Breast Imaging

Overview

Breast cancer is the most common non-skin malignancy occurring in women and the second most frequent cause of cancer deaths among women. Screening mammography programs have led to a 40% decrease in the number of breast cancer deaths since 1990. Combined with advances in treatment, screening mammography is responsible for saving the lives of up to 615,000 women.

Duke Breast Imaging, an American College of Radiology (ACR) Breast Imaging Center of Excellence, offers breast cancer prevention and treatment services including digital breast tomosynthesis (3D mammograms) for screening and diagnostic mammography. Our mission is to provide world class clinical care, accurately detect and diagnose breast cancer and reduce patient anxiety by providing timely results and information for any procedures that may follow.

To optimize patient care, our dedicated radiologists – all of whom are physicians specially trained and certified in breast imaging – work closely with a team of breast surgeons, medical and radiation oncologists, pathologists, nurses and technologists to make up our Multidisciplinary Breast Program.

We recommend that women age 40 or older  have a screening mammogram once every year. Research conclusively demonstrates that yearly screening helps detect breast cancer at the earliest possible stage when it is most easily treated. Women under 40 years of age who are at increased risk due to family history or due to a personal history of breast cancer may want to speak with their physician about the optimum age to begin screening.

What is a Mammogram?

A mammogram is a picture, or image of the breast, using low dose x-rays.

What is a Screening Mammogram?

A screening mammogram is performed for women who have no signs or symptoms of breast cancer. The goal is detect breast cancer at the earliest possible stage before it can be felt to maximize the effectiveness of treatment while minimizing the treatment needed.

What is a Diagnostic Mammogram?

A diagnostic mammogram is used to evaluate patients with abnormal clinical findings found by the patient’s doctor or the patient herself. Such changes can include but are not limited to:

  • A lump or lumps in the breast
  • Discharge, or fluid, from the nipple other than breast milk
  • A nipple that is inverted (turned inward)
  • Skin changes
  • Swelling or thickening in the underarm area

Diagnostic mammography may also be used to further evaluate an abnormal screening mammogram or for patients with breast implants, whose breast tissue might be difficult to evaluate with a routine screening mammogram.

What other breast imaging do you perform at Duke Breast Imaging?

In addition to 2D and 3D mammography, we also perform breast ultrasound and breast MRI exams in the Duke Breast Imaging division. Breast ultrasound is generally performed to further evaluate a mass identified on mammography or a possible lump that can be felt. Breast MRI is often performed for screening women at particularly high risk of developing breast or to better evaluate a newly diagnosed breast cancer prior to surgery. Our equipment is truly state-of-the art with both 1.5T and 3T MRI systems in use paired with computer-aided detection (CAD) for improved interpretation.

What procedures do you perform at Duke Breast Imaging?

We have extensive experience performing all needle procedures of the breast. These include needle biopsies using ultrasound, tomosynthesis (stereotactic) and MRI for guidance. We also perform cyst and abscess aspirations as well as wire and radioactive seed localizations prior surgery.

What research are you pursing at Duke Breast Imaging?

In addition to our clinical responsibilities, we perform clinical research studies as an important part of our mission. Our research focuses on: imaging and evaluation of ductal carcinoma in situ (DCIS); machine learning and artificial intelligence for assessing breast imaging; minimizing patient anxiety by studying the patient experience; minimizing the discomfort of needle biopsies; assessing the value of screening; and improving the interpretation of all breast imaging modalities.

 

 

Faculty

Jay A. Baker, M.D.
  • Professor of Radiology
  • Vice Chair, Clinical Operations
  • Division Chief, Breast Imaging
Sujata V. Ghate, M.D., FACR, FSBI
  • Associate Professor of Radiology
Lars J. Grimm, M.D., M.H.S., FSBI
  • Assistant Professor of Radiology
Karen S. Johnson, M.D., M.S.
  • Associate Professor of Radiology
  • Residency Program Director
Connie Kim, M.D.
  • Assistant Professor of Radiology
Tammy Kreuzer, MD
  • Assistant Consulting Professor
Eun L. Langman, M.D.
  • Assistant Professor
William P. Perry, M.D.
  • Assistant Consulting Professor
Alan L. Rosen, M.D.
  • Assistant Consulting Professor of Radiology
Andi Senter, M.D.
  • Assistant Consulting Professor
Mary Scott Soo, M.D., FACR, FSBI
  • Professor of Radiology
Ruth Walsh, M.D.
  • Associate Professor of Radiology
Sora C. Yoon, M.D.
  • Assistant Professor of Radiology
  • Director, Breast Imaging Fellowship Program

Fellowship

The Breast Imaging fellowship is a 12-month program designed to give the motivated candidate a broad experience in both clinical and academic breast imaging. The fellow will gain experience in all facets of breast imaging including screening and diagnostic mammography, breast ultrasound and breast MRI.  In addition, the fellow will become skilled in performing stereotactic ultrasound and MRI-guided percutaneous needle procedures including cyst aspirations, large core needle biopsies, and wire-localizations.  Available equipment is truly state-of-the-art including digital mammography, CAD, high-end ultrasound systems and both 1.5T and 3T clinical MRI units.

The breast imaging division is part of a large multidisciplinary breast program where radiologists work closely with the breast surgeons, medical and radiation oncologists and pathologists to optimize patient care.  In addition to clinical responsibilities fellows are encouraged to become involved in clinical research studies and teaching.  Current research studies involve digital breast tomosynthesis, MRI, breast PET imaging, elastography and other advanced sonographic techniques.  Protected time is available to pursue research for the motivated candidate.

Attention Non-US Citizens:  The United States Medical Licensing Examination (USMLE) is required for entrance in the Breast Imaging Fellowship Program.


Thank you for your inquiry regarding the Breast Imaging Fellowship.  Applications will be accepted after July 1st two years prior to the start date of the fellowship.

The first Breast Imaging Fellowship Match will take place in March 2019 for the 2020 appointment year. The Match is sponsored by the Society of Breast Imaging and will be managed by the National Resident Matching Program. In order to become a Breast Imaging Fellow in the Department of Radiology at Duke University Medical Center, you must first register with the Radiology Match, of which Breast Imaging is a part. Breast Imaging has implemented an “All in Policy” for the Match. This means that programs participating in the Match cannot extend any offers to candidates outside of the Match. Applicants can withdraw from the Match prior to the ranking deadline if they accept a position outside of the Match.

Dates of the Match:
March 20, 2019: Registration Opens
April 24, 2019: Ranking Opens
May 15, 2019: Quota change deadline
May 29, 2019: Ranking Closes
June 12, 2019: Match Day
July 1, 2020: Training Begins

Cost of the Match: Applicants will pay a $75.00 registration fee to register for the Match
For more information regarding the match please go to:
SBI Fellowship and Match Program

Please submit your application to Beverly Harris at the address listed below.  All completed applications will be considered, please see following requirements.  Please note, requirements are also  indicated on application form .

  • Completed and signed application form
  • CV
  • Personal Statement
  • USMLE Transcripts
  • 3 letters of recommendation (1 letter must be from your Program Director and at least 1 letter from a radiologist in the area in which you seek further post-graduate training).

Each applicant will be notified of their status by September 1st.

Program Director:
Sora Yoon, M.D.
Telephone: (919) 684-7645
For more information contact:
Beverly Harris
Program Coordinator
Telephone: (919) 684-7645     Fax: (919) 684-7114
E-mail: beverly.harris@dm.duke.edu

For correspondence, please use the following:
Mailing address:
Duke University Medical Center
Department of Radiology
Breast Imaging Division
DUMC Box 3808
Durham, NC 27710
Physical address:
Duke South Hospital
Department of Radiology
Division of Breast Imaging
40 Duke Medicine Circle Room 24244B
Durham, NC 27710

Conferences

Departmental & Division Conferences

There are a variety of pediatric conferences during the course of the month for which fellow participation is encouraged. Conferences are weekly, unless indicated differently.

DEPARTMENTAL
Radiology Grand Rounds 2nd,3rd,& 4th Thurs 2002 Duke North 7:30 – 8:30 AM
Breast Imaging
Resident Teaching Conference Tuesday 2S33 Cancer Center Clinic 2-1 12:30 – 1:30 PM
Resident Teaching Conference/Board Review Wednesday 2S33 Cancer Center Clinic 2-1 12:30 – 1:30 PM
Resident Case Conference Wednesday 2S33 Cancer Center Clinic 2-1 3:30 – 4:30 PM
MULTIDISCIPLINARY
Multidisciplinary Breast Conference Monday 2N01 Cancer Center 4:30 – 5:30 PM
Radiology/Pathology Conference Thursday 2S33 Cancer Center Clinic 2-1 12:00 – 2:00 PM