Advances in Breast Imaging - DBT-guided Biopsy Online Training

Continue Continue Introduction 4 DBT-guided Biopsy Online Training This training module covers the clinical use of tomosynthesis-guided biopsy and includes practical tips and clinical case discussions. Completion time: 45 min. Ultrasound, Stereotactic and Tomosynthesis Biopsy 1 Practical Tips and Case Discussions 3 How to do Biopsy: a Film from the Practice 2 Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 Welcome Srechertext: Welcome to our Web-based training “Advances in breast imaging.” The fourth module, “DBT-guided biopsy,” covers the clinical use of stereotactic- and tomosynthesis-guided biopsy and includes clinical case discussions. Prof. Dr. Luis Pina also shares his experience in a video of his clinical routine and offers practical tips. This Web-based training takes 40 minutes to complete. Introduction Prof. Dr. Luis Pina Clínica Universidad de Navarra Pamplona, Spain Introduction 05_DBT-guided-biopsy_02_Intro-to-lecture_V02.mp4 Ultrasound, Stereotactic and DBT Biopsy Ultrasound, Stereotactic and DBT Biopsy Prof. Dr. Luis Pina Clínica Universidad de Navarra Pamplona, Spain Ultrasound, Stereotactic and DBT Biopsy 05_DBT-guided-biopsy_03_Ultrasound-stereotactic-biopsy_V02.mp4 How to do Biopsy: a Film from the Practice How to Do Biopsy: A Film from the Practice Prof. Dr. Luis Pina Clínica Universidad de Navarra Pamplona, Spain How to Do Biopsy: A Film from the Practice Dr_Luis_Pina_konvertiert.mp4 DBT guided biopsy combines the high depth resolution of DBT images and the accuracy of the stereotactic system. DBT guided biopsy can be performed faster than stereotactic biopsy. Non-calcified lesions can be obscured by local anesthesia or hematoma during the procedure. The breast is not compressed. What statement is not related to DBT guided biopsy? Knowledge Check Select the best answer. Some peripherally located lesions can be out of the field of view. Knowledge Check Correct Incorrect The solution is: The breast is not compressed. Incorrect The solution is: The breast is not compressed. Incorrect The solution is: The breast is not compressed. Correct The solution is: The breast is not compressed. Explanation of the Correct Answer Continue Similar to stereotactic biopsy, DBT-guided biopsy requires compression of the breast. Explanation of the Correct Answer Practical Tips and Case Discussions Practical Tips to Perform DBT Biopsy Prof. Dr. Luis Pina Clínica Universidad de Navarra Pamplona, Spain Practical Tips to Perform DBT Biopsy 05_DBT-guided-biopsy_04_Practical-tips_V02.mp4 Clinical Cases Prof. Dr. Luis Pina Clínica Universidad de Navarra Pamplona, Spain Clinical Cases 05_DBT-guided-biopsy_05_Clinical-cases_V02.mp4 Benign-looking lesions. BIRADS 4b lesions. Lesions with clearly visible clusters of microcalc. Lesions that can’t be seen on 2D FFDM. What is a typical indication for DBT-guided biopsy? Knowledge Check Select the best answer. Biopsies performed by inexperienced radiologists. Knowledge Check Correct Incorrect The solution is: Lesions that can’t be seen on 2D FFDM. Incorrect The solution is: Lesions that can’t be seen on 2D FFDM. Incorrect The solution is: Lesions that can’t be seen on 2D FFDM. Correct The solution is: Lesions that can’t be seen on 2D FFDM. Explanation of the Correct Answer Continue Tomo-guided biopsy is used primarily when a lesion can’t be seen on ultrasound and FFDM. Explanation of the Correct Answer Summary Summary Summary xp_mammomat_revelation_clinical_video_50_wide-angle_hd_breast_biopsy_hood05162002954898.mp4 Course Review Practical Tips DBT-guided Biopsy Stereotactic-guided Biopsy Ultrasound-guided Biopsy Course Review Here is a brief summary of the content covered in this training. Please select a topic to access the related information. 1 1 1 2 2 2 3 3 3 4 4 4 Course Review Practical Tips Practical tips to perform DBT-guided biopsy Download the PDF document with 12 useful tips. You can find it on this page in the upper right corner under "Resources". DBT-guided Biopsy 50° Wide-Angle DBT-guided biopsy Fast target-setting with just one click on each tomosynthesis slice. White box indicates targetable area for preselected needle. High target accuracy of +/- 1 mm. Limitations Non-calcified lesions can be obscured by local anesthesia or hematoma. Some peripherally located lesions can be out of the field of view. Integrated specimen scanner (InSpect) Images the specimen while the patient is still compressed. Images the specimen safely, with no direct radiation to the patient. No additional specimen scanner is needed for an optimized workflow. Stereotactic-guided Biopsy Stereotactic-guided biopsy allows localization of the lesions detected in mammography, which is especially useful for calcified lesions. Accurate, reliable technique. Well-tolerated by patients. Limitations Non-calcified lesions can be obscured by local anesthesia or hematoma. Some peripherally located lesions can be out of the field of view. Some lesions can’t be seen in one of the stereotactic views. Lesions only detected by DBT can be difficult or impossible to target. Ultrasound-guided Biopsy Ultrasound-guided biopsy is the preferred biopsy modality for lesions visible on ultrasound. No radiation, fast, cheap, and widely available. The breast isn’t compressed, and it’s performed in a position that’s comfortable for the patient. Local anesthesia doesn’t hide the lesion. Multiple lesions (unilateral/bilateral) and peripheral lesions can be biopsied in one session. Control of the needle position in real-time. Limitations Operator-dependent technique. US-guided biopsy is very difficult or even impossible for: Lesions not visible on US (like calcs, arch. distortions). Deeply located lesions. Following the market introduction in 2009, several clinical studies on Digital Breast Tomosynthesis have proven the value of this technique for breast imaging. For a list of Siemens Healthineers-related reference studies shown in this WBT, please download the PDF file XP_Tomosynthesis_Bibliography.pdf under “Resources” in the upper right corner on this page. The questions and course reviews depicted in this WBT also refer to additional reference studies that are subject of the clinical expert presentations. Reference Studies Reference Studies The herein illustrated statements made by Siemens Healthineers customers and physicians are based on their own and discrete opinion. The speaker is responsible for obtaining permission to use any previously published figures or tables. The speaker is also responsible for obtaining permission to reproduce any photograph showing recognizable persons. The statements by Siemens Healthineers customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" setting and many variables exist there can be no guarantee that other customers will achieve the same results. Some products/features (here mentioned) are not necessarily commercially available in all countries. Due to regulatory reasons their availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. Copyright © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters | Siemens Healthcare GmbH | Henkestr. 127 | 91052 Erlangen, Germany Telephone: +49 9131 84-0 | siemens-healthineers.com Disclaimer Disclaimer Assessment Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start Assessment DBT-guided biopsy combines the high depth resolution of DBT images and the accuracy of the stereotactic system. DBT-guided biopsy can be performed faster than stereotactic biopsy. Non-calcified lesions can be obscured by local anesthesia or hematoma during the procedure. The breast isn’t compressed. Which of the following statements is unrelated to DBT-guided biopsy? Question 1 of 5 Select the best answer. Some peripherally located lesions can be out of the field of view. Question 1 of 5 Incorrect You did not select the correct answer. Correct Incorrect You did not select the correct answer. Incorrect You did not select the correct answer. Incorrect You did not select the correct answer. Benign-looking lesions. BIRADS 4b lesions. Lesions with clearly visible clusters of microcalcifications. Lesions that can’t be seen on 2D FFDM. What’s a typical indication for DBT-guided biopsy? Question 2 of 5 Select the best answer. Biopsies that will be performed by inexperienced radiologists. Question 2 of 5 Incorrect You did not select the correct answer. Correct Incorrect You did not select the correct answer. Incorrect You did not select the correct answer. Incorrect You did not select the correct answer. … it’s an operator-independent technique. … the breast is compressed. … it can be performed without radiation and it’s fast and widely available. Ultrasound-guided biopsy is the preferred biopsy modality for lesions visible on ultrasound, because… Question 3 of 5 Select the best answer. Question 3 of 5 Correct Incorrect You did not select the correct answer. Incorrect You did not select the correct answer. It’s a very stressful and painful examination for patients. Calcified lesions are obscured by local anesthesia or hematoma. All lesions are always in the field of view, even peripherally located lesions.. It’s especially useful for calcified lesions. Which of the following statements is true regarding stereotactic-guided biopsy? Question 4 of 5 Select the best answer. Question 4 of 5 Correct Incorrect You did not select the correct answer. Incorrect You did not select the correct answer. Incorrect You did not select the correct answer. DBT-guided biopsy has a complicated target-setting requiring multiple clicks. InSpect requires that the system be restarted. InSpect requires a repositioning of the patient. DBT-guided biopsy has a high target accuracy of +/- 1 mm. Which of the following statements is true regarding DBT-guided biopsy that incorporates the integrated specimen scanner InSpect. Question 5 of 5 Select the best answer. Question 5 of 5 Correct Incorrect You did not select the correct answer. Incorrect You did not select the correct answer. Incorrect You did not select the correct answer. Review Review Retry Assessment Results %Results.ScorePercent%% %Results.PassPercent%% Continue YOUR SCORE: PASSING SCORE: Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. You have completed the training module no. 4 from training series “Advances in Breast Imaging”. Completion Sprechertext: Thank you for your attention! You have completed the training module no. 4 from training series “Advances in Breast Imaging”. HOOD05162003171396 | Effective Date: 20-APR-2021 12_Practical_tips_to_perform_DBT.pdf XP_Tomosynthesis_Bibliography.pdf 2D Two-dimensional 3D Three-dimensional AI Artificial Intelligence AUC Area Under the Curve BPE Background Parenchymal Enhancement CAD Computer Aided Detection CC Cranio-caudal CEM Contrast Enhanced Mammography CESM Contrast Enhanced Spectral Mammography CNB Core Needle Biopsy DBT Digital Breast Tomosynthesis DCIS Ductal carcinoma in situ DM Digital Mammography FFDM Full Field Digital Mammography FN False Negative FP False Positive i.m. intramuscular IDC Invasive ductal carcinoma ILC Invasive lobular carcinoma IN Insight = Sythetic Mammogram for wide-angle Tomosynthesis IT Information Technology MAG Magnification View MB Megabyte MG Mammogramm ML Medio-lateral MLO Medio-lateral-oblique MP Megapixel MRI Magnetic Resonance Imaging NCB Needle Core Biopsy NPV Negative Predictive Value PPV Positive Predictive Value pRCT Prospective, Randomized, Controlled Trial ROC Receiver Operating Characteristic STX Stereotaxis TiCEM Titanium Contrast Enhanced Mammography TN True Negative TP True Positive US Ultrasound wa-DBT wide-angle Digital Breast Tomosynthesis WBT Web-based Training 1.1 Welcome 1.2 Introduction 2.1 Ultrasound, Stereotactic and DBT Biopsy 3.1 How to Do Biopsy: A Film from the Practice 3.2 Knowledge Check 4.1 Practical Tips to Perform DBT Biopsy 4.2 Clinical Cases 4.3 Knowledge Check 5.1 Summary 6.1 Course Review 6.2 Reference Studies 6.3 Disclaimer 7.1 Assessment 7.8 Completion