Radiology for PET/CT reporting. PDF
Preview Radiology for PET/CT reporting.
Radiology for PET/CT Reporting Cristina Nanni Stefano Fanti Lucia Zanoni Rita Golfieri Editors Second Edition 123 Radiology for PET/CT Reporting Cristina Nanni • Stefano Fanti Lucia Zanoni • Rita Golfieri Editors Radiology for PET/CT Reporting Second Edition Editors Cristina Nanni Stefano Fanti Department of Nuclear Medicine Department of Nuclear Medicine IRCCS Azienda Ospedaliera- IRCCS Azienda Ospedaliera- Universitaria di Bologna Universitaria di Bologna Bologna, Bologna, Italy Bologna, Bologna, Italy Lucia Zanoni Rita Golfieri Department of Nuclear Medicine Department of Radiology IRCCS Azienda Ospedaliera- IRCCS Azienda Ospedaliera- Universitaria di Bologna Universitaria di Bologna Bologna, Bologna, Italy Bologna, Bologna, Italy ISBN 978-3-030-87640-1 ISBN 978-3-030-87641-8 (eBook) https://doi.org/10.1007/978-3-030-87641-8 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Preface PET/CT interpretation may sometimes be challenging. It is common experience to meet abnormal findings on CT images (not necessarily related to the neoplastic disease under evaluation) that are functionally silent and, consequently, unclear for nuclear medicine practitioners. Frequently, these findings are clinically rele- vant and deserve to be reported, interpreted, and compared to previous scans. This may have an impact on patient management since the highest diagnostic informa- tion must be provided by an expensive test such as PET/CT. Furthermore, there are several highly metabolic benign findings whose correct interpretation depends on the capacity to read all the corresponding CT images. CT reading can, in few words, contribute to increase PET specificity. Generally, CT images associated to a PET scan are acquired in a low-dose modality, thick slices, and without intravenous contrast injection. They are, therefore, optimal for PET findings, anatomical localization but suboptimal for CT image interpretation, especially in complicated areas such as the abdo- men where diagnostic CT previously acquired may be of great help for PET/ CT reading or comparison. Oncological patients usually need a diagnostic CT evaluation beside PET. In many PET centres, therefore, a contrast-enhanced full-dose CT acquisition is now routinely associated to PET and reported beside. Whether the PET doctor is reading a PET/low-dose CT comparing it to a previous diagnostic CT or a PET/full-dose contrast-enhanced CT, a common knowledge on CT interpretation is now necessary. This atlas provides chapters on normal anatomy, including images from both low-dose and contrast-enhanced full-dose CT, identifying the most rel- evant anatomical structures to easily support the PET/CT reader in accurately describing all FDG-positive findings extension. Other chapters (thorax, abdo- men, pelvis, musculoskeletal system) present cases with common and uncom- mon anatomical abnormalities and pathological findings on both low-dose and full-dose contrast-enhanced CT. In the end, this atlas is aimed to help nuclear medicine practitioners rou- tinely reading PET/CT scan in easily recognizing and interpreting the most common CT abnormalities. Bologna, Italy Cristina Nanni Bologna, Italy Stefano Fanti Bologna, Italy Lucia Zanoni Bologna, Italy Rita Golfieri v Contents 1 Normal Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Cristina Nanni, Stefano Fanti, Lucia Zanoni, Rita Golfieri, Alberta Cappelli, Maria Adriana Cocozza, and Laura Bartalena 2 Head and Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 Cristina Nanni, Stefano Fanti, and Lucia Zanoni 3 Thorax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Cristina Nanni, Stefano Fanti, Lucia Zanoni, Rita Golfieri, Stefano Brocchi, Nicolò Brandi, and Anna Parmeggiani 4 Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153 Cristina Nanni, Stefano Fanti, Lucia Zanoni, Rita Golfieri, Cristina Mosconi, Anna Parmeggiani, and Nicolò Brandi 5 Pelvis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191 Cristina Nanni, Stefano Fanti, Lucia Zanoni, Rita Golfieri, Alberta Cappelli, and Arrigo Cattabriga 6 Musculoskeletal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199 Cristina Nanni, Stefano Fanti, Lucia Zanoni, Rita Golfieri, Cristina Mosconi, and Arrigo Cattabriga vii 1 Normal Anatomy Cristina Nanni, Stefano Fanti, Lucia Zanoni, Rita Golfieri, Alberta Cappelli, Maria Adriana Cocozza, and Laura Bartalena C. Nanni (*) · S. Fanti · L. Zanoni Department of Nuclear Medicine, IRCCS Azienda Ospedaliera-Universitaria di Bologna, Bologna, Italy e-mail: [email protected]; [email protected]; [email protected] R. Golfieri Department of Radiology, IRCCS Azienda Ospedaliera-Universitaria di Bologna, Bologna, Italy e-mail: [email protected] A. Cappelli University of Bologna, Bologna, Italy e-mail: [email protected] M. A. Cocozza · L. Bartalena Department of Radiology, IRCCS Azienda Ospedaliera-Universitaria di Bologna, Bologna, Italy e-mail: [email protected]; [email protected] © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022 1 C. Nanni et al. (eds.), Radiology for PET/CT Reporting, https://doi.org/10.1007/978-3-030-87641-8_1 2 C. Nanni et al. Normal Anatomy Low Dose Non Contrast Enhanced CT 1 Normal Anatomy 3 4 C. Nanni et al.
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