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Diagnostic CT and PET/CT Cases

The Diagnostic CT and PET/CT cases are a new component of the SNMMI Practice Improvement program. By completing the cases, nuclear medicine physicians and radiologists can meet the PET/CT and Diagnostic CT training and credentialing recommendations as published by the SNMMI. In order to meet these recommendations, a total of 500 Diagnostic CT cases covering every anatomical region and the disorders affecting those regions as well as 150 PET/CT cases covering every major tumor type detectable with PET/CT will be released. The Diagnostic CT and PET/CT cases are not intended to fulfill the annual self-assessment credit requirement as mandated by the American Board of Nuclear Medicine and American Board of Radiology. The cases were designed so that nuclear medicine physicians with no recent CT training can supervise and interpret CT images in conjunction with PET or SPECT. Alternatively, they will allow radiologists with no recent PET training to supervise and interpret PET images in conjunction with CT. The American College of Radiology Practice Guideline for Performing and Interpreting Diagnostic Computed Tomography are attached for your reference.

  • A CE certificate can be printed immediately after the completion of the 50 case reports that comprise each set of cases. The cases have also been approved for credit for technologists (VOICE credit).
  • 25 CE credit hours can be obtained by completing each set of 50 cases. The 25 CME hours that are obtained by completing each set of 50 cases cannot be applied towards the PET/CT or CT CME hours that are indicated in the SNMMI PET/CT and Diagnostic CT training and credentialing recommendations (Table 1). The CME requirements highlighted in Table 1 refers to didactic material such as web-based or live courses, lectures at meetings, or the SNMMI self-assessment modules (LLSAP). The CME hours devoted to PET, PET/CT or CT must be obtained independently from the credit obtained by completing each set of 50 PET/CT or Diagnostic CT cases.
  • CME: SNMMI is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians.
  • Certificates for Case Reading Instructions

SNMMI designates this activity for a maximum of 25 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

  • VOICE: The SNMMITS, through its Verification of Involvement in Continuing Education (VOICE) program, has approved this symposium for a maximum of 25 continuing education hours (CEHs). VOICE-approved credit is recognized by most licensure states and by the ARRT as Category A credit. To receive credit, participants must take the activity post-assessment.

Trouble Downloading CT & PET/CT Images?

Help is on the way! All Diagnostic CT and PET/CT case purchasers will receive a complimentary DVD to expedite the downloading of the DICOM datasets. The DVD is compatible with Windows and Mac. You will automatically be mailed the DVD when your order is processed. If you have previously purchased the PET/CT cases and would like a complimentary DVD mailed to you, please contact Lisa Lefebvre at llefebvre@snmmi.org or call 703-652-6783.

After downloading the free MedView CE software to view the DICOM datasets, you will be asked to answer questions and submit your findings and impressions. You then are able to compare your answers with the expert. All cases have been peer reviewed by an expert panel of nuclear medicine physicians and radiologists prior to release to ensure clinical accuracy and relevance.

  • A set of 50 PET/CT or Diagnostic CT cases will appear on your screen.
  • A questionnaire is provided. Please answer the questions before beginning a new set of 50 cases. Your questionnaire answers will appear in the final scoring report once all 50 cases have been completed.
  • All case report components must be completed (Self-Assessment Questions, Major/Minor Findings, and Impression) in order to receive full CE credit for the module. There is no particular order in which the cases need to be completed.
  • You do not have to complete all 50 cases at one time. You may save your work, logout and return to the cases at any time in the future. Once released, the CE credit for a particular set of cases is valid for three years. Check the expiration date to verify when the CE credit for a set of cases will expire (release and expiration date information is provided on the My Modules page).
  • Once a case is complete, the done icon [] will appear next to the case number. If you have not finished a case, the in-progress icon [] will appear next to the case number.
  • Immediate feedback is provided after answering the self-assessment and impression questions as well as submission of the Major/Minor Findings. Question critiques are available for reference purposes, however, you may not re-submit your answer once an answer has been submitted. Because this is a learning module, correct and incorrect answers submitted to the SNMMI receive the same level of CE credit. There is no penalty for the submission of an incorrect answer.
  • When all the case components have been completed (the done icon [] will appear next to the case number), you will then have an opportunity to print out a CE certificate, compare your score to your peers, and submit an online evaluation of this activity.
  • You will receive three separate scores reflecting your overall performance in answering the multiple choice self-assessment questions, the multiple choice impression questions as well as the reporting of Major/Minor findings (findings are scored on a subjective basis). Scores will be organized into anatomical regions (CT cases) and tumor types (PET/CT cases) to quickly identify learning needs and track your progress as you complete more CT or PET/CT cases.

To view a demonstration of the SNMMI Lifelong Learning & Self-Assessment Program (LLSAP) Click Here.

Gain valuable real-world experience reading and interpreting Diagnostic CT and PET/CT datasets and remain in compliance with the new SNMMI Diagnostic CT and PET/CT training guidelines. Order your set of cases today!

PET/CT Cases – What will I learn?

  1. Describe when a PET/CT scan is indicated for diagnosing or staging a particular tumor type.
  2. Identify anatomy using PET/CT imaging and determine abnormalities based on the PET/CT images.
  3. Submit a PET/CT conclusion based on the reason for referral.
  4. Identify incidental abnormal findings on a transmission CT scan.
  5. Make a diagnosis based on comparison to previous (CT, PET, PET/CT) studies.
  6. Draft an expert clinical report using the SNMMI PET/CT guidelines.
  7. Interpret PET/CT DICOM images and answer clinically relevant questions based on the images.

Diagnostic CT Cases –What will I learn?

  1. Describe when a CT scan is indicated for diagnosing or staging a particular disorder.
  2. Identify anatomy using CT imaging and determine abnormalities based on the CT images.
  3. Submit a CT impression based on the reason for referral.
  4. Submit recommendations to the referring physician for next steps in patient management based on CT images.
  5. Draft an expert clinical report using the SNMMI PET/CT guidelines.
  6. Interpret CT DICOM images and answer clinically relevant questions based on the images.

  • The SNMMI is extremely grateful for the contributions of the following LLSAP Faculty Members who assisted in the development of the PET/CT curriculum.
    • Yong C. Bradley, MD
      Brooke Army Medical Center Hospital

      Marques Bradshaw, MD
      Vanderbilt University Medical Center

      Dominique Delbeke, MD, PhD
      Vanderbilt University Medical Center

      Michael M. Graham, PhD, MD
      University of Iowa

      Lale Kostakoglu, MD
      Mount Sinai Medical Center

      Alan H. Maurer, MD
      Temple University Hospital

      John S. Miliziano, MD
      Morton Plant Hospital

      Jaime Montilla, MD
      Axcess Diagnostics - Sarasota, FL

      Henry Royal, MD
      Mallinckrodt Institute of Radiology

      George M. Segall, MD
      Palo Alto VA Medical Center

      Chirayu Shah, MD
      Vanderbilt University Medical Center

      Barry L. Shulkin, MD, MBA
      St. Jude Children's Research Hospital

  • Diagnostic CT training is offered through collaboration with the University of Pittsburgh Medical Center. The SNMMI would especially like to recognize the contributions of the following physicians and scientists who assisted in the developed of the Diagnostic CT curriculum.
    • Harry Agress, Jr., MD
      Hackensack Radiology Group PA

      Daniel E. Appelbaum, MD
      University of Chicago

      Todd Blodgett, MD
      University of Pittsburgh Medical Center

      Jeremy Erasmus, MD
      University of Texas MD Anderson Cancer Center

      James R. Halama, PhD
      Loyola University Medical Center

      Edith Marom, MD
      University of Texas MD Anderson Cancer Center

      Barry McCook, MD
      University of Pittsburgh Medical Center

      Marcia J. McCowin, MD
      University of California, San Francisco

      Howard O'Rourke, MD

      Jinha M. Park, MD, PhD
      Stanford University Medical Center

      Eric Rohren, MD, PhD
      Partners Imaging Center – Sarasota, FL

      Mylene Truong, MD
      University of Texas MD Anderson Cancer Center

      Z. Jane Wang, MD
      University of California - San Francisco

      Benjamin Yeh, MD
      University of California - San Francisco

      Robert E. Zimmerman, MSEE, MS
      Brigham & Women's Hospital