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The Breast Practices
Three doctors

Breast diseases:
detection, intervention
and therapy

DemonstrationPractical usagesConference

Speakers

Course Direction

Activity and Scientific Director : Dr Nathalie Duchesne

Course Faculty

Geneticist :

No person.

Pathology : Dr Michael Lagios

Radio-Oncology : Dr Robert Kuske

Scientific Committee

Dr Nathalie Duchesne

Dr Nathalie Duchesne

Dr. Nathalie Duchesne has been working in breast imaging and intervention since 1996, is now Breast radiologist at Hopital du Saint-Sacrement in Quebec city. She is Academic Clinical Associate Professor at Universite Laval in Quebec City.

Nathalie received her Medical Doctorate in 1990 and her Diagnostic Radiology postgraduate degree in 1995, both from University Laval, Quebec City. She has performed rotations in university hospitals both in Australia and The Netherlands, and worked on a fellowship program in interventional MRI and bone tumors at Harvard University. The latter was completed in breast imaging at the Universite de Montreal. She also holds a B.Sc. degree in Biology.

Dr. Duchesne's main clinical and research interests include breast biopsy tool development, minimally-invasive therapy, as well as new types of breast imaging and cancer detection. She is a pioneer in vacuum-assisted breast biopsy, having done many world and Canadian premieres for various devices. She is an internationally known speaker having given numerous national and international conferences, with a track record of publications in the areas of breast imaging and intervention. She has lectured in the Breast Imaging and Intervention Series (2001-2003). She is a member of various international scientific societies, and has received many awards from her peers, such as the Young Radiologist Investigator Award of the Year for 2005 by the Canadian Association of Radiologists, and the 2008 Personality of the Year in Radiology from the Société Canadienne-Française de Radiologie / Association des Radiologistes du Québec for her personality, scientific contribution, and humanitarian work.

Finally, Dr. Nathalie Duchesne is the founder and Director of The Breast Practices, organizing the now world famous interdisciplinary The Breast Course and The Breast Days. Through these courses, more than 2,000 physicians from 61 countries have received teaching, contributing to the improvement of breast and women's health worldwide.

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Dr Elizabeth Morris

Dr Elizabeth Morris

Dr. Elizabeth Morris is Chief of the Breast Imaging Service at Memorial Sloan Kettering Cancer Center (MSKCC) and Professor of Radiology at the Weill Medical College of Cornell University. She was born in Logan Utah but grew up in Brisbane Australia. She received her MD from UCSF School of Medicine and did her residency at NY Hospital – Cornell Medical Center followed by a fellowship in Breast and Body at MSKCC, where she has held a position of attending radiologist. She has authored or co-authored 100 papers and is a sought after speaker nationally and internationally speaking at over 200 meetings. Her research interests focus on the MRI detection of early-stage breast cancer in high-risk women and in MRI-guided procedures. She authored the book “Breast MRI: Diagnosis & Intervention.” Dr. Morris piloted a breast MRI screening study at Memorial Sloan-Kettering Cancer Center supported by the Susan Komen Foundation. Based on results of this study as well as others, breast MRI screening is now recommended by the American Cancer Society for high risk patients. She is Chair of the MRI subcommittee of the ACR BIRADS® Lexicon. She is Vice President of the Society of Breast Imaging. She is a Fellow of the American College of Radiology and the Society of Breast Imaging. She is a member of the Avon Scientific Medical Advisory Board. Her recent research efforts have involved looking at imaging biomarkers to assess risk and treatment response. She observed the phenomenon of background parenchymal enhancement (BPE) early in the use of MRI and was interested in its use as an imaging biomarker. She convened a group of interested individuals at MSKCC and the group has published several landmark papers linking BPE to breast cancer risk as well as treatment response. She is interested in defining BPE as a noninvasive imaging biomarker.

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Dr Ruud Pijnappel

Dr Ruud Pijnappel

Dr. Ruud Pijnappel is radiologist practicing at the Department of Radiology at University Medical Centre in Utrecht and at the National Expert and Training Center for Breast Cancer Screening (LRCB)

He received his medical training at the University of Amsterdam. His special interest in Breast imaging and intervention was developed during a fellowship at University of Utrecht where he received his Ph.D in 2002 on the subject of ‘The diagnosis of non-palpable breast lesions'.

Since 1996 Dr Pijnappel main clinical and research interests include breast imaging and (stereotactic) intervention. Working with and teaching residents and fellow's in a multidisciplinary breast assessment setting serves his particular interests.

He is a very well known speaker having given numerous lectures at international level

In 2007 he was course director of a Breast course organized by the Radiological Society of the Netherlands with a total of more than 700 attendees. Dr Pijnappel also serves as a member of the advisory board of the Dutch National Screening Program for Breast Cancer.

He is part of LRCB foundation, the National Expert and Training Center for Breast Cancer Screening playing a key role as a teacher.

In addition to the Radiological Society of the Netherlands, Dr. Pijnappel is a member of the Radiological Society of North America, an international member of the American College of Radiology, the American Roentgen Ray Society, the European Society of Radiology, and the European Society of Breast Imaging (EUSOBI).

At present he is:

Chair of the Dutch College of Breast Imaging

Member of the International Relations Committee of the EUSOBI

Member of the Subcommittee Breast ECR 2014

Dr Pijnappel is a recurring speaker at The Breast Course.

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Dr Robin Wilson

Dr Robin Wilson

Dr Robin Wilson is a Fellow of the Royal College of Radiologists and a Fellow of the Royal College of Physicians in the UK. He has been a Consultant Radiologist with a special interest in breast imaging since 1988.

After 13 years as the Director of the Nottingham Breast Institute he has recently moved to work in London and is now based at The Royal Marsden Hospital. He has a particular interest in breast screening and breast diagnosis, including ultrasound and image guided breast biopsy.

He is the editor and contributing author of current UK and European breast guidelines on breast screening, breast unit accreditation and breast MRI. In the UK he is currently Chairman of the Breast Screening Radiology Coordinating Committee and a member of the Department of Health Breast Screening Advisory Committee. He is a past president and current member of the faculty of the International Breast Ultrasound School (IBUS). From September 2010 will be the President of the European Society of Breast Specialists (EUSOMA).

Dr Wilson has a wide experience of teaching, having published more than 100 papers on breast imaging and delivered over 200 lectures at breast course and international scientific meetings over the past ten years.

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Dr Deborah Armstrong

Dr Deborah Armstrong

Dr. Armstrong is an associate professor of oncology at the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins and an associate professor in gynecology and obstetrics at the Johns Hopkins University School of Medicine. Dr. Armstrong also directs the Johns Hopkins Breast and Ovarian Screening Service, a genetic counseling service that focuses on identifying patients at risk for cancer and examination of new strategies for cancer screening and prevention.

Dr. Armstrong works primarily in the area of women’s malignancies, with a particular emphasis on breast cancer, ovarian cancer and other gynecologic malignancies, and the genetics of breast and ovarian cancer. Dr. Armstrong’s clinical focus is on the development of new therapeutic approaches to the treatment of breast cancer and gynecologic malignancies. Particular areas of interest are intraperitoneal therapy, targeted biologic therapy and immunologic approaches to cancer treatment.

The recipient of many training and research awards, Dr. Armstrong has lectured locally, nationally and internationally. She is active in the Gynecologic Oncology Group, serving on the Medical Oncology, Developmental Therapeutics and Phase I GOG committees and as chair of several clinical trials through this group.

Dr. Armstrong received her bachelor’s degree in bacteriology from the University of California at Berkeley then attended the George Washington University School of Medicine. She received her M.D. degree with distinction then completed training in internal medicine at the University of Pittsburgh and served as chief medical resident. She then received fellowship training in medical oncology at Johns Hopkins.

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Dr Michael Lagios

Dr Michael Lagios

Dr. Michael D. Lagios, a San Francisco native, attended the University of California, Berkeley (B.A.) and University of California Medical Center, San Francisco (M.D., 1965). His early interests included comparative endocrinology and icthyology (26 citations) but he became interested in breast cancer following his discharge from the U.S. Army Medical Corps.

He and his colleagues at a small community hospital in San Francisco, pioneered breast conservation therapy for duct carcinoma in situ, developed nuclear grading as a basic method of classification of the disease and perfected methods of tissue processing for mammographically directed biopsies.

Having gained considerable weight after his third Hawaiian Ironman Triathlon, he has eschewed a professional career in that discipline and presently is Medical Director of the Breast Cancer Consultation Service in Tiburon, California. Dr. Lagios holds an appointment as clinical associate professor in Pathology at Stanford University, and is a Fellow from the California Academy of Sciences.

Dr Lagios has been lecturing at The Breast Course since its first edition in 2005.

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Dr Robert Kuske

Dr Robert Kuske

Dr. Robert Kuske holds a B.A. in Physics from Swarthmore College, Swarthmore, PA and his M.D. from the University of Cincinnati College of Medicine. He did his Internship in Medicine at the Jewish Hospital of Cincinnati and his Residency in Radiation Oncology at the University of Cincinnati Medical Center, finishing in 1984.

Robert held numerous academic appointments in the Washington University School of Medicine, St-Louis, MO, the Department of Radiology, Tulane University Medical Center, New Orleans, LA, the University of Wisconsin Medical School, Madison, WI before becoming a Clinical Professor, at the University of Arizona Health Sciences Center, Phoenix, AZ. His hospital appointments were equally numerous, in St-Louis, MO, New Orleans and Baton Rouge,LA, in many Wisconsin hospitals and more recently as an Attending Radiation Oncologist at the Banner Baywood, Banner Desert, Phoenix Baptist, St-Joseph's Hospital and Medical Center, Metropolitan Phoenix, AZ.

Dr Kuske's awards, appointments, offices held, review boards are too numerous to list here. He has well over 70 peer-reviewed publicatons on the topic of breast radiation oncology, has lectured extensively on the topic and participated in numerous research grants over the last two decades.

Dr Kuske is a regular lecturer at The Breast Course.

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Dr Arnie Purushotham

Dr Arnie Purushotham

Dr Arnie Purushotham is Professor of Breast Cancer at King’s College London and Honorary Consultant Surgeon at Guy’s and St Thomas’ NHS Foundation Trust. He is also Director of the Integrated Cancer Centre (Guy’s & St Thomas’, King’s College Hospital NHS Foundations Trusts and King’s College London).

Dr Purushotham was previously Director of Breast Services in Addenbrooke’s NHS Foundation Trust in Cambridge and prior to that Senior Lecturer and Honorary Consultant Surgeon with the University of Glasgow and Western Infirmary.

His principle research interests are in the pathophysiology of lymphoedema, sentinel lymph node biopsy, molecular profiling of tumours to predict resistance and response to therapy and mammary cancer stem cell biology.

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Dr Simon Duchesne

Dr Simon Duchesne

Dr Simon Duchesne is a Researcher at the Centre de Recherche Université Laval - Robert Giffard in Québec City, and Adjunct Professor and Research Co-Director at the Radiology Department of Université Laval.

Simon is the founder of the Medical Data, Information and Knowledge (MEDICS) Laboratory, dedicated to the development of groundbreaking analysis techniques for computer aid to diagnosis in neurodegenerative diseases.

Dr Duchesne is one of The Breast Course founders, where he acts as scientific coordinator.

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