THE MORNING SESSION VIII Lunch 12:15 PM - 1:30 PM

3rd DAY Lectures between 1:30 AM and 4:00 PM for all attendees 1:30-4:00 GROUP 1 & 2: DIDACTIC LECTURE SERIES COVERING THE FOLLOWING TOPICS: DEMONSTRATION AND DISCUSSION OF "COMPLEX CASES". Faculty-audience interaction - Tabar L Multimodality workup of a huge invasive lobular carcinoma Subtle mammography finding / MRI shows that the entire lobe is filled with a diffuse breast cancer, confirmed at histology 4:15 ART HISTORY LECTURE: MICHELANGELO AND RAPHAEL two giants collide - A FRIGERIO IX

4th DAY Hands-on screening and lectures between 8:00 AM and 12:00 8:00-9:15 GROUP 1 HANDS ON SCREENING - Frigerio, A. 8:00-9:15 GROUP 2: DIDACTIC LECTURE SERIES COVERING THE FOLLOWING TOPICS: MULTIMODALITY WORKUP OF ASYMMETRIC DENSITIES ON THE MAMMOGRAM - Tabar L Breaks at 9:15 and 10:45 AM Imaging-histologic correlation of a multifocal cancer case X

4th DAY Hands-on screening and lectures between 8:00 AM and 12:00 9:30-10:45 GROUP 2 HANDS ON SCREENING - Frigerio, A. 9:30-10:45 GROUP 1: DIDACTIC LECTURE SERIES COVERING THE FOLLOWING TOPICS: MULTIMODALITY WORKUP OF ASYMMETRIC DENSITIES ON THE MAMMOGRAM - Tabar L Breaks at 9:15 and 10:45 AM Imaging-histologic correlation of a diffusel cancer case 11:00-12:00 GROUPS 1& 2: DISCUSSION OF THE SCREENING CASES AND LECTURES OF THE MORNING SESSION DISCUSSION. 12:00 End of course XI

For more information and registration please contact: Mammography Education, Inc. 4429 E. Spur Drive CAVE CREEK, AZ 85331, USA Phone: (480) 419 0227 Fax: (480) 419 0219 e-mail: info@mammographyed.com Internet: www@mammographyed.com Hands-on training in screening XII The schedule is subject to change without notice and does not represent a commitment on the part of the organizers All rights reserved including the right of reproduction in whole or in part of any form Copyright

3-D histologic image of TDLUs 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.