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Book Details
Abstract
Abdominal Ultrasound is comprehensively reviewed by guest editor Wui K. Chong and authors. Articles will include: Ultrasound of the Liver and Spleen; Ultrasound of the Gallbladder and Biliary Tree; Doppler US of the Liver, Portal Hypertension, and TIPS; Contrast evaluation of liver masses; Elastography of the Abdomen; The Role of Sonography in Liver Transplantation; Renal Ultrasound; Ultrasound of the Renal Transplant; Sonography of the Retroperitoneum; Ultrasound Assessment of the Aorta and Mesenteric Arteries; Sonography of the Bowel; Ultrasound of the Abdominal Wall; Ultrasound-Guided Intervention in the Abdomen and Pelvis, and more!
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
Abdominal Ultrasound | i | ||
Copyright\r | ii | ||
Contributors | iii | ||
Contents | v | ||
Ultrasound Clinics\r | ix | ||
Preface\r | xiii | ||
Ultrasound of the Liver and Spleen | 545 | ||
Key points | 545 | ||
Introduction | 545 | ||
Liver | 545 | ||
Anatomy | 545 | ||
Diffuse Liver Disease | 546 | ||
Fatty liver | 546 | ||
Hepatitis | 547 | ||
Cirrhosis | 548 | ||
Hepatic Masses | 549 | ||
HCC | 549 | ||
Cavernous Hemangioma | 550 | ||
Hepatic Cysts | 551 | ||
FNH | 552 | ||
Hepatic Adenoma | 552 | ||
Metastatic Disease | 553 | ||
Cholangiocarcinoma | 554 | ||
Hepatic Abscess | 555 | ||
Biliary Hamartoma | 556 | ||
Lymphoma | 556 | ||
Hepatic Trauma | 557 | ||
Spleen | 557 | ||
Anatomy | 557 | ||
Technique | 558 | ||
Splenic Trauma | 558 | ||
Splenic Infarction | 558 | ||
Splenic Cysts | 560 | ||
Splenic Hamartoma | 560 | ||
Splenic Abscess | 560 | ||
Splenic Hemangioma | 561 | ||
Splenic Lymphoma | 561 | ||
Splenic Metastatic Disease | 561 | ||
Splenic Sarcoidosis | 561 | ||
References | 562 | ||
Ultrasound of the Gallbladder and Biliary Tree | 567 | ||
Key points | 567 | ||
Introduction | 567 | ||
Gallbladder anatomy | 568 | ||
Biliary tree anatomy | 568 | ||
Ultrasound technique | 570 | ||
Gallstones | 570 | ||
Biliary sludge | 571 | ||
Cholecystitis | 572 | ||
Interventional complications | 575 | ||
Gallbladder wall thickening and porcelain gallbladder | 575 | ||
Gallbladder polyps and adenomyomatosis | 576 | ||
Biliary obstruction | 577 | ||
Choledocholithiasis | 577 | ||
Inflammatory and infectious biliary obstruction | 579 | ||
Biliary tract malignancies | 582 | ||
Choledochal cysts | 583 | ||
Summary | 585 | ||
Supplementary data | 585 | ||
References | 585 | ||
Doppler Ultrasound of the Liver, Portal Hypertension, and Transjugular Intrahepatic Portosystemic Shunts | 587 | ||
Key points | 587 | ||
Introduction | 587 | ||
Doppler ultrasound technique | 588 | ||
Hepatic arteries | 588 | ||
Portal venous system | 589 | ||
Portal Vein Gas | 589 | ||
Portal vein stenosis | 589 | ||
Congestive Cardiac Failure | 589 | ||
Portal Hypertension | 590 | ||
Portal vein thrombosis | 594 | ||
Hepatic veins | 595 | ||
Change with Respiration | 596 | ||
Right heart failure | 596 | ||
Hepatic vein obstruction | 597 | ||
Transjugular intrahepatic portosystemic shunts | 598 | ||
Complications of TIPS | 600 | ||
What the referring physician needs to know | 602 | ||
Summary | 603 | ||
Supplementary data | 603 | ||
References | 603 | ||
Contrast Evaluation of Liver Masses | 605 | ||
Key points | 605 | ||
Introduction | 605 | ||
Part 1: technical considerations | 606 | ||
Ultrasound Contrast Agents | 606 | ||
Physical properties | 606 | ||
Microbubble interaction with ultrasound | 606 | ||
Enhancement phases | 606 | ||
Side effects and contraindications | 607 | ||
Equipment | 608 | ||
Low mechanical index imaging | 608 | ||
Imaging mode | 608 | ||
Analysis and quantification software | 608 | ||
Examination Procedure | 608 | ||
UCA administration | 608 | ||
Bolus injection | 608 | ||
Infusion injection | 609 | ||
Imaging | 609 | ||
Part 2: UCA evaluation of liver masses | 609 | ||
Characterization of FLL | 609 | ||
Common benign lesions | 609 | ||
Hemangioma | 609 | ||
Focal nodular hyperplasia | 610 | ||
Hepatocellular adenoma | 611 | ||
Cystic lesions | 611 | ||
Infection/Inflammation | 611 | ||
Focal fatty changes | 611 | ||
Common malignant lesions | 611 | ||
Cirrhotic liver | 611 | ||
Regenerative nodule | 612 | ||
Dysplastic nodule | 612 | ||
Hepatocellular carcinoma | 612 | ||
Cholangiocarcinoma | 613 | ||
Metastases | 613 | ||
Lymphoma | 617 | ||
Lesion Detection | 617 | ||
Intraoperative Contrast Ultrasound | 617 | ||
CEUS in Ablation Therapy | 618 | ||
Limitations | 618 | ||
Pitfalls | 619 | ||
Part 3: future prospects | 619 | ||
Tumor Perfusion Quantification | 619 | ||
3-D and 4-D Imaging with Microbubbles | 619 | ||
Targeted Imaging | 620 | ||
Summary | 620 | ||
Acknowledgments | 620 | ||
Supplementary data | 620 | ||
References | 620 | ||
Elastography of the Abdomen | 625 | ||
Key points | 625 | ||
Introduction | 625 | ||
Principles of elastography | 626 | ||
SE | 626 | ||
Elastography Using an ARFI Pulse | 627 | ||
SWE | 627 | ||
Elastography of the liver | 628 | ||
Focal Liver Lesions | 628 | ||
Diffuse Liver Disease | 628 | ||
Transient Elastography | 629 | ||
Shear Wave Speed Measurement | 631 | ||
SE | 632 | ||
Elastography of the pancreas | 633 | ||
Elastography of the GI tract | 636 | ||
Summary | 636 | ||
References | 636 | ||
Update on the Role of Sonography in Liver Transplantation | 641 | ||
Key points | 641 | ||
Introduction | 641 | ||
Use of ultrasonography for preoperative assessment | 642 | ||
US in the immediate postoperative period | 642 | ||
Complications of liver transplantation | 643 | ||
Vascular Complications | 643 | ||
Hepatic artery complications | 643 | ||
Hepatic artery thrombosis | 643 | ||
Hepatic artery stenosis | 643 | ||
Hepatic artery pseudoaneurysm | 644 | ||
Portal Vein Complications | 644 | ||
IVC Complications | 645 | ||
Hepatic Veins | 645 | ||
Liver Infarction | 645 | ||
Splenic Artery Steal Syndrome | 646 | ||
Biliary Complications | 647 | ||
Biliary Obstruction | 647 | ||
Bile Leak | 647 | ||
Postoperative Fluid Collections | 648 | ||
Infections | 648 | ||
Malignancy in liver transplantation | 649 | ||
De novo nonlymphoid malignancies | 649 | ||
PTLD | 650 | ||
Recurrent HCC | 650 | ||
Rejection in transplantation | 650 | ||
Acute rejection | 651 | ||
Chronic rejection | 651 | ||
Summary | 651 | ||
References | 651 | ||
Renal Ultrasound | 653 | ||
Key points | 653 | ||
Introduction | 653 | ||
Renal anatomy | 653 | ||
Sonographic technique | 654 | ||
Congenital normal variants | 654 | ||
Infection and inflammation | 656 | ||
HIV-Related Renal Disease | 660 | ||
Hydronephrosis | 660 | ||
Obstructive Hydronephrosis | 661 | ||
Nonobstructive Hydronephrosis | 665 | ||
Renal cystic disease | 666 | ||
Renal neoplasms | 670 | ||
Perirenal pathology | 674 | ||
Vascular pathology | 676 | ||
Summary | 680 | ||
References | 680 | ||
Ultrasonography of the Renal Transplant | 683 | ||
Key points | 683 | ||
Ultrasound examination of the renal transplant | 683 | ||
Vascular abnormalities | 684 | ||
Anatomy | 684 | ||
Renal artery stenosis | 685 | ||
Renal artery thrombosis/infarct | 686 | ||
Renal vein thrombosis | 686 | ||
Vascular abnormalities after interventional procedures | 687 | ||
AVF | 687 | ||
PSA | 688 | ||
Compartment syndrome | 688 | ||
Graft dysfunction | 688 | ||
Contrast-enhanced ultrasonography | 690 | ||
Elastography | 690 | ||
Peritransplant fluid collections | 690 | ||
Urologic complications | 691 | ||
Urine leak and urinomas | 691 | ||
Obstruction | 691 | ||
Stones | 691 | ||
Neoplastic complications | 692 | ||
Summary | 693 | ||
References | 693 | ||
Sonography of the Retroperitoneum | 697 | ||
Key points | 697 | ||
Anatomy of the retroperitoneum | 697 | ||
Scanning technique | 697 | ||
Normal structures visible with ultrasonography | 698 | ||
Adrenal glands | 700 | ||
Anatomy and Imaging Techniques | 700 | ||
Hemorrhage | 700 | ||
Cysts | 701 | ||
Adrenal tumors | 701 | ||
Adrenal tumors: benign | 702 | ||
Adenoma | 702 | ||
Myelolipoma | 702 | ||
Pheochromocytoma | 702 | ||
Uncommon adrenal tumors | 703 | ||
Adrenal tumors: malignant | 704 | ||
Metastases | 704 | ||
Adrenal cortical carcinoma | 704 | ||
Neuroblastoma and ganglioneuroblastoma | 704 | ||
Pancreas | 704 | ||
Anatomy and Imaging Techniques | 704 | ||
Acute Pancreatitis | 705 | ||
Chronic Pancreatitis | 705 | ||
Pseudocyst | 706 | ||
Autoimmune Pancreatitis | 707 | ||
Pancreatic tumors | 707 | ||
Adenocarcinoma | 707 | ||
Cystic Neoplasms | 708 | ||
Neuroendocrine Tumors | 708 | ||
Retroperitoneal Tumors (Extraorgan) | 709 | ||
Primary neoplasms; malignant | 710 | ||
Liposarcoma | 711 | ||
Leiomyosarcoma | 713 | ||
Undifferentiated Pleomorphic Sarcoma | 713 | ||
Primary neoplasms: benign | 713 | ||
Lipoma/Lipomatosis | 713 | ||
Retroperitoneal Fibrosis | 714 | ||
Angiomyolipoma | 715 | ||
Teratoma | 715 | ||
Paraganglioma (Extra-Adrenal Pheochromocytoma) | 715 | ||
Other Neoplasms | 716 | ||
Neurogenic tumors | 716 | ||
Lymphadenopathy | 716 | ||
Fluid collections | 717 | ||
Hematoma | 717 | ||
Pseudocyst | 717 | ||
Abscess | 718 | ||
Urinoma | 718 | ||
Lymphocele | 718 | ||
Lymphangioma/Lymphangiomatosis | 719 | ||
Pseudolesions | 719 | ||
Summary | 719 | ||
References | 719 | ||
Ultrasonography Assessment of the Aorta and Mesenteric Arteries | 723 | ||
Key points | 723 | ||
Introduction | 723 | ||
Anatomy of the abdominal aorta and its major branches | 723 | ||
Abdominal Aorta | 723 | ||
Anatomy of the Mesenteric Arteries and Collateral Pathways | 724 | ||
Hemodynamics of the abdominal aorta and mesenteric arteries | 724 | ||
Hemodynamics of the Aorta | 724 | ||
Hemodynamics of the Mesenteric Vessels | 725 | ||
Technique | 726 | ||
Protocol | 726 | ||
Abdominal Aorta | 726 | ||
Mesenteric Arteries | 726 | ||
Atherosclerosis and occlusive arterial disease | 726 | ||
Aortic Wall Structure | 726 | ||
Plaque Formation | 727 | ||
Ultrasonography Assessment of the Plaque and Associated Luminal Stenosis | 727 | ||
Occlusion of the Aorta | 729 | ||
Normal sizes of the abdominal aorta | 729 | ||
AAA | 731 | ||
Natural History of AAAs | 731 | ||
Pathophysiology of AAA and AAA Rupture | 731 | ||
Growth Rate of Aneurysms | 732 | ||
AAA Screening and Surveillance | 732 | ||
Types of AAA | 732 | ||
Diagnostic Criteria | 732 | ||
Ultrasonography Assessment of AAA | 733 | ||
Ultrasonography Findings of Aortic Rupture | 734 | ||
AAA repair and its complications | 734 | ||
Dissection of the aorta and the mesenteric arteries | 737 | ||
Atherosclerotic disease of the mesenteric arteries and bowel ischemia | 740 | ||
Natural History of Bowel Ischemia | 740 | ||
Diagnostic Criteria of Mesenteric Artery Stenosis | 741 | ||
Pitfalls in Diagnosis | 742 | ||
Mesenteric Arterial Occlusion | 743 | ||
Mesenteric Arterial Dissection | 743 | ||
Median Arcuate Ligament Syndrome | 743 | ||
Aneurysms and pseudoaneurysms of the mesenteric arteries | 745 | ||
References | 747 | ||
Sonography of the Bowel | 751 | ||
Key points | 751 | ||
Introduction | 751 | ||
The Gut Signature | 751 | ||
Gut Wall Pathology | 752 | ||
Technique | 752 | ||
Blood Flow Evaluation of the Gut Wall | 753 | ||
Gastrointestinal Neoplasms | 753 | ||
Inflammatory bowel disease | 755 | ||
The Clinical Story | 755 | ||
Diagnosis and Monitoring of IBD | 756 | ||
Sonography of IBD | 756 | ||
Classic features of IBD | 757 | ||
Gut Wall Thickening | 757 | ||
Inflammatory Fat | 757 | ||
Lymphadenopathy | 757 | ||
Hyperemia | 758 | ||
Doppler | 758 | ||
CEUS | 758 | ||
Complications of CD | 758 | ||
Strictures | 758 | ||
Mechanical Bowel Obstruction | 759 | ||
Inflammatory Masses | 760 | ||
Localized Perforation | 761 | ||
Fistula Formation | 762 | ||
Perianal Inflammatory Disease | 762 | ||
Complicating Neoplasia | 762 | ||
Acute abdomen | 763 | ||
Right Lower Quadrant Pain | 763 | ||
Acute appendicitis | 763 | ||
Crohn appendicitis | 766 | ||
Right-sided diverticulitis | 767 | ||
Acute typhlitis | 767 | ||
Mesenteric adenitis and acute terminal ileitis | 767 | ||
Right-sided segmental omental infarction | 768 | ||
Left Lower-Quadrant Pain | 768 | ||
Acute diverticulitis | 768 | ||
Summary | 770 | ||
Acknowledgments | 770 | ||
Supplementary data | 770 | ||
References | 770 | ||
Ultrasound of the Abdominal Wall | 775 | ||
Key points | 775 | ||
Introduction | 775 | ||
Anatomy | 775 | ||
Sonographic technique | 777 | ||
Hernias | 777 | ||
Fluid collections | 780 | ||
Mass lesions | 781 | ||
Vascular abnormalities | 784 | ||
Miscellaneous conditions | 786 | ||
Summary | 789 | ||
Supplementary data | 789 | ||
References | 789 | ||
Ultrasound-Guided Intervention in the Abdomen and Pelvis | 793 | ||
Key points | 793 | ||
Introduction | 793 | ||
Imaging review | 794 | ||
Sonographer | 794 | ||
Room setup | 795 | ||
Imaging nurse | 795 | ||
Pathology support | 795 | ||
Needle selection | 795 | ||
Catheter selection | 796 | ||
Transducer selection | 796 | ||
Coagulation and bleeding risk | 797 | ||
Anticoagulants | 797 | ||
Hemostatic Agents | 797 | ||
Platelets | 797 | ||
Fresh frozen plasma | 797 | ||
Contraindications | 798 | ||
Interventional techniques | 799 | ||
Biopsy techniques | 800 | ||
Drain placement techniques | 801 | ||
Patient positioning | 802 | ||
Hepatic interventions | 802 | ||
Indications | 802 | ||
Potential Contraindications | 802 | ||
Procedure | 802 | ||
Postprocedure Management | 806 | ||
Complications | 806 | ||
Adrenal gland | 807 | ||
Contraindications | 807 | ||
Procedure | 807 | ||
Postprocedure Management | 807 | ||
Complications | 808 | ||
Renal interventions | 808 | ||
Indications | 808 | ||
Contraindications | 808 | ||
Procedure | 808 | ||
Postprocedure Management | 809 | ||
Complications | 809 | ||
Splenic interventions | 810 | ||
Indications | 810 | ||
Procedure | 810 | ||
Complications | 810 | ||
Pelvic interventions | 811 | ||
Indications | 811 | ||
Procedure | 811 | ||
Postprocedure Management | 812 | ||
Complications | 813 | ||
Paracentesis | 814 | ||
Indications | 814 | ||
Procedure | 814 | ||
Complications | 814 | ||
Miscellaneous | 814 | ||
Fusion guidance—CT, MR, PET | 817 | ||
Summary | 817 | ||
Supplementary data | 817 | ||
References | 817 | ||
Index | 821 |