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Oakstone Topics in Breast Imaging 9th Edition 2025

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A Highly Practical and Clinically Relevant Review in Breast Imaging

Breast cancer is one of radiology’s most common — and most litigated — diagnoses. The 9th edition of Topics in Breast Imaging goes beyond routine updates to spotlight the breakthroughs and pitfalls shaping your practice today.

In this online video course, Dr. R. James Brenner and a nationally recognized faculty from UC San Diego, Weill Cornell, City of Hope® Cancer Center, and Mayo Clinic employ real-world cases, expert commentary, and imaging–histopathology correlations to help you sharpen interpretations, strengthen recommendations, and avoid the medico-legal missteps that cause most malpractice claims.

Through 31 evidence-based CME lectures, you’ll explore:

  • AI & Liability: Where AI truly helps, where it introduces risk, and the implications for medico-legal exposure
  • MRI Everywhere: Staging, recurrence detection, diffusion applications, and incidental findings
  • Biopsy vs. Surveillance: When “watchful waiting” is safer than intervention
  • Special Circumstances: Pregnancy-associated breast cancer and imaging for transgender patients

* Original Release Date: September 15, 2025

LEARNING OBJECTIVES:

At the conclusion of this activity, you will be able to:

  • Differentiate the imaging findings of benign and malignant breast masses
  • Recognize the features of benign or malignant calcifications on mammogram
  • Formulate approaches to one- and two-view asymmetries seen on screening mammogram
  • Recognize the issues regarding and methods to detect sentinel lymph nodes of the breast
  • Evaluate issues regarding risk, breast density and phenotypes, and mathematical models
  • Analyze approaches to supplementary screening imaging modalities beyond mammography
  • Recognize indications and limitations of stereotactic breast biopsy
  • Analyze approaches and limitations of ultrasound-guided breast techniques
  • Compare methods of preoperative image-guided localization of nonpalpable lesions for surgical excision
  • Review technique considerations for biopsy using nuclear imaging, MRI, and contrast-enhanced mammography
  • Determine appropriate management recommendations following biopsies of “high-risk” breast lesions
  • Distinguish criteria for recommending surveillance rather than biopsy for probably benign breast lesions
  • Recognize signs of silicone implant rupture
  • Analyze indications and expected outcomes when applying MRI interpretation criteria
  • Recognize current molecular profiles associated with breast cancer diagnoses
  • Discuss the histologic basis for macroscopic findings on mammography
  • Explain the potentials and limitations of incorporating artificial intelligence (AI) into breast imaging practice

OAKSTONE TOPICS IN MAMMOGRAPHY: 9TH EDITION 2025

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OAKSTONE TOPICS IN MAMMOGRAPHY 9TH EDITION 2025 TOPICS

1. Histopathology of Breast Disease – A Radiologist’s Guide – R. James Brenner, MD, JD, FACR, FCLM, FSBI

2. Sentinel Node Evaluation – What the Radiologist Needs to Know – R. James Brenner, MD, JD, FACR, FCLM, FSBI

3. Asymmetries Initially Seen in One (or Two) Views at Screening – How to Dismiss or Localize Them – R. James Brenner, MD, JD, FACR, FCLM, FSBI

4. Evaluation of Breast Masses and Architectural Distortion – R. James Brenner, MD, JD, FACR, FCLM, FSBI

5. Surveillance Breast Imaging – Initial Surveillance Instead of Biopsy; Surveillance of Pts with Cancer and Non-Surgical DCIS – R. James Brenner, MD, JD, FACR, FCLM, FSBI

6. Breast Calcifications – The Good, the Bad, and the Ugly – R. James Brenner, MD, JD, FACR, FCLM, FSBI

1. Physics of FFDM, DBT, and CEM – David Hall, PhD, DABR

2. Mammographic Screening for Breast Cancer – Evidence and Analysis – Mohammad Eghtedari, MD, PhD

3. Breast Density and Phenotypes – Issues of Risk Management – R. James Brenner, MD, JD, FACR, FCLM, FSBI

4. Supplementary Breast Screening – Whole Breast Ultrasound – R. James Brenner, MD, JD, FACR, FCLM, FSBI

1. Other Supplementary Screening Techniques Beyond Ultrasound – R. James Brenner, MD, JD, FACR, FCLM, FSBI

2. Pregnancy-Associated Breast Cancer – Clinical Presentation, Diagnostic Challenges, and Management – R. James Brenner, MD, JD, FACR, FCLM, FSBI

3. Breast Imaging of Transgender Individuals – R. James Brenner, MD, JD, FACR, FCLM, FSBI

4. Current Status and Future of BI-RADS – The Next Edition – Haydee Ojeda-Fournier, MD, FACR, FSBI

1. Stereotactic Biopsy – R. James Brenner, MD, JD, FACR, FCLM, FSBI

2. Ultrasound-Guided Biopsy & Perioperative Localization – R. James Brenner, MD, JD, FACR, FCLM, FSBI

3. CEM-Guided Breast Biopsy – Christopher Comstock, MD, FACR, FSBI

4. Molecular Breast Imaging Guided Biopsy – Katie N. Hunt, MD

5. MRI-Guided Breast Biopsies – Mohammad Eghtedari, MD, PhD

6. Controversies in Management Following Percutaneous Breast Biopsy – R. James Brenner, MD, JD, FACR, FCLM, FSBI

1. MRI Evaluation of Breast Implants – R. James Brenner, MD, JD, FACR, FCLM, FSBI

2. MRI Breast – Mass vs. Non-Mass Enhancement; Unknown Primary – R. James Brenner, MD, JD, FACR, FCLM, FSBI

3. MRI Breast – Staging of Breast Cancer; Recurrence & Lymph Node Analysis – R. James Brenner, MD, JD, FACR, FCLM, FSBI

4. MRI Breast – Surveillance, Neoadjuvant Rx, False-Positive & False-Negative Studies – R. James Brenner, MD, JD, FACR, FCLM, FSBI

5. MRI Breast – Incidental Findings: Actionable and Non-Actionable – R. James Brenner, MD, JD, FACR, FCLM, FSBI

1. Medical Legal Issues – Overview of Legal Landscape; Issues of Detection & Diagnosis – R. James Brenner, MD, JD, FACR, FCLM, FSBI

2. Medicolegal Issues – DBT, AI Triaging & AI Impact on Triaging – R. James Brenner, MD, JD, FACR, FCLM, FSBI

3. Medicolegal Issues – Preventable Causes of False-Negative Breast Imaging Studies – R. James Brenner, MD, JD, FACR, FCLM, FSBI

4. Medicolegal Issues – Communication: Report Substance, Timeliness, Credibility & Nature of Communication – R. James Brenner, MD, JD, FACR, FCLM, FSBI

5. An Overview of AI in Breast Imaging – Tara Retson, MD

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