Spotlights Newsletter - November 2014


ACNM Now Welcomes International Full Members!

Due to an increasing number of international nuclear medicine physicians, scientists, and nuclear pharmacists interested in joining the College, ACNM amended our bylaws in April of 2014 to provide international members with the same rights and privileges as those members within the United States. To specifically include “international” members to the full member category, recognizing international board certification. The changes also include the addition of “nuclear pharmacists” which were not specifically outlined in the current bylaws. We believe that these changes embrace the growth and expansion of the field of nuclear medicine.

Renew Your Membership for 2015

Renew your membership today to access all the benefits you can only find with ACNM, including:

  • Clinical Nuclear Medicine, ACNM’s Official Journal
  • Scanner, ACNM’s Quarterly Newsletter
  • Discounted ACNM Annual Meeting registration fees
  • Online Membership Directory
  • Scientific awards for Best Abstract Presentations

More membership benefits. Renew your membership online.

ACNM Launches Annual Fund to Benefit Nuclear Medicine Residents

ACNM is very excited to launch a fundraising program! We strongly believe in our Nuclear Medicine professionals who are in training as our future leaders! We will dedicate these funds primarily for their use in the areas of education, research, leadership, and professional development, and also support of our own ACNM internship. It is an awesome feeling to know who have given to a good cause. Donations are currently limited to membership join/renewal process. Anytime donations will be available soon on the ACNM website.

Submit Your Abstract for the ACNM Annual Meeting and SNMMI Mid-Winter Meeting

Attention young professionals, including those in training (residents, physicians, nuclear pharmacists, or scientists) or in practice within 10 years of graduation:

The American College of Nuclear Medicine (ACNM) and the Society of Nuclear Medicine and Molecular Imaging (SNMMI) are currently accepting abstracts for the ACNM Annual Meeting and SNMMI 2015 Mid-Winter Meeting, January 22-25, 2015 in San Antonio, TX. Abstract Awards Include Representing ACNM/SNMMI in Shanghai, China 

Submit Your Abstract. Abstract submission deadline is Thursday, December 4, 2014

 Interested in Leadership Positions?

ACNM Board is seeking for volunteers committed to serve in leadership positions for the 3 available Director-at-Large positions. If interested, send your CV, one page platform, and a picture to

 Answer to the September 2014 Case of the Month

 Diagnosis: Xanthogranulomatous Pyelonephritis

  • Most common in females, diabetics
  • Uncommon complication of long-standing urinary tract obstruction and stones
  • Inflammatory process with granulomatous areas composed of xanthoma cells (histiocytes with foamy fat-containing cytoplasm)

Read more

The Interactive Atlas of Human Anatomy

ACNM is pleased to announce a new IMAIOS-ACNM partnership. This will allow us to develop cases for access by ACNM members in an up-to-date format from our webpage. In addition, ACNM members only have an opportunity for a 70% off discounted price for the IMAIOS e-Anatomy program for only $21 per year. Please email ACNM directly and immediately at before 12/31/14 if you are interested. This will be for a full year beginning 1/15/15. You will be hearing more in the near future about this partnership.

 Staging of Colorectal Cancer, Pareen Mehta, MD and Patrick M Colletti, MD

Colorectal carcinoma remains one of the leading causes of cancer death in the United States and worldwide. In fact, the approximate average lifetime risk of colorectal cancer is a staggering 6%. For this reason, it is important that all radiology and nuclear medicine specialists are familiar with and understand how colorectal carcinoma is accurately staged and the role and benefits of PET/CT in staging this lethal disease. Read more

Pattern of Spread of Colorectal Cancer, Saabry Osmany, MD

Local extension is to the relevant adjacent structures - e.g. the peritoneum, retro peritoneum, ileum, stomach and spleen.

The relationship between the peritoneum and the colon

  1. Cecum - peritonealized
  2. Ascending colon - anterior wall covered with peritoneum, posterior wall retroperitoneal
  3. Transverse colon - suspended in mesocolon
  4. Descending colon - anterior wall covered with peritoneum, posterior wall retroperitoneal
  5. Sigmoid colon – peritonealized

Read more

NMRO News, Alexander Antoniou, MD, NMRO President

Thanks to many individuals involved with our resident membership drive, I’m happy to report a successful 20% increase in membership compared to last year! As the membership drive is coming to an end, we will be focusing our efforts on building educational material for both junior and senior residents. If you would like to be involved with resident education, please send an email to

Additionally, another exciting edition of the NMRO newsletter, the Scintillator has been published. As always, we are excited for the work ahead of us and encourage you to visit the ACNM website or our facebook page for regular updates.

10 Interesting Nuclear Medicine Articles, Saabry Osmany, MD

1. Clin Nucl Med. 2014 Oct;39(10):e413-26. Brain PET in the Diagnosis of Alzheimer's Disease. Marcus C et al.

Reviewed the current role of brain PET in the diagnosis of Alzheimer dementia. SAM/CME article

2. Am J Nucl Med Mol Imaging. 2014 Aug 15;4(5):471-82. Clinical impact of FDG-PET/CT on colorectal cancer staging and treatment strategy. Petersen RK et al.

FDG-PET/CT changed the treatment plan in 30% of cases. In ⅓ of these there was either a change from intended curative to palliative therapy or vice versa, while in the remaining ⅔ the pattern was more mixed.

Read more

Advocacy and Government Relations Committee, Erica Cohen, DO

It is my pleasure to introduce the newly developed ACNM Advocacy and Government Relations Committee. This committee will function as a formal liaison to the already established joint SNMMI-ACNM Government Relations Committee. In addition, it will integrate ACNM’s delegates to various other medical organizations, including the American Medical Association, Inter societal Accreditation Commission, Academy of Radiology Research, and American Board of Science in Nuclear Medicine, as well as advocate for nuclear medicine interests to government and third party organizations.

 November 2014 Case of the Month, Asim Bag, MD

A 79 YO right handed white male patient presented with worsening language problem and new onset of seizures. He was diagnosed with MGMT promoter region methylated glioblastoma multiforme 7 months before the current presentation that was treated by near total resection followed by concurrent chemoreduation using standard Stupp protocol. Radiation treatment was completed 4 months before current presentation. His base line post radiation MRI was obtained 1 month after completion of the radiation treatment (Figure 1). An MRI was repeated 2 weeks ago (Figure 2), which demonstrated change from the baseline scan. An FDG PET scan was performed (Figure 3) after the clinic visit for further work-up. What is the diagnosis?

View the figures here. Send your answers to Winners will be announced in the next issue of Spotlights.

Editor's Corner

Welcome to November 2014 issue of Spotlights. In each issue, we plan to review educational material about a special topic for our membership. If you are interested in submitting an educational subject or an interesting case, please do not hesitate to email:

Chief Editor: Simin Dadparvar, MD

Contributing Editors:

  • Alexander Antoniou, MD
  • Twyla B. Bartel, DO
  • Asim Bag, MD
  • Erica Cohen, DO
  • Patrick Colletti, MD
  • Charles Marcus, MD
  • Pareen Mehta, MD
  • Saabry Osmany, MD