Journal of Breast Imaging CME-CE Article
Volume 1, Issue 2, June 2019

Title of Activity: Lesion Localization Using Digital Breast Tomosynthesis: Where Did I Go Wrong

Date(s) of Activity: June 11, 2019 – June 11, 2022

This activity is jointly provided by the American College of Radiology and the Society of Breast Imaging.

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Educational/Learning Objectives

After completing this activity, the participant should be better able to:

  • Review the principles of triangulation on conventional digital mammography
  • Discuss lesion localization using the scroll bar on digital breast tomosynthesis (DBT) for evaluation of one-view findings
  • Recap the utility of tomosynthesis in recognizing dermal findings
  • Review specific scenarios when lesion localization using the scroll bar can go astray
  • Give tips on identifying when the scroll bar is misleading
  • Suggest alternate clues for when there is concern that the scroll bar is incorrect


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Accreditation Information

Physician Accreditation Statement:

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The American College of Radiology and Society of Breast Imaging. The American College of Radiology is accredited by the ACCME to provide continuing medical education for physicians.

Physician Credit Designation:

The American College of Radiology designates this journal-based activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American College of Radiology is approved by the American Registry of Radiologic Technologists (ARRT) as a Recognized Continuing Education Evaluation Mechanism (RCEEM) to sponsor and/or review Continuing Medical Educational programs for Radiologic Technologists and Radiation Therapists.

Credit Designation Statement: The American College of Radiology designates this educational activity as meeting the criteria for up to 1 Category A credit hours of the ARRT.

Instructions to Receive Credit:
In order to successfully complete the activity, participants must score 80% or higher on the post-test at the end of the activity and complete the activity evaluation. Each participant has a maximum of three attempts to score an 80%. Upon successful completion the participant may claim credit commensurate with their participation in the activity.

Contact Information:
For information about the accreditation of this program, please contact the ACR at

Disclosure of Conflicts of Interest:
The ACR Disclosure Policy: In compliance with ACCME requirements and guidelines, the ACR has developed a policy for disclosure and review of potential conflicts of interest, and a method for resolution if a conflict does exist. The ACR maintains a tradition of scientific integrity and objectivity in its educational activities. In order to preserve these values and ensure its educational activities are independent and free of commercial bias, all individuals, including planners, presenters, moderators and evaluators, participating in an ACR educational activity, or an activity jointly provided by the ACR must disclose all relevant financial relationships with any commercial interest.

The following planners and managers have no financial relationships to disclose: Ana Lourenco, MD; Dipti Gupta, MD, Sarah M. Friedewald, MD; Yasmeen Fields, CAE.