By Phillip M. Boiselle, Charles S. White
This resource provides the newest advances in cardiothoracic imaging, emphasizing new and rising tools in computed tomography, magnetic resonance imaging, positron-emission tomography, and electronic chest radiography-facilitating the id, research, and remedy of ailments and issues normally encountered in day-by-day scientific perform. Bringing readers to the vanguard of the sector with professional exams of latest and rising applied sciences which are impacting cardiothoracic imaging, this advisor comprises chapters dedicated to PET-CT, cardiac CT, multidetector-row helical CT, high-resolution CT of the lungs, cardiac MR, useful MR, and electronic chest radiography.
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Additional info for New Techniques in Cardiothoracic Imaging
Factors influencing the distribution of metastases and survival in extensive disease small cell lung cancer. Acta Oncol 1999; 38:1011–5. Kamel EM, Zwahlen D, Wyss MT, et al. Whole-body (18)F-FDG PET improves the management of patients with small cell lung cancer. J Nucl Med 2003; 44: 1911–7. Yap CS, Schiepers C, Fishbein MC, et al. FDG-PET imaging in lung cancer: how sensitive is it for bronchioloalveolar carcinoma? Eur J Nucl Med Mol Imaging 2002; 29:1166–73. Martini N, Bains MS, Burt ME, et al.
Areas of intense FDG uptake in the late postoperative should raise the suspicion of residual or recurrent disease. Recurrence should also be suspected if FDG uptake extends to locations that should not have been affected by the surgery. In the example shown in Figure 7, the postpneumonectomy changes on CT are difficult to distinguish from recurrent disease with CT imaging alone. Dual PET-CT imaging demonstrates intense nodular uptake within the postpneumonectomy space, suggesting disease recurrence rather than just postsurgical changes.
Correlation with the CT portion of a dual PET-CT examination may be helpful in distinguishing intraosseous metastases from normal heterogeneous bone marrow. If CT findings are equivocal, MRI may be helpful for further evaluation of the bone marrow. It Figure 11 Dual PET-CT in a 32-year-old woman with thyroid cancer. (A) Intense symmetric uptake in the supraclavicular areas on PET. (B) CT demonstrates no evidence of supraclavicular lymphadenopathy. (C) Fused dual PET-CT image demonstrates localization of the intense supraclavicular uptake to regions of fat, consistent with uptake within brown adipose tissue.