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 10:
Nodules In The Cirrhotic Liver
Episode 10: Nodules In The Cirrhotic Liver
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 session, Dr. Semelka demonstrates a spectrum of nodules in the cirrhotic liver. He reviews MRI features of regenerating nodules, low-grade dysplastic nodules, high-grade dysplastic nodules, small hepatocellular carcinomas (HCCs), and classic appearances of HCC. He also illustrated a case of remarkably extensive multifocal HCC and diffuse HCC. Discussion is made of differences between diffused HCC and multifocal HCC.
Case 1: Diffused Hepatocellular Carcinoma. An impressive case of diffuse HCC. (FREE Preview Provided)
Case 2: Regenerative Nodule. TA regenerative nodule, which is the least aggressive nodule in a cirrhotic liver.
Case 3: Regenerative Nodule. Another example of a standard regenerative nodule.
Case 4: Displastic Nodule. MRI features of dysplastic nodules.
Case 5: Low Grade Dysplastic Nodule. MRI features of low-grade dysplastic nodule.
Case 6: AV Shunt. AV shunt or a focal hyperperfusion abnormality, which is commonly seen in cirrhotic livers and sometimes is difficult to differentiate from a dysplastic nodule.
Case 7: High Grade Dysplastic Nodule. MRI features of a high-grade dysplastic nodule.
Case 8: Small Hepatocellular Carcinoma. Small HCC, less than 1 cm in diameter.
Case 9: Small Hepatocellular Carcinoma. Classic and the most specific appearances of a small HCC.
Case 10: Multifocal Hepatocellular Carcinoma. Extensive multifocal HCC.
Approximate Episode Run Time: 58 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: Diffused Hepatocellular Carcinoma. An impressive case of diffuse HCC.
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: Regenerative Nodule. TA regenerative nodule, which is the least aggressive nodule in a cirrhotic liver.
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: Regenerative Nodule. Another example of a standard regenerative nodule.
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: Displastic Nodule. MRI features of dysplastic nodules.
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: Low Grade Dysplastic Nodule. MRI features of low-grade dysplastic nodule.
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 6: AV Shunt. AV shunt or a focal hyperperfusion abnormality, which is commonly seen in cirrhotic livers and sometimes is difficult to differentiate from a dysplastic nodule.
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 7: High Grade Dysplastic Nodule. MRI features of a high-grade dysplastic nodule.
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 8: Small Hepatocellular Carcinoma. Small HCC, less than 1 cm in diameter.
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 9: Small Hepatocellular Carcinoma. Classic and the most specific appearances of a small HCC.
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 10: Multifocal Hepatocellular Carcinoma. Extensive multifocal HCC.
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.