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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
Introduction to PET/CT Imaging
12 topics, 49 min.
Introduction to PET/CT Imaging
1 m.How to Use the Case Viewer to Evaluate PET/CT Images in this Course
2 m.What is PET/CT Imaging?
7 m.Commonly Used Positron-emitting Radionuclides
2 m.PET/CT Imaging Acquisition
4 m.PET/CT Quality Control
5 m.Quantification of Tracer Uptake
6 m.Factors Impacting Quantification of Tracer Uptake
3 m.Where to Start: Reading a PET/CT Study
9 m.Case: Systematic Approach to Reading a PET/CT Study
9 m.Case: Setting Up Your Imaging Display for a PET/CT Study
5 m.PET/CT Report Example
2 m.Lesson
FDG Use in PET/CT
8 topics, 28 min.
Introduction to FDG
4 m.FDG: Patient Preparation
2 m.FDG: Patterns of Muscle Uptake
6 m.FDG: Patterns of Bone Marrow Uptake and the Effects of G-CSF
5 m.FDG: Patterns of Bone Marrow Uptake and the Effects of Bone Marrow Disease
3 m.Case: Normal Distribution of FDG Tracer
4 m.Case: Abnormal Distribution of FDG (Hyperinsulinemia)
6 m.Cases: Abnormal Distribution of FDG (Hyperinsulinemia, Rhabdomyolysis, Myositis)
2 m.Lesson
FDG: Common Pitfalls and Benign Lesions
9 topics, 21 min.
Lesson
FDG Use in Hematologic Malignancies
8 topics, 40 min.
Role of FDG PET/CT Imaging in Lymphoma: Classification and Staging
7 m.Role of FDG PET/CT Imaging in Lymphoma: Response to Therapy
3 m.Role of FDG PET/CT Imaging in Lymphoma: Follow-up Reports
3 m.FDG Case: Hodgkin's Lymphoma, Initial Presentation
9 m.FDG Case: Hodgkin's Lymphoma, Follow-up
6 m.FDG Case: DLBCL, Initial Presentation
5 m.FDG Case: DLBCL, Follow-up
5 m.FDG Case: Multiple Myeloma
7 m.Lesson
FDG Use in Lung Cancer
5 topics, 17 min.
Lesson
FDG Use in Head & Neck Cancer
3 topics, 14 min.
Lesson
FDG Use in Breast Cancer
2 topics, 8 min.
Lesson
FDG Use in Immunotherapy
3 topics, 18 min.
Lesson
DOTATATE Use in PET/CT
7 topics, 15 min.
Lesson
DOTATATE and FDG Use in Neuroendocrine Tumors
6 topics, 22 min.
Lesson
PSMA Use in PET/CT
4 topics, 9 min.
Lesson
PSMA Use in Prostate Cancer
5 topics, 23 min.
0:00
Another pitfall that you may encounter is plod desis,
0:06
and I'm showing you the same patient
0:09
in two different time points.
0:11
Um, and we're gonna go through the findings.
0:14
Why is important to appropriately detected this, uh, is
0:19
because, um, as you can see,
0:21
it's very obvious when we look at the nip images,
0:25
it's very obvious where the abnormality is.
0:27
If we look at the first pit, which is at the bottom row,
0:33
see that there's multiple areas of very intense
0:36
tracer uptake along the chest wall.
0:40
And here on the axials we see that it's along the pleura,
0:45
it's peripherally, it's bilaterally.
0:48
So one of the differential diagnosis
0:51
for these findings would be mesothelioma.
0:54
But when we look at this case more in detail, we will see
0:59
that in the areas of uptake, there's actually,
1:03
if we look at the CT portion, there's hyperdense material.
1:07
So this is not, remember we're, at least in the majority
1:11
of the cases, we don't give contrast.
1:14
That would be something to check if you've given contrast.
1:17
But in the absence of contrast, uh,
1:20
hyperdensity along the pleura could be two things.
1:25
One would be either calcification
1:27
from pleural calcified plaques in the context of, uh,
1:31
asbestos exposure or pleurodesis, which is
1:35
a medical procedure in which we create, uh,
1:40
chemical inflammation to adhere the pleural lining
1:44
and prevent pleural effusions.
1:47
What these results is chronic inflammation,
1:51
like in this case, chronic inflammation that
1:55
is persistent over time.
1:58
We see it in subsequent studies.
2:01
The degree of uptake may vary a little bit
2:04
between the studies, but it tends to be consistent
2:08
if we compare both on the top and on the bottom.
2:12
Done, uh, many months, uh, apart, we can see
2:15
that the distribution is unchanged,
2:18
the intensity is unchanged,
2:20
and it all localizes to areas of hyper density.
2:25
The OMA would look different, would not be hyperdense,
2:28
it would be, uh, soft tissue
2:31
thickening in nodules along the pleura.
FDG Case: Pleurodesis
HIDEInteractive Transcript
0:00
Another pitfall that you may encounter is plod desis,
0:06
and I'm showing you the same patient
0:09
in two different time points.
0:11
Um, and we're gonna go through the findings.
0:14
Why is important to appropriately detected this, uh, is
0:19
because, um, as you can see,
0:21
it's very obvious when we look at the nip images,
0:25
it's very obvious where the abnormality is.
0:27
If we look at the first pit, which is at the bottom row,
0:33
see that there's multiple areas of very intense
0:36
tracer uptake along the chest wall.
0:40
And here on the axials we see that it's along the pleura,
0:45
it's peripherally, it's bilaterally.
0:48
So one of the differential diagnosis
0:51
for these findings would be mesothelioma.
0:54
But when we look at this case more in detail, we will see
0:59
that in the areas of uptake, there's actually,
1:03
if we look at the CT portion, there's hyperdense material.
1:07
So this is not, remember we're, at least in the majority
1:11
of the cases, we don't give contrast.
1:14
That would be something to check if you've given contrast.
1:17
But in the absence of contrast, uh,
1:20
hyperdensity along the pleura could be two things.
1:25
One would be either calcification
1:27
from pleural calcified plaques in the context of, uh,
1:31
asbestos exposure or pleurodesis, which is
1:35
a medical procedure in which we create, uh,
1:40
chemical inflammation to adhere the pleural lining
1:44
and prevent pleural effusions.
1:47
What these results is chronic inflammation,
1:51
like in this case, chronic inflammation that
1:55
is persistent over time.
1:58
We see it in subsequent studies.
2:01
The degree of uptake may vary a little bit
2:04
between the studies, but it tends to be consistent
2:08
if we compare both on the top and on the bottom.
2:12
Done, uh, many months, uh, apart, we can see
2:15
that the distribution is unchanged,
2:18
the intensity is unchanged,
2:20
and it all localizes to areas of hyper density.
2:25
The OMA would look different, would not be hyperdense,
2:28
it would be, uh, soft tissue
2:31
thickening in nodules along the pleura.
Report
Faculty
Elisa Franquet Elia, MD
Assistant Professor of Radiology
UMass Chan Medical School
Tags
Response and assessment
PET/CT FDG
PET
Oncologic Imaging
Nuclear Medicine
Iatrogenic
General Oncologic Imaging Concepts
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