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ACNM/SNMMI MRI Case Reviews: Abdominal Part I
ACNM/SNMMI MRI Case Reviews: Abdominal Part I

ACNM-SNMMI Online MRI Case Review:  Abdominal Part I

Physician (AMA) Member Fee: $175.00
Physician (AMA) Non-Member Fee: $300.00

Technologist (VOICE) Member Fee:  $100.00
Technologist (VOICE) Non-Member Fee:  $150.00
Release Date: August 1, 2016
Expiration Date: December 31, 2019


Twyla B. Bartel, DO, MBA, FACNM
Saabry Osmany, MD
Tracy L. Yarbrough, MD, PhD


Sindhura Alapati, MD
Twyla B. Bartel, DO, MBA, FACNM
Kristina E. Hoque, MS, MD, PhD

Financial Disclosure

This work is sponsored by the ACNM and SNMMI.  In accordance with ACCME Revised Standards for Commerical Support and SNMMI Conflict-of-Interest Policy, the authors have indicated no other 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
All professionals in the nuclear medicine and related fields.


Upon completion of this activity, the participant will be able to:

1. Describe the minimum basics of MRI physics and sequences (basic, contrast, fat imaging, MRCP, and DWI/ADC) to assist with MRI image acquisition and interpretation
2. Summarize indications and contraindications for use of MRI in different clinical scenarios and in general.
3. Recognize the normal versus abnormal appearances of various abdominal benign and malignant pathologies on MRI.
4. Understands basic anatomy of various organ systems as it appears on MRI.
5. Gain basic skills in MRI for clinical practice.

MRI Case List

Case 1 - Basic Sequences                                    Case 14 - Adrenal Adenoma
Case 2 - Contrast                                               Case 15 - Neuroblastoma
Case 3 - Fat Imaging                                           Case 16 - Fatty Liver
Case 4 - MRCP                                                    Case 17 - Hemangioma
Case 5 - DWI and ADC                                        Case 18 - Hepatic Adenoma
Case 6 - Pancreatic Mass Obstruction                    Case 19 - FNH
Case 7 - Choledocholithiasis                                 Case 20 - Hepatic Mets
Case 8 - Acute Cholecystitis                                 Case 21 - Infiltrative HCC
Case 9 - Acute Appendicitis in Pregnancy               Case 22 - Cyst vs Abscess
Case 10 - Acute Pancreatitis                                 Case 23 - RCC
Case 11 - Colitis                                                  Case 24 - Renal Cysts
Case 12 - Crohn's                                               Case 25 - Oncocytoma
Case 13 - Adrenal Hemorrhage

Activity Instructions

To receive credit for this activity, participants must view each case review and pass the post-activity assessment. Participants do not have to finish the post-activity assessment all at one time.  Participants may begin the assessment and continue it at a later date.   Credit will only be issued once the assessment is completed with a passing score of 80% or higher.

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 ? AMA PRA Category 1 CreditTM. 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: August 1, 2016 Expiration date: August 31, 2019

ABNM SAM Credit (Physician)  The American Board of Nuclear Medicine has reviewed and approved this online case review activity submitted by the SNMMI.   This activity fulfills the requirements of the ABNM Maintenance of Certification program for self-assessment.  ?  SAMs have been awarded for this activity.

VOICE (Technologists)
The SNMMI, through its Verification of Involvement in Continuing Education (VOICE) program, has approved this journal article for a maximum of?  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.  California Scope: ? Imaging (I).

Contributor Bios

Dr. Twyla Bartel has been extensively involved with educational items for years.  She is currently the chair of the ACNM educational committee and initiated the ACNM’s current educational webinars and these MRI cases.  She also formed the ACNM-IMAIOS partnership which includes e-cases from ACNM and the new QEVLAR NucCore question set.  She is also chair of the SWCSNMMI educational committee having initiated and organized their prior CT and MRI workshops as well as their resident abstract presentations.  She is the Associate Editor of ACNM’s e-newsletter, Spotlights.  She is or has been a reviewer for Oakstone Publishing, JNM, CNM, and abstracts for RSNA, ACNM, SWCSNMMI, and SNMMI.  She has also been a nuclear medicine residency program director and also recently received ACNM’s Personal Mentor award.  In addition to these items, she is the current VP for SNMMI’s Correlative Imaging Council and a board member of the Academic Council.  She has several publications to include online courses and book chapters.  Disclosures are:  Co-Owner, Global Advanced Imaging, PLLC; Advisory Board, Global CT and PET, LLC.

Dr. Sindhura Alapati brings specialized and specific fellowship training and experience in body and musculoskeletal MRI.  In addition to this, she has completed a diagnostic radiology residency at the University of Arkansas for Medical Sciences in Little Rock, Arkansas.  She previously earned her MBBS at Siddhartha Medical College in Vijayawada, India.  She has been very involved in educational activities which include being a co-author for an ABR review book by Thieme, being a guest lecturer for residents and fellows, and also a moderator for educational meetings.  She is also involved in writing questions for the ACNM-IMAIOS Qevlar NucCore section and for Board Vitals.  She has also been an author on several abstracts and publications.

Dr. Kristina Hoque is completing fellowships in nuclear medicine and neuroradiology at the University of Southern California.  She earned her bachelor’s degree from the University of California, Berkeley, studying molecular and cell biology with an emphasis in neurobiology. She earned her PhD in neuroscience from Rosalind Franklin University of Medicine and Science where she also completed a master’s degree in medical radiation physics.  She completed her medical doctorate at the University of Southern California.  She is a member-in-training representative for the ACR Inter-Society Summer Conference, is active with ACNM NMRO as well as on the ACR Committee on Economic Issues in Academic Radiology and Commission for Women and General Diversity. She regularly lectures medical students and was awarded resident medical student educator of the year in 2013.  She is an editorial board member of the JACR, guest editor of the JACMP, and reviewer for the AJR.

Dr. Saabry Osmany is an attending physician practicing in Singapore and a director and co-founder of Osmany Pte Ltd.  He graduated from Dhaka Medical College, Bangladesh, completed his nuclear medicine residency at the University of Alabama, Birmingham, and a clinical PET/CT fellowship at Yale, Connecticut.  Dr Osmany is a diplomate of the ABNM and has been an attending physician at Apollo Hospitals Dhaka (Bangladesh), Singapore General Hospital (Singapore), and Radlink PET and Cardiac Imaging (Singapore). He is an ACNM board member, the co-chair of the ACNM International Affairs Committee, and has served on several ACNM committees including the Educational Committee. He is a regular contributor to the ACNM publication Spotlights and to the ACNM-IMAIOS QEVLAR NucCore questions.

Dr. Tracy Yarbrough is currently an Associate Professor at George Washington University in Washington DC where she is also completing a master’s degree in education and human development.  She is co-owner of Global Advanced Imaging, PLLC.  She previously obtained a bachelor’s degree in biomedical engineering at the University of Southern California and her MD/PhD at the University of Iowa in physiology and biophysics.  Her family medicine internship was completed at Broadlawns Medical Center in Des Moines, IA, and her nuclear medicine residency at Johns Hopkins Hospital in Baltimore, MD.  Dr. Yarbrough been extensively involved with education having been a prior program director for a nuclear medicine residency, prior nuclear medicine resident review committee representative for ACGME, and a scientific abstract reviewer for ACNM, SWCSNMMI, and SNMMI.  She has been a member of the ACNM Educational Committee since 2014 and is currently co-Editor for the ACNM-IMAIOS Qevlar NucCore questions.  She has published multiple articles as well as book chapters.   Disclosures are:  Co-Owner, Global Advanced Imaging, PLLC; Advisory Board, Global CT and PET, LLC.

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