Pickhardt Atlas Chapter 5

Jul 19, 2007

f05-02-01-05G-X3202

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Abbreviated axial MRI images show a 7-mm irregular mass with irregular margin (arrows) in the right upper inner quadrant with early rapid enhancement (BIRADS 4). The participant was recalled and underwent an MRI-guided vacuum-assisted biopsy that showed sclerosing adenosis with microcalcifications and usual ductal hyperplasia and focal apocrine metaplasia. On the full-protocol images (not shown), the lesion was T2-weighted hypointense and showed diffusion restriction and washout kinetics in the delayed phase, characteristics that would not have reversed the decision to recall the participant.
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Representative F-18 FDG-PET/CT and Tc-99m FAPI-SPECT/CT scans for five study patients with gastrointestinal cancer. FDG-PET/CT and FAPI-SPECT/CT images show that uptake occurred in metastatic lymph nodes (LNs) (patient number 50, D) and bone metastases (patient number 33, C). FAPI-SPECT/CT outperformed FDG-PET/CT in detecting liver metastases (patient number 3, A; and 15,B) and peritoneal spread metastases (patient number 27, E). Red arrows indicate foci additionally found by FAPI-SPECT/CT.
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