Flipping Book - TVD

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Response and treatment-induced
changes
Metastasis Renal Cell Carcinoma
Planning 4 Months 7 Months
18 Months 24 Months 13 Months
Planning 3 Months 7 Months
10 Months 13 Months 16 Months
Take home
• CT as basis for morphology,
– Good for T-stage
– Well-known limitations, esp. N-stage
– New: 4D-CT
• MRI
– Similar for morphology
– Superior for heterogeneity, differentiation,
function: Perfusion and motion
• PET / CT
– Best for N-stage
– Well-known limitations
– Reimbursement issues
* Oscar Wilde
My tastes are simple: I like the best*
CT unenhanced CT unenhanced + PET
CT contrast-enhanced
, Radiology – E010, Imaging and Radiooncology