Daniel Appelbaum - Nuclear Medicine (Radcases Plus Q&A)

RadCases Nuclear Medicine

Edited by

Daniel Appelbaum, MD

Director of Nuclear Medicine and PET Imaging

Associate Investigator, Comprehensive Cancer Center

Associate Professor of Radiology

The University of Chicago

Chicago, Illinois

John Miliziano, MD

Director of Nuclear Medicine

Morton Plant Mease Healthcare

Clearwater, Florida

Sundeep Nayak, MD

Imaging Department

Kaiser Permanente GSAA Hayward Medical Center

Hayward, California

Associate Clinical Professor

Department of Radiology and Biomedical Imaging

University of California, San Francisco School of Medicine

San Francisco, California

Yong Bradley, MD

Associate Professor of Radiology

Medical Director of Molecular Imaging

Department of Radiology

The University of Tennessee Medical Center

Knoxville, Tennessee

Series Editors

Jonathan Lorenz, MD

Associate Professor of Radiology

Department of Radiology

The University of Chicago

Chicago, Illinois

Hector Ferral, MD

Professor of Radiology

Section Chief, Interventional Radiology

Rush University Medical Center, Chicago

Chicago, Illinois

Thieme

New York Stuttgart

Thieme Medical Publishers, Inc.

333 Seventh Ave.

New York, NY 10001

Executive Editor: Timothy Hiscock

Editorial Assistant: Adriana di Giorgio, Michael Rowley

Editorial Director: Michael Wachinger

Production Editor: Katy Whipple, Maryland Composition

International Production Director: Andreas Schabert

Vice President, International Marketing and Sales: Cornelia Schulze

Chief Financial Officer: Sarah Vanderbilt

President: Brian D. Scanlan

Compositor: MPS Limited, a Macmillan Company

Printer: Everbest

Library of Congress Cataloging-in-Publication Data

Nuclear medicine / Edited by Daniel Appelbaum, MD, Director of Nuclear Medicine and PET Imaging, Associate Investigator, Comprehensive Cancer Center, Associate Professor of Radiology, The University of Chicago, Chicago, Illinois, John Miliziano, MD, Director of Nuclear Medicine, Morton Plant Mease Healthcare, Clearwater, Florida, Sundeep Nayak, MD, Imaging Department, Kaiser Permanente GSAA Hayward Medical Center, Hayward, California, Associate Clinical Professor, Department of Radiology and Biomedical Imaging, University of California-San Francisco School of Medicine, San Francisco, California, Yong Bradley, MD, Associate Professor of Radiology, Medical Director of Molecular Imaging, Department of Radiology, University of Tennessee Medical Center, Knoxville, Tennessee.

p. ; cm. (RadCases)

Includes bibliographical references.

ISBN 978-1-60406-230-4 (pbk.)

1. Diagnostic imagingCase studies. I. Appelbaum, Daniel, editor. II. Miliziano, John, editor.

III. Nayak, Sundeep, editor. IV. Bradley, Yong, editor. V. Series: RadCases.

[DNLM: 1. Diagnostic ImagingCase Reports. WN 180]

RC78.7.D53N82 2011

616.0754-dc22

2010053193

Copyright 2011 by Thieme Medical Publishers, Inc. This book, including all parts thereof, is legally protected by copyright. Any use, exploitation, or commercialization outside the narrow limits set by copyright legislation without the publishers consent is illegal and liable to prosecution. This applies in particular to photostat reproduction, copying, mimeographing or duplication of any kind, translating, preparation of microfilms, and electronic data processing and storage.

Important note: Medical knowledge is ever-changing. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may be required. The authors and editors of the material herein have consulted sources believed to be reliable in their efforts to provide information that is complete and in accord with the standards accepted at the time of publication. However, in view of the possibility of human error by the authors, editors, or publisher of the work herein or changes in medical knowledge, neither the authors, editors, nor publisher, nor any other party who has been involved in the preparation of this work, warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from use of such information. Readers are encouraged to confirm the information contained herein with other sources. For example, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this publication is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.

Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names even though specific reference to this fact is not always made in the text. Theref ore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain.

Printed in China

ISBN 978-1-60406-230-4

Dedication

To my wonderfully silly, inquisitive, dashing, and energetic littlest residents
Nathan, Noa, Tess, and Mabel, for making it all worthwhile. But mostly for my beautiful
brilliant Karin, my precious wife, best friend, and biggest fan (as I am hers).
Your support, love, and laughter are everything to me.

DA

This book is dedicated to my wife Brandi and boys, Zackary, Dominic,
and Giovanni. Thank you for all the love and support.

JM

To Marsha.

SN

To the loves of my life: my wife, Dawn, and my sons, Caleb and Josiah,
for all your support, patience, and love.

YB

To access additional material or resources available with this e-book, please visit http://www.thieme.com/bonuscontent. After completing a short form to verify your e-book purchase, you will be provided with the instructions and access codes necessary to retrieve any bonus content.

RadCases Series Preface

The ability to assimilate detailed information across the entire spectrum of radiology is the Holy Grail sought by those preparing for the American Board of Radiology examination. As enthusiastic partners in the Thieme RadCases Series who formerly took the examination, we understand the exhaustion and frustration shared by residents and the families of residents engaged in this quest. It has been our observation that despite ongoing efforts to improve Web-based interactive databases, residents still find themselves searching for material they can review while preparing for the radiology board examinations and remain frustrated by the fact that only a few printed guidebooks are available, which are limited in both format and image quality. Perhaps their greatest source of frustration is the inability to easily locate groups of cases across all subspecialties of radiology that are organized and tailored for their immediate study needs. Imagine being able to immediately access groups of high-quality cases to arrange study sessions, quickly extract and master information, and prepare for theme-based radiology conferences. Our goal in creating the RadCases Series was to combine the popularity and portability of printed books with the adaptability, exceptional quality, and interactive features of an electronic case-based format.