Reading Body MR with Dr. Semelka: Episode 11: Various Pancreatic Diseases

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 11:
Various Pancreatic Diseases

Case 1: Pancreatic Mass

Case 2: Pancreatic Divisum

Case 3: Pancreatic Ductal Adenocarcinoma

Case 4: Microcystic Serous Cystadenoma

Case 5: Adenocarcinoma

Case 6: Islet Cell Tumor Metastasis To Liver

Case 7: Islet Cell Tumor Metastasis To Liver

Episode 11: Various Pancreatic Diseases

Program Summary:

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.

In this session, Dr. Semelka demonstrates various forms of pancreatic disease. He demonstrates the tremendous power of MRI to evaluate the full range of pancreatic abnormalities, rendering MRI superior to CT.

Case 1: Pancreatic Mass. Focal fat in a pancreas mimicking a pancreatic mass. (FREE Preview Provided)

Case 2: Pancreatic Divisum. Pancreatic divisum and side branch IPMN.

Case 3: Pancreatic Ductal Adenocarcinoma. Pancreatic cancer with a classic double duct sign and micrometastasis to the liver.

Case 4: Microcystic Serous Cystadenoma. Serous microcystic cystadenoma of pancreas in a patient with underlying cystic fibrosis with multiple organ involvement.

Case 5: Adenocarcinoma. Pancreatic ductal adenocarcinoma.

Case 6: Islet Cell Tumor Metastasis To Liver. Patient status post Whipple’s procedure with hypervascular liver metastasis, consistent with islet cell tumor metastases.

Case 7: Islet Cell Tumor Metastasis To Liver. A small islet cell tumor with the additional finding of probable ascending cholangitis.

Approximate Run Time: 59 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: Pancreatic Mass. Focal fat in a pancreas mimicking a pancreatic mass.

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.