Abstract Archives of the RSNA, 2014
NRE315
FDG PET/CT Evaluation of the Postoperative and Irradiated Head and Neck
Education Exhibits
Presented in 2014
Travis David Howard MD, Presenter: Nothing to Disclose
Christopher Harker Hunt MD, Abstract Co-Author: Nothing to Disclose
Geoffrey Bates Johnson MD, PhD, Abstract Co-Author: Nothing to Disclose
Stephen Michael Broski MD, Abstract Co-Author: Nothing to Disclose
Patrick James Peller MD, Abstract Co-Author: Speakers Bureau, General Electric Company
1. Review dedicated FDG PET/CT imaging of the head and neck
2. Briefly discuss the clinical role of FDG PET/CT imaging of the head and neck in the management of disease focusing on evaluation following therapy
3. Demonstrate imaging features that distinguish benign etiologies from malignancy
4. Illustrate mimics and pitfalls providing case examples and correlation with multimodality imaging
Dedicated FDG PET/CT imaging of the head and neck
• Protocol and benefits of dedicated imaging of the head and neck
• Illustration of the appropriate time intervals for imaging of the postoperative and irradiated head and neck
II. Normal Uptake
• PET/CT Anatomic review
• Expected physiologic uptake in normal anatomic head and neck structures
III. Roles and limitations of FDG PET/CT imaging for restaging head and neck malignancy
• TNM staging
• Clinical algorithm for staging head and neck malignancy
IV. Mimics and Pitfalls of disease in the postoperative and irradiated head and neck
• Inflammatory or reactive changes
• Common and uncommon postoperative changes
• False negative examination in the setting of necrotic nodes
• Unexpected vascular uptake in bland thrombus
• Exaggerated physiologic uptake and how to avoid it
• Common artifacts in PET/CT and how to avoid them
• Importance of multimodality imaging correlation
http://abstract.rsna.org/uploads/2014/14015712/14015712_uirh.pdf
Howard, T,
Hunt, C,
Johnson, G,
Broski, S,
Peller, P,
FDG PET/CT Evaluation of the Postoperative and Irradiated Head and Neck. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14015712.html