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Unlike other modalities in breast imaging, breast ultrasound is very operator dependent. Proper characterization and management of breast lesions depends on the knowledge and skill of the radiologist performing the exam. Breast ultrasound optimization continues to evolve as the technology of ultrasound machines improves. The American College of Graduate Medical Education (ACGME) program requirements for graduate medical education in diagnostic radiology recently updated requirements to include competency in ultrasound physics, knobology
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