Case 109: When a Virtual Biopsy is Sometimes Accepted, Sometimes Not…Our Job is to Point Physicians/Surgeons in the Right Direction
In a patient with a high pre-test probability, a DOTA-PET can reliably suggest a diagnosis of well-differentiated NET/carcinoid.
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A 50-years old had a nodule in the right lower lobe that was DOTA-PET/CT positive.
Another 30-years old had a similar tumor in the left lower lobe.
Both lesions are highly suggestive of a well-differentiated neuroendocrine tumor (NET)/carcinoid. One patient went straight to surgery while another still underwent a biopsy and then surgery.
The video discusses the concept of a virtual biopsy and a high pre-test probability in such patients.
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Technical and Practice Issues * Case 11: 62-years old misdiagnosed to have interstitial lung disease - mid-inspiratory and expiratory scans * Snippet 03: Radiation risk and CT chest * Case 23: 60-years old - 40-pack years smoker - right upper lobe nodule - resolved using “mean” reconstructions…
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