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Breast Biopsy: Stereotactic and Ultrasound Guidance Course

Judy Chavez, RT(R)(M)(BS), RDMS

Cheryl Seastrand, RT(R)(M)(BS)
About this Seminar
Stereotactic and ultrasound breast biopsy are used to obtain pathologic information from mammographic areas of suspicion. When a mass, microcalcifications, or area of abnormal tissue change exist; stereotactic and ultrasound breast biopsy offers a minimally invasive alternative to open surgical biopsy often before a mass develops.

This course offers the attendee the opportunity to learn the basics, as well as the tricks of the trade, from experienced instructors with multi-vendor competence. Our instructors are excited and willing to share this knowledge to help bridge the gaps in training so that intelligent performance becomes your daily mode of operation. Supervised simulation and hands-on training with phantoms, live-models, and biopsy devices make this course refreshingly unique.

Critical thinking becomes possible once attendees develop an understanding of why and how these procedures are done rather than "this is how we have always done it". In addition to covering quality assurance and patient documentation, the two day course reviews the ACR accreditation requirements and fulfills the credits required for accreditation.

Educational Objectives
At the completion of this seminar,
participants will be able to:
  • Explain & provide an overview of biopsy options for detection of breast cancer.
  • Discuss the differences in biopsy needles and stereo tables.
  • Clarify the difference between polar and Cartesian coordinate systems.
  • Describe the components of the stereo images and how they work together.
  • Demonstrate the importance of needle position in correlation to the area of interest in stereotactic breast biopsy procedures.
  • Formulate problem solving skills when faced with difficult scenarios in breast biopsy techniques.
  • Demonstrate proper patient positioning for stereotactic biopsy procedures.
  • Review the importance of QA and ACR requirements to help improve patient care and daily care of your center.
  • Review breast ultrasound algorithm and terminology.
  • Review ultrasound and mammographic correlation.
  • Demonstrate how to use ultrasound equipment and minimally invasive techniques to accomplish ultrasound guidance breast biopsy procedures.
Locations & Dates
Dates To Be Determined

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Who Should Attend
This course is useful for professional involved in women’s imaging services including radiologists, surgeons, physicians, technologists, mammographers, sonographers, breast biopsy coordinators, breast health clinicians, nurses and medical imaging managers.
About the Instructors
Judy Chavez, RT(R)(M)(BS), RDMS
Judy is Supervisor of the Breast Procedure Suite at the Centrum Surgical Center in Denver, CO. She has worked for the Sally Jobe Breast Center and Radiology Imaging Associates for 30 years. Judy assists the Radiologists in all interventional breast procedures. She was at the Sally Jobe Breast Center when Dr. Steve Parker and Dr. William Jobe developed the minimally invasive breast biopsy technique in the late 1980’s. Judy has been involved with teaching breast biopsy procedures across the country since 1995. She enjoys sharing her experiences and teaching the tricks to the trade.

Cheryl Seastrand, RT(R)(M)(BS)
Cheryl has been a registered radiologic technologist for over 25 years and is registered in Mammography and Breast Sonography. She has worked as a staff and lead mammographer and a quality control technologist. She has developed and presented seminars, lectures and training workshops. she is committed to high quality development and delivery of education and training, with diversified expertise in CE and workshop coordination, competency assessment and Breast Sonography.
MTMI is proud to partner with Image
to provide this educational opportunity.
Seminar Credit
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education for physicians. The Medical Technology Management Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation The Medical Technology Management Institute designates this live activity for a maximum of 16.00 AMA PRA Category 1 Credits™.

Physicians should only claim credit commensurate with the extent of their participation in the activity.

This program provides 16 Category A continuing education credits recognized by the ARRT and various licensure states. Attendees must attend the entire course to receive credit.

Nursing Credits
Provider approved by the California Board of Registered Nursing, Provider Number CEP # 16205 for 16 contact hours.
Seminar Schedule - Day One
8:00 am Registration and Continental Breakfast
8:30 am Fundamentals of Stereotactic Breast Biopsy
Biopsy Options
Minimally Invasive Needles
Multiple Vendors

  • Types of stereotactic biopsy tables
  • Types of biopsy needles
    • choosing the correct needle
  • Selection of lesions for biopsy
10:10 am Informal Discussion and Break
10:20 am
Principles of Stereotactic Imaging
  • Stereo pair
  • Reference point
  • Cartesian coordinate system
  • Polar coordinate system
  • Needle positioning
12:00 noon Lunch - (on your own)
1:00 pm Stereotactic Biopsy Patient Positioning
  • Difficult patients
  • Challenges for success
  • Set-up of biopsy room
2:15 pm Informal Discussion and Break
2:25 pm Hands-on Simulation Phantom on Stereo Table
(instructor led)
  • Prone
  • Upright
4:30 pm Adjourn for the day
Day Two
8:00 am Registration and Continental Breakfast
8:30 am Steps in a Stereotactic Biopsy
  • Room and biopsy tray setup
  • Positioning the patient
  • Imaging during the biopsy procedure
  • Post care of the biopsy patient
  • Overview of interesting case studies
ACR Stereotactic Accreditation
  • Requirements
  • Quality control records
  • ACR standards - Stereotactic Breast Center
10:10 am Informal Discussion and Break
10:20 am
Hands-on Stereo Positioning with Live Models
(instructor led)
12:00 noon Lunch - (provided)
1:00 pm Basic Ultrasound - Equipment, Techniques and More
  • Understanding breast ultrasound
  • Lesion selection
  • Equipment and techniques
2:30 pm Informal Discussion and Break
2:40 pm Hands-on US/BX with Phantom
(instructor led)
4:30 pm Adjourn
All prices are in US dollars.

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Technologist member enrollment fee is $39 (reduced from $45).
Physician member enrollment fee is $79.
Physicist member enrollment fee is $65.

For information about cancelations and refunds please call MTMI customer service at 1-800-765-6864.

MTMI reserves the right to cancel any scheduled seminar due to low advance registration or other reasons. MTMI’s liability is limited to a refund of any program tuition paid. MTMI recommends that attendees use refundable airline tickets for travel to seminars. In case of cancellation of a seminar for any reason, MTMI is not responsible for travel costs incurred by attendees including non-refundable airline tickets.
How to Register
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