Recognizing the mammographic features of probably benign (BI-RADS 3) lesions Diagnostic (problem-solving) mammography Demonstrate proficiency in Correlation of palpable with imaging findings Evaluation and management of a palpable mass (or other focal symptoms) when there are no associated mammographic findings Breast Ultrasound Demonstrate proficiency in Scanning the breast Recognizing normal sonographic anatomy Recognizing features of simple complicated cysts, complex masses Recognizing differential features of benign and malignant solid masses Reporting and medicolegal aspects of breast imaging Demonstrate proficiency in producing breast imaging reports, including ACR BI-RADS lexicon terms for mammography, ultrasound, and MRI Lesion location Categorization of breast composition (BI-RADS breast density descriptors) Final assessment categories (ACR BI-RADS; MQSA regulatory requirements) Management recommendations Concordance between lesion descriptors and assessment categories Concordance between assessment categories and management recommendations Interventional procedures Principles, indications and contraindications, equipment, preparation, technique, advantages, disadvantages, accuracy, and auditing for Needle-wire localization guided by mammography Ultrasound-guided cyst aspiration Use and limitations of using markers to indicate the site of percutaneous biopsy Specimen radiography, including paraffin radiography Assessment of imaging-pathologic concordance Post-procedure follow-up imaging Other recommendations Active participation in breast MRI interpretation Direct observation or videotape of mammographic positioning for routine and supplementary views Review of teaching file materials (film or digital images), especially using computer-based interactive formats. Log of numbers of mammograms and sonograms interpreted and of procedures performed by each resident. TWO Breast anatomy, physiology, and pathology Pathologic appearance and clinical significance of Benign breast lesions Atypical ductal hyperplasia, atypical lobular hyperplasia, lobular carcinoma in situ, and histologic risk factors Ductal carcinoma in situ, including its histologic subtypes
Recognizing the mammographic features of probably benign (BI-RADS 3) lesions Diagnostic (problem-solving) mammography Demonstrate proficiency in Correlation of palpable with imaging findings Evaluation and management of a palpable mass (or other focal symptoms) when there are no associated mammographic findings Breast Ultrasound Demonstrate proficiency in Scanning the breast Recognizing normal sonographic anatomy Recognizing features of simple complicated cysts, complex masses Recognizing differential features of benign and malignant solid masses Reporting and medicolegal aspects of breast imaging Demonstrate proficiency in producing breast imaging reports, including ACR BI-RADS lexicon terms for mammography, ultrasound, and MRI Lesion location Categorization of breast composition (BI-RADS breast density descriptors) Final assessment categories (ACR BI-RADS; MQSA regulatory requirements) Management recommendations Concordance between lesion descriptors and assessment categories Concordance between assessment categories and management recommendations Interventional procedures Principles, indications and contraindications, equipment, preparation, technique, advantages, disadvantages, accuracy, and auditing for Needle-wire localization guided by mammography Ultrasound-guided cyst aspiration Use and limitations of using markers to indicate the site of percutaneous biopsy Specimen radiography, including paraffin radiography Assessment of imaging-pathologic concordance Post-procedure follow-up imaging Other recommendations Active participation in breast MRI interpretation Direct observation or videotape of mammographic positioning for routine and supplementary views Review of teaching file materials (film or digital images), especially using computer-based interactive formats. Log of numbers of mammograms and sonograms interpreted and of procedures performed by each resident. TWO Breast anatomy, physiology, and pathology Pathologic appearance and clinical significance of Benign breast lesions Atypical ductal hyperplasia, atypical lobular hyperplasia, lobular carcinoma in situ, and histologic risk factors Ductal carcinoma in situ, including its histologic subtypes