Modern possibilities of the multiparametric approach in ultrasound diagnostics of the breast: examination technique, Bi-rads classification, norm and pathology

Course curriculum

• Fundamentals of breast ultrasound
  • — 1.1. Anatomy of the breast: normal structure, age-related changes. Physical principles of ultrasound: interaction of ultrasound with tissues
  • — 1.2. Ultrasound device setup: image optimization
  • — 1.3. Scanning technique: radial, antiradial, axillary region. Ultrasound artifacts and methods of their identification
• Additional ultrasound methods
  • — 2.1. CDM (color Doppler mapping): assessment of vascularization of lesions
  • — 2.2. Elastography: assessment of tissue elasticity, differential diagnosis of benign and malignant lesions
• BI-RADS classification
  • — 3.1. BI-RADS categories: 0, 1, 2, 3, 4 (4A, 4B, 4C), 5, 6. Criteria for each category: description, management tactics
  • — 3.2. Application of BI-RADS for standardization of conclusions
• Diagnosis of breast pathologies
  • — 4.1. Cysts: simple, complex, complicated. Differential diagnosis
  • — 4.2. Fibroadenomas: typical, atypical. Malignancy criteria
  • — 4.3. Lactostasis: ultrasound features, differential diagnosis with mastitis
  • — 4.4. Inflammatory diseases: mastitis, abscess
  • — 4.5. Malignant neoplasms: ultrasound features, classification
  • — 4.6. Implants: integrity assessment, complications (rupture, capsular contracture)
• Ultrasound-guided needle biopsy
  • — 5.1. Indications and contraindications for biopsy. Biopsy technique. Preparation for biopsy. Complications of biopsy and methods of their prevention. Interpretation of biopsy results
  • — 5.2. Writing the protocol. Important features