Ana P Lourenco
Ana P Lourenco
Professor of Radiology
Overview
Dr. Lourenco received her undergraduate degree from Harvard University in 1998 and her medical degree from the University of Massachusetts Medical School in 2002. She completed her residency in Diagnostic Radiology at RI Hospital/The Warren Alpert Medical School of Brown University in 2007 and then completed a fellowship in Women's Imaging at the Beth Isreal Deaconess Medical Center in Boston in 2008. Dr. Lourenco's primary focus is breast imaging and intervention, as well as medical education. She is Professor of Diagnostic Imaging at The Warren Alpert Medical School of Brown University and is the Diagnostic Radiology Residency Program Director. She has previously served as the Breast Imaging Fellowship Director. Dr. Lourenco is a fellow of the Society of Breast Imaging and a fellow of the American College of Radiology. She Lourenco is fluent in Portuguese and Spanish.
Brown Affiliations
Research Areas
Publications Visualize it
| Manzar BZ, Phillips J, Dibble EH, Quintana LM, Lourenco AP. "Imaging and Management of Radial Scars and Complex Sclerosing Lesions." RadioGraphics, vol. 43, no. 10, 2023, pp. e230022. |
| Expert Panel on Breast Imaging, Mehta TS, Lourenco AP, Niell BL, Bennett DL, Brown A, Chetlen A, Freer P, Ivansco LK, Jochelson MS, Klein KA, Malak SF, McCrary M, Mullins D, Neal CH, Newell MS, Ulaner GA, Moy L. "ACR Appropriateness Criteria® Imaging After Breast Surgery." Journal of the American College of Radiology : JACR, vol. 19, no. 11S, 2022, pp. S341-S356. |
| Lawson MB, Herschorn SD, Sprague BL, Buist DSM, Lee SJ, Newell MS, Lourenco AP, Lee JM. "Imaging Surveillance Options for Individuals With a Personal History of Breast Cancer: AJR Expert Panel Narrative Review." American Journal of Roentgenology, vol. 219, no. 6, 2022, pp. 854-868. |
| Miles, Randy C, Lourenco, Ana P, Baird, Grayson L, Roy, Ishita T, Choi, Paul H S, Lehman, Constance, Lamb, Leslie R. "A Multimetric Evaluation of Online Patient Educational Materials for Breast Implant–associated Anaplastic Large Cell Lymphoma." Journal of Breast Imaging, vol. 3, no. 5, 2021, pp. 564-571. |
| Expert Panel on Breast Imaging, Brown A, Lourenco AP, Niell BL, Cronin B, Dibble EH, DiNome ML, Goel MS, Hansen J, Heller SL, Jochelson MS, Karrington B, Klein KA, Mehta TS, Newell MS, Schechter L, Stuckey AR, Swain ME, Tseng J, Tuscano DS, Moy L. "ACR Appropriateness Criteria® Transgender Breast Cancer Screening." Journal of the American College of Radiology : JACR, vol. 18, no. 11S, 2021, pp. S502-S515. |
| Ram, Shruthi, Campbell, Tyler, Lourenco, Ana P. "Online or Offline: Does It Matter? A Review of Existing Interpretation Approaches and Their Effect on Screening Mammography Metrics, Patient Satisfaction, and Cost." Journal of Breast Imaging, vol. 4, no. 1, 2021, pp. 3-9. |
| Rochat CJ, Baird GL, Lourenco AP. "Digital Mammography Stereotactic Biopsy versus Digital Breast Tomosynthesis-guided Biopsy: Differences in Biopsy Targets, Pathologic Results, and Discordance Rates." Radiology, vol. 294, no. 3, 2020, pp. 518-527. |
| Lourenco AP, Baird GL. "Optimizing Radiology Reports for Patients and Referring Physicians: Mitigating the Curse of Knowledge." Academic Radiology, vol. 27, no. 3, 2020, pp. 436-439. |
| Mainiero MB, Moy L, Lourenco AP. "Re: Molecular Breast Imaging Under Threat by the Protecting Access to Medicare Act and ACR Appropriate Use Criteria." Journal of the American College of Radiology : JACR, vol. 17, no. 4, 2020, pp. 445-446. |
| Saraiya A, Baird GL, Lourenco AP. "Breast Density Notification Letters and Websites: Are They Too "Dense"?." Journal of the American College of Radiology, vol. 16, no. 5, 2019, pp. 717-723. |
| Nam G, Singer TM, Lourenco AP, Wang Y. "Cholesteroloma of the breast: A 10 year retrospective review of 79 cases with radiology correlation." The Breast Journal, vol. 25, no. 6, 2019, pp. 1177-1181. |
| Ward RC, Wang Y, Lourenco AP, Mainiero MB. "Symptomatic Fibroadenoma Resolves Status Post Cryoablation." Rhode Island medical journal (2013), vol. 102, no. 8, 2019, pp. 49-52. |
| Ward, Robert C., Lourenco, Ana P., Mainiero, Martha B. "Ultrasound-Guided Breast Cancer Cryoablation." American Journal of Roentgenology, vol. 213, no. 3, 2019, pp. 716-722. |
| Expert Panel on Breast Imaging:., diFlorio-Alexander RM, Slanetz PJ, Moy L, Baron P, Didwania AD, Heller SL, Holbrook AI, Lewin AA, Lourenco AP, Mehta TS, Niell BL, Stuckey AR, Tuscano DS, Vincoff NS, Weinstein SP, Newell MS. "ACR Appropriateness Criteria<sup>®</sup> Breast Imaging of Pregnant and Lactating Women." Journal of the American College of Radiology : JACR, vol. 15, no. 11S, 2018, pp. S263-S275. |
| Expert Panel on Breast Imaging:., Lourenco AP, Moy L, Baron P, Didwania AD, diFlorio RM, Heller SL, Holbrook AI, Lewin AA, Mehta TS, Niell BL, Slanetz PJ, Stuckey AR, Tuscano DS, Vincoff NS, Weinstein SP, Newell MS. "ACR Appropriateness Criteria<sup>®</sup> Breast Implant Evaluation." Journal of the American College of Radiology : JACR, vol. 15, no. 5S, 2018, pp. S13-S25. |
| Expert Panel on Breast Imaging:., Holbrook AI, Moy L, Akin EA, Baron P, Didwania AD, Heller SL, Le-Petross HT, Lewin AA, Lourenco AP, Mehta TS, Niell BL, Slanetz PJ, Stuckey AR, Tuscano DS, Vincoff NS, Weinstein SP, Newell MS. "ACR Appropriateness Criteria<sup>®</sup> Breast Pain." Journal of the American College of Radiology : JACR, vol. 15, no. 11S, 2018, pp. S276-S282. |
| Expert Panel on Breast Imaging:., Niell BL, Lourenco AP, Moy L, Baron P, Didwania AD, diFlorio-Alexander RM, Heller SL, Holbrook AI, Le-Petross HT, Lewin AA, Mehta TS, Slanetz PJ, Stuckey AR, Tuscano DS, Ulaner GA, Vincoff NS, Weinstein SP, Newell MS. "ACR Appropriateness Criteria<sup>®</sup> Evaluation of the Symptomatic Male Breast." Journal of the American College of Radiology : JACR, vol. 15, no. 11S, 2018, pp. S313-S320. |
| Healey TT, Agarwal S, Patel R, Ratanaprasatporn L, Ratanaprasatporn L, Lourenco AP. "Cancer Yield of Incidental Breast Lesions Detected on Chest Computed Tomography." Journal of Computer Assisted Tomography, vol. 42, no. 3, 2018, pp. 453-456. |
| DiPrete O, Lourenco AP, Baird GL, Mainiero MB. "Screening Digital Mammography Recall Rate: Does It Change with Digital Breast Tomosynthesis Experience?." Radiology, vol. 286, no. 3, 2018, pp. 838-844. |
| Lourenco AP, Benson KL, Henderson MC, Silver M, Letsios E, Tran Q, Gordon KJ, Borman S, Corn C, Mulpuri R, Smith W, Alpers J, Costantini C, Rohatgi N, Yang R, Haythem A, Biren S, Morris M, Kass F, Reese DE. "A Noninvasive Blood-based Combinatorial Proteomic Biomarker Assay to Detect Breast Cancer in Women Under the Age of 50 Years." Clinical Breast Cancer, vol. 17, no. 7, 2017, pp. 516-525.e6. |
| Expert Panel on Breast Imaging:., Mainiero MB, Moy L, Baron P, Didwania AD, diFlorio RM, Green ED, Heller SL, Holbrook AI, Lee SJ, Lewin AA, Lourenco AP, Nance KJ, Niell BL, Slanetz PJ, Stuckey AR, Vincoff NS, Weinstein SP, Yepes MM, Newell MS. "ACR Appropriateness Criteria<sup>®</sup> Breast Cancer Screening." Journal of the American College of Radiology : JACR, vol. 14, no. 11S, 2017, pp. S383-S390. |
| Expert Panel on Breast Imaging:., Slanetz PJ, Moy L, Baron P, diFlorio RM, Green ED, Heller SL, Holbrook AI, Lee SJ, Lewin AA, Lourenco AP, Niell B, Stuckey AR, Trikha S, Vincoff NS, Weinstein SP, Yepes MM, Newell MS. "ACR Appropriateness Criteria<sup>®</sup> Monitoring Response to Neoadjuvant Systemic Therapy for Breast Cancer." Journal of the American College of Radiology : JACR, vol. 14, no. 11S, 2017, pp. S462-S475. |
| Lourenco, Ana P., Baird, Grayson L. "Anxiety and Breast Imaging--Can Community Education by a Breast Radiologist Decrease Anxiety and Improve Knowledge?." The Breast Journal, vol. 23, no. 5, 2017, pp. 605-606. |
| Dibble EH, Lourenco AP, Baird GL, Ward RC, Maynard AS, Mainiero MB. "Comparison of digital mammography and digital breast tomosynthesis in the detection of architectural distortion." European Radiology, vol. 28, no. 1, 2017, pp. 3-10. |
| Ward, Robert C., Donegan, Linda, Wang, Yihong, Chadashvili, Tamuna, Lourenco, Ana P. "Glomangioma of the male breast." The Breast Journal, vol. 24, no. 1, 2017, pp. 87-89. |
| Lourenco AP, Cronan JJ. "Teaching and Working With Millennial Trainees: Impact on Radiological Education and Work Performance." Journal of the American College of Radiology, vol. 14, no. 1, 2017, pp. 92-95. |
| Kalife ET, Lourenco AP, Baird GL, Wang Y. "Clinical and Radiologic Follow-up Study for Biopsy Diagnosis of Radial Scar/Radial Sclerosing Lesion without Other Atypia." The Breast Journal, vol. 22, no. 6, 2016, pp. 637-644. |
| Lourenco AP, Mainiero MB. "Incorporating Imaging Into the Locoregional Management of Breast Cancer." Seminars in Radiation Oncology, vol. 26, no. 1, 2016, pp. 17-24. |
| Mainiero MB, Lourenco AP, Barke LD, Argus AD, Bailey L, Carkaci S, D'Orsi C, Green ED, Holley SO, Jokich PM, Lee SJ, Mahoney MC, Moy L, Slanetz PJ, Trikha S, Yepes MM, Newell MS. "ACR Appropriateness Criteria Evaluation of the Symptomatic Male Breast." Journal of the American College of Radiology : JACR, vol. 12, no. 7, 2015, pp. 678-82. |
| Lourenco, Ana P., Barry-Brooks, Marilyn, Baird, Grayson L., Tuttle, Ashley, Mainiero, Martha B. "Changes in Recall Type and Patient Treatment Following Implementation of Screening Digital Breast Tomosynthesis." Radiology, vol. 274, no. 2, 2015, pp. 337-342. |
| Tsang Mui Chung, Michelle, Lourenco, Ana P., Mainiero, Martha B. "Screening Breast MRI in Women with a Personal History of Breast Cancer." Breast J, vol. 22, no. 2, 2015, pp. 252-253. |
| Partyka L, Lourenco AP, Mainiero MB. "Detection of mammographically occult architectural distortion on digital breast tomosynthesis screening: initial clinical experience." American Journal of Roentgenology, vol. 203, no. 1, 2014, pp. 216-22. |
| Partyka L, Steinhoff M, Lourenco AP. "Endosalpingiosis presenting as multiple pelvic masses." Journal of Obstetrics and Gynaecology, vol. 34, no. 3, 2014, pp. 279-81. |
| Lourenco AP, Khalil H, Sanford M, Donegan L. "High-risk lesions at MRI-guided breast biopsy: frequency and rate of underestimation." American Journal of Roentgenology, vol. 203, no. 3, 2014, pp. 682-6. |
| Lourenco AP, Donegan L, Khalil H, Mainiero MB. "Improving outcomes of screening breast MRI with practice evolution: initial clinical experience with 3T compared to 1.5T." Journal of magnetic resonance imaging : JMRI, vol. 39, no. 3, 2014, pp. 535-9. |
| Lourenco AP, Swenson D, Tubbs RJ, Lazarus E. "Ovarian and tubal torsion: imaging findings on US, CT, and MRI." Emergency Radiology, vol. 21, no. 2, 2014, pp. 179-87. |
| Swenson DW, Lourenco AP, Beaudoin FL, Grand DJ, Killelea AG, McGregor AJ. "Ovarian torsion: Case-control study comparing the sensitivity and specificity of ultrasonography and computed tomography for diagnosis in the emergency department." European Journal of Radiology, vol. 83, no. 4, 2014, pp. 733-8. |
| Lourenco AP, Chung MT, Mainiero MB. "Probably benign breast MRI lesions: frequency, lesion type, and rate of malignancy." Journal of magnetic resonance imaging : JMRI, vol. 39, no. 4, 2014, pp. 789-94. |
| Mainiero MB, Lourenco A, Mahoney MC, Newell MS, Bailey L, Barke LD, D'Orsi C, Harvey JA, Hayes MK, Huynh PT, Jokich PM, Lee SJ, Lehman CD, Mankoff DA, Nepute JA, Patel SB, Reynolds HE, Sutherland ML, Haffty BG. "ACR Appropriateness Criteria Breast Cancer Screening." Journal of the American College of Radiology : JACR, vol. 10, no. 1, 2013, pp. 11-4. |
| Lourenco AP, Mainiero MB. "Paget's disease of the breast." Rhode Island medical journal (2013), vol. 96, no. 4, 2013, pp. 50-1. |
| Rothschild J, Lourenco AP, Mainiero MB. "Screening mammography recall rate: does practice site matter?." Radiology, vol. 269, no. 2, 2013, pp. 348-53. |
| Lourenco AP, Swenson D. "Imaging diagnosis of uterine anomalies." Medicine and health, Rhode Island, vol. 95, no. 5, 2012, pp. 155-6. |
| Lazarus E, Lourenco AP, Casper S, Allen RH. "Necessity of hysterosalpingography after Essure microinsert placement for contraception." American Journal of Roentgenology, vol. 198, no. 6, 2012, pp. 1460-3. |
| Lourenco AP, Chung MT, Mainiero MB. "Utility of targeted sonography in management of probably benign breast lesions identified on magnetic resonance imaging." Journal of Ultrasound in Medicine, vol. 31, no. 7, 2012, pp. 1033-40. |
| Mainiero MB, Lourenco AP. "The ACGME core competencies: changing the way we educate and evaluate residents." Medicine and health, Rhode Island, vol. 94, no. 6, 2011, pp. 164-6. |
| Lourenco AP, Mayo-Smith WW, Tubbs RJ, Sidman R. "Does 16-detector computed tomography improve detection of non-traumatic subarachnoid hemorrhage in the Emergency Department?." The Journal of Emergency Medicine, vol. 36, no. 2, 2009, pp. 171-5. |
| Lourenco AP, Mainiero MB, Lazarus E, Giri D, Schepps B. "Stereotactic breast biopsy: comparison of histologic underestimation rates with 11- and 9-gauge vacuum-assisted breast biopsy." American Journal of Roentgenology, vol. 189, no. 5, 2007, pp. W275-9. |
Research
Scholarly Work
- Women’s Imaging Symposium at Women & Infants Hospital Providence, RI. October 1, 2011 “Name That Diagnosis – Ob/Gyn Emergencies”
- Imaging for the Primary Care Provider Coastal Medical CME Providence, RI. November 4, 2011 “Breast Cancer Screening – The Old, The New, and The Up & Coming”
- Brown Emergency Medicine Residency Didactic Conference Providence, RI. November 23, 2011 “Name That Diagnosis – Ob/Gyn Emergencies”
- American Roentgen Ray Society Meeting May 2, 2012 in Vancouver, BC Canada “Breast Axillary Lymph Node Evaluation and Management.”
- Contemporary Diagnostic and Interventional Radiology for Primary Care, Brown CME, “Breast Cancer Screening and Breast MRI.” November 3, 2012. Providence, RI.
- Brown Obstetrics & Gynecology Residency Core Curriculum Lecture Providence, RI. December 19, 2012 “OB/Gyn Emergencies.”
- Women & Infants Hospital Breast Imaging Fellowship Didactic Lecture Providence, RI. February 1, 2013 “Breast Cancer Screening: The Old, The New, and The Up & Coming.”
- New England Roentgen Ray Society Ultrasound Refresher Course Waltham, MA. March 2, 2013 “Imaging the Unusual Ectopic.”
- New England Roentgen Ray Society April 5, 2013. Boston, MA. “Imaging of the Fetal Face & Neck.”
- Brown Emergency Medicine Residency Didactic Conference Providence, RI. May 15, 2013. “Imaging the Unexpected – Unusual Ectopic Pregnancies” and “Adnexal Torsion: More Than Ovaries at Risk.”
- Signs, Symptoms and Questions Related to Diagnostic Imaging and Interventional Radiology. “Why has mammography gotten so confusing?” September 25, 2013 Providence, RI.
- Comparative Effectiveness Public Advisory Council (CEPAC) & Institute for Clinical and Economic Review (ICER) Supplemental Breast Cancer Screening for Women with Dense Breast Tissue. Invited as member of Expert Panel. Harvard Medical School; Boston, MA; December 13, 2013.
- Women & Infants Hospital Breast Imaging Fellowship Didactic Lecture Providence, RI. January 10, 2014 “Breast Cancer Screening: Mammography, MRI and US.”
- New England Roentgen Ray Society Breast Refresher Course Waltham, MA – March 1, 20 “Axillary evaluation: Where are we in 2014?” ** Course organizer also for this event.
- Women & Infants Hospital Breast Imaging Fellowship Didactic Lecture Providence, RI. March 7, 2014 “Breast MRI: Looking Behind the Scenes.”
- Alpert Medical School of Brown University CME series: “Cutting Edge: Using Technology to Enhance your Teaching” Co-presented with Robert J Tubbs MD. Providence, RI. April 8, 2014.
- American Roentgen Ray Society Meeting in San Diego, CA. “Pitfalls in Imaging the Breast with US & MRI” presented May 6, 2014.
- Tufts Medical Center, Radiology Department. Boston, MA. “Pitfalls in Imaging the Breast with US & MRI & Teaching Cases” presented June 26, 2014.
- Radiological Society of North America meeting in Chicago, IL. Refresher Course: “US of Obstetrical Emergencies” presented December 3, 2014.
- American Roentgen Ray Society Breast Imaging Symposium in New Orleans, LA. “Imaging the Axilla: What the Breast Imager Needs to Know” presented February 7, 2015.
- American Roentgen Ray Society Breast Imaging Symposium in New Orleans, LA. “Management of Breast Abscesses” presented February 7, 2015.
- Association of University Radiologists Annual Meeting in New Orleans, LA. “Using Technology to Enhance Learning” presented April 14, 2015.
- American Roentgen Ray Society Meeting in Toronto, ONT, Canada. “Breast Imaging Pitfalls” presented April 24, 2015.
- New England Roentgen Ray Society April 5, 2013. Boston, MA. “OB Emergencies” presented September 25, 2015.
- Radiological Society of North America meeting in Chicago, IL. Refresher Course: “Non-obstetrical Gynecologic Ultrasound PitfallsNon-obstetrical Gynecologic Ultrasound PitfallsNon-obstetrical Gynecologic Ultrasound PitfallsNon-obstetrical Gynecologic Ultrasound PitfallsNon-obstetrical Gynecologic Ultrasound PitfallsNon-obstetrical Gynecologic Ultrasound Pitfalls” presented December 4, 2015.
- New England Roentgen Ray Society Breast Refresher Course Waltham, MA – March 5, 2016. “Breast Imaging Pitfalls – US, MRI and Procedures.” **Course Director/Organizer for this event.
- Association of University Radiologists Annual Meeting in San Diego, CA. “Generational and Cultural Diversity: Generational Differences in Education and Clinical Work” presented March 30, 2016.
- Radiological Society of North America meeting in Chicago, IL. Refresher Course: “Pelvic imaging in the Emergency Department: US, CT or MRI?” CT presented December 1, 2016.
- Radiological Society of North America meeting in Chicago, IL. Refresher Course: “Abdominal pain in pregnancy” presented November 30, 2016.
- Association of University Radiologists Annual Meeting in Hollywood, FL. Presented May 9, 2017 – “A Recipe for Building Resiliency.”
- Association of University Radiologists Annual Meeting in Hollywood, FL. Presented May 11, 2017 – “Mentoring Millennial trainees & new staff – What’s so different?”
- Moderator – Scientific Posters May 10, 2017 - Association of University Radiologists Annual Meeting in Hollywood, FL.
- Moderator – SS01 Resident Education 1 - May 10, 2017 - Association of University Radiologists Annual Meeting in Hollywood, FL.
- Radiological Society of North America meeting in Chicago, IL. Refresher Course: “Non-obstetrical gynecologic ultrasound pitfalls” presented November 30, 2017.
- New England Roentgen Ray Society Breast Refresher Course Waltham, MA – March 3, 2018. “MR Challening Cases – An Interactive Session.” **Course Co-Director/Organizer for this event.
- Society of Breast Imaging Symposium 2018 in Las Vegas, NV – April 12, 2018. “All-Modality Approach to DCIS.”
- Association of University Radiologists Annual Meeting in Orlando, FL. Presented May 8, 2018 – “Optimizing Reports for Patients and Referring Clinicians.”
- Co-Moderator – Teaching Certificate Program - May 10, 2018 - Association of University Radiologists Annual Meeting in Orlando, FL.
- Society of Breast Imaging Webinar – September 26, 2018 – “Evaluation of the symptomatic male breast.”
- Radiological Society of North America meeting in Chicago, IL. – November 28, 2018 – “BI-RADS Interactive Case Challenge: Case-based session on Ultrasound.”
- Radiological Society of North America meeting in Chicago, IL. – November 29, 2018 – “Case-based Review of Breast: The Many ‘Faces’ of DCIS.”
- Department of Pathology Grand Rounds – Rhode Island Hospital – December 6, 2018 – “Breast Radiology in 2018.”
- Society of Breast Imaging Symposium 2019 in Hollywood, FL – April 4, 2019 – “They just don’t make architectural distortions like they used to.”
- Radiological Society of North America meeting in Chicago, IL. – December 4, 2019 – “Emergency Ultrasound Pitfalls and Pearls – Non-obstetrical Gynecological Ultrasound.”
- Society of Breast Imaging Symposium 2020 in Denver, CO – April 17, 2020 – “Breast Biopsy: Challenging Cases” – Conference cancelled due to Covid-19
Background
Education and Training
| Year | Degree | Institution |
|---|---|---|
| 2002 | MD | University of Massachusetts |
| 1998 | AB | Harvard University |
Honors and Awards
2002 Alpha Omega Alpha Medical Honor Society, University of Massachusetts Medical School
2005 RSNA Trainee Research Prize for research project entitled “Stereotactic Breast Biopsy: Comparison of Histologic Underestimation Rates with 11- and 9-Gauge Vacuum Assisted Breast Biopsy.” One prize awarded per year in breast section for resident research projects.
2006-2007 Chief Resident in Radiology, Rhode Island Hospital
2008 Morrison Research Day, Beth Israel Deaconess Medical Center. Best clinical research presentation: “4 year QA Review of Cytogenetically Proven Chromosomal Abnormalities.”
2014 Dean’s Excellence in Teaching Award; Alpert Medical School of Brown University
2013-2014 Award for Excellence in Teaching; Residents In Radiology of Rhode Island Hospital
2020 Positive Champion of the Learning Environment; Alpert Medical School of Brown University
AffiliationsVisualize it
Collaborators
| Name | Title |
|---|---|
| Baird, Grayson | Associate Professor of Radiology |
| Dibble, Elizabeth | Associate Professor of Radiology |
| Mainiero, Martha | Professor of Radiology |
| Ward, Robert | Associate Professor of Radiology |