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SMRT Educational Seminars
 
MRI of the Pelvis: Prostate Cancer; Hypointense Solid Lesions; Ovarian Cystic Lesions; and Müllerian Duct Anomalies

Volume 18, Number 3

 
Accreditation:

The SMRT Educational Seminars (Volume 18, Number 3), has been approved for 4.0 Category A Continuing Educational credits.

Read the SMRT Educational Seminars (Volume 18, Number 3),"MRI of the Pelvis: Prostate Cancer; Hypointense Solid Lesions; Ovarian Cystic Lesions; and Müllerian Duct Anomalies" and complete the quiz.

To receive credit the quiz must be completed with a score of 75% or better. Completion of all questions with a passing score will earn a total of 3.0 category A Continuing Education credits.The certificate will state the CE reference number and awarded CE credits.

Members receiving a score less than 75% will be notified and given the option of taking the quiz up to two additional times.

Members should retain their CE Certificate for their Continuing Education registry requirements.

 
Educational Objectives

Multiparametric MRI of Prostate Cancer

  • Discuss modern MRI technical specifications including scanner and receiver coils;
  • Review RF coil placement and positioning;
  • Describe appropriate scan sequences and imaging parameters including T1-weighted, T2-weighted, diffusion-weighted, and dynamic contrast-enhanced imaging;
  • Review PK modeling and histologic correlation to DCE imaging;
  • Explain magnetic resonance spectroscopic imaging and utilization;
  • Show image examples for all sequences and kinetic curves for gadolinium concentration versus time; and
  • Provide comprehensive list of peer-reviewed published articles on prostate MR imaging.

Features of the Hypointense Solid Lesions in the Female Pelvis on T2-Weighted MRI

  • Discuss MRI strategies for identification and tissue characterization including blood products, smooth muscle, and fibrosis;
  • Review diseases and their appearance in MR imaging sequence including endometriosis, pelvic hematoma, leiomyoma, adenomyosis, focal myometrial contraction, fibroma/fibrothecoma, fibromatosis, Brenner Tumor, adenocarcinoma, and fibrotic masses; and
  • Show imaging examples of the various pathologies and conditions described.

MRI Features of Ovarian Cystic Lesions

  • Describe imaging modalities for ovarian cystic lesions;
  • Provide complete MR imaging protocol and scan parameters used;
  • Review the MRI techniques including T2-weighted, T1-weighted and dual-echo Dixon;
  • Describe tumorous ovarian cystic lesions including serous and mucinous tumors, cystadenofibroma, Brenner tumor, mature cystic teratoma, struma ovarti, granulosa cell tumor, and metastases;
  • Explain nontumorous ovarian cystic lesions including functional ovarian cyst, ovarian hyperstimulation syndrome and hyperreactio luteinalis, endometriosis and hemorrhagic cyst, and polycystic ovarian disease;
  • Describe nontumorous ovary-related cystic lesions including paraovarian cyst, peritoneal inclusion cyst, and pelvic inflammatory disease and tubo0varian abscess;
  • Review specific considerations including daughter cyst sign and stained-glass appearance; and limitations and pitfalls; and
  • Show imaging examples.

Müllerian Duct Anomalies: Embryological Development, Classification, and MRI Assessment

  • Discuss the difference between the various Müllerian duct anomalies (MDA), structurally and on MR images;
  • Provide complete MR imaging protocol and scan parameters used;
  • Review AFS classification scheme for MDA;
  • Describe the history of imaging of MDA;
  • Review the embryology and classification;
  • Explain the algorithmic approach to image interpretation;
  • Discuss MDA prognosis and treatment; and
  • Show MR imaging examples.