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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Case Review: Search Pattern
3 topics, 16 min.
Lesson
Case Review: Solid Lung Nodules
6 topics, 24 min.
Introduction to Solid Lung Nodules
6 m.Case: LungRADS 3 - Baseline Screen, Solid Nodule
5 m.Case: LungRADS 3 - Annual Screen, New 4 mm Solid Nodule
3 m.Case: LungRADS 4A - Baseline Screen, Solid Nodule
4 m.Case: LungRADS 4A - Baseline Screen, Solid Nodule With Micronodules
5 m.Case: LungRADS 4B - Baseline Screen, Solid Nodule
4 m.Lesson
Case Review: Non-solid Lung Nodules
4 topics, 16 min.
Lesson
Case Review: Cystic Nodules
4 topics, 24 min.
Lesson
Approach to LungRADS 4X
4 topics, 19 min.
Lesson
Case Review: Part Solid Nodules
4 topics, 19 min.
Lesson
Case Review: Airway Nodules
5 topics, 12 min.
Lesson
Case Review: Approach to Infection
4 topics, 18 min.
Lesson
Incidental Findings: Cardiovascular
5 topics, 28 min.
Lesson
Incidental Findings: Lung Disease
5 topics, 29 min.
Introduction to Incidental Findings in the Lung
8 m.Approach to Incidental Findings in the Lung
7 m.Case: LungRADS S-Modifier - Emphysema and Mucous Plugging
5 m.Case: LungRADS S-Modifier - Respiratory Bronchiolitis - Paraseptal Emphysema, and Bronchiectasis
5 m.Case: LungRADS S-Modifier - Interstitial Lung Abnormality
7 m.Lesson
Incidental Findings: Bone Mineral Density
4 topics, 11 min.
Lesson
Test Your Knowledge
2 topics, 13 min.
0:00
Let's look at this lung cancer screening CT
0:02
through the perspective of measuring bone mineral density.
0:06
I usually look at the thoracic spine
0:08
and the sagal view, looking for degenerative changes,
0:11
disc space nearing
0:12
and plate osteophytes, other abnormalities,
0:15
and importantly, the vertebral body
0:17
heights are they preserved.
0:19
And this patient, we have excellent bone mineral density
0:24
visually, but I don't like to rely on my visual assessment
0:27
as it can be impacted by the window level settings
0:30
of the examination.
0:32
So I'm gonna take a cursor
0:33
and I'm gonna place it on the L one vertebral body,
0:37
which I've done right here.
0:39
And it measures 253 hound fill units,
0:42
which means this patient has normal bone mineral density.
0:45
I can verify that it is the L one vertebral body
0:49
by counting from the ribs at the top down.
0:52
So here's my first rib, second rib, third rib, fourth rib,
0:54
and count downwards.
0:56
Or I can count from the bottom up.
0:58
A little problematic sometimes
1:00
as the T 12 ribs may not be completely
1:03
present in all patients.
1:05
So counting from the bottom up is
1:06
generally less recommended.
1:08
Counting from the top down is better.
1:10
And then there are automated tools
1:11
that many PAC systems have
1:13
that could automatically label your vertebral bodies
1:15
for you, which make it quite easy to go straight
1:18
to the L one vertebral body to make that measurement.
1:21
And even if you don't have the L one vertebral body here,
1:25
you can measure it at T 12 if your chest CT cuts off
1:28
before you get the full L one vertebral body to make
1:31
that assessment at the level as a substitute
1:33
for the L one vertebral body level.
Case: Normal Bone Mineral Density
HIDEInteractive Transcript
0:00
Let's look at this lung cancer screening CT
0:02
through the perspective of measuring bone mineral density.
0:06
I usually look at the thoracic spine
0:08
and the sagal view, looking for degenerative changes,
0:11
disc space nearing
0:12
and plate osteophytes, other abnormalities,
0:15
and importantly, the vertebral body
0:17
heights are they preserved.
0:19
And this patient, we have excellent bone mineral density
0:24
visually, but I don't like to rely on my visual assessment
0:27
as it can be impacted by the window level settings
0:30
of the examination.
0:32
So I'm gonna take a cursor
0:33
and I'm gonna place it on the L one vertebral body,
0:37
which I've done right here.
0:39
And it measures 253 hound fill units,
0:42
which means this patient has normal bone mineral density.
0:45
I can verify that it is the L one vertebral body
0:49
by counting from the ribs at the top down.
0:52
So here's my first rib, second rib, third rib, fourth rib,
0:54
and count downwards.
0:56
Or I can count from the bottom up.
0:58
A little problematic sometimes
1:00
as the T 12 ribs may not be completely
1:03
present in all patients.
1:05
So counting from the bottom up is
1:06
generally less recommended.
1:08
Counting from the top down is better.
1:10
And then there are automated tools
1:11
that many PAC systems have
1:13
that could automatically label your vertebral bodies
1:15
for you, which make it quite easy to go straight
1:18
to the L one vertebral body to make that measurement.
1:21
And even if you don't have the L one vertebral body here,
1:25
you can measure it at T 12 if your chest CT cuts off
1:28
before you get the full L one vertebral body to make
1:31
that assessment at the level as a substitute
1:33
for the L one vertebral body level.
Report
Faculty
Ella A. Kazerooni, MD, MS
Professor of Radiology, Cardiothoracic Division
University of Michigan
Tags
Oncologic Imaging
Lungs
Chest
CT
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