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Atlas of PET-CT Imaging in Oncology: A Case-Based Guide to Image Interpretation PDF

479 Pages·2015·83.057 MB·English
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Tamer Özülker Filiz Özülker Atlas of PET-CT Imaging in Oncology A Case-Based Guide to Image Interpretation 123 Atlas of PET-CT Imaging in Oncology Tamer Özülker (cid:129) Filiz Özülker Atlas of PET-CT Imaging in Oncology A Case-Based Guide to Image Interpretation Tamer Özülker Filiz Özülker Nuclear Medicine Nuclear Medicine Okmeydani Training and Research Hospital Okmeydani Training and Research Hospital Istanbul Istanbul Turkey Turkey ISBN 978-3-319-18993-2 ISBN 978-3-319-18994-9 (eBook) DOI 10.1007/978-3-319-18994-9 Library of Congress Control Number: 2015943503 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms 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. T he use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c 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, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com) To our son C. Güney Foreword I ntroduction of combined PET/CT scanner at the beginning of the millennium, which means combination of functional metabolic information and anatomical data, ushered in a new epoch in the fi eld of medicine, particularly oncology. Shortly after its emerging from academic research centers, it became an indispensable tool in oncologic imaging. As practicing nuclear medicine physicians, we realized that both radiology and nuclear medicine students and physi- cians facing the practice of PET/CT require a book that can help them to overcome the diag- nostic dilemmas. Our book, A tlas of PET-Imaging in Oncology-A Case-Based Guide to Image Interpretation , presents a variety of clinical examples of studies done with 1 8 F-FDG PET/CT for the diagnosis and management of patients with malignancies. This book does not cover the whole range of positron emitters available but focuses only on the role of 1 8 F-FDG. Today, 95 % of FDG PET applications are in the fi eld of oncology. This technology is also increas- ingly being utilized for clinical applications in the cardiovascular system, the central nervous system, and infection imaging, but these are outside the scope of our book. All of the cases included in this atlas have been collected from studies performed since year 2007. Part I covers the fundamentals of PET-CT imaging with FDG including physiologic distribution of 1 8 F- FDG, normal variants, benign fi ndings, and technical artifacts. Since the main problematic of oncologic 1 8 F-FDG PET/CT studies is to distinguish benign and malignant lesions, it is of particular importance to be familiar with the normal signs and variants. For this purpose, a wide variety of normal and benign fi ndings that an interpreter would confront while reporting PET studies, is presented in this part. Part II covers a variety of clinical applications in oncol- ogy including common indications and rare fi ndings. Each case presentation has an identical organization including a brief history, description of fi ndings at images, interpretation of these fi ndings, and fi nally a teaching point which is often supported by relevant literature. All of the diagnosis are histopathologically verifi ed and some of them are notifi ed under the heading of “result.” Residents and practitioners in nuclear medicine, radiology, oncology, radiation oncology, and nuclear medicine technology will benefi t a lot from this book. Filiz Özülker İstanbul, Turkey Tamer Özülker vii List of Editors and Contributors Tamer Özülker, M.D. Assoc. Prof. of Nuclear Medicine Department of Nuclear Medicine Okmeydani Training & Research Hospital, Darülaceze Street 25, 34384 Istanbul, Turkey E-Mail: [email protected] Filiz Özülker, M.D. Nuclear Medicine Specialist Department of Nuclear Medicine Okmeydani Training & Research Hospital, Darülaceze Street 25, 34384 Istanbul, Turkey E-Mail: [email protected] Mehmet Tarık Tatoğlu, M.D. , Nuclear Medicine Specialist Department of Nuclear Medicine Istanbul Medeniyet University, Goztepe Training and Research Hospital Merdivenkoy Polyclinics, Ressam Salih Ermez Street, 34722 Kadikoy, İstanbul, Turkey E-Mail: [email protected] ix

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