By Harvey A. Ziessman MD
This new version of Nuclear medication within the well known Case overview sequence deals self-assessment coaching for board stories to assist citizens and recertifying radiologists remain on most sensible of their box! Dr. Harvey Zeissman provides two hundred case studies-covering sizzling subject matters like PET/CT, SPECT/CT, and radiation safety-with photographs and inquiries to refine and toughen your realizing of nuclear drugs. evaluate 2 hundred circumstances equipped by means of point of hassle, with questions, solutions, and rationales that mimic the structure of certification tests. organize for the demanding situations you will face at the examination and in perform with visible tips from four hundred pictures. locate extra in-depth details simply because of cross-references to The specifications: Nuclear drugs. remain present due to new photos and/or up to date questions, solutions, and discussions for almost each case research. grasp the purposes of nuclear drugs in bone medication, oncology, neurology, and cardiac medication with forty new PET/CT instances and five new SPECT/CT circumstances. deal with hazards due to 10 radiation safeguard situations that disguise this significant main issue in nuclear drugs perform. the correct assessment textual content for contemporary top of the range situations correct to the entire nuclear medication issues at the forums
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Additional info for Nuclear Medicine: Case Review Series, 2nd Edition
Decreased upper lobe ventilation is seen on the initial single-breath image with air trapping in both upper lobes and the right lower lobe on washout images (B). 2. Decreased perfusion to the majority of both lungs, with preserved perfusion in the subpleural lung, most evident at the lung bases and medial aspect of both upper lobes (C). 3. Low probability. 4. Stripe sign. References Gottschalk A, Stein PD, Sostman HD, et al: Very low probability of interpretation of V/Q lung scans in combination with low probability objective clinical assessment reliably excludes pulmonary embolism: data from PIOPED II, J Nucl Med 48:1411–1415, 2007.
The uptake in muscles in patient A is caused by increased metabolism due to tension. 4. No absolute SUV cutoff has been shown to be reliable in differentiating benign from malignant uptake in the head and neck. Asymmetry, chronology, and CT correlation should be considered during study interpretation. References Cypess AM, Lehman S, Williams G, et al: Identification and importance of brown adipose tissue in adult humans, N Engl J Med 360:1509–1517, 2009. Nakamoto Y, Tatsumi M, Hammoud D, et al: Normal FDG distribution patterns in the head and neck: PET/CT evaluation, Radiology 234:879–885, 2005.
References Armstrong P, Wilson AG, Dee P, et al: Images of Diseases of the Chest, 3rd ed. St. Louis: Mosby, 2000, pp 75, 407–408. Lu P, Chin BB: Simultaneous chest radiographic findings of Hampton’s hump, Westermark’s sign, and vascular redistribution in pulmonary embolism, Clin Nucl Med 23:701–702, 1998. Cross-Reference Nuclear Medicine: THE REQUISITES, 3rd ed, pp 515– 522. Comment The radiographic signs of acute pulmonary embolism without infarction or hemorrhage include oligemia of the lung (Westermark’s sign), increase in size of the main pulmonary artery, and elevation of the hemidiaphragm.