ABR Nuclear Radiology case studies
ABR Nuclear Radiology · Put your knowledge to work in context.
The ABR Nuclear Radiology subspecialty certificate is a credential from the American Board of Radiology, a not-for-profit organization and member of the American Board of Medical Specialties. Its stated mission is to certify that diplomates demonstrate the requisite knowledge, skill, and understanding of their disciplines to benefit patients. The ABR Nuclear Radiology case studies are 5 cases and about 3,908 words.
1Interim FDG PET/CT in DLBCL: a borderline Deauville score obtained under bad conditions
A 58-year-old man with stage III diffuse large B-cell lymphoma is referred for interim FDG PET/CT after two cycles of R-CHOP. He is not diabetic but ate a full breakfast at 07:00 and, because a relative told him it would protect his kidneys, took 8 units of rapid-acting insulin at 08:30 without eating again.
771 words, about 4 min2I-131 ablation at 150 mCi: release criteria, a nursing toddler, and a booked flight
A 47-year-old woman undergoes total thyroidectomy for papillary thyroid carcinoma (pT3N1b) and is admitted for 150 mCi (5.55 GBq) of I-131 remnant ablation. She has followed a low-iodine diet for 3 weeks and her TSH is 68 mIU/L after levothyroxine withdrawal.
748 words, about 4 min3Rejected eluate, failed MDP kit, and a pediatric bone scan booked in two hours
A 6-day-old Tc-99m generator, last eluted Friday at 16:00, is eluted and yields 420 mCi (15.5 GBq) in 5.0 mL. Morning QC: Mo-99 breakthrough 0.19 microCi per mCi of Tc-99m (limit 0.15) and Al3+ 12 microg/mL (limit 10).
830 words, about 4 min4Cycle 3 of Lu-177 DOTATATE in a patient with one kidney, rising creatinine and falling platelets
A 68-year-old man with a grade 2 midgut neuroendocrine tumor and unresectable liver metastases has completed two cycles of Lu-177-DOTATATE at 7.4 GBq each and is scheduled for cycle 3. His left kidney was removed after trauma 25 years ago; the right kidney is normal in size.
788 words, about 4 min5Fixed inferior defect, LBBB, asthma and a coffee three hours ago
A 64-year-old woman with atypical exertional chest discomfort is referred for myocardial perfusion imaging. BMI is 38; she cannot walk more than 3 minutes on a treadmill because of knee osteoarthritis.
771 words, about 4 min