Session Description: Interesting and challenging cases that benefit from or require multi-modality breast imaging for accurate diagnosis will be presented. Key teaching points will be highlighted.

Learning Objectives:

1. Demonstrate applications of multi-modality breast imaging to various challenging clinical and imaging presentations.
2. Illustrate cases in which multi-modality imaging was needed for accurate diagnosis of breast lesions.
3. Discuss appropriate and inappropriate use of multi-modality imaging in the workup and evaluation of breast lesions.

Session Description: In this session, we will be demonstrating multimodality work up of interesting and unusual benign and malignant processes in the breast, chest wall, axillary and internal mammary lymph nodes. Imaging modalities will include mammography, breast US, MRI, MBI and PET/CT with pathologic and clinical correlation.

Learning Objectives:

1. Discriminate between benign from malignant internal mammary and axillary adenopathy with more confidence.
2. Understand the appropriate workup, imaging appearance and treatment for uncommon breast conditions such as fibromatosis of the breast and chest wall and angiosarcoma.
3. Conduct the appropriate work-up, using multiple modalities, for various breast conditions and understand concordance between different modalities.

Session Description: This session will provide an overview of current Molecular Breast Imaging (MBI) technology and recent evidence-based updates to use of MBI in clinical practice. Practical expert guidance in MBI technique and case interpretation will be provided. New developments in MBI will be discussed, including direct MBI-guided biopsy capability, further reductions in radiation dose, and breast cancer risk prediction.

Learning Objectives:

1. Understand how molecular breast imaging is performed and interpreted.
2. Discuss applications for MBI, including supplemental screening and risk assessment.
3. Understand the benefits and limitations of MBI.

Session Description: In this session, we will review a systematic approach to an effective breast MRI interpretation, with focus on how to approach relevant imaging series, use of BI-RADS lexicon, with considerations for emerging technologies such as abbreviated MRI, DWI, and ultrafast MRI. This approach will be augmented by presentation of a range of cases that serve to illustrate this approach to interpretation.

Learning Objectives:

1. Describe a systematic approach to breast MRI interpretation.
2. Apply conventional kinetics, ultrafast, and diffusion weighted imaging features to improve interpretation specificity.
3. Develop management strategies for complex clinical scenarios through analysis of challenging cases.