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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.
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
In this case, this 73-year-old man was image
0:05
with PSMA to identify areas of disease
0:11
as he presented with biochemical recurrence.
0:14
But I wanna show you the normal distribution of this tracer.
0:20
The PSMA expression
0:23
is found in the normal salivary
0:26
and lacrimal glands as we can see here,
0:29
and it's common to see very intense uptake.
0:34
It is also seen in many cases in breast,
0:38
and even though this would essentially be used in
0:43
male patients only patients can have gynecomastia
0:48
and uh, show uptake in the breast parenchyma.
0:53
Also, the trace bounds to the
0:57
tubules in the kidneys, as well as in the small bowel,
1:02
which is more intensely in the duodenum, in the epithelial
1:07
of the duodenum in the brush border.
1:09
Also, we see an intense uptake diffusely in the liver
1:13
because there's uptake in the cup for cells.
1:16
It is common to see tracer uptake in the ureters
1:20
as the tracer is excreted
1:22
and also intense uptake in the bladder from
1:26
a concentrated tracer.
1:28
In this case, we see that changing a little bit.
1:31
The contrast, the bladder is full
1:35
and there's higher concentration in the dependent portions
1:38
of the bladder from a mix of excreted tracer
1:42
and probably already existing urine
1:46
because many
1:47
of these patients may have outlet obstruction to some degree.
1:53
Normally, if you don't have disease in the prostate, uh,
1:58
you should expect low level of tracer uptake.
2:02
As you can see here, in this case, this patient
2:05
has fiducial markers, uh,
2:07
from a previously treated prostate,
2:09
and we see that the uptake is low and is diffused,
2:12
and there's no areas of increased uptake.
2:16
The bone marrow should have low uptake,
2:20
and this will be helpful in identifying osseous lesions
2:24
that are so common in patients with prostate cancer.
2:28
Similarly to Dotatate, we can also identify
2:33
low level uptake in both the stalet ganglion
2:37
and the celiac ganglion, as well
2:40
as sometimes in the sacral ganglion.
Case: Normal Distribution of PSMA Tracer
HIDEInteractive Transcript
0:00
In this case, this 73-year-old man was image
0:05
with PSMA to identify areas of disease
0:11
as he presented with biochemical recurrence.
0:14
But I wanna show you the normal distribution of this tracer.
0:20
The PSMA expression
0:23
is found in the normal salivary
0:26
and lacrimal glands as we can see here,
0:29
and it's common to see very intense uptake.
0:34
It is also seen in many cases in breast,
0:38
and even though this would essentially be used in
0:43
male patients only patients can have gynecomastia
0:48
and uh, show uptake in the breast parenchyma.
0:53
Also, the trace bounds to the
0:57
tubules in the kidneys, as well as in the small bowel,
1:02
which is more intensely in the duodenum, in the epithelial
1:07
of the duodenum in the brush border.
1:09
Also, we see an intense uptake diffusely in the liver
1:13
because there's uptake in the cup for cells.
1:16
It is common to see tracer uptake in the ureters
1:20
as the tracer is excreted
1:22
and also intense uptake in the bladder from
1:26
a concentrated tracer.
1:28
In this case, we see that changing a little bit.
1:31
The contrast, the bladder is full
1:35
and there's higher concentration in the dependent portions
1:38
of the bladder from a mix of excreted tracer
1:42
and probably already existing urine
1:46
because many
1:47
of these patients may have outlet obstruction to some degree.
1:53
Normally, if you don't have disease in the prostate, uh,
1:58
you should expect low level of tracer uptake.
2:02
As you can see here, in this case, this patient
2:05
has fiducial markers, uh,
2:07
from a previously treated prostate,
2:09
and we see that the uptake is low and is diffused,
2:12
and there's no areas of increased uptake.
2:16
The bone marrow should have low uptake,
2:20
and this will be helpful in identifying osseous lesions
2:24
that are so common in patients with prostate cancer.
2:28
Similarly to Dotatate, we can also identify
2:33
low level uptake in both the stalet ganglion
2:37
and the celiac ganglion, as well
2:40
as sometimes in the sacral ganglion.
Report
Faculty
Elisa Franquet Elia, MD
Assistant Professor of Radiology
UMass Chan Medical School
Tags
Prostate/seminal vesicles
PET/CT PSMA
PET
Oncologic Imaging
Nuclear Medicine
Neoplastic
Genitourinary (GU)
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