Oakstone Topics in Mammography 9th Edition 2025

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 continuing medical education lectures, you’ll explore:

AI & Liability: Where AI truly helps, where it introduces risk, and what this means for your medico-legal exposure
MRI Everywhere: From staging and recurrence detection to 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

Date of Original Release: 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 the issues regarding risk, breast density and phenotypes, mathematical models
Analyze the different approaches to supplementary screening imaging modalities beyond mammography
Recognize the indications and limitations of stereotactic breast biopsy
Analyze different approaches and limitations of ultrasound guided breast techniques
Compare different methods of preoperative image-guided localization of nonpalpable lesions for surgical excision
Review technique issues for biopsy using nuclear imaging, MRI imaging, contrast-enhanced (CEM) imaging
Decide on appropriate management recommendations following percutaneous breast biopsies of “high risk” lesions
Distinguish the criteria and conditions for recommending surveillance imaging as opposed to biopsy for probably benign breast lesions identified on imaging
Recognize the signs of silicone implant rupture
Analyze the indications and outcome expectations of applied criteria for interpreting MRI studies
Recognize current molecular profiles assigned to breast cancer diagnosis
Discuss the histologic basis for macroscopic findings on mammography
Explain the potentials and limitations of incorporating artificial intelligence (AI) into breast imaging practice
Intended Audience

This course is intended for radiologists in academics or private practice, and involved in breast imaging and interventional procedures. Any physician (e.g. surgeons) working in the field of evaluation and treatment of breast disease who desires a more comprehensive understanding of the imaging aspects of evaluation.

+ Topics:

Practical Approaches to Mammographic Interpretation

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

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

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

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

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

Screening for Breast Cancer: Imaging Parameters for Different Modalities

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

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

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

Supplementary Breast Screening – Whole Breast Ultrasound – Contrast Enhanced Mammography (CEM); Nuclear Techniques MRI; Other (Coned Beam CT, Spiral CT, Phase Sensitive Tomosynthesis) – R. James Brenner, MD, JD, FACR, FCLM, FSBI

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

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

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

Breast Lesion Management: Surveillance and Interventional Techniques

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

Biopsy Techniques and Pre-Op Localization Part 1 – Stereotactic Bx – R. James Brenner, MD, JD, FACR, FCLM, FSBI

Biopsy Techniques and Pre-Op Localization Part 2 – Ultrasound Guided Bx and Perioperative Localization – Mohammad Eghtedari, MD, PhD

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

Molecular Breast Imaging Guided Biopsy – Katie Hunt, MD

MRI Guided Breast Biopsies – R. James Brenner, MD, JD, FACR, FCLM, FSBI

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

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

MRI

Magnetic Resonance Imaging Breast: Silicone Evaluation – R. James Brenner, MD, JD, FACR, FCLM, FSBI

Magnetic Resonance Imaging Breast: Tumor Studies – General Approaches and Analysis of Mass and Non-Mass Lesions; Unknown Primary – R. James Brenner, MD, JD, FACR, FCLM, FSBI

Magnetic Resonance Imaging Breast: Tumor Studies – Staging of Breast Cancer; Resection, Recurrence, and Lymph Node Analysis – R. James Brenner, MD, JD, FACR, FCLM, FSBI

Magnetic Resonance Imaging Breast: Tumor Studies – Surveillance, Neoadjuvant Rx, Problem Solving: False Positive and False Negative Studies – R. James Brenner, MD, JD, FACR, FCLM, FSBI

Magnetic Resonance Imaging Breast: Tumor Studies – Incidental Findings at MRI Actionable and Non-Actionable – R. James Brenner, MD, JD, FACR, FCLM, FSBI

Medical Legal Aspects of Breast Imaging

Medical Legal Issues in Breast Imaging – Overview of Legal Landscape Issues of Detection and Diagnosis – R. James Brenner, MD, JD, FACR, FCLM, FSBI

Medical Legal Issues in Breast Imaging – Issues with DBT, AI Triaging, and AI Impact on Triaging – R. James Brenner, MD, JD, FACR, FCLM, FSBI

Medical Legal Issues of Breast Imaging – Preventable Causes of Falst Negative Breast Imaging Studies – R. James Brenner, MD, JD, FACR, FCLM, FSBI

Medical Legal Issues of Breast Imaging – Issues in Communication – Substance of Report, Timeliness of Report, Credibility of Report, and Nature of the Communication – R. James Brenner, MD, JD, FACR, FCLM, FSBI

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