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Fellowship Certificate™ Programs
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Ultimate Learning Pass
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Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
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Get a free weekly case delivered right to your inbox.
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.
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.
0:01
This is an FEG PET CT perform on a 25-year-old male,
0:06
had presented with back pain
0:09
and had lumbar spine MRI done that showed abnormal
0:14
bone marrow uptake and this was concerning for, uh, lymphoma
0:19
and therefore he underwent an FDG pity for staging
0:25
as opposed to the other cases we just discussed.
0:30
There is also in this case,
0:32
abnormal tracer uptake in the bone marrow of the axial
0:35
and appendicular skeleton, but in this case is multifocal
0:38
heterogeneous and this is a case
0:43
of bone marrow disease.
0:46
When we look closer, look at the axial use,
0:51
uh, of the pit, we see that all these areas
0:54
of intense focal uptake
0:56
and don't actually have a correlation on the CT
1:00
because these are not osseous lesions,
1:02
but lesions within the bone marrow compartment.
1:06
And that's an important distinction to make.
1:09
But distinguishing what's an abnormal bone marrow appearance
1:14
from something that may be a physiological response.
1:18
In the case of bone marrow stimulators is important
1:22
for an appropriate diagnosis.
1:25
In this case, there are no correlating lesions.
1:28
It could be that all the areas of uptake may correspond
1:32
with also changes in the bone.
1:35
In this case, uh, we don't have that, which tells us
1:39
that this is just bone marrow disease.
1:43
Another thing that we have in this patient was, uh,
1:47
abnormal asplenic uptake, uh,
1:49
shows us increased uptake compared to the liver
1:53
and in this case, the size was normal.
1:56
I had mentioned earlier that the size might,
1:59
might help you distinguish.
2:01
However, the combination of a Apache
2:04
or heterogeneous one marrow with an abnormal spleen now, uh,
2:09
raises concern for involvement of the spleen
2:13
or alternatively a physiological response to disease.
2:17
We will probably don't know the exact answer, uh,
2:22
without a biopsy, but this is something we should include in
2:25
our report to make sure
2:28
that the subsequent pets address the resolution
2:32
of this finding or not.
FDG: Patterns of Bone Marrow Uptake and the Effects of Bone Marrow Disease
HIDEInteractive Transcript
0:01
This is an FEG PET CT perform on a 25-year-old male,
0:06
had presented with back pain
0:09
and had lumbar spine MRI done that showed abnormal
0:14
bone marrow uptake and this was concerning for, uh, lymphoma
0:19
and therefore he underwent an FDG pity for staging
0:25
as opposed to the other cases we just discussed.
0:30
There is also in this case,
0:32
abnormal tracer uptake in the bone marrow of the axial
0:35
and appendicular skeleton, but in this case is multifocal
0:38
heterogeneous and this is a case
0:43
of bone marrow disease.
0:46
When we look closer, look at the axial use,
0:51
uh, of the pit, we see that all these areas
0:54
of intense focal uptake
0:56
and don't actually have a correlation on the CT
1:00
because these are not osseous lesions,
1:02
but lesions within the bone marrow compartment.
1:06
And that's an important distinction to make.
1:09
But distinguishing what's an abnormal bone marrow appearance
1:14
from something that may be a physiological response.
1:18
In the case of bone marrow stimulators is important
1:22
for an appropriate diagnosis.
1:25
In this case, there are no correlating lesions.
1:28
It could be that all the areas of uptake may correspond
1:32
with also changes in the bone.
1:35
In this case, uh, we don't have that, which tells us
1:39
that this is just bone marrow disease.
1:43
Another thing that we have in this patient was, uh,
1:47
abnormal asplenic uptake, uh,
1:49
shows us increased uptake compared to the liver
1:53
and in this case, the size was normal.
1:56
I had mentioned earlier that the size might,
1:59
might help you distinguish.
2:01
However, the combination of a Apache
2:04
or heterogeneous one marrow with an abnormal spleen now, uh,
2:09
raises concern for involvement of the spleen
2:13
or alternatively a physiological response to disease.
2:17
We will probably don't know the exact answer, uh,
2:22
without a biopsy, but this is something we should include in
2:25
our report to make sure
2:28
that the subsequent pets address the resolution
2:32
of this finding or not.
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
Neoplastic
General Oncologic Imaging Concepts
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