Inaugural Canadian Society of Breast Imaging Conference PROGRAMME

Transcription

1 Inaugural Canadian Society of Breast Imaging Conference PROGRAMME THURSDAY, APRIL 26, 2018

2 INDUSTRY SPONSORS The Canadian Society of Breast Imaging gratefully acknowledges the participation of the following corporate sponsors, each of whom has provided an unrestricted educational grant in support of the CSBI 2018 Conference program. Together, we are working to build a strong breast imaging community in Canada. April 25, 2018 Page 2

3 TABLE OF CONTENTS April 25, 2018 Page 3

4 THE CANADIAN SOCIETY OF BREAST IMAGING ABOUT The idea of forming a group dedicated to breast imaging in Canada has been going on for some time. Professionals interested in breast imaging have been engaged in the European Society of Breast Imaging as well as the Society of Breast Imaging in the United States. Recognizing that there was a need for a place to discuss uniquely Canadian issues related to breast imaging, the CSBI was founded in October 2017 with the support of the CAR. Founding members include senior leading breast imagers from across the country including: Drs. Jean Seely (ON), Nancy Wadden (NL), Shiela Appavoo (AB), Anabel Scaranelo (ON), Yves Loisel (QC) and Paula Gordon (BC). The CSBI is a home for Canadian breast imaging professionals and patients to discuss best practices, pressures on the system and to celebrate successes. The CSBI will also be a focused vehicle to bring breast imaging stories from Canada to the rest of the world and vice versa. PURPOSE To establish a society for the improvement and dissemination of breast imaging To promote high quality breast imaging that is patient centered To improve the quality of medical education in the practice of breast imaging To foster research in all aspects of breast imaging To provide a medium for the exchange of ideas among clinicians, researchers and healthcare professionals involved with breast imaging To provide meetings for presentation and discussion of papers and the dissemination of knowledge in the area of breast imaging To establish a channel for publication of scientific reports in the field of breast imaging; and To respond to public / media inquiries concerning breast imaging. CONFERENCE PLANNING COMMITTEE Dr. Jean Seely (Chair, ON) Ms. Marzanna Bednarek-Zelinkas (ON) Dr. Mona El Khoury (QC) Dr. Supriya Kulkarni (ON) Dr. Alayne Main (ON) Dr. Nancy Wadden (NL) Dr. Shiela Appavoo (AB) Dr. Paula Gordon (BC) Dr. Anat Kornecki (ON) Dr. Yves Loisel (QC) Dr. Anabel Scaranelo (ON) Dr. Linda Warren (BC) Ms. Trisha MacNeil April 25, 2018 Page 4

5 GENERAL INFORMATION CSBI Inaugural Conference Venue and Host Hotel Le Centre Sheraton 1201 René-Lévesque Blvd W, Montreal, QC H3B 2L7 Registration and Information Desk Location Niveau A Hours Thursday, April 26 07:00 am 3:30 pm Badges CSBI Conference name badges must be worn and visible at all times by all delegates. They are required to access all scientific sessions. Name badges are not transferable. Please do not alter, deface and avoid covering name badges with business cards, pins or stickers. April 25, 2018 Page 5

6 FLOOR MAPS April 25, 2018 Page 6

7 PROGRAMME INFORMATION Needs Assessment The inaugural conference of the CSBI is intended to bring together practitioners from a variety of health fields to educate and collaborate on current breast imaging practices in Canada. CSBI 2018 will explore how radiologists and other imaging professionals can work to save life years and improve the quality of life through the early detection of breast cancer, make use of cutting-edge technologies to improve imaging quality, and better engage patients in the continuum of breast imaging care. Target Audience This conference is designed for general and subspecialty radiologists involved in breast imaging. It is also appropriate for health practitioners from other disciplines (family medicine, medical radiation technologists), and patients who are interested in working collaboratively to improve breast imaging care. Overall Learning Objectives At the end of the conference, participants should be able to: 1. Share the message and mandate of the Canadian Society of Breast Imaging with diverse stakeholders [CanMEDS roles: Communicator, Collaborator, Health Advocate, Leader, Professional] 2. Provide an overview of leading technology in the field of breast imaging [CanMEDS roles: Communicator, Health Advocate, Medical Expert] 3. Discuss current Canadian breast cancer screening practices and protocols [CanMEDS roles: Communicator, Medical Expert, Collaborator, Health Advocate, Professional] ACCREDITATION Canadian Radiologists This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of the Royal College of Physicians and Surgeons of Canada (RCPSC) and approved by the Canadian Association of Radiologists. The CSBI 2018 programme is approved for a maximum of 5 hours (credits are automatically calculated). Participants in the Tomosynthesis or Breast MRI Wokshops may claim a maximum of 1.5 hours (credits are automatically calculated), under Section 3, Simulation-based Activities (SIM), as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by, the Canadian Association of Radiologists. Participants in the Radioactive Seeds Workshop may claim a maximum of 1.5 hours (credits are automatically calculated), under Section 3, Self-Assessment Program (SAP), as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by, the Canadian Association of Radiologists. Participants should only claim the credits commensurate with the extent of their participation in the activity. April 25, 2018 Page 7

8 American Radiologists Through an agreement between the Royal College of Physicians of Surgeons of Canada and the American Medical Association (AMA), physicians may convert Royal College MOC credits to AMA PRA Category 1 Credits TM. Information on the process to convert Royal College MOC credits to AMA credits can be found at Canadian Technologists The CSBI 2018 Conference has also been accredited by the Canadian Association of Medical Radiation Technologists (CAMRT) for Category A credits. CERTIFICATE OF ATTENDANCE A certificate of attendance is available for all delegates attending the conference. An will be sent to you following the conference. Participants can document their learning in the RCPSC MAINPORT at PRESENTATIONS Unless otherwise indicated under individual sessions, each presentation is scheduled for 30 minutes. Speakers are allotted 25 minutes to present and 5 minutes to answer questions from the audience. Every session has been designed as an educational offering to advance practitioners professional development and the profession. DISCLAIMER No responsibility is assumed by the CSBI for any injury and/or damage to persons or property as a matter of product liability, negligence or otherwise, or from any use or operations of any methods, products, instructions or ideas contained in materials distributed or described during presentations throughout the CSBI 2018 Conference. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. Although all advertising material on location and in print is expected to conform to ethical (medical) standards, inclusion in this event does not constitute a guarantee or endorsement of the quality or value of such product or of the claims made of it by its manufacturer and representatives. CBSI EVALUATION FORMS Your comments and feedback are instrumental in helping us plan future meetings and events. We encourage all participants to fill out the overall conference evaluation available online at Session evaluation forms will be sent to participants via throughout the conference, and will also be made available online at the end of the conference. April 25, 2018 Page 8

9 Disclosure of Conflict of Interest The CSBI has a formal policy regarding the need for authors and presenters to inform CSBI attendees of any Conflict of Interest (COI). A COI includes, but is not limited to, employment, ownership of stock, membership on a standing advisory council or committee, or being on the board of directors or publicly associated with a company or its products. Other potential areas of real or perceived conflict of interest could include receiving honoraria, consulting fees, or grants. INAUGURAL GENERAL MEETING The inaugural general meeting of the CSBI will be held over the lunch hour in Salon Jarry/Joyce, Level A. We ask that all members attend the Canadian Society of Breast Imaging Meeting. Thursday, April 26 12: Salon Jarry/Joyce, Level A ELECTRONIC ACCESS This programme is available electronically at April 25, 2018 Page 9

10 AGENDA 07:00 07:55 Breakfast Salon Jarry/Joyce, Level A 07:55 08:00 Welcome Address: Dr. Jean Seely, President of the CSBI Salon Jarry/Joyce, Level A 08:00 08:40 Keynote: TMIST: Towards Personalized Breast Cancer Screening Dr. Etta Pisano Salon Jarry/Joyce, Level A 08:45 09:15 Canadian Breast Imaging Update Dr. Jean Seely Salon Jarry/Joyce, Level A 09:15 09:45 Personalized Screening Dr. Isabel Trop Salon Jarry/Joyce, Level A 09:45 10:15 Annual Screening Dr. Paula Gordon Salon Jarry/Joyce, Level A 10:15 10:40 Nutrition Break Salon Jarry/Joyce, Level A 10:45 11:15 CAR MAP Image Evaluation Dr. Nancy Wadden Salon Jarry/Joyce, Level A 11:15 11:45 Positioning Louise Miller Salon Jarry/Joyce, Level A 11:45 12:15 BIRADS Ultrasound Dr. Supriya Kulkarni Salon Jarry/Joyce, Level A 12:15 13:25 Lunch First General Meeting of the CSBI Salon Jarry/Joyce, Level A 13:30 15:00 Tomosynthesis Workshop Dr. Yves Loisel Salon Kafka/Lamartine Radioactive Seeds Workshop Dr. Anat Kornecki Salon Jarry/Joyce, Level A Breast MRI Workshop Dr. Supriya Kulkarni, Dr. Anabel Scaranelo, Dr. Jean Seely Salon Musset 15:00 15:25 Nutrition Break with Vendors Salle de balle centre 15:30 16:55 Plenary: Breast Density and Supplemental Screening Moderator: Dr. Jean Seely Opening Remarks: Dr. Manisha Bahl Panelists: Dr. Paula Gordon, Trish MacNeill Dr. Etta Pisano, Dr. Nancy Wadden Salle de balle est 16:55 17:00 Closing Remarks: Dr. Jean Seely, President of the CSBI Salle de balle est April 25, 2018 Page 10

11 OPENING REMARKS & WELCOME Dr. Jean Seely, MDCM, FRCPC 07:55 08:00 Salon Jarry/Joyce TMIST and the Future of Breast Cancer Screening Dr. Etta Pisano, MD 08:00 08:40 Salon Jarry/Joyce This presentation is a 30-minute lecture, followed by an interactive 10-minute question and answer session. PRESENTATION SUMMARY: The Tomosynthesis Mammographic Imaging Screening Trial, a National Cancer Institute-funded clinical trial under the auspices of the ECOG-ACRIN research base, which will enroll over 165,000 women in 150 sites in the US and Canada and randomize women to either tomosynthesis or digital mammography for 3-5 rounds of breast cancer screening. The goal of the study is to determine whether tomosynthesis reduces advanced breast cancers in the population being screened compared with digital mammography. LEARNING OBJECTIVES At the end of the presentation, participants will be able to: 1. Describe the design of TMIST 2. Discuss the use of the novel endpoint of reduction in advanced cancers used in TMIST SCIENTIFIC AND EDUCATIONAL SESSIONS Canadian Breast Imaging Update Dr. Jean Seely, MDCM, 08:45 09:15 Salon Jarry/Joyce PRESENTATION SUMMARY: Breast cancer screening with mammography has been established in Canada since In the past 30 years the mortality from breast cancer has been reduced by 40% in Canada. I will present the history of breast cancer screening in Canada; provide an up-to-date account of current screening practices and controversies; and summarize information on breast radiologists practicing in Canada. LEARNING OBJECTIVES At the end of the presentation, participants will be able to: 1. To review the history of breast cancer screening in Canada 2. To provide an up-to-date account of current Canadian breast cancer screening practices 3. To summarize information on breast radiologists practice in Canada April 25, 2018 Page 11

12 Personalized Screening Dr. Isabelle Trop, MD MPH 09:15 09:45 Salon Jarry/Joyce PRESENTATION SUMMARY: The Tomosynthesis Mammographic Imaging Screening Trial, a National Cancer Institute-funded clinical trial under the auspices of the ECOG-ACRIN research base, which will enroll over 165,000 women in 150 sites in the US and Canada and randomize women to either tomosynthesis or digital mammography for 3-5 rounds of breast cancer screening. The goal of the study is to determine whether tomosynthesis reduces advanced breast cancers in the population being screened compared with digital mammography. LEARNING OBJECTIVES At the end of the presentation, participants will be able to: 1. Define risk-based personalized screening and its goals; 2. Put into perspective some of the latest research regarding risk-based breast cancer screening; 3. Discuss the concept of shared decision-making and the need for better information tools to guide clinicians and women. Annual Screening Dr. Paula Gordon, OBC, MD, FRCPC, 09:45 10:15 Salon Jarry/Joyce PRESENTATION SUMMARY: Annual screening starting at age 40 saves the most lives. Most screening programs start at 50, and screen biennially. Why? How does the Canadian Task Force on Preventative Health Care influence policy, and is it what is best for Canadian women?" LEARNING OBJECTIVES At the end of the presentation, participants will be able to: 1. Discuss the benefits of annual screening compared with biennial screening 2. Share data in favor of annual screening 3. Discuss why annual screening is not the standard in Canada April 25, 2018 Page 12

13 MAP Image Evaluation Dr. Nancy Wadden, MD, FRCPC 10:45 11:15 Salon Jarry/Joyce This presentation is a 20-minute lecture, followed by an interactive 10-minute question and answer session. PRESENTATION SUMMARY: This presentation will focus on the criteria for optimal image evaluation for CAR-MAP. The exact criteria used by clinical image reviewers in determining accreditation worthy images will be discussed and examples of optimal and suboptimal images will be presented. Each criterion will be explained and the logic for the choice of those criteria will be presented. The challenges of optimal image selection will also be examined. LEARNING OBJECTIVES At the end of this session, the participant will be able to: 1. Identify the criteria for optimal image evaluation for CAR-MAP 2. Recognize/Demonstrate the requirements for passing the CAR-MAP image evaluation 3. Consider the challenges in choosing images for evaluation Positioning Louise Miller, R.T. (R)(M), CRT (M), FSBI, FNCBC 11:15 11:45 Salon Jarry/Joyce PRESENTATION SUMMARY: Mammography Positioning is one few areas of medical imaging that does not require standardized positioning techniques. This, unfortunately, has caused much variation in image quality and subsequent evaluation throughout the US and Canada. This lecture will discuss the importance and efficacy of standardized positioning techniques that are consistent, reproducible, efficient, proficient and ergonomically sound. LEARNING OBJECTIVES At the end of this session, the participant will be able to: 1. Explain Importance of consistency and reproducibility 2. Show examples of pre-post training images 3. Present data that provides realistic expectations for criteria related to positioning characteristics April 25, 2018 Page 13

14 BIRADS Ultrasound Dr. Supriya Kulkarni, MD, FRCPC 11:45 12:15 Salon Jarry/Joyce PRESENTATION SUMMARY: The talk is based on updating the audience on the BIRADS Lexicon for ultrasound and providing a case-based training on the utilization of the appropriate terminology for lesion characterization. LEARNING OBJECTIVES At the end of this session, the participant will be able to: 1. Review the changes in Ultrasound BIRADS 2. Discuss elastography and its role in the new BIRADS 3. Apply the BIRADS lexicon for ultrasound lesion based on case-based training INTERACTIVE WORKSHOPS Tomosynthesis Workshop Moderator: Dr. Yves Loisel 13:30 15:00 Salon Kafka/Lamartine PRESENTATION SUMMARY: This simulation workshop is designed to provide individual instruction in tomosynthesis interpretation while reviewing clinical tomosynthesis data sets with accompanying standard mammography. This workshop will comprise a 30-minute didactic lecture about the theory and principles of digital breast tomosynthesis (DBT), including an overview of the advantages and challenges of the modality, and the current research climate. The lecture will be followed by 45 minutes of hands-on case review, interpretation and reporting at a DBT workstation. LEARNING OBJECTIVES At the end of the workshop, participants will be able to: 1. Identify the advantages of digital breast tomosynthesis compared with other breast imaging modalities 2. Read and interpret digital breast tomosynthesis images 3. Differentiate and define screening principles 4. Use a tomosynthesis workstation to interpret images 5. Compare the findings of a 2D synthetic image with those of a DBT image *Pre-registration was required for this workshop April 25, 2018 Page 14

15 To Seed or Not to Seed Moderator: Dr. Anat Kornecki 13:30 15:00 Salon Jarry/Joyce PRESENTATION SUMMARY: This interactive workshop is designed to teach the technique of breast radioactive seed localization. A 60-minute didactic session will be followed by 30 minutes of hands-on practice loading up radioactive seeds, with plenty of time for questions and discussion. Radiologists, surgeons, and technologists can also make additional arrangements after the conference to observe the technique by visiting St. Joseph s Health Centre (London, ON). TARGET AUDIENCE: radiologists, mammography and breast ultrasound technologists LEARNING OBJECTIVES At the end of the workshop, participants will be able to: 1. Recognize the advantages of a radioactive seed localized surgical procedure 2. Describe the basic steps required to begin the implementation of breast radioactive seed localization 3. Demonstrate how to load up radioactive seeds 4. Describe how to perform radioactive seed placement using different modalities 5. Identify the required steps for lost radioactive seed tracking Breast MRI Workshop Moderators: Dr. Supriya Kulkarni, Dr. Anabel Scaranelo, Dr. Jean Seely 13:30 15:00 Salon Musset PRESENTATION SUMMARY: Short high-impact didactic breast MRI workshop will aim to educate the participants on the following: 1. Appropriate use of the BIRADS lexicon and generating a breast MRI report in a setting of staging breast cancer. 2. Case-based review the role of breast MRI in management of the neo-adjuvant setting. 3. Case-based review of breast MRI guided biopsy using commercially available biopsy software. TARGET AUDIENCE: This workshop is designed for practicing radiologists with experience in day to day breast radiology. Prior experience in breast MRI is not a pre-requisite. The workshop is geared for beginners or those who have less experience in breast MRI. April 25, 2018 Page 15

16 LEARNING OBJECTIVES At the end of the workshop, participants will be able to: 1. Report and interpret breast MRI in accordance to BIRADS Lexicon 2. Recognize the role of MRI in the neoadjuvant setting 3. Recognize indications and technique for breast MR guided biopsy 4. Consider the optimized required technical protocols for performing breast MRI Breast Density and Supplemental Screening Moderator: Dr. Jean Seely Opening Remarks: Dr. Manisha Bahl Panelists: Dr. Paula Gordon, Ms. Trish MacNeill Dr. Etta Pisano, Dr. Nancy Wadden Salle de balle est PRESENTATION SUMMARY: Breast density at mammography is classified by the radiologist s subjective assessment into one of four categories: almost entirely fatty, scattered areas of fibroglandular density, heterogeneously dense, and extremely dense. Increased breast density lowers the sensitivity of mammography for the detection of breast cancer and is also associated with an increased risk of breast cancer. Controversy exists regarding whether or not increased breast density alone (without other risk factors) warrants supplemental screening with ultrasound and/or MRI. LEARNING OBJECTIVES At the end of this session, the participant will be able to: 1. Describe how breast density is assessed 2. Summarize the evidence that supports increased breast density as a risk factor for breast cancer 3. Assess the imaging modalities that can be used to screen patients with dense breasts April 25, 2018 Page 16

17 SPEAKER BIOS MANISHA BAHL, MD, MPH Harvard Medical School, Boston, Massachusetts, USA Dr. Bahl is a breast imaging radiologist at MGH and the Director of the MGH Breast Imaging Fellowship Program. She received her medical degree from UC San Francisco and completed residency and fellowship at Duke University Medical Center. She is a current recipient of the RSNA Research Scholar Grant and the ESSCO-MGH Breast Cancer Research Grant to investigate the application of machine learning algorithms to risk-stratify patients with ductal carcinoma in situ. PAULA GORDON, OBC, MD, FRCPC, FSBI University of British Columbia Dr. Paula Gordon is a Clinical Professor in the Department of Radiology at UBC. She is a fellow of the SBI, and on their Board of Directors. She is Medical Director of the Sadie Diamond Breast Program at BC Women's Hospital. Some of important contributions to the breast imaging literature are: her 1995 paper in Cancer, which was the first to show that ultrasound can find cancers missed on mammography in dense breasts; and her 2015 paper in AJR, showing that 98% of breast radiologists have annual mammograms starting at age 40, and recommend the same to their patients, friends and family. She also volunteers as a Director of the Board of the Canucks for Kids Fund. She has received a Killam Teaching Prize from the University of British Columbia, a Queen Elizabeth Diamond Jubilee Medal, and was invested in the Order of British Columbia. In 2014 she was named one of Canada's 100 Most Powerful Women by the Women's Executive Network. And in 2016, she was made an honorary member of the UBC Medical Alumni. ANAT KORNECKI, MD Dr. Anat Kornecki is an Associate Professor of Medical Imaging, Head of the Division of Breast Imaging at the Western University and the Regional Breast Imaging Lead at the South West Regional Cancer Program. Her main area of research is breast imaging. Dr. Kornecki had supervised several educational initiatives including the Breast Imaging Fellowship Programme and resident training. She is involved in organising CME events and workshops in Breast Imaging and presented in several forums, nationally and internationally. April 25, 2018 Page 17

18 SUPRIYA KULKARNI, MD, FRCPC Dr.Supriya Kulkarni is a staff radiologist at the Joint Department of Medical Imaging (JDMI) at UHN, Mount Sinai Hospital and the New Women's college hospital, Toronto, Ontario. She is an Assistant Professor in the Department of Medical Imaging, University of Toronto. She has over 16years of experience in the subspecialty practice in Breast Imaging at JDMI. Dr. Kulkarni is responsible for all educational initiatives in the division of breast imaging (JDMI) including the Breast Imaging Fellowship Programme (University of Toronto) and resident training. She is involved in organising CME events & workshops in Breast Imaging and is invited as a guest speaker in several forums nationally & internationally. She is a recipient of several teaching awards including the prestigious Wightman-Berris Academy individual postgraduate teaching award ( ). She is also the recipient of the 2017 Award for Outstanding cancer education, (global) Princess Margaret Cancer Centre and is on the steering committee of the Gattuso Rapid Diagnostic Clinic at the Princess Margaret Cancer Centre. She has special interest in all aspects of Breast Imaging and particularly in Digital Breast Tomosynthesis; Breast MRI & MRI guided intervention. She is on the advisory committee of Cancer care Ontario for the Provincial High-risk Breast MRI screening (OBSP) and is the QMP facility lead, Chair of the Working Group for OBSP Screening of Transgender People and member of the Overarching Policy Steering Committee for inclusion of Trans People in Organized Cancer Screening. YVES LOISEL April 25, 2018 Page 18

19 TRISH MACNEILL Dense Breasts Canada Trisha found out she had breast cancer by fluke. She was getting a bone scan for a work injury and it revealed soft tissue uptake in her right breast. Due to her breast density, both mammogram and ultrasound failed to find her breast cancer. Fortunately, diagnostic MRIs are an option in her province when first degree relatives have breast cancer and it revealed her cancer. She has a Masters in Public Administration concentrated in economic development and has extensive experience working with all levels of government and their ministers' offices. LOUISE MILLER, R.T. (R)(M), CRT (M), FSBI, FNCBC Director of Education - Mammography Educators, San Diego, CA Louise Miller is Founder of the Mammography Practicum at the School of Medicine, University of California, San Diego. Her courses have trained for over 40,000 radiologic technologists in the US, Canada and over 20 foreign countries. Louise has provided consultation and invited lectureships for noted institutions such as Harvard Medical School, the Mayo Clinic, UCLA and Stanford University and has worked extensively with renowned breast imaging specialists including Drs. Làszló Tabar, Edward Sickles and Daniel Kopans. She has received several prestigious national awards that recognize her outstanding dedication, commitment, achievement and overall impact on breast cancer detection worldwide. April 25, 2018 Page 19

20 Etta Pisano, MD American College of Radiology Dr. Etta Pisano is Professor in Residence of Radiology at Harvard Medical School and Chief Science Officer for the Center for Research and Innovation of The American College of Radiology. Previously, she served at the Medical University of South Carolina as Dean of the College of Medicine and at the University of North Carolina as Director of the UNC Biomedical Research Imaging Center, and Director of the N.C. Translational and Clinical Sciences Institute. ANABEL SCARANELO, MD, PhD, FSBI University of Toronto, Toronto, ON Dr. Scaranelo has an appointment as Assistant Professor of Radiology in the Medical Imaging Department at the University of Toronto. She is a board-certified staff radiologist in the Division of Breast Imaging at the Joint Department of Medical Imaging and works at Sinai Health System, Women's College Hospital and Princess Margaret Cancer Centre (UHN) in Toronto. She has authored numerous articles, books, book chapters, clinical guidelines and has lectured on topics in breast imaging. Dr. Scaranelo is member of European Society of Breast Imaging since its inception, a founding member of the Canadian Society of Breast Imaging and a Fellow of the Society of Breast Imaging (FSBI) in the USA. Her clinical interests include ultrasound-guided interventional procedures, digital mammography, and dynamic-contrast enhanced breast MRI. Her research interests focus on breast computeraided detection systems, non-contrast enhanced MRI techniques, and quality metrics in breast imaging JEAN SEELY, MDCM, FRCPC University of Ottawa Dr Jean Seely is Head of the Breast Imaging Section at the Ottawa Hospital. She is Associate Professor of Medicine at the University of Ottawa. She is Regional Breast Imaging Lead for the Ontario Breast Screening Program in the Champlain region. Jean is an Executive Board member of the Canadian Association of Radiologists Breast Imaging Working group and the CAR Mammography Accreditation Program. She is committed to reduce the mortality and morbidity of breast cancer and providing high quality breast imaging nationally and internationally. She is Chair of the newly formed Canadian Society of Breast Imaging. April 25, 2018 Page 20

21 ISABELLE TROP, MD MPH After an undergraduate degree in Molecular Biology, Isabelle Trop pursued her medical studies at McGill University in Montreal. She then completed a residency in diagnostic radiology at the university of Montreal and followed with a Women's Imaging fellowship at the Beth Israel Deaconess Medical Centre in Boston, under the supervision of Janet Baum and Sughra Raza. Through this fellowship training and her first years of practice back in Montreal, she completed a Masters in Public Health at Harvard. Back in Montreal, her professional practice became breast-only in 2006 and Dr Trop was named head of Breast Imaging at the Centre Hospitalier de l'université de Montréal, a position she still holds. She earned the title of Junior Clinical Scientist from the Quebec Health Research Foundation (FRQS) from 2011 to 2015, after which her professional interests shifted towards teaching. For the past 3 years, she was Assistant director of the radiology residency program at the university of Montreal and was named Program Director in July She was in charge of the Breast Imaging fellowship program of the University of Montreal until this nomination. Dr Trop serves on several committees pertaining to breast care nationally and she is a regular consultant to governmental scientific advisors. Last but not least, she accepted in the fall of 2016 to serve as an Associate Editor, Breast imaging, for the journal Radiology. NANCY WADDEN, MD, FRCPC Eastern Health, Newfoundland and Labrador Nancy Wadden is the Medical Director of the Breast Screening Program for Newfoundland and Labrador and Clinical Associate Professor in the Faculty of Medicine at Memorial University of Newfoundland. Dr. Wadden is the chair of the Mammography Accreditation Program Staff Working Group and a member of the Standards in Breast Imaging in Canada for the CAR. She continues to be involved with The Canadian Society of Breast Imaging, The Canadian Breast Cancer Screening Initiative and The Working Group of the Canadian Mammography Quality Standards. She serves on several other provincial and national committees dealing with Diagnostic Imaging, Breast Screening and Breast Cancer. April 25, 2018 Page 21

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