PurposeThis study describes the early clinical outcomes of a prospective phase 2 consolidative involved-node proton therapy (INPT) as component combined-mode in patients with stages I to III Hodgkin lymphoma (HL) mediastinal involvement.Methods and MaterialsBetween September 2009 June 2013, 15 newly diagnosed HL received INPT after completing chemotherapy an institutional review board-approved protocol comparing dosimetric impact PT those three-dimensional conformal radiation (3DCRT)...

Magnetic Resonance Imaging (MRI) evaluation of recurrent prostate cancer (PCa) following proton beam therapy is challenging due to radiation-induced tissue changes. This study aimed evaluate MRI-based radiomic features so as identify the PCa after therapy.

PurposeThis study analyzed the impact of pretreatment positron emission tomography/computed tomography (PET/CT) scans on involved site radiation therapy (ISRT) field design and pattern relapse among patients with Hodgkin lymphoma (HL).Methods materialsThirty-seven stage I or II HL who received first-line chemotherapy followed by consolidative ISRT to all initial sites disease were enrolled in an institutional review board–approved outcomes-tracking protocol between January 2009 December...

Objective . To present a complicated case of differentiated thyroid carcinoma (DTC) with metastases to the skull that was evident on I-131 whole body scan (WBS) but negative other imaging modalities in low risk patient. Methods We will discuss clinical course, imaging, pathological findings, and treatment patient metastasis from DTC. Pertinent literature pathology findings as well radioactive iodine (RAI) impact quality life survival patients bone DTC be reviewed. Results The is 37-year-old...

Abstract Purpose: Hodgkin lymphoma (HL) survivors are susceptible to long-term side effects from definitive treatment with combination chemotherapy and radiation therapy (RT). Because late RT correlate volume, stage III/IV pediatric HL requiring large fields at greater risk for complications. This study investigates the dosimetric impact of proton (PT) spare organs (OARs) in III IV HL. Patients Methods: From October 2011 through January 2014, 7 patients or involving both supradiaphragmatic...

Nasopharyngeal carcinoma (NC) is an epithelial tumor with distinctive prevalence in East and Southeast Asia. Most patients NC only experience regional metastasis. In cases of distant metastasis, prognosis grim. Leptomeningeal spread the disease a rare occurrence, which sparsely described literature. We present case 33-year-old man history high-grade leptomeningeal Initial MRI lumbar spine demonstrated subtle findings consistent disease. These are easily discernible on 18 F-FDG PET/CT.

The objectives of this study are to assess the utility whole-body 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) (skull vertex toes) imaging relative standard field view base mid-thigh) in patients with primary melanoma site that is not located lower extremities.The and metastatic disease was determined based on 18F-FDG PET/CT findings 26 patients. FDG avid sites were tabulated as site, extremity, brain, other sites. hypothesis routine skull...

This article presents a case of cervical metastasis from recurrence invasive ductal carcinoma the breast >20 years after initial diagnosis. The diagnosis was made patient presented with three months intermittent post-menopausal vaginal spotting. She underwent palliative radiotherapy combined chemotherapy and disease free at time writing. Cervical primary cancer is extremely rare can present variety symptoms. report highlights importance life-long gynecologic care surveillance in patients...

Muir–Torre syndrome (MTS) is a rare genetic disorder, considered subtype of Lynch syndrome, that causes sebaceous cutaneous tumors and increases the risk internal visceral tumors. We present case 63-year-old male with history MTS tumors, colorectal, urothelial cancers who underwent fluorine-18-deoxyglucose positron emission tomography/ computed tomography [18F]FDG PET/CT to follow-up on multiple avid skin lesions right pelvic lymph nodes. Although few reports are available detailing utility...

Post-traumatic bronchobiliary fistulas (BBF) are extremely rare with high morbidity and mortality rates. Accurate timely diagnosis of these entities is critical for appropriate treatment, which usually requires a multidisciplinary approach. We describe two post-traumatic cases using multimodality approach including computed tomography (CT), magnetic resonance imaging (MRI)/Magnetic Resonance Cholangiopancreatography (MRCP), hepatobiliary scintigraphy specific emphasis on the features each...

Hemangioma is the most common benign liver tumor. Hepatic blood pool imaging an effective technique with a specificity approaching 100%. Typically, hemangiomas are completely filled on hepatic imaging. However, incomplete fill-in can be seen in larger complicated thrombosis, fibrosis, or bleeding. We report cavernous hemangioma atypical peripheral rim activity.

We present findings on cine magnetic resonance imaging (MRI) using steady-state free precession (SSFP) pulse sequences in a patient with pulmonary arteriovenous malformation (PAVM). The technique has the advantage of demonstrating pulsation lesions during cardiac cycle images. It may not replace but complement other MRI characterization selected cases. To our knowledge, no prior video images PAVM been provided literature.

Werner Syndrome is a rare autosomal recessive condition characterized by premature aging and increased risk of malignancies due to gene mutations associated with DNA stability. We present the first case report 29-year-old Hispanic female WS diagnosed breast cancer. Diagnostic mammography ultrasound, MRI PET examinations revealed two lesions biopsy proven as invasive ductal carcinoma. The patient underwent neoadjuvant chemotherapy radical mastectomy. Recurrence occurred 10 months...

Atherosclerotic cardiovascular disease is the leading cause of death worldwide. Morbidity dreaded thrombotic complications atherosclerosis such as cerebrovascular accident and myocardial infarction may be severe. Early detection fulminant therefore important for risk stratification selecting a treatment strategy. In this report we present four patients in which 18-fluorodeoxyglucose uptake was identified atherosclerotic plaques at positron emission tomography, performed other indications....

Internal mammary lymph node (IMLN) is the second most common site for nodal metastases in breast cancer. The authors present a case of 58-year-old woman with history coronary artery bypass graft surgery 1 year prior who presented neck mass. Imaging showed an enlarged IMLN along course translocated left internal (LIMA) on surface heart, and patient was later proven to have recurrent To authors’ knowledge, this first report literature cancer recurrence postoperative LIMA graft. Keywords:...

Abstract We present a case of recurrent pericardial effusion presenting during proton therapy in 24-year-old female receiving mediastinal treatment for classical Hodgkin lymphoma. Pericardial is typically considered an event accompanying lymphoma diagnosis or as subacute late effect radiotherapy. Rarely has it been described occurring radiation with photon-based radiotherapy, let alone therapy. It unclear what underlying cause triggered this patient. Identifying and managing delivery...

<b>Methods:</b> A standard method of performing breast lymphoscintigraphy is to obtain anterior and lateral views after periareolar intradermal injection a radiotracer. However, sentinel lymph node may be obscured by the activity at site, especially on views. Also, tissue cause attenuation prevent visualization. In cases in which visualized one view but not other or either inadequately visualized, we repeat during medial traction performed patient. <b>Results:</b> We have found technique...