Stereotactic Breast Biopsy Continuing Education Course

This course is intended to supplement the experience of assisting with a stereotactic breast biopsy. The course begins with a history of screening and treatment for breast cancer going back to the early 1900s. Mammography as an accepted screening tool for diagnosing asymptomatic breast cancer is covered, as is how it led to screening mammography and the increased need for biopsies. Mammographic signs of malignancy and how they influence biopsy decisions are explained.

Various imaging modalities used as guidance during biopsies are covered, including mammography, MRI, and ultrasound as is how the radiologist uses images to recommend a biopsy in the first place. Biopsy methods are explained, including open excisional surgical biopsy and the circumstances in which they are still recommended, fine-needle aspiration cytology or biopsy, early hand-held core needle biopsy, and stereotactic core needle biopsy. Methods of obtaining a stereotactic biopsy are explored, like upright add-on biopsy units and dedicated prone table biopsy.

The benefits, risks, and limitations of MRI-guided breast biopsy are carefully explained. A detailed explanation of the principles of stereotactic biopsy is provided, including coordinates, advantages, disadvantages, and challenges. The stereotactic biopsy procedure is meticulously laid out, including suggestions for troubleshooting and sampling adjustments, chip placement, and specimen handling. Indications and contraindications for stereotactic-guided biopsy are explained, as are specifications about completing pre-procedure verification, marking the site, and performing a time out. The stereotactic breast biopsy accreditation program requirements from the American College of Radiology are covered as are personnel qualifications, quality control tests, quality assurance, accreditation testing, and clinical images. For reference, a sample checklist of room-setup supplies for a stereotactic breast biopsy is also included.

This self-directed course is worth 3 continuing education credits and includes a 25 question multiple-choice online exam. By completing this course, you attain the Stereotactic Breast Biopsy Certificat.