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CME / ABIM MOC

Breast MRI: Cancer Screening for Women With Increased Breast Density

  • Authors: Emily F. Conant, MD
  • CME / ABIM MOC Released: 5/21/2021
  • THIS ACTIVITY HAS EXPIRED
  • Valid for credit through: 5/21/2022
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Target Audience and Goal Statement

This activity is intended for obstetrician gynecologists (Ob/Gyns), women's health specialists, primary care physicians (PCPs), and radiologists.

The goal of this activity is to educate healthcare providers on the current guidelines for screening patients at high risk for breast cancer and how to counsel high-risk patients about the pros and cons of breast cancer screening options.

Upon completion of this activity, participants will:

  • Have increased knowledge regarding the
    • Screening guidelines for patients with dense breasts and average risk

    • Benefits of using magnetic resonance imaging (MRI) in breast cancer screening


Disclosures

As an organization accredited by the ACCME, Medscape, LLC requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.

Medscape, LLC encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.


Faculty

  • Emily F. Conant, MD

    Division Chief, Breast Imaging
    Vice Chair Faculty Development Radiology
    Professor of Radiology, Department of Radiology
    Perelman School of Medicine, University of Pennsylvania
    Philadelphia, Pennsylvania

    Disclosures

    Disclosure: Emily F. Conant, MD, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: Hologic; iCAD
    Served as a speaker or a member of a speakers bureau for: Aunt Minnie; Hologic; iCAD
    Received grants for clinical research from: Hologic; iCAD

Editors

  • Victoria Phoenix, BS

    Medical Education Director, Medscape, LLC 

    Disclosures

    Disclosure: Vickie Phoenix, BS, has disclosed no relevant financial relationships.  

  • Tristin Abair, PhD

    Senior Medical Writer, Medscape, LLC

    Disclosures

    Disclosure: Tristin Abair, PhD, has disclosed no relevant financial relationships

CME Reviewer

  • Esther Nyarko, PharmD

    Associate Director, Accreditation and Compliance, Medscape, LLC

    Disclosures

    Disclosure: Esther Nyarko, PharmD, has disclosed no relevant financial relationships.

Medscape, LLC staff have disclosed that they have no relevant financial relationships.

Peer Reviewer

This activity has been peer reviewed and the reviewer has disclosed no relevant financial relationships.


Accreditation Statements



In support of improving patient care, Medscape, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    For Physicians

  • Medscape, LLC designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

    Contact This Provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]


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This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.

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CME / ABIM MOC

Breast MRI: Cancer Screening for Women With Increased Breast Density

Authors: Emily F. Conant, MDFaculty and Disclosures
THIS ACTIVITY HAS EXPIRED

CME / ABIM MOC Released: 5/21/2021

Valid for credit through: 5/21/2022

processing....

Introduction

Carrie is a 46-year-old middle school teacher who recently had her first baseline breast cancer screening with digital mammography based on recommendations from her primary care physician. She subsequently received a letter indicating that no abnormalities were found by mammography and informing her that she had heterogeneously dense breast tissue, BI-RADS® density category C. The letter indicated that she should speak with her doctor regarding the effect of her breast density on breast cancer risk and optimal screening. She called her Ob/Gyn with several questions and a telemedicine visit was scheduled to address her questions and determine the appropriate next steps. 

Dr Roberts: Hello Carrie, can you hear me okay?

Carrie: Hi Dr Roberts. Yes, I can see and hear you just fine.

Dr Roberts: Great. It's good to see you again, even if it's not in person. How are you doing?

Carrie: I'm good. Spring is a busy time for our family and at school, so I'm running to keep up with everything.

Dr Roberts: I understand and can certainly relate. Spring is definitely full of activity! My nurse told me that you called the office and had questions about the results of your screening mammogram. I felt like a video call would be best to give us time to discuss your questions and concerns.

Carrie: Absolutely, thank you for taking the time to speak with me. I got a letter in the mail after my mammogram and I am confused about what it means and what should happen next.

Dr Roberts: Before we discuss the letter, let's back up and discuss your history if that's okay?

Carrie: Yes, that's fine.

Dr Roberts: Do you have any history of cancer in your family?

Carrie: Yes, my grandmother on my father's side passed away from breast cancer when I was a little girl. My dad has also had some skin cancers removed from his face and arms. He told me they weren't melanoma, they were some sort of slow growing spots. I can't remember exactly what he called them.

Dr Roberts: Perhaps basal cell carcinomas?

Carrie: Yes, that's right. Basal cell carcinomas.

Dr Roberts: What about your grandmother? Do you know how old she was when she was diagnosed?

Carrie: No, I'm not sure how old she was. I would guess she was in her late 50s when she passed away. My father doesn't talk about it much.

Dr Roberts: Okay, I understand. Let's meet at a future time to get a more detailed family history and decide if the family history increases your risks of breast cancer. I looked at your mammogram and saw that no abnormalities were found.

Carrie: That's right. But I got a letter saying I have dense breasts and I'm not sure what that means.

Dr Roberts: That's correct, the radiologist classified your breast tissue as heterogeneously dense, which means some of the tissue is considered fatty and some is dense.

Carrie: I'm assuming I received that letter because my breast density is important. What does it mean specifically for me?

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