Terri Wilson

Nuclear Medicine
Medicare coverage gets easier for oncologic PET tracers
In September 2013, Medicare coverage for new oncologic PET radiopharmaceuticals underwent a quiet yet significant change. In a new column, Terri Wilson of Blue Earth Diagnostics explains how the changes are making it easier for providers to receive reimbursement for PET studies with the new radiotracers.
February 16, 2017
2017 02 16 14 44 03 819 Pet Axumin 400
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Emphysema progression with hole changes, with holes colored according to their diameter in 2-mm increments. (A) Baseline inspiratory nonenhanced axial CT scans in a 48-year-old man with chronic obstructive pulmonary disease show emphysema holes with hyperexpansion of secondary pulmonary lobules (white arrows) and thin alveolar walls visible in the right upper lobe. This emphysematous lesion is filled with holes of varying sizes. A single large air cyst was observed in the left upper lobe (black arrows), classified as a single emphysema hole of 20 mm or greater (bright green). (B) At six-year follow-up inspiratory nonenhanced axial CT, the holes in the right upper lobe have merged (white arrows), with no visible alveolar septa remaining, resulting in the formation of a large new hole of 20 mm or greater (bright green). Meanwhile, the hole in the left upper lobe also enlarged, merging with adjacent holes (black arrows). The size of other holes in the paramedian left upper lobe decreased.
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CT reveals changes in lung holes in emphysema patients
CT imaging of lung holes could offer a new way to visualize and quantify the natural course of emphysema.
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Chest X Ray Adobe Stock 567204893
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CT reveals changes in lung holes in emphysema patients
By Will Morton
CT imaging of lung holes could offer a new way to visualize and quantify the natural course of emphysema.
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Emphysema progression with hole changes, with holes colored according to their diameter in 2-mm increments. (A) Baseline inspiratory nonenhanced axial CT scans in a 48-year-old man with chronic obstructive pulmonary disease show emphysema holes with hyperexpansion of secondary pulmonary lobules (white arrows) and thin alveolar walls visible in the right upper lobe. This emphysematous lesion is filled with holes of varying sizes. A single large air cyst was observed in the left upper lobe (black arrows), classified as a single emphysema hole of 20 mm or greater (bright green). (B) At six-year follow-up inspiratory nonenhanced axial CT, the holes in the right upper lobe have merged (white arrows), with no visible alveolar septa remaining, resulting in the formation of a large new hole of 20 mm or greater (bright green). Meanwhile, the hole in the left upper lobe also enlarged, merging with adjacent holes (black arrows). The size of other holes in the paramedian left upper lobe decreased.
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The model could help clinicians determine the best care for women with the disease.
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Pelvic (A), femoral and popliteal (B), and cruro-pedal (C) region. The summated digital variance angiography (DVA) image significantly enhances image quality compared to the digital subtraction angiography (DSA) series I–IV (depicting 4 out of 28 (A), 48 (B) and 28 (C) DSA images) of the low dose (LD) acquisitions. Enhancements of iodinated contrast medium (ICM) by DVA depict small vessel structures in detail while the conventional DSA offers a reduced contrast-to-noise ratio (CNR) using LD acquisitions for standalone diagnostic interpretations.
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