1. Lung tumors can be classified as primary lung cancers, metastases, or benign tumors. Primary lung cancers include non-small cell lung cancer (NSCLC), small cell lung cancer (SCLC), and others.
2. Imaging plays a key role in evaluating lung tumors by characterizing findings, aiding diagnosis, and staging. Features such as size, margins, enhancement, and growth over time provide clues about benign vs malignant tumors.
3. NSCLC is the most common type and demonstrates varied radiological appearances depending on size, location, and histology. Imaging is also used to guide biopsy and assess treatment response.
In this presentation our agenda is
Brief introduction
Radiological Modalities
Radiological Features
Radiological Imaging Of Complications of lung cancer.
I followed Dahnert and try to describe all findings in lung cancer.
Hope it will prove an atlas in Lung cancer imaging.
In this presentation our agenda is
Brief introduction
Radiological Modalities
Radiological Features
Radiological Imaging Of Complications of lung cancer.
I followed Dahnert and try to describe all findings in lung cancer.
Hope it will prove an atlas in Lung cancer imaging.
Imaging plays an important role in diagnosis and formulating differential diagnosis in case of Solitary pulmonary nodule. It helps in differentiating and predicting benign and malignant nodules.
Imaging assessment of malignant focal and diffuse liver lesions from Ultrasound to Mri with overview of interventional modalities and diagnostic snippets,
Describe types of bowel wall thickening on enhanced CT scan and the diagnostic signs to differentiate inflammatory , neoplastic , ischemic and other causes of bowel wall thickening .
Imaging plays an important role in diagnosis and formulating differential diagnosis in case of Solitary pulmonary nodule. It helps in differentiating and predicting benign and malignant nodules.
Imaging assessment of malignant focal and diffuse liver lesions from Ultrasound to Mri with overview of interventional modalities and diagnostic snippets,
Describe types of bowel wall thickening on enhanced CT scan and the diagnostic signs to differentiate inflammatory , neoplastic , ischemic and other causes of bowel wall thickening .
MRI ANATOMY OF WRIST AND ELBOW ; special emphasis on TFCC, planning of wrist and elbow mri, intrinsic and extrinsic ligaments, compartments of wrist, neurovascular anatomy of elbow and wrist,
Basics of Interventional Radiology and Vascular Interventions RVRoshan Valentine
Brief overview of the general principles of interventional radiology, DSA, vascular interventions, catheters, guidewires, patient management, complications
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
3. Introduction
• A wide variety of neoplasms arise in the lungs
• Many are overtly malignant, others are definitely benign
• Some fall in between these two extremes
4. Introduction
• Lung cancer is the most common cause of cancer death in developed
countries.
• The prognosis is poor, with less than 15% of patients surviving
5 years after diagnosis. The poor prognosis is attributable to lack of
efficient diagnostic methods for early detection and lack of successful
treatment for metastatic disease.
5. Introduction
• The usefulness of the various imaging examinations
largely depends on the clinical findings at the time of
presentation and also on the stage of the disease
• Many imaging modalities are used to further evaluate the
findings seen on the previous imaging and to determine
the stage of the disease.
6. Bronchial carcinoma
• Most common cause of cancer in men
• 6th most frequent cancer in women
• Leading cause of cancer mortality worldwide – 20%
• In India, approximately 63,000 new lung cancer cases are reported each year.
• Major risk factor is cigarette smoking which is implicated in 90% of cases.
• Other risk factors include radon, asbestos, uranium, arsenic, chromium
13. Airway obstruction
• Collapse – segmental / lobar / entire lung
• Consolidation – infection distal to obstruction prior to
collapse
– absent air bronchogram
• Mucocele or bronchocele due to mucoid impaction
14. Airway obstruction
Central mass
• Shape of the collapsed or consolidated lobe may be altered
because of the bulk of the underlying tumor
• Fissure in the region of the mass is unable to move in the
usual manner , and fissure may show a bulge – Golden S sign
17. Peripheral mass
• Common presentation of lung Ca
• Larger; poorly defined, lobulated, umbilicated or
spiculated margins (Corona radiata)
• Satellite opacities – more in benign than malignant
• Calcification – diffuse or central
• Doubling time – 1-18 months ; >2 yrs – benign
18. Peripheral mass
• Cavitation – central necrosis or abscess formation
• Malignant cavities – thick walled, irregular nodular
inner margin
• Pancoast/ superior sulcus tumors – lung apex – tendency to invade
ribs, spine, brachial plexus, and inferior cervical sympathetic
ganglia
26. Bone involvement
• Direct invasion : peripheral carcinomas-ribs / spine
• Hematogenous : lytic, identified earliest by isotope bone scan
• Hypertrophic osteoarthropathy – well defined periosteal new
bone formation
27. Diagnostic imaging
• The prognosis and treatment of lung cancer depends
on the general condition of the patient and on the histology
of the tumor and its extent at the time of presentation
28. Diagnostic imaging
• SCLC – metastasise early, disseminated at presentation, chemosensitive
• NSCLC – metastasise later, esp. squamous
• Central tumors – sputum cytology, bronchoscopic biopsies or washings
• Peripheral tumors – percutaneous biopsy with fluoroscopic,
CT or USG guidance
30. Staging
Purposes
• Identify patients with NSCLC who will benefit from surgery
• To avoid surgery in those who will not benefit
• To provide accurate data for assessing and
comparing different methods of treatment
42. Alveolar cell carcinoma
• Bronchiolar or bronchio-alveolar Ca
• Subtype of adeno Ca
• Peripherally, probably from type II pneumocytes
• Not associated with smoking
• May be associated with diffuse pulmonary fibrosis and pulmonary scars
43. Alveolar cell carcinoma
Two patterns:
• Focal form – solitary peripheral mass, air bronchograms often visible,
may spread via airways to progress to diffuse pattern
• Diffuse form – multiple acinar shadows, with areas of confluence
CT : ground glass opacification, small nodular opacities, frank
consolidation, thickened interlobular septa
45. Rare primary malignant neoplasms
Pulmonary Kaposi’s sarcoma
• AIDS
• Segmental or lobar consolidation
• Multiple nodular and linear opacities
• Pleural effusions
• Hilar and mediastinal lymphadenopathy
46. Rare primary malignant neoplasms
Pulmonary artery angiosarcoma
• Hilar mass
• Signs of pulmonary embolism and pulmonary artery
hypertension
47. Rare primary malignant neoplasms
• Fibrosarcoma
• Leiomyosarcoma
• Carcinosarcoma
• Pulmonary blastoma
• Malignant hemangiopericytoma
Often present as solitary pulmonary mass radiologically
indistinguishable from a carcinoma of the lung
51. Pulmonary hamartoma
• Consists of abnormal arrangement of tissues normally found in
the organ concerned
• Large cartilaginous component, and appreciable fatty component
• Solitary nodule in an asymptomatic adult
• Rare in childhood
52. Pulmonary hamartoma
• Peripheral
• Well circumscribed nodules
• Do not cavitate
• Low density within denotes fat
• 30% show calcification on x-ray with popcorn appearance
• Grow slowly on serial films
54. Intrathoracic lymphoma and leukemia
Hodgkin’s disease
• MC lymphoma
• Usually arises in lymph nodes – hilar or mediastinal node enlargement on CXR
• Lymphadenopathy – frequently bilateral, asymmetrical, involves anterior
mediastinal glands
• CT – Paraspinal and retrosternal nodes
55. Hodgkin’s disease
• Involves lung parenchyma in 30%
• Pulmonary infiltrate may appear as solitary areas of consolidation,
larger confluent areas or miliary nodules
• Pulmonary opacities may have an air bronchogram and may cavitate
• Pleural effusion due to lymphatic obstruction, pleural plaques may
be seen
57. Non – Hodgkin’s disease
• Radiologic manifestations are similar to Hodgkin’s disease
• Progression of disease is less orderly
• Pulmonary and pleural involvement precedes mediastinal
disease
59. Pseudolymphoma
• Tumor like condition which behaves benignly
• Focal
• Solitary or multiple areas of pulmonary consolidation
• Air bronchogram, cavitation may occur
60. Lymphomatoid granulomatosis
• Angiocentric, angiodestructive lymphoreticular, proliferative and granulomatous
disease predominantly involving the lungs
• A T-cell non-Hodgkin’s lymphoma
• Multiple ill defined nodules resembling metastases
62. Leukemia
• Radiographic abnormalitites are due to the complications of the disease
• Mediastinal lymph node enlargement, pleural effusion, pulmonary
infiltrates
• More common in lymphatic than myeloid leukemia
63. Metastatic lung disease
• Hematogenous > lymphatic > Endobronchial
• Primaries – breast, skeleton, urogenital system, colon,
melanoma
• Bilateral ,basal predominance, often peripheral and
subpleural
• Spherical, well defined margins
68. Solitary pulmonary nodule
• Defined as a solitary circumscribed pulmonary opacity
3 cm in diameter with no associated pulmonary, pleural or
mediastinal
abnormality
• 40% of SPNs are malignant
Complete collapse of left upper lobe with elevated left hemidiaphragm due to phrenic n. involvemt
Collapse of entire left lung; dilated fluid filled bronchi in lingula of left lung sec. to ca at left hilum
A small soft tissue nodule in left mid zone; 18 months later, tumor has enlarged n cavitated
Mass with spiculated margins , strands of tissue extending into adjacent lung parenchyma - adeno:
Thick walled cavitating mass with spiculated outer surface n nodular inner surface - squamous
sagittal T1-weighted images after the administration of Gadolinium.
Eso: ln or tumor mass
Enlarged heart shadow which was due to pericardial effusion – small cell ca
Extrinsic compressn of mid esoph. By enlarged subcarinal LNs.
Isotope bone scan before cxr
Ct guided percutaneous biopsy
Green : amenable to surgery
T1 tumour.
T2 tumor with obstructive infiltrate of the left lower lobe.
T2 tumor (> 3cm) in the right lower lobe with ipsilateral hilar node (N1).
tumor in the right upper lobe with progression into the mediastinum (T4) with ipsilateral mediastinal N2 nodes in station 4R(lower paratracheal).
central tumor in the right lung.
Lymphadenopathy- lower paratracheal station on the left (i.e. station 4L).
This is N3-stage due to contralateral mediastinal nodes.
CXr- solitary rt. Upper zone mass; Ct shows ground glass opacificatn n dense consolidatn
Amino precursor uptake decarboxylation
Well defined round soft tissue mass overlyin right hilum
Well circumscribed soft tissue density mass
CXR- rt. Hilar lymphadenopathy, CECT shows massive antr mediastinal LN.pathy, with large pleural effusn