About this Program

This activity provides an overview of the evolution of breast localization, from its historical foundations to current practices and emerging technologies. You will explore traditional and advanced localization techniques used to identify non-palpable breast abnormalities, including needle localization and a variety of seed-based technologies.

The session highlights innovations such as magnetic, radiofrequency, and color-guided seed localization systems (some currently pending FDA approval), emphasizing how these tools enhance surgical accuracy and patient-centered care. You will also examine the imaging modalities used to guide localization procedures and the essential collaborative roles of radiologists, technologists, surgeons, and pathologists. The activity concludes with a discussion on manufacturer-specific technologies and the future direction of breast localization practices.

Agenda:

  • History of Breast Surgery
    • When was the first breast surgery
    • Jean Lewis Petit
    • First Mastectomy
  • Breast Conserving Surgery
    • Partial, lumpectomy, and Segmental
    • Dr. Geofferey Keynes
  • Specimen Radiographs
    • Dr. Albert Salomon 1913
    • Radiographed over 3000 specimens
    • Malignant versus benign
  • First Needle Localization
    • 1966 on non-palpable abnormalities
    • Reduction in biopsy failures
  • Types of Needles for Localization
    • Hook Wire System
    • Frank, Hall, and Steer
    • Kopans
  • Film/Screen Localizations
    • Longer time
    • Film less detail
    • Needed runner
    • Radiologist had to call a pathologist multiple times
  • Localizations utilizing Multiple Modalities
    • Mammography 2D & 3D
    • Ultrasound
  • Seed Localizations
    • I-125 Radiation Seed
    • Savi Seed
    • Mag Seed
    • Elucent Smart Clip Seed

How it Works:

  • The On-Demand CE activity that you purchased will be located in your “My Account” section once you log into the MTMI Website.
  • You have three attempts to pass each quiz.
  • You must earn a score of 75% or higher.
  • Credit is recorded the day you submit and pass the quiz, and is determined using Central Time.
  • You have 30 days to complete and pass the quiz.
  • Once passed, access your MTMI “My Account” to print your “Certificate of Completion.”
  • At the conclusion of this on-demand video, an evaluation form will be emailed to you.
  • This video expires 1 year after purchase date.

Educational Objectives

At the conclusion of this course, the participants should be able to:

  • Summarize key historical milestones in breast surgery and localization, including the contributions of influential physicians who shaped current practices
  • Explain the principles, techniques, and clinical applications of needle localization and seed-based localization systems, including I-125, SAVI Scout, Magseed, and Elucent SmartClip technologies
  • Differentiate imaging modalities—such as mammography (2D and 3D), ultrasound, and MRI—and identify their compatibility with various localization tools
  • Describe the roles and responsibilities of radiologists, technologists, surgeons, and pathologists in breast localization procedures and discuss how interdisciplinary collaboration enhances patient outcomes
  • Compare available breast localization equipment and technologies from various manufacturers and evaluate their potential impact on the future of breast localization

Program Faculty

Meet your presenter(s)

Deborah Davis

Deborah Davis

MSRS, RT(R)(M)(QM)

Deborah Davis has been a mammographer for almost 30 years. She was a lead mammographer at MD Anderson Cancer Center for over 25 years. Performed diagnostic and screening exams, stereotactic breast biopsies, breast localizations, executed quality control, and mobile mammography. She retired in December 2023, but works part time. Deborah has taught continuing education in mammography since 2006, and has been with MTMI since 2020. Deborah created a mammography curriculum at the University of Texas MD Anderson School of Health Professions and lead the program for four years before retiring. She continues to teach portions of the initial mammography program including digital breast tomosynthesis 8-hour requirement. She also teaches several other mammography continuing education courses. Breast health is her compassion and she continues to share her experiences and knowledge to allow the future generations to continue the fight.

Credits

Accredited training programs

ASRT Pending Credit Information

ASRT Pending

Category A/A+ CE credit is pending approval by the ASRT. An application for 2 hours of credit for radiologic technologists recognized by the ARRT® and various licensure states has been filed.