Vascular Interpretation Preceptorship

Jul 9th, 2013Jul 11th, 2013
San Francisco, CA
US
http://mintmedicaleducation.com/ultrasound-education/ultrasound-training-old/vascular-interpretation-preceptorship/
Phone:415-671-6819
Combines lecture, discussion, and collaborative learning with access to a library of more than 500 vascular cases for interpretation. The class will cover physics and cerebrovascular, venous, arterial, and abdominal vasculature and prepare you for the RPVI exam.
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Images depict a 49-year-old female participant with cryptogenic cirrhosis who presented with a 3.2-cm liver lesion. This biopsy-confirmed hepatocellular carcinoma (HCC) with an initial categorization of Liver Imaging Reporting and Data System (LI-RADS) category LR-4 (probably HCC) at CT was upgraded to LR-5 (definitely HCC) at contrast-enhanced ultrasound (CEUS). (A) Precontrast CT images in the liver show vague hypoattenuation in the medial left hepatic lobe (arrows). (B) Arterial phase images demonstrate no definite arterial phase hyperenhancement (arrows). (C) Washout and an enhancing capsule (arrows) on a late-phase image resulted in an LR-4 categorization. (D) B-mode ultrasound shows a round hypoechoic nodule (arrows). (E) An early-phase CEUS image shows clear arterial-phase hyperenhancement (arrows); (F) No washout at one minute (arrows), and (G) late, mild washout at four minutes (arrows) resulted in a CEUS LR-5 categorization.
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