Richard Semelka, M.D. Professor and Director of Magnetic Resonance Imaging, Vice Chair of Quality and Safety,
University of North Carolina Hospitals, U.S.A
Episode 7:
Benign and Malignant Liver Lesions
Episode 7: Benign and Malignant Liver Lesions
CASE 1 FREE PREVIEW ONLY: This program is a “Pay To View” program. To view the entire episode and obtain CME credits you must first purchase the program. Once purchased links will be provided from within your “MyAR Archives” page for access to the program and the online exam to earn CME credit.
Program Summary:
In this episode, Dr. Semelka introduces MRI in regard to detect the presence of cirrhosis and hepatocellular carcinoma. He describes how to diagnose hepatitis C cirrhosis and how to appreciate the presence of fibrosis and metastases. He illustrates a case of neuroendocrine tumor of the pancreas and discusses some of the hallmarks of hypervascular liver metastases.
Also presented are imaging techniques that he finds useful to detect the presence of ascites caused by liver cirrhosis and the presence of an enhancing tumor thrombus in portal vein. Lastly, he demonstrates a case in which MRI of the abdomen can be instrumental in determining the presence Focal Nodular Hyperplasia in a young woman.
Case 1: Hepatocellular Carcinoma with Metastasis. This patient has multifocal Hepatocellular carcinoma with right adrenal metastases and acute bone metastasis; the ability of MRI to evaluate the full extent of disease is emphasized. (FREE Preview Provided)
Case 2: Neuroendocrine Tumor with Liver Metastases. This is a case of a patient with neuroendocrine tumor in the neck region of the pancreas and hypervascular liver metastasis.
Case 3: Cirrhosis with Massive Ascites. MRI in liver cirrhosis and ascites is discussed and is emphasized the ability of MRI to differentiate the different causes of ascites.
Case 4: Diffuse Hepatocellular Carcinoma with Tumor Thrombus. Enhancing tumor thrombus in a setting of diffuse hepatocellular carcinoma.
Case 5: Focal Nodular Hyperplasia Studied with Liver. This is a case of a young woman with a benign lesion consistent with Focal Nodular Hyperplasia.
Approximate Episode Run Time: 61 Minutes
Learning Objectives:
Upon completion of this activity participants will have a better understanding of the following:
• How to construct an MR protocol to fit the patient and clinical questions
• Which MR imaging tools can benefit your review of MRI cases
• Circumstances that can help or hinder your review
• Making the final diagnosis
Claiming CE Credit:
To receive CME credits for participating in this activity you must view the program, successfully complete the online post examination and the following evaluation. Online examinations return an immediate grade report. Upon receiving a passing grade of 70% or higher, a letter of credit will be available for printing and indefinitely available in your “MyAR” Archives.
Accreditation Statement:
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the Institute for Advanced Medical Education (IAME) and WebMedEd. IAME is accredited by the ACCME to provide continuing medical education for physicians.
IAME designates this activity for a maximum of one (1) AMA/PRA Category 1 CME Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation.
Program Viewing Instructions:
To begin program review click the appropriate tab above. To start the video presentation, position your cursor over the video player Icon and click. To pause or stop the presentation, position your cursor over the video and click. To view full screen size, cursor over the player to reveal the player controls. Once revealed, click the icon at the far right side of the player with 2 arrows. To advance and rewind the video, click and drag the program timeline to left to rewind and to the right to advance.
System Hardware/Software and Internet Connection Requirements:
The following information is provided for your reference in conjunction with review of this program.
Operating Systems: Windows 2000 or higher, MAC OSX 10.3 or higher.
General System and Internet Requirements: Speakers or Headphones, High Speed Internet connection, Web browsers: Internet Explorer, Firefox, Safari and Chrome.
Disclaimer:
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Case 1: Hepatocellular Carcinoma with Metastasis. This patient has multifocal Hepatocellular carcinoma with right adrenal metastases and acute bone metastasis; the ability of MRI to evaluate the full extent of disease is emphasized.
Viewing Instructions:
To begin position your cursor over the image above and click. To pause or stop the presentation, position your cursor over the video and click. To view full screen size, cursor over the player to reveal the player controls. Once revealed click the icon at the far right side of the player with 2 arrows. To advance and rewind the video, click and drag the program timeline to left to rewind and to the right to advance.
Case 2: Neuroendocrine Tumor with Liver Metastases. This is a case of a patient with neuroendocrine tumor in the neck region of the pancreas and hypervascular liver metastasis.
Viewing Instructions:
TO VIEW THIS AND THE OTHER CASES IN THIS EPISODE YOU MUST PURCHASE THE PROGRAM.
To select the course for purchase Click Here and add program to cart. Once purchased a link to the full program materials will be provided from within your MyAR Archives section of this website.
Case 3: Cirrhosis with Massive Ascites. MRI in liver cirrhosis and ascites is discussed and is emphasized the ability of MRI to differentiate the different causes of ascites.
Viewing Instructions:
TO VIEW THIS AND THE OTHER CASES IN THIS EPISODE YOU MUST PURCHASE THE PROGRAM.
To select the course for purchase Click Here and add program to cart. Once purchased a link to the full program materials will be provided from within your MyAR Archives section of this website.
Case 4: Diffuse Hepatocellular Carcinoma with Tumor Thrombus. Enhancing tumor thrombus in a setting of diffuse hepatocellular carcinoma.
Viewing Instructions:
TO VIEW THIS AND THE OTHER CASES IN THIS EPISODE YOU MUST PURCHASE THE PROGRAM.
To select the course for purchase Click Here and add program to cart. Once purchased a link to the full program materials will be provided from within your MyAR Archives section of this website.
Case 5: Focal Nodular Hyperplasia Studied with Liver. This is a case of a young woman with a benign lesion consistent with Focal Nodular Hyperplasia.
Viewing Instructions:
TO VIEW THIS AND THE OTHER CASES IN THIS EPISODE YOU MUST PURCHASE THE PROGRAM.
To select the course for purchase Click Here and add program to cart. Once purchased a link to the full program materials will be provided from within your MyAR Archives section of this website.