In The Reading Room with Dr. Richard Semelka - Body MR: Episode 3 Miscellaneous Cancers (PREVIEW VERSION)
Semelka Photo 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

Dr. Semelka is a member of the Editorial Boards of the journals JMRI, MRI and TMRI, and is a reviewer for many journals. He has contributed to over 230 publications in refereed journals and has authored numerous review articles and textbook chapters. He has authored 8 text-books, including Abdominal-Pelvic MRI, third edition, Wiley-Liss, 2010. His main expertise lies in cross sectional abdominal imaging with an emphasis on MRI, with a particular interest of liver, pancreas, kidney and bowel diseases. He regularly conducts various teaching and categorical courses at International Radiology Conferences.

Episode 3: Miscellaneous Cancers

Case 1: Cervical Cancer
Case 2: Carcinoid Tumor (Multi Organ Disease Involvement)
Case 3: Hepatocell Carcinoma
Case 4: Acute Pancreatis with Motion Resistance Protocol
Case 5: Renal Cell Cancer
Case 6: Pancreatic Cancer (Pancreatic Cancer with Liver Metastisis)
Case 7: Ovarian Dermonid Cyst

Episode Three: Miscellaneous Cancers

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 reviews cases of cervical, renal cell and pancreatic cancers. Additional review includes carcinoid tumors, hepatocellular carcinoma, and ovarian dermoid cysts.

Case 1: Cervical Cancer. This case illustrates MR findings of large cervical cancer in female pelvis. MRI can provide valuable information for local extent of cervical cancer and existence of lymph node and bone metastasis. (FREE Preview Available)

Case 2: Carcinoid Tumor (Multi Organ Disease Involvement). This case illustrates carcinoid tumors in mesentery, liver, and bones. MRI can demonstrate full informations for primary tumor and metastases.

Case 3: Hepatocell Carcinoma. This case illustrates typical MR findings of the hepatocellular carcinoma in liver. We also show the importance of correct timing of contrast enhancement for diagnosing the hepatocellular carcinoma.

Case 4: Acute Pancreatis with Motion Resistance Protocol. This case illustrates MR findings of acute moderate pancreatitis. We also show a nice example of motion resistant protocol in a noncooperative patient.

Case 5: Renal Cell Cancer. This case illustrates a nice example of small renal cell carcinoma on 3T MRI. We can also show MR urography on 3T MRI.

Case 6: Pancreatic Cancer (Pancreatic Cancer with Liver Metastisis). This case illustrates MR findings of small pancreatic ductal adenocarcinoma with liver metastases. We discuss value of MR imaging for diagnosing pancreatic ductal adenocarcinoma.

Case 7: Ovarian Dermonid Cyst. This case illustrates a dermoid tumor in female pelvis. Both T1WI and T2WI with and without fat suppression can provide fat information within dermoid tumor

Approximate Run Time: 70 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: Cervical Cancer. This case illustrates MR findings of large cervical cancer in female pelvis. MRI can provide valuable information for local extent of cervical cancer and existence of lymph node and bone metastasis.

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.

Video Player Image Only For Free Sample

Case 2: Carcinoid Tumor (Multi Organ Disease Involvement). This case illustrates carcinoid tumors in mesentery, liver, and bones. MRI can demonstrate full informations for primary tumor and metastases

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.

Video Player Image Only For Free Sample

Case 3: Hepatocell Carcinoma. This case illustrates typical MR findings of the hepatocellular carcinoma in liver. We also show the importance of correct timing of contrast enhancement for diagnosing the 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.

Video Player Image Only For Free Sample

Case 4: Acute Pancreatis with Motion Resistance Protocol. This case illustrates MR findings of acute moderate pancreatitis. We also show a nice example of motion resistant protocol in a noncooperative patient.

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.

Video Player Image Only For Free Sample

Case 5: Renal Cell Cancer. This case illustrates a nice example of small renal cell carcinoma on 3T MRI. We can also show MR urography on 3T MRI.

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.

Video Player Image Only For Free Sample

Case 6: Pancreatic Cancer (Pancreatic Cancer with Liver Metastisis). This case illustrates MR findings of small pancreatic ductal adenocarcinoma with liver metastases. We discuss value of MR imaging for diagnosing pancreatic ductal adenocarcinoma.

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.

Video Player Image Only For Free Sample

Case 1: Ovarian Dermonid Cyst. This case illustrates a dermoid tumor in female pelvis. Both T1WI and T2WI with and without fat suppression can provide fat information within dermoid tumor

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.