chirag patel sunnybrook health sciences centre university of toronto mistakes we all make –...
TRANSCRIPT
Chirag PatelSunnybrook Health Sciences Centre
University of Toronto
MISTAKES WE ALL MAKE – ABDOMINAL IMAGING
DECLARATION
• No financial disclosures or affiliations with commercial organisations
• No discussion of investigational or “off-label” use of medical devices, products or pharmaceuticals
OBJECTIVES
At the end of this session, participants should be able to:
• Identify common blind spots in abdomen pelvic ultrasound, CT and MRI. (CanMEDS Roles: Scholar, Medical Expert)
• Recognise and avoid common misinterpretations in abdominal imaging. (CanMEDS Roles: Scholar, Medical Expert)
• Develop personal strategies for avoiding common mistakes. (CanMEDS Roles: Scholar, Medical Expert)
“From the errors of others, a wise man corrects his own”
- Publilius Syrus -
CASES
CASE 1
April 2012
April 2012
May 2012
Colonoscopy
Adenocarcinoma
Low Anterior
ResectionMay 2012
Sept 2012
Sept 2012
Sept 2012
Feb 2013
Feb 2013
Feb 2013
Jun 2013 Oct 2013
Jun 2013 Oct 2013
Sep 2012
Jun 2013Oct 2013
Local Recurrence – Rectal Ca – Unresectable
T1wFS - Gad Nov 2013
CASE 2
CT Angiogram
Geographic focal fat
CTA – Liver windows Dec 2014
Dec 2014
Mar 2015CT – PV phase
Cholangiocarcinoma - Unresectable
Mar 2015
CASE 3
Arterial
Arterial Coronal
Arterial Axial
Mycotic aneurysms
CASE 4
T2w
Pertioneal Carcinomatosis
STRATEGIES
M U L T I -
R E F O R M A T S
P L A N A R
Metastatic Colorectal Ca – Isolated Sacral Met
O L D I M A G I N G
June 2014T1-FS Gad
Aug 2014
Post-op
Mar 2015
Dec 2014
Oct 2014
Apr 2015
T1wFS Gad
Recurrent Penile Ca
W I N D O W I N G
W:160 L: 60
W:400 L: 40
Soft-tissue windows Liver windows
Local Recurrence – Rectal CaLocal Recurrence – Penile Ca
W:400 L: 40
W:160 L: 60
Perip
hery
CT ScoutMR Scout
Multiple PEs
CTPA
Invasive Breast Ca
US
Lymphoma
MRI
Develop imaging list
Sunnybrook Discrepancy Meeting
You missed a 2mm peritoneal nodule!!!
