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Training Collections
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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.
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Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
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Case Crunch: Rapid Case Review (Free)
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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.
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.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.9 topics, 21 min.
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.5 topics, 17 min.
3 topics, 14 min.
2 topics, 8 min.
3 topics, 18 min.
7 topics, 15 min.
6 topics, 22 min.
4 topics, 9 min.
5 topics, 23 min.
0:00
This is a case of a 62-year-old female
0:03
with a smoking history
0:04
that was enrolled on a CT lung cancer screening program
0:09
and she was found to have a
0:12
lung nodule in the right lower lobe, very close
0:15
to the bronchovascular bundle, as well as other
0:19
smaller nodules.
0:21
These raise the concern for a malignancy and
0:25
therefore an FDG PET CT was recommended.
0:28
Here we have the F DG PET CT in which we can see
0:32
that there is very intense tracer uptake corresponding to
0:36
that lung nodule.
0:39
The other nodules that we're seeing like this one
0:42
that I'm showing you here, it's a smaller,
0:45
has no tracer uptick,
0:47
and there were other areas of bronchial valve thickening in
0:51
that same right lower lobe
0:53
that didn't have tracer uptake either.
0:56
These intensely FDG AVID lesion
1:01
had an SUV max of 9.2.
1:05
Aside from that finding, there was no other
1:09
abnormality seen in the mediastinum, no
1:12
concerning lymph nodes
1:14
and no concerning distant disease elsewhere.
1:19
This patient underwent a biopsy
1:21
and the biopsy revealed, uh, small cell carcinoma,
1:25
which is an aggressive type of neuroendocrine tumor.
1:29
You would wonder why wouldn't we do a ity
1:32
to stage this patient and is
1:33
because these aggressive neuroendocrine tumors
1:38
are going to most likely be seen with a sensitive
1:42
tracer such as a DG rather than with
1:46
a specific one like dotatate.
Interactive Transcript
0:00
This is a case of a 62-year-old female
0:03
with a smoking history
0:04
that was enrolled on a CT lung cancer screening program
0:09
and she was found to have a
0:12
lung nodule in the right lower lobe, very close
0:15
to the bronchovascular bundle, as well as other
0:19
smaller nodules.
0:21
These raise the concern for a malignancy and
0:25
therefore an FDG PET CT was recommended.
0:28
Here we have the F DG PET CT in which we can see
0:32
that there is very intense tracer uptake corresponding to
0:36
that lung nodule.
0:39
The other nodules that we're seeing like this one
0:42
that I'm showing you here, it's a smaller,
0:45
has no tracer uptick,
0:47
and there were other areas of bronchial valve thickening in
0:51
that same right lower lobe
0:53
that didn't have tracer uptake either.
0:56
These intensely FDG AVID lesion
1:01
had an SUV max of 9.2.
1:05
Aside from that finding, there was no other
1:09
abnormality seen in the mediastinum, no
1:12
concerning lymph nodes
1:14
and no concerning distant disease elsewhere.
1:19
This patient underwent a biopsy
1:21
and the biopsy revealed, uh, small cell carcinoma,
1:25
which is an aggressive type of neuroendocrine tumor.
1:29
You would wonder why wouldn't we do a ity
1:32
to stage this patient and is
1:33
because these aggressive neuroendocrine tumors
1:38
are going to most likely be seen with a sensitive
1:42
tracer such as a DG rather than with
1:46
a specific one like dotatate.
Report
Faculty
Elisa Franquet Elia, MD
Assistant Professor of Radiology
UMass Chan Medical School
Tags
PET/CT FDG
PET
Oncologic Imaging
Nuclear Medicine
Neoplastic
Lungs
General Oncologic Imaging Concepts
Chest
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