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Scientific - myESR.org

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www.myesr.<strong>org</strong> | EUROPEAN CONGRESS OF RADIOLOGY 2011<br />

Update Your Skills<br />

Practical Courses<br />

Image-Guided Breast Biopsy:<br />

How to do it<br />

Coordinator:<br />

M.H. Fuchsjäger; Vienna/AT<br />

Speakers:<br />

I. Schreer; Kiel/DE<br />

T.H. Helbich; Vienna/AT<br />

C. Boetes; Maastricht/NL<br />

Instructors:<br />

C.S. Balleyguier; Villejuif/FR<br />

B. Boyer; Paris/FR<br />

C. Dromain; Villejuif/FR<br />

F. Gras, Barcelona/ES<br />

R. Gruber; Vienna/AT<br />

G. Heinz-Peer; Vienna/AT<br />

L. Levy; Paris/FR<br />

M. Locatelli; Gorizia/IT<br />

A. Malich; Nordhausen/DE<br />

I. Miranda; Barcelona/ES<br />

L. Rotenberg; Neuilly-sur-Seine/FR<br />

B. Szabo; Szeged/HU<br />

C.F. Weismann; Salzburg/AT<br />

Percutaneous image-guided needle core biopsy is faster, less<br />

invasive and less expensive than surgical biopsy and has<br />

thus become the alternative for histopathology assessment<br />

of breast lesions. The choice of the respective image<br />

guidance method depends on lesion type (mass lesion,<br />

microcalcifications) as well as the visualisation through<br />

the various diagnostic imaging modalities. This practical<br />

course reviews indications, advantages, limitations and<br />

controversial issues in percutaneous image-guided biopsy<br />

of breast lesions under stereotactic, ultrasound and MR<br />

imaging guidance.<br />

Participants will work on phantoms not only to learn the<br />

device-related technical aspects of the performance but<br />

also how to choose the adequate guidance method, how<br />

to prepare the patient and percutaneous biopsy device,<br />

and how to adequately approach the lesion. Oncological<br />

as well as quality assurance aspects will be emphasised.<br />

The practical training courses are <strong>org</strong>anised to allow time<br />

for each participant to perform interventions under expert<br />

supervision.<br />

Learning objectives:<br />

1. To comprehend the indications and limitations<br />

of percutaneous image-guided breast biopsy.<br />

2. To understand how to ensure quality standards of<br />

breast biopsy under stereotactic, ultrasound and<br />

MR imaging guidance.<br />

3. To learn how to chose the adequate imaging<br />

guidance modality and prepare the patient accordingly.<br />

4. To be able to select the appropriate percutaneous<br />

biopsy device (automated large core or directional<br />

vacuum-assisted biopsy probe).<br />

5. To be able to perform breast biopsies under<br />

stereotactic, ultrasound and MR imaging guidance<br />

in accordance to international standards.<br />

Introductory lectures:<br />

• Indications, limitations and controversies<br />

for ultrasound-guided breast biopsy<br />

I. Schreer; Kiel/DE<br />

• Indications, limitations and controversies<br />

for stereotactic-guided breast biopsy<br />

T.H. Helbich; Vienna/AT<br />

• Indications, limitations and controversies<br />

for MR imaging-guided breast biopsy<br />

C. Boetes; Maastricht/NL<br />

Registration:<br />

The number of participants for each course is restricted.<br />

Participants need to register in advance for the practical<br />

training courses (www.<strong>myESR</strong>.<strong>org</strong>) as of October 1, 2010,<br />

and must pay a fee of €50. Important details, including the<br />

schedule for the subscribed courses, are indicated on the<br />

confirmation/invoice.<br />

Attendance at the lecture session on Thursday afternoon<br />

is mandatory to participate in the pre-registered practical<br />

training courses.<br />

Schedule:<br />

Thursday, March 3<br />

SK 123 14:00–15:30 Introductory Lectures (Room P)<br />

Friday, March 4<br />

SK 323 08:30–10:00 US guidance<br />

SK 423 10:30–12:00 Stereotactic guidance<br />

SK 523 14:00–15:30 MR imaging guidance<br />

SK 623 16:00–17:30 Stereotactic guidance<br />

Saturday, March 5<br />

SK 723 08:30–10:00 US guidance<br />

SK 823 10:30–12:00 Stereotactic guidance<br />

SK 923 14:00–15:30 MR imaging guidance<br />

SK 1023 16:00–17:30 US guidance<br />

Sunday, March 6<br />

SK 1123 08:30–10:00 Stereotactic guidance<br />

SK 1223 10:30–12:00 US guidance<br />

SK 1323 14:00–15:30 MR imaging guidance<br />

SK 1423 16:00–17:30 MR imaging guidance<br />

81

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