#MyRadGirlfriend No. 101: So far away

Ryan McBeth
Jan 9, 2020
2020 01 09 21 51 8060 2020 01 10 My Rad Girlfriend 101 So Far Away Thumb
Radiology cartoon
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F-18 fluciclovine PET/CT images in a 59-year-old man with biochemical recurrence after prostatectomy (prostate-specific antigen level, 0.42 ng/mL; Gleason score, 5 + 4 = 9; T3BN1M0). (A) Coronal PET and (B) maximum intensity projection images show multiple retroperitoneal lymph nodes with abnormal radiotracer uptake (arrows). (C) Axial PET and (D) axial fused PET/CT images show the index lesion (arrow), measuring 13 × 10 mm, on the right precaval lymph node. The initial decision to offer radiation therapy to the prostate bed and pelvis was changed to a decision not to offer radiation therapy.
PET/CT guides treatment in men with recurrent prostate cancer
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An example of machine learning–based multiorgan body composition assessment (TotalSegmentator V2.0.4, 1.5-mm high-resolution model) in a 63-year-old man with obstructive coronary artery disease and a skeletal muscle attenuation below the median. (A) Transverse, (B) coronal, and (C) sagittal CT images and curved planar reformations of the (D) left, (E) circumflex, and (F) right coronary arteries.
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PET/CT guides treatment in men with recurrent prostate cancer
By Will Morton
F-18 fluciclovine and Ga-68 PSMA-11 PET/CT have similar benefits for sRT planning, in terms of improving cancer control without increased toxicity.
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F-18 fluciclovine PET/CT images in a 59-year-old man with biochemical recurrence after prostatectomy (prostate-specific antigen level, 0.42 ng/mL; Gleason score, 5 + 4 = 9; T3BN1M0). (A) Coronal PET and (B) maximum intensity projection images show multiple retroperitoneal lymph nodes with abnormal radiotracer uptake (arrows). (C) Axial PET and (D) axial fused PET/CT images show the index lesion (arrow), measuring 13 × 10 mm, on the right precaval lymph node. The initial decision to offer radiation therapy to the prostate bed and pelvis was changed to a decision not to offer radiation therapy.
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Low muscle density on coronary CT linked to heart risk
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Patients with skeletal muscle attenuation below the median had a higher risk of mortality and myocardial infarction.
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An example of machine learning–based multiorgan body composition assessment (TotalSegmentator V2.0.4, 1.5-mm high-resolution model) in a 63-year-old man with obstructive coronary artery disease and a skeletal muscle attenuation below the median. (A) Transverse, (B) coronal, and (C) sagittal CT images and curved planar reformations of the (D) left, (E) circumflex, and (F) right coronary arteries.
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Examples of DAWM on FLAIR MRI slices. Transversal slices of 1.5T FLAIR MRI scans. For visualization only, brains were skull-stripped and DAWM is shown with dotted lines (occipital DAWM is red, parietal DAWM is orange). Top row images (25% of lobar WM) show larger, more confluent configurations of DAWM, extending beyond the slices shown here.
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Transaxial Zr-89 NMK89 PET/CT images 1, 24, 72, and 168 hours after injection showing increasing uptake in pancreatic tail adenocarcinoma. Maximum standard uptake value (SUV) in the pancreatic mass is 14 at 168 hours post-injection (crosshairs). PET SUV scale used for windowing was 0 to 10.
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