We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Announcement |

Image of the Year for 2009 FREE

Arch Surg. 2009;144(12):1166. doi:10.1001/archsurg.2009.212.
Text Size: A A A
Published online

Congratulations to Timothy L. Frankel, MD, and Paul G. Gauger, MD, of the University of Michigan, Ann Arbor; they coauthored the winning Image of the Year for 2009. Their Image of the Month article on Wermer syndrome and Zollinger-Ellison syndrome appeared in the April 2009 issue (Arch Surg. 2009;144[4]:377-378). This article addressed the difficult problem of preoperative localization of multifocal gastrinomas in patients with multiple endocrine neoplasia type I. The preoperative computed tomography (CT) scan illustrated a novel technique that used a low-density, barium-based, oral contrast agent during the arterial phase of intravenous contrast-enhanced spiral CT of the abdomen. The oral agent distended the duodenum enough to silhouette the small arterially enhancing mucosal tumors. The CT scan was coupled with a photograph of the opened, resected duodenum showing the same tumors located on the mucosal surface. This photograph is a valuable teaching image for resident physicians, many of whom will have little or no opportunity to see these duodenal tumors during their general surgical training.

Place holder to copy figure label and caption
Graphic Jump Location

Please revisit our April 2009 issue to “Make the Diagnosis.”


Place holder to copy figure label and caption
Graphic Jump Location




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.