Neuroimaging clinics of North America
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18FDG-PET plays an important role in cancer imaging. However, there are certain challenges with interpreting head and neck 18FDG-PET. In this article, examples of technical issues that can undermine the interpretation of the scans, normal physiologic activity that can mimic lesions or obscure lesions, and causes of false positives and false negatives on posttreatment cancer imaging are discussed. In addition, suggestions for addressing potential pitfalls on head and neck 18FDG-PET are highlighted.
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Neuroimaging Clin. N. Am. · May 2022
ReviewMR Imaging Artifacts in the Head and Neck Region: Pitfalls and Solutions.
MR Imaging artifacts are features appearing in MR images that are not present in the original anatomy. MR imaging artifacts can be patient-related, hardware-related, or signal-processing-related and affect diagnostic quality or mimic pathology. It is necessary to take MR imaging artifacts into consideration when interpreting images. A basic knowledge of MR imaging physics and the potential origin of MR imaging artifacts can help to find solutions to eliminate or reduce the influence of artifacts on image quality by adjusting acquisition parameters appropriately for a better diagnosis.
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Neuroimaging Clin. N. Am. · May 2022
ReviewComputed Tomography Imaging Artifacts in the Head and Neck Region: Pitfalls and Solutions.
Computed tomography (CT) artifacts are aberrations that usually degrade the image quality of CT images, but occasionally provide insights regarding actual imaging findings. The presence of artifacts can be attributed to various sources, including patient, scanner, and postprocessing factors. ⋯ While we cannot fully eliminate the occurrence of CT artifacts, building an awareness of their cause provides reading physicians the tools to detect and read through their presence. Further, this knowledge may be applied to contribute to protocol adjustments to improve a site's overall imaging practice.
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Neuroimaging Clin. N. Am. · May 2022
ReviewParathyroid Computed Tomography: Pearls, Pitfalls, and Our Approach.
Parathyroid imaging is predominantly used for preoperative localization of parathyroid lesions in patients with the biochemical diagnosis of primary hyperparathyroidism. Although imaging algorithms vary, in the era of minimally invasive parathyroidectomy for single parathyroid adenomas, multiphase parathyroid computed tomography (CT) (4-dimensional CT) has emerged as a favored modality for presurgical mapping of parathyroid lesions. Implementation and correct interpretation of these studies can be challenging, although confidence and accuracy improve with experience and volume. This article reviews our approach to parathyroid imaging, focusing on pearls and pitfalls in parathyroid CT with ultrasound as a supportive and complementary modality.
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This article highlights some pearls and pitfalls encountered in neck imaging. It first covers normal anatomic structures that can be mistaken for pathology. ⋯ The article later touches on several essential anatomic distinctions. Finally, the selection of appropriate imaging modalities for certain clinical indications is discussed.