Questions and Flowcharts

Sep 16, 2016 by in GENERAL RADIOLOGY Comments Off on Questions and Flowcharts

Fig. 1 ADK ductal adenocarcinoma No: small NFET or other benign solid lesion (?) B-mode: Hypoechoic: ADK or NFET Hyperechoic: focal fat accumulation (?) CEUS Hypoenhancing: ADK (→CT) Hypervascular: NET…

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Stigmata Review and Interpretation

Sep 16, 2016 by in GENERAL RADIOLOGY Comments Off on Stigmata Review and Interpretation

© Springer-Verlag Italia 2015Mirko D’Onofrio, Paola Capelli and Paolo Pederzoli (eds.)Imaging and Pathology of Pancreatic Neoplasms10.1007/978-88-470-5678-7_10 Imaging Stigmata Review and Interpretation Anna Gallotti1  , Francesco Alessandrino1   and Fabrizio Calliada1   (1) Department of Radiology, San Matteo University Hospital, Viale Camillo…

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Digestive System

Sep 16, 2016 by in GENERAL RADIOLOGY Comments Off on Digestive System

Disease site Presentation Recommended treatment Pancreas Resectable Surgery +/− adjuvant chemoradiotherapy or chemotherapy Borderline resectable (adequate KPS) Neoadjuvant chemoradiation followed by restaging and resection if feasible Borderline resectable (poor KPS)…

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Spine

Sep 16, 2016 by in GENERAL RADIOLOGY Comments Off on Spine

ASTRO guidelines for general spine SBRT (2011) ■ Life expectancy ≥3 months ■ Limited disease burden ■ Previously radiated location(s) ■ Postoperative radiation ■ Favor enrollment on a clinical trial Spinal cord compression ■ Limited compression…

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Genitourinary Sites

Sep 16, 2016 by in GENERAL RADIOLOGY Comments Off on Genitourinary Sites

, Albert J. Chang1, Alexander R. Gottschalk1 and Mack RoachIII2 (1) Department of Radiation Oncology, University of California San Francisco, 1600 Divisadero Street, Suite H1031, San Francisco, CA, USA (2) Department of Radiation Oncology and…

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Extracranial Oligometastases

Sep 16, 2016 by in GENERAL RADIOLOGY Comments Off on Extracranial Oligometastases

Study Year Number of patients Primary site Treated site Dose Local control Overall survival Toxicity Casamassima 2012 48 Multiple Adrenal Most common 36 Gy/3 fractions 90 % (2 years) 40…

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Soft Tissue Sarcoma

Sep 16, 2016 by in GENERAL RADIOLOGY Comments Off on Soft Tissue Sarcoma

Disease site Presentation Recommended treatment Extremity Early stage (I) Surgery->EBRT for +/close margin Intermediate-advanced stage (II–III) Surgery->post-op EBRT or pre-op EBRT->surgery, ±chemo for deep/high grade tumors Retroperi-toneal Resectable Surgery + IORT- >post-op…

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Lung

Sep 16, 2016 by in GENERAL RADIOLOGY Comments Off on Lung

Presentation Resectability Recommended treatment T1-2N0 Operable Lobectomy (preferred over segmentectomy or wedge resection) or SBRT Inoperable SBRT (may consider RFA/Cryotherapy) II (T2bN0, T1-2N1, T3N0) Operable Surgery → chemo (>4 cm) Inoperable ChemoRT → ±chemo…

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Gynecologic Sites

Sep 16, 2016 by in GENERAL RADIOLOGY Comments Off on Gynecologic Sites

Presentation Treatment recommendations Isolated lateral pelvic recurrences Resection, palliative EBRT, SBRT, or systemic therapy Isolated nodal recurrence Resection, EBRT  ± SBRT, SBRT alone, or systemic therapy Oligometastatic disease Resection, SBRT, or…

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