Imaging in Metastatic Melanoma. Nilanthi Gunawardane Gillian Lieberman, MD March 2008
|
|
- Barry Norris
- 6 years ago
- Views:
Transcription
1 Imaging in Metastatic Melanoma Nilanthi Gunawardane Gillian Lieberman, MD March 2008
2 Malignant Melanoma Neoplasm of pigment-forming cells, melanocytes,, and nevus cells Types of melanoma Superficial spreading Lentigo maligna Nodular Acral lentiginous
3 Epidemiology In 2008, an estimated 62,480 individuals will be diagnosed with melanoma and 8420 will die of this disease Lifetime risk of developing melanoma is increasing dramatically 2001: 1 in : 1 in : 1 in 600
4 AJCC 2002 Melanoma Clinical Stage Grouping
5 Sites of Metastases Lymph nodes Lungs Liver Subcutaneous tissue GI tract Brain Less common: heart, muscle, spleen, kidneys, adrenal glands, gallbladder, breast
6 Our Patient Mr. H: Initial Presentation 84 yo M presented to a dermatologist with a dysplastic nevus Hx of extensive sun exposure, no hx of skin cancer No family hx of melanoma Lesion resected Followed conservatively
7 Imaging modalities for the work up of suspected malignant melanoma Plain films Computed Tomography (CT) Positron Emission Tomography (PET) PET-CT Magnetic Resonance Imaging (MRI) Lymphoscintigraphy Ultrasound
8 Imaging Modalities Modality Stage I and II Stage III CXR CT Recommended Functions as baseline Optional periodic CXR q3-6 months Low sensitivity for detection of metastasis Low yield and high false positive rate (10-20%) Optional periodic CXR q3-6 months Low sensitivity for detection of metastasis but higher than stage I and II Low yield of brain, torso CT in asymptomatic patients Selective imaging indicated Imaging prior to lymph node dissection or IF therapy
9 Imaging Modalities Modality Stage I and II Stage III PET & PET/CT MRI Not indicated Low sensitivity Not indicated Recommended More sensitive than MRI, CT PET/CT more accurate than PET b/c able to correlate anatomic localization with physiologic information Most sensitive modality to assess brain mets Routine imaging in asymptomatic patients controversial
10 Lymphoscintigraphy Staging of patients who are clinically node negative Lymph node involvement most important prognostic factor Method: Radioactive colloid injected intradermally around tumor. Imaged by gamma camera/gamma probe Allows preoperative and intraoperative identification of sentinel lymph nodes for biopsy Courtesy of Dr. Donohoe, BIDMC
11 Mr. H: Follow-up Two years later: CT chest at OSH showed small right lung lesion Decided to follow-up with repeat CT in 6 months Two years, seven months later: Repeat CT at BIDMC
12 Mr. H: Mass on Non-contrast Chest CT Rounded opacity in RLL, 3cm in diameter, no calcification, no cavitation From PACS, BIDMC
13 Mr. H: Multiple Nodules on Non-contrast Chest CT 2mm nodule LUL Subpleural 8mm nodule RUL From PACS, BIDMC
14 DDx for Multiple Pulmonary Nodules Malignancy: Metastasis, Lymphoma Infectious: Abscesses, Septic emboli, Fungi Infectious: A Non-infectious: Wegener s granuloma AVM Pneumoconioses
15 Mr. H: Lung Mass on PET Focal area of increased FDG uptake in right lung Courtesy of Dr. Donohoe, BIDMC
16 Lung Mass on PET-CT Focal area of increased FDG uptake on PET Focal area of increased FDG uptake on PET Lung mass on CT Fusion image: area of increased FDG uptake on PET correlates with lung mass on CT Courtesy of Dr. Donohoe, BIDMC
17 DDx for PET enhancement Neoplasm Infection Inflammation Uptake in brain, skeletal muscle, brown fat, myocardium, bowel Urinary collecting system
18 Mr. H: Further Follow-up Bronchoscopy - resection of two nodules Pathology poorly differentiated metastatic melanoma Followed with torso CTs Developed acute low back pain MRI findings suspicious for metastasis L2 biopsy showed melanoma
19 Mr. H: Vertebral Metastases on Spinal MRI Compression fracture L1 T11 L2 From PACS, BIDMC Sagittal T1 MRI thoracic & lumbar spine: Decreased signal intensity suspicious for metastasis in L2 vertebral body and T11 spinous process
20 Mr. H : Course of Events One year post-imaging at BIDMC Patient awoke with diplopia MRI at OSH metastatic lesions in brain Whole brain radiation One month later: Transferred to BI for further care
21 Mr. H: Cerebral Mets on MRI Sagittal T1 weighted noncontrast brain MRI Axial T1 weighted non-contrast brain MRI 2X3 cm area of increased signal intensity in right frontal lobe From PACS, BIDMC
22 Mr. H: Cerebral Mets on MRI Axial T1 weighted non-contrast brain MRI Two areas of increased signal intensity in right hemisphere From PACS, BIDMC
23 Mr. H: Hemorrhagic Cerebral Mets on MRI Axial T1 weighted non-contrast brain MRI Axial T2 GRE Increased signal intensity area on T1 corresponds with decreased signal intensity area on T2 GRE, consistent with a hemorrhagic lesion From PACS, BIDMC
24 DDx for Hemorrhagic Brain Mets Melanoma Anaplastic lung carcinoma Thyroid carcinoma Choriocarcinoma Hypernephroma
25 Companion Patient #1: Melanotic Pattern of Melanoma Non-enhanced axial T1 MR Non-enhanced axial T2 MR Increased signal intensity on T1 Decreased signal intensity on T2 Companion patient #1: 54 yo with brain metastasis from acral lentiginous melanoma Escott E, Radiographics. 2001;21:
26 Companion Patient #2: Amelanotic Pattern of Melanoma Non-enhanced axial T1 MR Non-enhanced axial T2 MR Hypo & Isointense on T1 Hyper & Isointense on T2 Companion patient #2: 40 yo M with melanoma brain metastasis Escott E, Radiographics. 2001;21:
27 Mr.H: : Final Events Patient developed SBO and pneumoperitoneum Patient expired
28 Companion Patients: Other Sites of Metastases Patient #3: Necrotic hepatic melanoma met Patient #4: Subcutaneous melanoma met Patient #5: CT and US of renal melanoma met Donohoe, Imaging Studies in Melanoma, Up-To-Date 2008
29 Summary Melanoma can metastasize to any organ Imaging is an essential component of melanoma staging Multitude of imaging modalities are utilized in the staging and follow-up of metastatic melanoma Metastatic melanoma lesions, especially in the brain, can have a variety of appearances on imaging
30 Acknowledgments Dr. Lieberman Dr. Andrew Hines-Peralta Dr. Kevin Donohoe Rachel Jimenez Maria Levantakis
31 References American Cancer Society: Cancer Facts & Figures, Statistics for 2007 and 2008 Au Shiela, emedicine: : CNS Melanoma Belhocine TZ, Scott AM, Even-Sapir E, et al., Role of nuclear medicine in the management of cutaneous malignant melanoma. J Nucl Med Jun;47(6): Buzaid AC, Gershenwald JE, Ross MI. Staging work-up for melanoma and follow-up guidelines. UpTo Date 2008 Buzaid AC, Gershenwald JE, Ross MI. American Joint Commission on Cancer staging system and prognostic factors in cutaneous melanoma. Up To Date 2008 Donohoe K. Imaging studies in melanoma. Up To Date Escott E, A Variety of Appearances of Malignant Melanoma in the Head: A Review. Radiographics ;21: Greene, FL, Page DL, Fleming ID, et al., (Eds( Eds). Melanoma of the skin. In: AJCC Cancer Staging Manual, Springer, New York, 2002, p.209 Iagaru A, Quon A, Johnson D, et al.,2-deoxy Deoxy-2-[F-18]fluoro-D-glucose positron emission tomography/computed tomography in the management of melanoma. Mol Imaging Biol Jan-Feb;9(1):50 Feb;9(1):50-7. Kuvshinoff BW, Kurtz C, Coit DG. Computed tomography in evaluation of patients with stage III melanoma. Ann Surg Oncol Apr-May;4(3):252 May;4(3): Marks JG, Miller JJ. (Eds( Eds). Principles of Dermatology: Pigmented growths pp Fourth edition. Saunders 2006
32 References Mandel J, Stark P. Differential diagnosis and evaluation of multiple pulmonary nodules. UpTo Date 2008 Reinhardt MJ, Joe AY, Jaeger U, et al.,diagnostic performance of whole body dual modality 18F- FDG PET/CT imaging for N-N and M-staging M of malignant melanoma: experience with 250 consecutive patients. J Clin Oncol Mar 1;24(7): Shirkhoda A, Albin J. Malignant melanoma: correlating abdominal and pelvic CT with clinical staging. Radiology Oct;165(1):75-8. Terhune MH, Swanson N, Johnson TM. Use of chest radiography in the initial ial evaluation of patients with localized melanoma. Arch Dermatol May134(5): Tyler DS, Onaitis M, Kherani A, Hata A, et al., Positron emission tomography scanning in malignant melanoma. Cancer Sep 1;89(5): Wagner JD, Schauwecker D, Davidson D, et al., Inefficacy of F-18 F fluorodeoxy-d-glucose glucose- positron emission tomography scans for initial evaluation in early ly-stage cutaneous melanoma. Cancer Aug 1;104(3): Yock DH. Magnetic Resonance Imaging of CNS. Mosby Yearbook, Inc.1995 Yudd AP, Kempf JS, Goydos JS, et al. Use of sentinel node lymphoscintigraphy in malignant melanoma. Radiographics Mar-Apr;19(2):343 Apr;19(2):343-53
Los Angeles Radiological Society 62 nd Annual Midwinter Radiology Conference January 31, 2010
Los Angeles Radiological Society 62 nd Annual Midwinter Radiology Conference January 31, 2010 Self Assessment Module on Nuclear Medicine and PET/CT Case Review FDG PET/CT IN LYMPHOMA AND MELANOMA Submitted
More informationIndex. Surg Oncol Clin N Am 16 (2007) Note: Page numbers of article titles are in boldface type.
Surg Oncol Clin N Am 16 (2007) 465 469 Index Note: Page numbers of article titles are in boldface type. A Adjuvant therapy, preoperative for gastric cancer, staging and, 339 B Breast cancer, metabolic
More informationRadiological Manifestations of Metastatic Melanoma
Radiological Manifestations of Metastatic Melanoma Lia Hojman, Universidad de Chile Year VII Our patient: Clinical Presentation A 24 year old male. Former smoker. 8 months ago, he suffered a burn in his
More informationPositron Emission Tomography in Lung Cancer
May 19, 2003 Positron Emission Tomography in Lung Cancer Andrew Wang, HMS III Patient DD 53 y/o gentleman presented with worsening dyspnea on exertion for the past two months 30 pack-year smoking Hx and
More informationThe Role of PET / CT in Lung Cancer Staging
July 2004 The Role of PET / CT in Lung Cancer Staging Vlad Vinarsky, Harvard Medical School Year IV Patient AM HPI: 81 yo F p/w hemoptysis x 1 month LLL lesion on CXR, not responsive to Abx 35 pack-year
More informationobjectives Pitfalls and Pearls in PET/CT imaging Kevin Robinson, DO Assistant Professor Department of Radiology Michigan State University
objectives Pitfalls and Pearls in PET/CT imaging Kevin Robinson, DO Assistant Professor Department of Radiology Michigan State University To determine the regions of physiologic activity To understand
More informationAn Introduction to PET Imaging in Oncology
January 2002 An Introduction to PET Imaging in Oncology Janet McLaren, Harvard Medical School Year III Basics of PET Principle of Physiologic Imaging: Allows in vivo visualization of structures by their
More informationDr Sneha Shah Tata Memorial Hospital, Mumbai.
Dr Sneha Shah Tata Memorial Hospital, Mumbai. Topics covered Lymphomas including Burkitts Pediatric solid tumors (non CNS) Musculoskeletal Ewings & osteosarcoma. Neuroblastomas Nasopharyngeal carcinomas
More informationUse of Integrated PET CT in the Clinical Staging of Non Small Cell Lung Cancer
November 2010 Use of Integrated PET CT in the Clinical Staging of Non Small Cell Lung Cancer Laura Myers, Harvard Medical School, Year III Clinical Presentation 79yo woman with cough productive of green
More informationCase Scenario 1 Worksheet. Primary Site C44.4 Morphology 8743/3 Laterality 0 Stage/ Prognostic Factors
CASE SCENARIO 1 9/10/13 HISTORY: Patient is a 67-year-old white male and presents with lesion located 4-5cm above his right ear. The lesion has been present for years. No lymphadenopathy. 9/10/13 anterior
More informationIndex. pet.theclinics.com. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A C a-aminobutyric acid, carbon-labeled, 94 ABCD(E)s, of melanoma, 2 Acral-lentiginous melanoma, 3 Adrenal glands, metastasis to, structural imaging
More informationNew Visions in PET: Surgical Decision Making and PET/CT
New Visions in PET: Surgical Decision Making and PET/CT Stanley J. Goldsmith, MD Director, Nuclear Medicine Professor, Radiology & Medicine New York Presbyterian Hospital- Weill Cornell Medical Center
More informationPOSITRON EMISSION TOMOGRAPHY (PET)
Status Active Medical and Behavioral Health Policy Section: Radiology Policy Number: V-27 Effective Date: 08/27/2014 Blue Cross and Blue Shield of Minnesota medical policies do not imply that members should
More informationRadiological staging of lung cancer. Shukri Loutfi,MD,FRCR Consultant Thoracic Radiologist KAMC-Riyadh
Radiological staging of lung cancer Shukri Loutfi,MD,FRCR Consultant Thoracic Radiologist KAMC-Riyadh Bronchogenic Carcinoma Accounts for 14% of new cancer diagnoses in 2012. Estimated to kill ~150,000
More informationImaging in gastric cancer
Imaging in gastric cancer Gastric cancer remains a deadly disease because of late diagnosis. Adenocarcinoma represents 90% of malignant tumors. Diagnosis is based on endoscopic examination with biopsies.
More informationUnderstanding the Diagnostic and Prognostic Role of Imaging in the Evaluation of an Anterior Mediastinal Mass
Understanding the Diagnostic and Prognostic Role of Imaging in the Evaluation of an Anterior Mediastinal Mass Daniel W. Kim, Harvard Medical School Year III Agenda Mediastinum Menu of tests Anatomy Normal
More information11/1/2014. Radiologic incidentalomas Ordering pitfalls Newer technology and applications
Bilal Tahir, MD Gitasree Borthakur, MD Indiana University School of Medicine Department of Radiology & Imaging Sciences October 31, 2014 ACP 2014 Dr. V. Aaron Nuclear (vaaron@iupui.edu) Dr. S. Westphal
More informationRadiology Pathology Conference
Radiology Pathology Conference Sharlin Johnykutty,, MD, Cytopathology Fellow Sara Majewski, MD, Radiology Resident Friday, August 28, 2009 Presentation material is for education purposes only. All rights
More informationClinical indications for positron emission tomography
Clinical indications for positron emission tomography Oncology applications Brain and spinal cord Parotid Suspected tumour recurrence when anatomical imaging is difficult or equivocal and management will
More informationA fatal case of an adrenal gland melanoma with a mysterious primary lesion
ISPUB.COM The Internet Journal of Urology Volume 6 Number 2 A fatal case of an adrenal gland melanoma with a mysterious primary lesion A Adam, M Engelbrecht, I van Heerden Citation A Adam, M Engelbrecht,
More informationWork-up/Follow-up: Baseline and Surveillance Studies for Cutaneous Melanoma Patients
2018 AAD Annual Meeting, San Diego, CA Work-up/Follow-up: Baseline and Surveillance Studies for Cutaneous Melanoma Patients Susan M. Swetter, MD, FAAD Professor of Dermatology Director, Pigmented Lesion
More informationperformed to help sway the clinician in what the appropriate diagnosis is, which can substantially alter the treatment of management.
Hello, I am Maura Polansky at the University of Texas MD Anderson Cancer Center. I am a Physician Assistant in the Department of Gastrointestinal Medical Oncology and the Program Director for Physician
More informationA Journey Down The Canal
A Journey Down The Canal Radiological Assessment of Spinal Cord Masses John Berry-Candelario HMS III Gillian Lieberman, MD BIDMC Objectives Patient review Anatomy of the spine Imaging techniques Classification
More informationRyan Niederkohr, M.D. Slides are not to be reproduced without permission of author
Ryan Niederkohr, M.D. CMS: PET/CT CPT CODES 78814 Limited Area (e.g., head/neck only; chest only) 78815 78816 Regional (skull base to mid-thighs) True Whole Body (skull vertex to feet) SELECTING FIELD
More informationSELF-ASSESSMENT MODULE REFERENCE SPR 2018 Oncologic Imaging Course Adrenal Tumors November 10, :00 12:10 p.m.
SELF-ASSESSMENT MODULE REFERENCE SPR 2018 Oncologic Imaging Course Adrenal Tumors November 10, 2018 10:00 12:10 p.m. Staging Susan E. Sharp, MD 1. In the International Neuroblastoma Risk Group Staging
More informationCase Report Solitary Osteolytic Skull Metastasis in a Case of Unknown Primary Being latter Diagnosed as Carcinoma of Gall Bladder
Cronicon OPEN ACCESS CANCER Case Report Solitary Osteolytic Skull Metastasis in a Case of Unknown Primary Being latter Diagnosed as Carcinoma of Gall Kartik Mittal 1, Rajaram Sharma 1, Amit Dey 1, Meet
More informationSubject Index. Dry desquamation, see Skin reactions, radiotherapy
Subject Index Actinic keratosis disseminated disease 42 surgical excision 42 AIDS, see Kaposi s sarcoma Amifostine, skin reaction prophylaxis 111 Basal cell carcinoma, superficial X-ray therapy Bowen s
More informationLung. 10/24/13 Chest X-ray: 2.9 cm mass like density in the inferior lingular segment worrisome for neoplasm. Malignancy cannot be excluded.
Lung Case Scenario 1 A 54 year white male presents with a recent abnormal CT of the chest. The patient has a history of melanoma, kidney, and prostate cancers. 10/24/13 Chest X-ray: 2.9 cm mass like density
More informationARTICLE. Imaging of metastatic melanoma
Cancer Imaging (2006) 6, 204 208 DOI: 10.1102/1470-7330.2006.0033 CI ARTICLE Imaging of metastatic melanoma D Michael King Royal Marsden Foundation Trust, London, UK Corresponding address: D Michael King,
More informationToby Maurer, MD University of California, San Francisco. Lifetime risk of an American developing melanoma
Distinguishing Pigmented Skin Lesions and Melanoma Toby Maurer, MD University of California, San Francisco Epidemiology of Melanoma Lifetime risk of an American developing melanoma 1935: 1 in 1500 1980:
More informationToby Maurer, MD University of California, San Francisco. Lifetime risk of an American developing melanoma
Distinguishing Pigmented Skin Lesions and Melanoma Toby Maurer, MD University of California, San Francisco Epidemiology of Melanoma Lifetime risk of an American developing melanoma 1935: 1 in 1500 1980:
More informationProf. Dr. NAGUI M. ABDELWAHAB,M.D.; MARYSE Y. AWADALLAH, M.D. AYA M. BASSAM, Ms.C.
Role of Whole-body Diffusion MR in Detection of Metastatic lesions Prof. Dr. NAGUI M. ABDELWAHAB,M.D.; MARYSE Y. AWADALLAH, M.D. AYA M. BASSAM, Ms.C. Cancer is a potentially life-threatening disease,
More informationSTRADA DEGLI ALBERONI 11// TURIN ITALY. Full time employee as a freelancer contract since
E UROPEAN CURRICULUM VITAE FORMAT PERSONAL INFORMATION Name VINCENZO ARENA Address STRADA DEGLI ALBERONI 11//9 10133 - TURIN ITALY Telephone 011 3160158 Fax Mobile E-mail 011 3160828 +39 338 2941141 vincenzo.arena@affidea.it
More informationFieldStrength. Leuven research is finetuning. whole body staging
FieldStrength Publication for the Philips MRI Community Issue 40 May 2010 Leuven research is finetuning 3.0T DWIBS for whole body staging The University Hospital of Leuven is researching 3.0T whole body
More informationHEALTHFIRST 2011 RADIOLOGY PROGRAM CODE LIST
HEALTHFIRST 2011 RADIOLOGY PROGRAM CODE LIST Outpatient Radiology utilization call Carecore at 1-877-773-6964 Modality CPT CODE Description CT SCANS 70450 CT HEAD/BRAIN W/O CONTRAST CT SCANS 70460 CT HEAD/BRAIN
More informationAlison Douglass Gillian Lieberman, MD. November. Colon Cancer. Alison Douglass, Harvard Medical School Year III Gillian Lieberman, MD
November Colon Cancer Alison Douglass, Harvard Medical School Year III Our Patient Mr. K. is a 67 year old man with no prior medical problems other than hemorrhoids which have caused occasional rectal
More information1/25/13 Right partial nephrectomy followed by completion right radical nephrectomy.
History and Physical Case Scenario 1 45 year old white male presents with complaints of nausea, weight loss, and back pain. A CT of the chest, abdomen and pelvis was done on 12/8/12 that revealed a 12
More informationPET IMAGING (POSITRON EMISSION TOMOGRAPY) FACT SHEET
Positron Emission Tomography (PET) When calling Anthem (1-800-533-1120) or using the Point of Care authorization system for a Health Service Review, the following clinical information may be needed to
More informationLearning Objectives. 1. Identify which patients meet criteria for annual lung cancer screening
Disclosure I, Taylor Rowlett, DO NOT have a financial interest /arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context
More informationPET/CT in lung cancer
PET/CT in lung cancer Andrei Šamarin North Estonia Medical Centre 3 rd Baltic Congress of Radiology 08.10.2010 Imaging in lung cancer Why do we need PET/CT? CT is routine imaging modality for staging of
More informationUndergraduate Teaching
Prof. James F Meaney Undergraduate Teaching Chest X-Ray Understanding the normal anatomical by reference to cross sectional imaging Radiology? It s FUN! Cryptic puzzle Sudoku (Minecraft?) It s completely
More informationApproach to Pulmonary Nodules
Approach to Pulmonary Nodules Edwin Jackson, Jr., DO Assistant Professor-Clinical Director, James Early Detection Clinic Department of Internal Medicine Division of Pulmonary, Allergy, Critical Care and
More informationMedical imaging X-ray, CT, MRI, scintigraphy, SPECT, PET Györgyi Műzes
Medical imaging X-ray, CT, MRI, scintigraphy, SPECT, PET Györgyi Műzes Semmelweis University, 2nd Dept. of Medicine Medical imaging: definition technical process of creating visual representations about
More informationPET imaging of cancer metabolism is commonly performed with F18
PCRI Insights, August 2012, Vol. 15: No. 3 Carbon-11-Acetate PET/CT Imaging in Prostate Cancer Fabio Almeida, M.D. Medical Director, Arizona Molecular Imaging Center - Phoenix PET imaging of cancer metabolism
More informationFDG-PET Findings in an Ovarian Endometrioma: A Case Report
FDG-PET Findings in an Ovarian Endometrioma: A Case Report Jia-Huei Lin 1, Victor Chit-kheng Kok 2, Jian-Chiou Su 3 1 Department of Nuclear medicine, Kuang Tien General Hospital, Sha-Lu, Taichung, Taiwan
More informationTHE ROLE OF CONTEMPORARY IMAGING AND HYBRID METHODS IN THE DIAGNOSIS OF CUTANEOUS MALIGNANT MELANOMA(CMM) AND MERKEL CELL CARCINOMA (MCC)
THE ROLE OF CONTEMPORARY IMAGING AND HYBRID METHODS IN THE DIAGNOSIS OF CUTANEOUS MALIGNANT MELANOMA(CMM) AND MERKEL CELL CARCINOMA (MCC) I.Kostadinova, Sofia, Bulgaria CMM some clinical facts The incidence
More informationGeneral Nuclear Medicine
General Nuclear Medicine What is General Nuclear Medicine? What are some common uses of the procedure? How should I prepare? What does the equipment look like? How does the procedure work? How is the procedure
More informationRelative Survival Rate
5X Su r vi val Th r ou gh Ear l y Det ect i on Cancer Stage I II III IV Relative Survival Rate 55,2% 28% 8% 2% 90% TIME AND COST IS W AITING IN LINE OBJ ECTIVES Reduce Screening Time By Reduce Screening
More informationChest Radiology Interpretation: Findings of Tuberculosis
Chest Radiology Interpretation: Findings of Tuberculosis Get out your laptops, smart phones or other devices pollev.com/chestradiology Case #1 1 Plombage Pneumonia Cancer 2 Reading the TB CXR Be systematic!
More informationHIP RADIOLOGY PROGRAM CODE LISTS
EFFECTIVE OCTOBER 1, 2012 70336 MAGNETIC RESONANCE IMAGING TMJ 70450 COMPUTED TOMOGRAPHY HEAD/BRAIN WITHOUT 70460 COMPUTED TOMOGRAPHY HEAD/BRAIN WITH 70470 COMPUTED TOMOGRAPHY HEAD/BRAIN WITHOUT AND WITH
More informationPET-MRI in malignant bone tumours. Lars Stegger Department of Nuclear Medicine University Hospital Münster, Germany
PET-MRI in malignant bone tumours Lars Stegger Department of Nuclear Medicine University Hospital Münster, Germany Content From PET to PET/MRI General considerations Bone metastases Primary bone tumours
More informationRadiology Pathology Conference
Radiology Pathology Conference Nadia F. Yusaf, M.D. PGY-3 1/29/2010 Presentation material is for education purposes only. All rights reserved. 2010 URMC Radiology Page 1 of 90 Case 1 60 year- old man presents
More informationThyroid Nodule. Disclosure. Learning Objectives P A P A P A 3/18/2014. Nothing to disclose.
Thyroid Nodule Evaluating the patient with a thyroid nodule and some management options. Miguel V. Valdez PA C Disclosure Nothing to disclose. Learning Objectives Examination of thyroid gland Options for
More informationFDG PET/CT STAGING OF LUNG CANCER. Dr Shakher Ramdave
FDG PET/CT STAGING OF LUNG CANCER Dr Shakher Ramdave FDG PET/CT STAGING OF LUNG CANCER FDG PET/CT is used in all patients with lung cancer who are considered for curative treatment to exclude occult disease.
More informationCutaneous Melanoma: Epidemiology (USA) The Sentinel Node in Head and Neck Melanoma. Cutaneous Melanoma: Epidemiology (USA)
The Sentinel Node in Head and Neck Melanoma Cutaneous Melanoma: Epidemiology (USA) 6 th leading cause of cancer among men and women 68,720 new cases of invasive melanoma in 2009 8,650 deaths from melanoma
More informationAdam J. Hansen, MD UHC Thoracic Surgery
Adam J. Hansen, MD UHC Thoracic Surgery Sometimes seen on Chest X-ray (CXR) Common incidental findings on computed tomography (CT) chest and abdomen done for other reasons Most lung cancers discovered
More informationPatient age and cutaneous malignant melanoma: Elderly patients are likely to have more aggressive histological features and poorer survival
MOLECULAR AND CLINICAL ONCOLOGY 7: 1083-1088, 2017 Patient age and cutaneous malignant melanoma: Elderly patients are likely to have more aggressive histological features and poorer survival FARUK TAS
More informationT of patients with malignant melanoma
~~ RADIOGRAPHIC: EVALUATION OF METASTATIC MELANOMA JACK E. MEYER, MD*+$ Malignant melanoma can potentially involve any organ system in the body once it metastasizes beyond the regional lymph nodes. A survey
More informationStaging Colorectal Cancer
Staging Colorectal Cancer CT is recommended as the initial staging scan for colorectal cancer to assess local extent of the disease and to look for metastases to the liver and/or lung Further imaging for
More informationMelanoma. Kaushik Mukherjee MD A. Scott Pearson MD
Melanoma Kaushik Mukherjee MD A. Scott Pearson MD Disclosures You still have to study Not all inclusive No Western blots Extensive use of Google Image Search and Sabiston Melanoma Basics 8 th most common
More informationPublished Evidence. Hicks C, Foss AJE, Hungerford JL: Predictive power of screening tests for metastasis in uveal melanoma. Eye 12: , 1998
Published Evidence Hicks C, Foss AJE, Hungerford JL: Predictive power of screening tests for metastasis in uveal melanoma. Eye 12:945-948, 1998 245 patients UM screened at diagnosis with FBC, LFT, CXR,
More informationexpectancy Cancer spread to bones life expectancy
Cancer spread to bones life expectancy The Borg System is 100 % Cancer spread to bones life expectancy Sep 27, 2016. About 80 percent of the time prostate cancer cells metastasize, or spread, they will
More informationChapter 16 Worksheet Code It
Name: Class: Date: ID: A Chapter 16 Worksheet 3 2 1 Code It True/False Indicate whether the statement is true or false. 1. CT scans generate three-dimensional images. 2. An ultrasound produces images of
More informationEvaluation and Management of Thyroid Nodules. Nick Vernetti, MD, FACE Palm Medical Group Las Vegas, Nevada
Evaluation and Management of Thyroid Nodules Nick Vernetti, MD, FACE Palm Medical Group Las Vegas, Nevada Disclosure Consulting Amgen Speaking Amgen Objectives Understand the significance of incidental
More informationPET/CT Frequently Asked Questions
PET/CT Frequently Asked Questions General Q: Is FDG PET specific for cancer? A: No, it is a marker of metabolism. In general, any disease that causes increased metabolism can result in increased FDG uptake
More informationComputed Tomography Of The Kidneys And Adrenals (Contemporary Issues In Computed Tomography)
Computed Tomography Of The Kidneys And Adrenals (Contemporary Issues In Computed Tomography) If searching for a ebook Computed Tomography of the Kidneys and Adrenals (Contemporary Issues in Computed Tomography)
More informationThoracic Imaging: A Case of Metastatic Adenocarcinoma of Unknown Primary
January 28, 2009 Thoracic Imaging: A Case of Metastatic Adenocarcinoma of Unknown Primary Kristina Mirabeau-Beale, Harvard Medical School Year III Gillian Lieberman, MD Agenda Introduce Patient RS Discuss
More informationAppendix 1: Regional Lymph Node Stations for Staging Esophageal Cancer
Appendix 1: Regional Lymph Node Stations for Staging Esophageal Cancer Locoregional (N stage) disease was redefined in the seventh edition of the AJCC Cancer Staging Manual as any periesophageal lymph
More informationBoot Camp Case Scenarios
Boot Camp Case Scenarios Case Scenario 1 Patient is a 69-year-old white female. She presents with dyspnea on exertion, cough, and right rib pain. Patient is a smoker. 9/21/12 CT Chest FINDINGS: There is
More informationCitation for published version (APA): Francken, A. B. (2007). Primary and metastatic melanoma: aspects of follow-up and staging s.n.
University of Groningen Primary and metastatic melanoma Francken, Anne Brecht IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check
More informationFollow-up investigations. Omgo E. Nieweg
Follow-up investigations Omgo E. Nieweg Systematic literature review follow-up investigations identify few patients with recurrence frequent false positive findings impact on survival unclear Nieweg, Surg
More informationFDG-PET value in deep endometriosis
Gynecol Surg (2011) 8:305 309 DOI 10.1007/s10397-010-0652-6 ORIGINAL ARTICLE FDG-PET value in deep endometriosis A. Setubal & S. Maia & C. Lowenthal & Z. Sidiropoulou Received: 3 December 2010 / Accepted:
More informationSURGERY OF THE HAND. Nodular Melanoma on the Tip of the Thumb INTRODUCTION CASE REPORT. Su Hyun Choi, Hong Bae Jeon, Ja Hea Gu
CSE REPORT pissn 1598-3889 eissn 2234-0998 J Korean Soc Surg Hand 2016;21(4):238-242. http://doi.org/10.12790/jkssh.2016.21.4.238 JOURNL OF THE KOREN SOCIETY FOR SURGERY OF THE HND Nodular Melanoma on
More informationNuclear Medicine and Molecular Imaging Original Research
Nuclear Medicine and Molecular Imaging Original Research Bronstein et al. PET/CT in Metastatic Melanoma Nuclear Medicine and Molecular Imaging Original Research Yulia Bronstein 1 Chaan S. Ng 2 Eric Rohren
More informationAn Overview of Melanoma. Harriet Kluger, M.D. Associate Professor Section of Medical Oncology Yale Cancer Center
An Overview of Melanoma Harriet Kluger, M.D. Associate Professor Section of Medical Oncology Yale Cancer Center Melanoma Statistics Median age at presentation 45-55 55 years Incidence: 2003 54,200 cases
More informationImaging The Turkish Saddle. Russell Goodman, HMS III Dr. Gillian Lieberman
Imaging The Turkish Saddle Russell Goodman, HMS III Dr. Gillian Lieberman Learning Objectives Review the anatomy of the sellar region Discuss the differential diagnosis of sellar masses Discuss typical
More informationBone PET/MRI : Diagnostic yield in bone metastases and malignant primitive bone tumors
Bone PET/MRI : Diagnostic yield in bone metastases and malignant primitive bone tumors Lars Stegger, Benjamin Noto Department of Nuclear Medicine University Hospital Münster, Germany Content From PET to
More information1 Introduction. 2 Materials and methods. LI Na 1 LI Yaming 1,* YANG Chunming 2 LI Xuena 1 YIN Yafu 1 ZHOU Jiumao 1
Nuclear Science and Techniques 20 (2009) 354 358 18 F-FDG PET/CT in diagnosis of skeletal metastases LI Na 1 LI Yaming 1,* YANG Chunming 2 LI Xuena 1 YIN Yafu 1 ZHOU Jiumao 1 1 Department of Nuclear Medicine,
More informationMelanoma Case Scenario 1
Melanoma Case Scenario 1 History and physical 11/5/16 Patient is a single, 48-year-old male in good health who presented to his primary physician for a yearly physical exam during which a 3.4 x 2.8 x 1.5
More informationSEER Summary Stage Still Here!
SEER Summary Stage Still Here! CCRA NORTHERN REGION STAGING SYMPOSIUM SEPTEMBER 20, 2017 SEER Summary Stage Timeframe: includes all information available through completion of surgery(ies) in the first
More informationSyddansk Universitet. Melanomas of the vulva and vagina. Skovsted, Sasia; Nielsen, Karsten; Blaakær, Jan. Published in: Danish Medical Journal
Syddansk Universitet Melanomas of the vulva and vagina Skovsted, Sasia; Nielsen, Karsten; Blaakær, Jan Published in: Danish Medical Journal Publication date: 2017 Document version Publisher's PDF, also
More informationDr Rosalie Stephens. Mr Richard Martin. Medical Oncologist Auckland City Hospital Auckland
Dr Rosalie Stephens Medical Oncologist Auckland City Hospital Auckland Mr Richard Martin General Surgeon Melanoma Unit Team Waitemata District Health Board Auckland 8:30-9:25 WS #99: Interactive Case Studies
More informationIndex. Note: Page numbers of article titles are in boldface type. A Age as factor in melanoma, Anorectal melanoma RT for, 1035
Index Note: Page numbers of article titles are in boldface type. A Age as factor in melanoma, 947 948 Anorectal melanoma RT for, 1035 B Bacille Calmette-Guerin (BCG) in melanoma, 1008 BCG. See Bacille
More informationMulti-Organ Distant Metastases in Follicular Thyroid Cancer- Rare Case Report
Multi-Organ Distant Metastases in Follicular Thyroid Cancer- Rare Case Report Dr. Mohammed Raza 1, Dr. Sindhuri K 2, Dr. Dinesh Reddy Y 3 1 Professor, Department of Surgery, JSS University, Mysore, India
More informationM etastatic disease influences patient management; Whole body PET/CT for initial staging of choroidal melanoma SCIENTIFIC REPORT
1270 SCIENTIFIC REPORT Whole body PET/CT for initial staging of choroidal P T Finger, M Kurli, S Reddy, L B Tena, A C Pavlick... Aim: To investigate the value of whole body positron emission tomography/computed
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 4/30/2011 Radiology Quiz of the Week # 18 Page 1 CLINICAL PRESENTATION AND RADIOLOGY
More informationpulmonary metastasis 80EE4727C6037E7F69A9981B7E55A238 Pulmonary Metastasis 1 / 6
Pulmonary Metastasis 1 / 6 2 / 6 3 / 6 Pulmonary Metastasis Metastatic tumors in the lungs are cancers that developed at other places in the body (or other parts of the lungs). They then spread through
More informationImaging of the cisterna chyli on PET-CT in patients with known malignancy: Report of two cases
Imaging of the cisterna chyli on PET-CT in patients with known malignancy: Report of two cases Natalie Burns, B.S., Jason Barksdale, M.D., Linh Ho, M.D., and Patrick M. Colletti, M.D. Citation: Burns N,
More informationComputed Tomography of Normal Adrenal Glands in Indian Population
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 17, Issue 01 Ver. V January. (2018), PP 26-30 www.iosrjournals.org Computed Tomography of Normal Adrenal
More informationNuclear Medicine in Oncology
Radiopharmaceuticals Nuclear Medicine in Oncology Practice Pharmaceutical Radionuc lide Function Tumor type Diphosphonates Tc-99m Osteoblast Bone tumor & metast. Ga-citrate Ga-67 Fe-analogue Bronchogenous
More informationCervical Cancer: 2018 FIGO Staging
Cervical Cancer: 2018 FIGO Staging Jonathan S. Berek, MD, MMS Laurie Kraus Lacob Professor Stanford University School of Medicine Director, Stanford Women s Cancer Center Senior Scientific Advisor, Stanford
More informationLung Cancer-a primer. Sai Yendamuri, MD Professor and Chair, Dept of Thoracic Surgery,RPCI,Buffalo
Lung Cancer-a primer Sai Yendamuri, MD Professor and Chair, Dept of Thoracic Surgery,RPCI,Buffalo CLINICAL CATEGORIES THE SOLITARY PULMONARY NODULE MULTIPLE PULMONARY NODULES Differential Diagnosis Malignant
More informationParaneoplastic limbic encephalitis in Hodgkin s Lymphoma. Marc Wein, HMS III Dr. Gillian Lieberman, MD September 17, 2007
Paraneoplastic limbic encephalitis in Hodgkin s Lymphoma Marc Wein, HMS III Dr. Gillian Lieberman, MD September 17, 2007 Our patient s CC: Disorientation and insomnia HPI: 27 year old man AW with no PMH
More informationManagement of Neck Metastasis from Unknown Primary
Management of Neck Metastasis from Unknown Primary.. Definition Histologic evidence of malignancy in the cervical lymph node (s) with no apparent primary site of original tumour Diagnosis after a thorough
More informationMelanoma Case Scenario 1
Melanoma Case Scenario 1 History and physical 11/5/16 Patient is a single, 48-year-old male in good health who presented to his primary physician for a yearly physical exam during which a 3.4 x 2.8 x 1.5
More informationReview of Evidence-Based Support for Pretreatment Imaging in Melanoma
1 Review of Evidence-Based Support for Michael S. Sabel, MD, and Sandra L. Wong, MD, MS, Ann Arbor, Michigan Key Words Melanoma, radiographic imaging, chest radiograph, CT scan, PET scan, ultrasound, sentinel
More informationHybrid Imaging SPECT/CT PET/CT PET/MRI. SNMMI Southwest Chapter Aaron C. Jessop, MD
Hybrid Imaging SPECT/CT PET/CT PET/MRI SNMMI Southwest Chapter 2014 Aaron C. Jessop, MD Assistant Professor, Department of Nuclear Medicine UT MD Anderson Cancer Center, Houston, Texas Complimentary role
More informationPDF created with pdffactory Pro trial version
Neuroblastoma Tumor derived from neural crest cell that form the sympathetic ganglia&adrenal medulla. Causes *unknown. *familial neuroblastoma has been reported but is rare. * The incidence is 1:100,000
More informationA 64 y.o. man presents to the hospital with persistent cough and hemoptysis. Fernando Mut Montevideo - Uruguay
A 64 y.o. man presents to the hospital with persistent cough and hemoptysis Fernando Mut Montevideo - Uruguay Teaching case Bone # 1 A 64 y.o. man presents to the hospital with persistent cough and hemoptysis.
More information