CT - Acute Medical and Surgical Interpretation

Sep 12th, 2014Sep 13th, 2014
Perth, 08
AU
http://lightboxradiology.com.au/course-details.aspx?c=1005
Phone:+61 7 5449 2717
An introduction to CT in the acute clinical setting. The course covers acquisition, normal variations, patterns of disease, and pitfalls in CT imaging of the head, chest, abdomen, pelvis, and cervical and thoracolumbar spine.
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Images in a 62-year-old woman who presented for screening. (A) Image from DBT screening (the synthesized 2D mediolateral oblique view of the left breast is shown) at year on was interpreted as negative and showing heterogeneously dense breast. (B) Image from molecular breast imaging screening (mediolateral oblique view) at year one reveals a 0.9-cm non-mass focal area of uptake in the left breast (arrow). (C) Targeted ultrasound scan (transverse image) shows a suspicious mass in the 3-o’clock position of the left breast, 4 cm from the nipple. Ultrasound-guided core biopsy and lumpectomy revealed a 0.9-cm grade 2 invasive ductal carcinoma, an estrogen receptor–negative, progesterone receptor–negative, human epidermal growth factor receptor 2–negative lesion, with two sentinel nodes negative (N0).
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Adding MBI to DBT finds more breast cancers
By Amerigo Allegretto
Adding molecular breast imaging (MBI) to DBT screening leads to more invasive cancers detected in women with dense breasts.
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Images in a 62-year-old woman who presented for screening. (A) Image from DBT screening (the synthesized 2D mediolateral oblique view of the left breast is shown) at year on was interpreted as negative and showing heterogeneously dense breast. (B) Image from molecular breast imaging screening (mediolateral oblique view) at year one reveals a 0.9-cm non-mass focal area of uptake in the left breast (arrow). (C) Targeted ultrasound scan (transverse image) shows a suspicious mass in the 3-o’clock position of the left breast, 4 cm from the nipple. Ultrasound-guided core biopsy and lumpectomy revealed a 0.9-cm grade 2 invasive ductal carcinoma, an estrogen receptor–negative, progesterone receptor–negative, human epidermal growth factor receptor 2–negative lesion, with two sentinel nodes negative (N0).
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MWA successful in treating multinodal thyroid conditions
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AI industry paid $39.7M for radiology devices between 2017 and 2023
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A pilot study demonstrates the potential feasibility of using RefleXion's X1 unit in patients with prostate cancer.
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An example of a typical BgRT plan: A) PET scan on diagnostic PET/CT and B) X1 PET-Linac for patient #15 with a PET avid rib metastasis with GTV size= 3.1 cc, PTV = GTV + 5mm, BTZ (biological tracking zone) = PTV + 5 mm, AC = 14.33 kBq/mL and NTS = 21.04. Red, magenta, and green contours represent GTV, PTV, and BTZ. C) Dose distribution and D) bounded-DVH of a BgRT plan are displayed for the same patient. The bounded Dose-Volume Histogram (DVH) models variations in BgRT delivery, encompassing fluctuation in target background signal variation, target localization and dose delivery uncertainties.
Is it time to ditch physical exams before ultrasound?
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Physical exams are omitted in over half of patient cases, and it seems diagnostic outcomes are unaffected.
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The AAPM sought to put the research into perspective, noting that "comorbidities, not radiation dose, likely explain study results."
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Mammography acquisition parameters affect both AI, radiologist reads
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The findings could help clinicians better develop "effective strategies for the clinical integration of AI," researchers noted.
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What prompts radiology department cancellations of imaging orders?
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Although the percentage of radiology cancellations of imaging orders is low, these cancellations are influenced by particular factors.
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Saliency maps using Grad-CAM++ (E and H) show the model’s point of interest in chest radiographs (C and F) of patients with achalasia. The model’s point of interest is highlighted with red, yellow, and green. In both the upper and lower panels (E and H), the point of interest is located in a region around the upper esophagus that corresponds to an air esophagogram and/or air-fluid level in the esophagus in the barium esophagogram (D and G).
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Echogenic rind on breast ultrasound holds diagnostic significance
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An echogenic rind on breast ultrasound could spell malignancy for suspicious lesions.
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Diagnostic transverse ultrasound image of the left breast in a 64-year-old woman shows irregular hypoechoic nonparallel mass with indistinct margins corresponding to palpable finding, assessed as BI-RADS category 4. Both readers assessed mass as having associated echogenic rind with complete circumferential extent (arrowheads). Ultrasound-guided biopsy of mass yielded diagnosis of invasive ductal carcinoma (intermediate grade, luminal A molecular subtype, no lymphovascular invasion).
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