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Role of IV Iodinated Contrast Material in 18F-FDG PET/CT of Liver Metastases

Shiva Badiee1, Benjamin L. Franc, Emily M. Webb, Bill Chu, Randall A. Hawkins and Fergus Coakley

1 All authors: Department of Radiology, University of California, San Francisco, Box 0628, M-372, 505 Parnassus Ave., San Francisco, CA 94143-0628.


Figure 1
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  		Fig. 1A —68-year-old man with colorectal cancer undergoing treatment for known hepatic metastases. Axial unenhanced CT image through liver shows small hypodense lesion (arrow).

 

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  		Fig. 1B —68-year-old man with colorectal cancer undergoing treatment for known hepatic metastases. Axial 18F-FDG PET image shows mild heterogeneity (arrow) in location corresponding to lesion in A. Consensus panel considered this lesion indeterminate on review of PET/unenhanced CT images.

 

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  		Fig. 1C —68-year-old man with colorectal cancer undergoing treatment for known hepatic metastases. Axial portal venous phase contrast-enhanced CT image shows rim-enhancement around lesion (arrow). Consensus panel considered this lesion likely malignant based on review of PET/contrast-enhanced CT images, and subsequent wedge biopsy confirmed metastasis.

 

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