Society of Diagnostic Medical Sonography

This virtual session explores a systematic approach to evaluating patients with breast pain, focusing on targeted ultrasound techniques, clinical correlation, and appropriate image acquisition. Participants will examine scanning strategies based on patient symptoms and pain location, common benign sonographic findings, and effective communication and documentation. The presentation also addresses the sonographer’s role in providing a thorough, patient-centered evaluation that supports accurate and efficient diagnostic breast imaging.

• Differentiate types of breast pain and associated risk factors to support appropriate patient evaluation.
• Identify evidence-based imaging recommendations and sonographic findings associated with breast pain to support diagnostic breast imaging.
• Describe ultrasound scanning techniques for symptomatic patients to optimize targeted image acquisition.

This virtual session explores the use of breast ultrasound for detailed characterization of breast masses and differentiation of benign and suspicious findings. Participants will review sonographic features including shape, margins, orientation, echo pattern, posterior acoustic features, vascularity, and surrounding tissue changes. The presentation will also address the role of breast ultrasound in evaluating palpable abnormalities, distinguishing cystic from solid lesions, guiding biopsy procedures, and supporting diagnosis, risk assessment, and patient management.

• Identify sonographic characteristics used to evaluate breast masses, including shape, margins, orientation, echo pattern, posterior acoustic features, and vascularity.
• Differentiate sonographic features associated with benign and suspicious breast lesions to support lesion assessment.
• Describe the role of breast ultrasound in diagnosis, risk assessment, biopsy guidance, and patient management.

This virtual session provides an overview of the breast cancer patient journey, from the initial sonographic finding and diagnosis through treatment and long-term surveillance. Participants will review common treatment modalities, post-treatment imaging appearances, and surveillance recommendations, with emphasis on distinguishing expected post-treatment changes from findings concerning for recurrence. The presentation also explores the sonographer’s role in treatment monitoring, surveillance imaging, and supporting patients throughout the breast cancer care continuum.

• Describe the clinical pathway from an initial sonographic finding through breast cancer diagnosis and treatment.
• Identify common post-treatment imaging findings and their sonographic features to distinguish expected changes from findings concerning for recurrence.
• Explain surveillance imaging recommendations and the sonographer’s role in breast cancer treatment monitoring and long-term surveillance.

This virtual session explores the correlation of mammographic findings with targeted breast ultrasound and the role of breast MRI in multimodality breast imaging. Participants will review techniques for localizing, scanning, measuring, and documenting targeted findings while applying ACR BI-RADS v2025 ultrasound terminology. The presentation also addresses appropriate use of Doppler ultrasound, axillary evaluation when indicated, and effective communication between sonographers and radiologists to support multimodality concordance and patient care.

• Identify mammographic findings and their expected location, depth, and imaging appearance before performing targeted breast ultrasound.
• Describe techniques for correlating and documenting targeted breast ultrasound findings using appropriate scanning planes, three-dimensional measurements, clock-face position, distance from the nipple, and ACR BI-RADS v2025 terminology.
• Explain the role of multimodality correlation and sonographer-radiologist communication in evaluating and documenting breast findings that may require biopsy or additional evaluation.