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JNM (November 2012) From the Angio Suite to the Gamma Camera: Vascular Mapping and 99mTc-MAA Hepatic Perfusion Imaging Before Liver Radioembolization—A Comprehensive Pictorial Review
JNM Volume 53, Number 11

JNM (November 2012) From the Angio Suite to the γ-Camera: Vascular Mapping and 99mTc-MAA Hepatic Perfusion Imaging Before Liver Radioembolization—A Comprehensive Pictorial Review

JNM, November 2012, Volume 53, Number 11

Member Fee: Free
Non-Member Fee: $15.00

Release Date: November 1, 2012
Expiration Date: November 30, 2015
Authors
Livnat Uliel1,2, Henry D. Royal1, Michael D. Darcy2, Darryl A. Zuckerman2, Akash Sharma1, and Nael E. Saad2

1Division of Nuclear Medicine, Mallinckrodt Institute of Radiology, Washington University, Saint Louis, Missouri; and 2Section of Interventional Radiology, Mallinckrodt Institute of Radiology, Washington University, Saint Louis, Missouri

Disclosure
In accordance with ACCME Revised Standards for Commercial Support and SNM Conflict-of-Interest Policy, the authors have indicated no relevant relationships that could be perceived as a real or apparent conflict of interest. Disclosure of a relationship is not intended to suggest or to condone bias but is made to provide participants with information that might be of potential importance to their evaluation of the activity.

Target Audience
This article contains information of value to nuclear medicine and diagnostic radiology residents, interventional radiology fellows, and specialists in these fields. It provides a comprehensive illustrative review of the procedure and practical updates.

Objectives
On successful completion of this activity, participants should be able to:
1. Discuss the rationale and the aims of conjoint endovascular mapping and 99mTc-macroaggregated albumin (99mTc-MAA) hepatic perfusion imaging before liver radioembolization.

2. Describe how to integrate the information gathered during the angiographic procedure with the PECT/CT hepatic perfusion study to generate an interpretation relevant to clinical management.

3. List various sites of 99mTc-MAA activity outside the liver parenchyma and their potential origin in order to avoid nontargeted radioembolization.

4. Explain pitfalls in 99mTc-MAA hepatic perfusion imaging and how to avoid them.

Continuing Education Credit Information

AMA-PRA (Physician)
The Society for Nuclear Medicine and Medical Imaging, Inc. (SNMMI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

SNMMI designates this enduring material for a maximum of 2.0 AMA PRA Category 1 CreditsTM. Physicians should claim only credit commensurate with the extent of their participation in the activity. To receive CE credit, learners must achieve a score of 80% on the post-course assessment and complete the evaluation. Release date: November 1, 2012 Expiration date: November 30, 2015.

 

ACPE (Pharmacists)
The Society for Nuclear Medicine and Molecular Imaging, Inc. (SNMMI) is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity has been designated as knowledge-based CPE. The universal program number for this enduring material is TBD. Total available credit for pharmacists is 1.0 hours or 0.10 CEUs. Release Date: November 1, 2012. Expiration Date: November 30, 2015. To receive CE credit, learners must achieve a score of 80% on the post-course assessment and complete the evaluation.

VOICE (Technologists)
The SNMMI, through its Verification of Involvement in Continuing Education (VOICE) program, has approved this journal article for a maximum of 1.0 continuing education hours (CEHs). VOICE-approved credit is recognized by most licensure states and by the NMTCB and ARRT as Category A credit. In order to receive CE credit, you must first complete the activity content. When completed, take the post-test assessment.  You must obtain a score of 80% to receive the CE credit.  You will have no more than 3 attempts to successfully complete the post-test. Release Date: November 1, 2012. Expiration Date: November 30, 2015. California Scope: 1.0 Imaging (I).


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