7th Annual Symposium on Advances in Breast MRI
October 16-18, 2008
Bellagio Hotel, Las Vegas, Nevada

Course Highlights:

Faculty Comprised of Leading Experts in Breast Imaging

Updates on the Latest Technologies and Clinical Advances in Breast MRI

Dedicated Technologist Symposium

Objectives | Program | Faculty | Accommodations | Travel | Activities | Registration

Learning Objectives

This course is intended for practicing radiologists, medical professionals such as nurses and radiologic technologists, physician's assistants, industry professionals, and any others involved with the field of Breast MRI.

Statement of Need

MRI has become an increasingly influential adjunct to mammography and ultrasound in detecting breast cancer. MRI is now being used to grade biopsies and stage its patients. Studies have shown that Breast MRI, especially in high risk patients is proving to be an important tool for breast cancer screening. While breast MRI is catching on, its utilization is just beginning, primarily because the exam is more complicated, time-consuming and expensive. This course will provide critical education for utilizing and optimizing Breast MR in your practice.

Program

Thursday, October 16, 2008

7:30-7:55 am Registration, Check-in, Continental Breakfast & Exhibits
7:55-8:00 Welcome & Announcements

Session 1: Techniques for Breast MRI
Moderator: Debra M. Ikeda, MD

8:00-8:30 Physics of Breast MRI - Pulse Sequences and Acronyms
Brian Hargreaves, PhD

8:30-9:00 Practical Approach to Image Acquisition
Constance D. Lehman, MD, PhD

9:00-9:30 Protocols Panel – How Each Faculty Member Does Breast MRI
Robert J. Herfkens, MD (Chair) and Course Faculty

9:30-10:00 Coffee Break & View Exhibits

Session 2: Breast MRI Interpretation
Moderator: Debra M. Ikeda, MD

10:00-10:30 How to Diagnose Breast Cancer (Introduction to Diagnostic Criteria for Breast MRI)
Christiane K. Kuhl, MD

10:30-11:00 Functional MRI of the Breast Including Dynamic Enhancement, Diffusion and Spectroscopy
Thomas H. Helbich, MD, FRCPC

11:00-11:30 BIRADS Update
Elizabeth Morris, MD

11:30-12:00 pm Questions & Answers
Faculty

12:00-1:15 Recess for Lunch

Session 3: Indications and Clinical Roles for Breast MRI
Moderator: Bruce L. Daniel, MD

1:15-1:45 Evidence-Based Approach to Clinical Indications for Breast MRI
Constance D. Lehman, MD, PhD

1:45-2:15 High Risk Screening
Elizabeth Morris, MD

2:15-2:45 MRI of Silicone Breast Augmentation
Bruce L. Daniel, MD

2:45-3:15 Coffee Break & View Exhibits

Session 4: Intervention – The Work-Up of Breast MRI Findings
Moderator: Bruce L. Daniel, MD

3:15-3:45 MR Biopsy: How to do it and When to Re-Biopsy
Elizabeth Morris, MD

3:45-4:15 Freehand MRI-Guided Interventions in the Breast
Bruce L. Daniel, MD

4:15-4:45 Sustaining a Successful Breast MRI Practice
Constance D. Lehman, MD, PhD

4:45-5:00 Questions & Answers
Faculty

Friday,October 17, 2008

7:30-7:55 am Continental Breakfast & Exhibits
7:55-8:00 Announcements
(Concurrent Technologist Sessions Begin in Breakout Room. See Program Below)

8:00-9:30 Workstation Challenge 2008
Expert radiologists show how they use breast MRI workstations from different vendors to process the same mystery cases.
Moderator: Bruce L. Daniel, MD

9:30-10:00 Coffee Break & View Exhibits

Session 5: Multimodality Imaging: New MRI Techniques and Their Role Compared to X-Ray and Ultrasonography
Moderator: Bruce L. Daniel, MD

10:00-10:30 USPIO MRI of the Axilla in Breast Cancer Patients
Thomas H. Helbich, MD, FRCPC

10:30-11:00 The Ergonomic Reading Room and Correlating MRI, Mammography and Sonography
Debra M. Ikeda, MD

11:00-11:30 Diagnosing DCIS
Christiane K. Kuhl, MD

11:30-11:45 Questions & Answers
Faculty

11:45-1:15 pm Recess for Lunch

Concurrent Technologist Session 1: Basics
Moderator: Anne Marie Sawyer, BS, RT(R)(MR)

8:00-8:30 am Diagnostic MRI of the Breast
Anne Marie Sawyer, BS, RT(R)(MR)

8:30-9:00 MR Contrast Agents and Analysis of Uptake on Workstations
William Faulkner, BS, RT(R)(MR)(CT), FSMRT

9:00-9:30 Dealing with the Difficult Breast MRI Patient
(Technologists are encouraged to submit their versions of their "most difficult patient" stories in advance*)
Teresa Nelson, RT

9:30-10:00 Coffee Break & View Exhibits

Concurrent Technologist Session 2: Advanced
Moderator: Teresa Nelson, RT

10:00-10:30 MRI-Guided Breast Biopsy
Teresa Nelson, RT

10:30-11:00 Advanced MRI Techniques of the Breast
William Faulkner, BS, RT(R)(MR)(CT), FSMRT

11:00-11:30 MRI with the Experts –
Discuss Challenging Issues in Performing Breast MRI with Faculty Experts
(Technologists may submit problem cases ahead of time*)
Christiane K. Kuhl, MD
Brian Hargreaves, PhD
William Faulkner, BS, RT(R)(MR)(CT), FSMRT

11:30-1:15 pm Recess for Lunch

Session 6: The Practice of Breast MRI
Moderator: Debra M. Ikeda, MD

1:15-1:45 MRI Safety and Screening Procedures
Robert J. Herfkens, MD

1:45-2:15 Update on MRI Contrast Agent Toxicity - Nephrogenic Systemic Fibrosis
Robert J. Herfkens, MD

2:15-2:45 Clinical Issues: Palpable Masses, Pregnant Patients, Nipple Discharge
Debra M. Ikeda, MD

2:45-3:15 Coffee Break & View Exhibits

Session 7: Advanced Interpretation
Moderator: Debra M. Ikeda, MD

3:15-3:45 MRI of the Breast in Benign Tumors
Thomas H. Helbich, MD, FRCPC

3:45-4:15 Challenging Breast MRI Cases
Thomas H. Helbich, MD, FRCPC

4:15-4:45 "Jeopardy Game" - Join an exciting fact-packed review of breast MRI interpretation
Bruce L. Daniel, MD

4:45-5:00 Questions & Answers
Faculty

Saturday,October 18, 2008

7:30-7:55 am Continental Breakfast & Exhibits
7:55-8:00 Announcements

Session 8: High Field MRI of the Breast
Moderator: Brian Hargreaves, PhD

8:00-8:30 3T Imaging of the Breast: New Physics and New Opportunities
Brian Hargreaves, PhD

8:30-9:00 Clinical Experience with 3T Breast MRI
Jeffrey C. Weinreb, MD, FACR

9:00-9:15 Comment: Challenges of 3T MRI of the Breast
Christiane K. Kuhl, MD

9:15-9:30 Panel Discussion, Q&A: Should We All be Doing Breast MRI's at 3T?
Faculty

9:30-10:00 Coffee Break & View Exhibits

Session 9: Tough Breast MRI Issues
Moderator: Debra M. Ikeda, MD

10:00-10:30 Artifacts on Breast MR Images
Brian Hargreaves, PhD

10:30-11:00 Challenging Breast MRI Cases
Christiane K. Kuhl, MD

11:00-11:30 “Stump the Experts” –
Faculty Panel discussion on unknown cases that have been on display throughout the meeting.
(Registrants are invited to submit path-proven cases at least 1 month before the conference*)
Debra M. Ikeda, MD (Chair) and Course Faculty

11:30-11:45 Questions & Answers
Faculty

*For more information on submitting cases, please visit:
http://radiologycme.stanford.edu/2008bmri/cases.html

All lectures will be held in the meeting rooms of the Bellagio Hotel. Registration and check-in will begin at 7:30 am on Thursday, October 16th.

Disclaimer: The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient's medical condition.

Objectives | Program | Faculty | Accommodations | Travel | Activities | Registration

Faculty

Course Directors

Bruce L. Daniel, MD
Associate Professor of Radiology
Chief of Breast MRI
Stanford University School of Medicine

Debra M. Ikeda, MD
Professor of Radiology
Director of Breast Imaging
Stanford University School of Medicine

Director of Technologist Symposium

Anne Marie Sawyer, BS, RT(R)(MR)
Manager, MR Whole Body Research Systems
Radiological Sciences Laboratory,
Richard M. Lucas Center for Imaging
Stanford University School of Medicine

Faculty

William Faulkner, BS, RT(R)(MR)(CT), FSMRT
William Faulkner & Associates, LLC

Brian Hargreaves, PhD
Assistant Professor of Radiology
Stanford University School of Medicine

Thomas H. Helbich, MD, FRCPC
Department of Medical Imaging, UHN/MSH/WCH
Chief of Breast Imaging
Professor of Radiology
University of Toronto

Robert J. Herfkens, MD
Professor of Radiology
Associate Chair for Clinical Technology
Director of MRI
Stanford University School of Medicine

Christiane K. Kuhl, MD
Professor of Radiology
Vice Chairman of the Department of Radiology
University of Bonn, Germany

Constance D. Lehman, MD, PhD
Professor of Radiology
University of Washington Medical Center
Seattle, Washington

Elizabeth Morris, MD
Associate Professor
Department of Radiology
Memorial Sloan Kettering Hospital
New York, New York

Teresa Nelson, RT
MRI Supervisor, ARRT
Department of Radiology
Stanford University School of Medicine

Jeffrey C. Weinreb, MD, FACR
Professor of Diagnostic Radiology
Director of Medical Imaging
Chief of Body Imaging
Chief of Magnetic Resonance Imaging (MRI)
Yale University School of Medicine

Faculty Disclosure: The Stanford University School of Medicine adheres to ACCME Essential Areas, Standards, and Policies regarding industry support of continuing medical education. Disclosure of faculty and commercial relationships will be made known at the activity. Speakers are required to openly disclose any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations.

Accommodations

Take pleasure in one of Bellagio's deluxe guest rooms and enjoy every exquisite AAA Five Diamond Award-winning enhancement. Peer out your window and view the exhilarating Las Vegas Strip, the pristine waters of Lake Bellagio, or the picture-perfect surrounding mountains. Your stay in this European-styled enclave will be complemented by an attentive staff working together to perfect your visit. In addition to the traditional guest amenities you would expect from a AAA Five Diamond award-winning resort, Bellagio also provides lavishly stocked mini-bars, irons and ironing boards, two-line telephones and computer/fax accessible data ports, express check-out, posh marble bathrooms with separate soaking tubs and showers, plush robes and wall-mounted blow dyers.

Rooms at the special rate of $259 per night from Tuesday-Friday (October 14-17) and $299 on Saturday night (October 18th) have been reserved for conference attendees. Rates are for single or double occupancy and are subject to tax. To receive this special rate, please make your reservation no later than September 15th, 2008. Rooms at these special rates have been reserved on a first-come, first-served basis and may sell out before the cut-off date.

Don't be disappointed by waiting too long; reserve your room now by contacting Bellagio Room Reservations Department today at 888-987-6667, or (702) 693-7444. Registrants can also book rooms at our group rates online by going to this link. Please identify yourself as a participant of the Stanford University School of Medicine conference to recieve the group rate. For more information on the Bellagio Hotel, please visit their website at www.bellagio.com

Travel

Special airfare and discount car rentals: Palo Alto Village Travel has been chosen as the official travel agency for this conference. Palo Alto Village Travel's knowledgeable staff are at your service Monday-Friday, 8:30 am-5:30 pm PST. Call Palo Alto Village Travel at 1-800- 245-3260 (within U.S. or Canada) or (650) 326-0510.

Special meeting discounts on airfare and car rentals have been arranged for our attendees and their guests. The airlines offer discounts off published fares and special area pricing rates.

Call United Airlines at 1-800-521-4041 and reference Meeting ID Code 502BH.

Call American Airlines at 1-800-433-1790 and reference Authorization Number A0618SS.

Call Avis Car Rental at 1-888-754-8878, and refer to AWD # D004951, or book online at http://www.avis.com/, and enter the AWD number on the reservation page.

Call Hertz Car Rental at 1-800-654-2240 and refer to CV # 01YN0013, or book online at http://www.hertz.com/, and enter the CV number on the reservation form.

Activities

Dining: The Bellagio boasts a variety of dining options including five restaurants by world-renowned chefs. Among these are the AAA Five Diamond award-winning Le Cirque and Chef Julian Serrano's Picasso, PRIME steakhouse, Michael Mina, Circo, Jasmine, and Shintaro. For more information on the many exciting eateries in the Bellagio, please visit their website at: www.bellagio.com

Shopping: Via Bellagio, a glass-enclosed shopping promenade, offers an exciting 100,000 square feet of boutiques including Chanel, Giorgio Armani, Prada, Tiffany & Co., Fred Leighton, Yves Saint Laurent, Hermès, Gucci, Dior, Fendi, and Bottega Venetta.

Spa/Salon: The luxurious new 65,000-square-foot Spa & Salon Bellagio is Zen-influenced, balancing natural elements of earth, water, fire and wind. The Spa’s 56 treatment rooms offer a full complement of therapeutic and rejuvenating facial and body care treatments. Separate women's and men's facilities with showers, steam room, sauna and whirlpool ensure your comfort and privacy. Lockers with spa robes and slippers are provided, as well as hair and body care amenities. For reservations, please call the Bellagio Spa and Salon reservations line at (702) 693-7472.

Theater: O - The award winning Cirque du Soleil aquatic spectacular is performed at the Bellagio Theater twice a night Wednesday through Sunday at 7:30 p.m. and 10:30 p.m. For additional information on the show, showtimes, and tickets, please call Reservations at (702) 693-7722, toll-free at 888-488-7111, or visit the Bellagio website www.bellagio.com

Outdoors in and around Las Vegas: In Las Vegas, you can enjoy more than the nightlife. The balmy weather is perfect for golfing, tennis, and swimming. Explore the 3 nearby National Parks where you can go water skiing, boating, fishing, hiking, and horseback riding. Tours are available. For more information on Las Vegas and the surrounding area, please visit http://www.lasvegas24hours.com/

Tuition and Registration

Objectives | Program | Faculty | Accommodations | Travel | Activities | Registration

Sponsored by the Stanford University School of Medicine