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PET-CT: A Case-Based Approach PDF

333 Pages·2016·26.678 MB·English
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Peter S. Conti Aarti Kaushik Editors PET- CT A Case-Based Approach Second Edition 123 PET-CT Peter S. Conti, MD, PhD, FACNP, FACR Aarti Kaushik, MD Editors PET-CT A Case-Based Approach Second Edition Editors Peter S. Conti, MD, PhD, FACNP, Aarti Kaushik, MD FACR Kaiser Permanente Professor of Radiology Southern California Permanente Biomedical Engineering Medical Group and Pharmaceutical Sciences Riverside , CA , USA Director, Molecular Imaging Center Molecular Imaging Center and PET Clinic and PET Clinic Keck School of Medicine University of Southern California University of Southern California Los Angeles, CA, USA Los Angeles , CA , USA ISBN 978-1-4419-5810-5 ISBN 978-1-4419-5811-2 (eBook) DOI 10.1007/978-1-4419-5811-2 Library of Congress Control Number: 2015957390 Springer New York Heidelberg Dordrecht London © Springer Science+Business Media New York 2005, 2016 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. The 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 S pringer Science+Business Media LLC New York is part of Springer Science+Business Media (www.springer.com) To my wife and children, for their many years of love, understanding and support. —P.S.C. To my husband and children for believing in me and to all my teachers without whom I would not be here today. —A.K. To our friends and colleagues, whose understanding and support have been invaluable in the preparation of this book. —P.S.C., A.K. Pref ace PET-CT: A Case-Based Approach , Second Edition, provides practical clinical examples of studies performed with FDG on a state-of-the-art dedicated PET-CT device. Detailed histories and correlative imaging fi ndings are given in each case to demonstrate the level of detail required for image interpretation and the capabilities of this instrumentation. Impressions are followed by relevant discussion points designed to pro- vide novice as well as experienced readers a brief but concise summary of the advantages and limitations of using this technology in the clinical setting. Images are presented in PET only, CT only, and fused format to highlight the advantages of this hybrid technology in displaying the spec- trum of normal and pathological fi ndings in the cases selected. Chapter 1 explores the fundamentals of PET-CT imaging with FDG, including normal physiology, normal variants, and technical artifacts. Chapters 2 – 10 discuss a spectrum of clinical applications in oncology, such as common malignancies involving the lung, breast, and colon and less common cancers, such as adrenal and germ cell tumors. Chapter 1 1 details the use of F-18 NaF in diagnosing prostate, breast, and lung can- cers and presents cases in which this method is deployed with nonma- lignant fi ndings. Chapters 1 2 and 13 examine brain tumors and general neurological applications such as epilepsy. Pediatric imaging cases with both benign and malignant fi ndings are discussed in Chapter 14 . Cardiac and granulomatous disease applications are described in Chapters 15 and 1 6 . Finally, Chapter 1 7 highlights images of newer PET-CT tracers. This book is ideal for nuclear medicine practitioners, radiologists, residents/fellows, and referring clinicians interested in learning more about how this medical imaging technology can be applied in their patient populations. Los Angeles, CA Peter S. Conti, MD, PhD, FACNP, FACR Riverside, CA Aarti Kaushik, MD vii Acknowledgments We wish to acknowledge the dedicated work of the faculty of the USC Department of Radiology for their assistance in case selection and dis- cussions in the preparation of this book. We would like to thank the USC PET technologists for their assistance in acquiring and processing the images shown in this book. Finally, we wish to thank all the USC PET fellows who over the years have contributed to the teaching fi le established at the USC PET Center and have provided a source of inspiration for the entire faculty. ix

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