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Textbook of Veterinary Diagnostic Radiology - E-Book

Textbook of Veterinary Diagnostic Radiology - E-Book

Donald E. Thrall

(2013)

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Book Details

Abstract

Covering the principles of radiographic technique and interpretation for dogs, cats, and horses, Textbook of Veterinary Diagnostic Radiology, 6th Edition helps you develop proficiency in diagnostic skills. High-quality radiographic images accompany clear coverage of diagnostic radiology, ultrasound, MRI, and CT, as well as patient positioning, radiographic technique and safety measures, normal and abnormal anatomy, radiographic viewing and interpretation, and alternative imaging modalities. New to this edition is a chapter on MR spinal imaging and updated information on digital imaging. Written by radiology educator and expert Donald E. Thrall, along with a group of highly qualified, board-certified radiologists, this bestselling reference is a one-stop resource for the latest advances in veterinary diagnostic radiology.

    • Clear explanations and a logical format simplify the principles of veterinary diagnostic radiology, including patient positioning, radiographic technique, specific anatomic features of the body part in question, methods of radiographic viewing and interpretation, and assessment and applications of alternative imaging modalities.
    • High-quality radiographic images clarify key concepts and interpretation principles.
    • Up-to-date coverage of the most commonly seen species in private veterinary practices and veterinary teaching hospitals includes the cat, dog, and horse.
    • An atlas of normal radiographic anatomy in each section makes it easier to recognize abnormal radiographic findings.
    • A discussion of radiation safety highlights measures that can protect you from harmful radiation exposure.
      • NEW chapter on MR spinal imaging provides the latest information on the diagnosis of spinal cord disease through the use of CT and MRI.
      • NEW information on digital imaging covers the newest advances in digital imaging.
      • Updated coverage of procedures such as the esophagram, upper GI examination, excretory urography, and cystography helps in determining when and how these procedures are performed in today’s practice.
      • Revised chapters on basic interpretation make information easier to find, with in-depth discussions of the principles of image acquisition and interpretation, radiography, radiation safety, and basic coverage of normal variants.

      Table of Contents

      Section Title Page Action Price
      Front cover cover
      Half title page i
      Evolve page ii
      Textbook of Veterinary Diagnostic Radiology iii
      Copyright page iv
      Contributors v
      Preface ix
      Acknowledgments x
      Table of Contents xi
      I Physics and Principles of Interpretation 1
      • 1 Radiation Protection and Physics of Diagnostic Radiology 2
      Basic Properties of X-Rays 2
      Radiation Protection 3
      Radiation Units 3
      Exposure 4
      Absorbed Dose 4
      Dose Equivalent 4
      Radiation Safety 4
      Practical Considerations 6
      Distance 6
      Time 6
      Shielding 6
      Radiation Supervisor 8
      Personnel Monitoring 8
      Basic Radiation Safety Rules for Diagnostic Radiology 8
      Production of X-Rays 9
      Interaction of Radiation with Matter 12
      Coherent Scattering 13
      Photoelectric Effect 13
      Compton Scattering 13
      Basic Concept of Making a Radiograph 14
      Film Blackness and Opacity 14
      Factors Affecting Image Detail 16
      Motion 16
      Focal Spot Size 16
      Intensifying Screens 16
      Grids 17
      Distortion 18
      Factors Affecting Contrast 19
      Radiographic Technique 19
      Film Fogging 20
      Film Processing 20
      References 21
      • 2 Digital Radiographic Imaging 22
      What Is Digital Radiographic Imaging? 22
      The Digital Image File 22
      The Components of a Digital Image 23
      Digital Radiography Acquisition Hardware 23
      Computed Radiography 24
      Direct Digital Radiography 25
      Indirect Flat-Panel Detectors 25
      Direct Flat-Panel Detectors 26
      Charged-Coupled Device 26
      Image Processing and Viewing 27
      Digital Imaging in the Context of the Medical Practice 28
      Digital Versus Analog Imaging 29
      Reduced Expendable Supply Cost and Elimination of Darkroom 29
      Contrast Optimization and Exposure Latitude 29
      Contrast Optimization 31
      Exposure Latitude 32
      Image Postprocessing 35
      Consolidated Image Storage 35
      Enhanced Portability for Consultation 35
      Enhanced Professionalism in Eye of Consumer 36
      Artifacts 37
      References 37
      • 3 Physics of Ultrasound Imaging 38
      Physical Principles of Ultrasound Waves 38
      Ultrasound Wave Interaction with Matter 38
      Transducers 40
      Display 42
      Basic Scanner Controls 42
      Principles of Interpretation 42
      Artifacts 43
      Doppler Techniques 46
      Doppler Modes 47
      Doppler Artifacts 49
      References 49
      • 4 Principles of Computed Tomography and Magnetic Resonance Imaging 50
      The Role of Computed Tomography and Magnetic Resonance Imaging in Veterinary Practice 50
      Image Formation: General Concepts 50
      Computed Tomography 53
      Computed Tomography System Geometry 55
      Image Formation 57
      Image Display 57
      Contrast-Enhanced Procedures 59
      Magnetic Resonance Imaging 61
      Instrumentation 61
      Main Magnetic Field and Radiofrequency Energy 61
      Spins, Excitation, and Relaxation 61
      Spin Echo Sequences 63
      Tissue Contrast 64
      Magnetic Resonance Signal Localization 65
      Selection of Spin Echo Sequences 65
      Gradient Recalled Sequences 67
      Contrast Media 67
      Other Magnetic Resonance Sequences 69
      Image Quality and Imaging Time 71
      Artifacts 71
      Impact of Magnetic Field Strength 72
      References 73
      • 5 Introduction to Radiographic Interpretation 74
      Image Formation and Differential Absorption 74
      Radiographic Opacities 74
      Radiographic Geometry and Thinking in Three Dimensions 75
      Magnification and Distortion 75
      Unfamiliar Image 77
      Loss of Depth Perception 77
      Superimposition 77
      Border Effacement (Silhouette Sign) 79
      Role of Perception in Interpretation 80
      Naming Radiographic Projections 81
      Viewing Radiographs 81
      Radiographic Interpretation 83
      References 86
      II The Axial Skeleton: Canine, Feline, and Equine 87
      • 6 Radiographic Anatomy of the Axial Skeleton 88
      References 100
      • 7 Principles of Radiographic Interpretation of the Axial Skeleton 101
      Skull 101
      Positioning: Dog and Cat 101
      Positioning: Horse 101
      Radiographic Technique: Dog and Cat 104
      Radiographic Technique: Horse 106
      Ancillary Factors 106
      Interpretation Paradigm 106
      Spine 107
      Positioning: Dog and Cat 107
      Positioning: Horse 110
      Radiographic Technique: Dog and Cat 111
      Radiographic Technique: Horse 111
      Incidental Factors 112
      Interpretation Paradigm 112
      References 113
      • 8 The Cranial and Nasal Cavities: 114
      Normal Anatomy 114
      Calvaria and Associated Structures 114
      Nasal Passages and Paranasal Sinuses 114
      Tympanic Bullae and Temporomandibular Joint 114
      Teeth 114
      Cross-Sectional Imaging 114
      Congenital Anomalies 114
      Hydrocephalus 114
      Occipital Dysplasia 115
      Occipital Bone Malformation and Syringomyelia (Chiari-Like Malformation) 116
      Temporomandibular Joint Dysplasia 116
      Mucopolysaccharidosis 116
      Metabolic Anomalies 116
      Neoplastic Abnormalities 117
      Nasal Tumors 117
      Mandibular and Maxillary Tumors 119
      Multilobular Osteochondrosarcoma 121
      Other Tumors of the Cranium 121
      Infectious Disorders 121
      Nasal Aspergillosis 121
      Nasal Rhinitis and Foreign Bodies 122
      Otitis 123
      Periapical (Tooth Root) Abscess 126
      Traumatic Injuries 127
      Miscellaneous Diseases 127
      Craniomandibular Osteopathy 127
      Calvarial Hyperostosis 129
      Periodontal Disease 129
      References 129
      • 9 Magnetic Resonance Imaging Features of Brain Disease in Small Animals 135
      Basic Magnetic Resonance Examination of the Brain 135
      Rationale for Sequence Selection 135
      Putting It All Together 136
      Secondary Effects of Focal Intracranial Disease 138
      Know Normal Anatomy 138
      Common Intracranial Conditions in Small Animals and Their Magnetic Resonance Imaging Characteristics 138
      Developmental Conditions of the Brain: Hydrocephalus 138
      Inflammatory Conditions of the Brain 139
      Brain Neoplasia 141
      Extraaxial Tumors 141
      Choroid Plexus Tumors and Ependymomas 143
      Pituitary Tumors 143
      Intraaxial Tumors: Glioma 143
      Invasive Extracranial Tumors 145
      Nasal Tumors 145
      Cranial Nerve Tumors 145
      Other Primary Tumors and Metastatic Tumors 146
      Vascular Disruptions 147
      Occlusive Brain Infarction 147
      Hemorrhagic Infarction 149
      References 151
      • 10 The Equine Head 153
      Radiography Versus Other Imaging Modalities 153
      Abnormalities of the Equine Head 155
      Rostral Head (Incisive Region and Rostral Mandible) 156
      Mandible 156
      Nasal Cavity, Paranasal Sinuses 158
      Skull and Hyoid Apparatus 162
      Brain 165
      Guttural Pouch and Larynx 166
      References 170
      • 11 The Canine and Feline Vertebrae 172
      Anatomic Considerations 172
      Anomalies of the Vertebral Column 175
      Block Vertebrae 175
      Hemivertebrae 175
      Transitional Vertebrae 175
      Spina Bifida 177
      Atlantoaxial Subluxation 177
      Cervical Spondylomyelopathy 178
      Fracture and Luxation 179
      Intervertebral Disc Disease 182
      Inflammatory Conditions 185
      Spondylitis, Vertebral Osteomyelitis, and Vertebral Physitis 185
      Discospondylitis 185
      Degenerative Conditions 186
      Spondylosis Deformans 186
      Osteoarthritis of the Dorsal Intervertebral Articular Process Joints 187
      Caudal Equina Syndrome 187
      Neoplasia 188
      Metabolic and Unclassified Conditions 190
      Disseminated Idiopathic Skeletal Hyperostosis 190
      Mucopolysaccharidosis 190
      Osteopenia 191
      References 191
      • 12 Magnetic Resonance Imaging and Computed Tomography Features of Canine and Feline Spinal Cord Disease 194
      Normal Appearance of the Spine on Computed Tomography and Magnetic Resonance Imaging 194
      Normal Anatomy 194
      Computed Tomography 194
      Magnetic Resonance Imaging 195
      Intervertebral Disc Disease 196
      The Normal Intervertebral Disc 196
      Classification of Intervertebral Disc Disease 196
      Computed Tomography of Intervertebral Disc Disease 198
      Magnetic Resonance Imaging of Intervertebral Disc Disease 200
      Regional Characteristics of Intervertebral Disc Disease 200
      Cervical IVDD 200
      Thoracolumbar IVDD 200
      Sacrococcygeal Disc Herniation 202
      Lumbosacral Stenosis 202
      Acute Noncompressive Intervertebral Disc Extrusion 203
      Cervical Spondylomyelopathy 204
      Computed Tomography of Cervical Spondylomyelopathy 205
      Magnetic Resonance Imaging of Cervical Spondylomyelopathy 205
      Cystic Changes of the Spine 207
      Spinal Arachnoid Diverticula 207
      Epidermoid and Dermoid Cysts 208
      Articular Process Cysts 208
      Discal Cysts 208
      Spinal Tumors 208
      Extradural Tumors 208
      Intradural-Extramedullary Tumors 210
      Peripheral Nerve Sheath Tumors 210
      Meningioma 211
      Nephroblastoma 212
      Intramedullary Tumors 213
      Myelomalacia 213
      Ischemic Myelopathy 213
      Spinal Trauma 214
      Inflammatory/Infectious Conditions 215
      Discospondylitis 215
      Spinal Epidural Empyema 215
      Meningomyelitis 215
      Vertebral Anomalies 217
      Syringomyelia 218
      References 218
      III The Appendicular Skeleton: Canine, Feline, and Equine 223
      • 13 Radiographic Anatomy of the Appendicular Skeleton 224
      References 251
      • 14 Principles of Radiographic Interpretation of the Appendicular Skeleton 252
      Positioning: Dog and Cat 252
      Positioning: Horse 252
      Oblique Projections 253
      Aggressive Versus Nonaggressive Bone Lesions 258
      Destruction of the Cortex 258
      Periosteal Reaction 261
      Transition Zone 263
      Consequences of an Aggressive Lesion 264
      Incidental Factors 264
      Interpretation Paradigm 264
      References 266
      • 15 Orthopedic Diseases of Young and Growing Dogs and Cats 267
      Disorders Primarily Affecting Joints 267
      Osteochondrosis and Osteochondritis Dissecans 267
      Radiographic Signs 267
      Elbow Dysplasia 268
      Ununited Anconeal Process 268
      Radiographic Signs 268
      Fragmented Medial Coronoid Process 268
      Radiographic Signs 269
      Aseptic Necrosis of the Femoral Head (Legg-Calvé-Perthes Disease) 269
      IV The Thoracic Cavity: Canine, Feline, and Equine 473
      • 25 Principles of Radiographic Interpretation of the Thorax 474
      Nomenclature 474
      Positioning: Dog and Cat 474
      Lateral Views 474
      Atelectasis 474
      Cranial Lobe Vessels 475
      Diaphragm 475
      Heart 478
      Ventrodorsal/Dorsoventral View 478
      Atelectasis 478
      Caudal Lobe Vessels 478
      Cardiac Silhouette 478
      Accessory Lung Lobe 478
      Dorsoventral, Ventrodorsal, or Both? 482
      Positioning: Horse 482
      Radiographic Technique: Dog and Cat 483
      Radiographic Technique: Horse 484
      Ancillary Factors 484
      Body Habitus 484
      Cutaneous Lesions 484
      Interpretation Paradigm 486
      References 488
      • 26 The Pharynx, Larynx, and Trachea 489
      Anatomic Considerations: Normal Anatomy and Radiographic Technique 489
      Radiographic Signs of Disease 491
      Pharyngolarynx 491
      Masses 491
      Trauma and Foreign Body 492
      Brachycephalic Syndrome 493
      Epiglottic Retroversion 493
      Nasopharyngeal Stenosis 493
      Pharyngitis and Laryngitis 494
      Trachea 494
      Masses 494
      Foreign Bodies 494
      Rupture/Avulsion and Stenosis 495
      Hypoplasia 495
      Tracheitis 496
      Tracheal Collapse 496
      Upper Airway Obstruction 497
      Ultrasound 497
      Laryngeal Paralysis 497
      Masses and Foreign Bodies 497
      Computed Tomography and Magnetic Resonance Imaging 497
      Masses 497
      Trauma and Foreign Body 497
      References 498
      • 27 The Canine and Feline Esophagus 500
      Relative Value of Radiography, Contrast Esophagraphy, Fluoroscopy, and Alternative Imaging Procedures 500
      Anatomy and Physiologic Considerations 500
      Normal Radiographic Appearance 502
      Survey Radiographic Abnormalities 502
      Contrast Esophagraphy Techniques 504
      Dysphagia 504
      Esophageal Dilatation 510
      Megaesophagus 510
      Hiatal Diseases 510
      Redundant Esophagus 511
      Foreign Bodies 511
      Vascular Ring Anomalies 513
      Inflammatory Diseases 514
      Esophagitis 514
      Strictures 515
      Diverticula, Perforation, and Fistula Formation 517
      Esophageal Varices 520
      Reference List 520
      • 28 The Thoracic Wall 522
      Normal Radiographic Appearance 522
      Congenital and Developmental Abnormalities 523
      Thoracic Wall Trauma 523
      Rib Tumors and Infection 527
      Sternebral Tumors and Infection 530
      Soft Tissue Tumors and Infection 530
      Alternate Imaging of the Thoracic Wall 530
      Ultrasound 530
      Computed Tomography 530
      References 534
      • 29 The Diaphragm 535
      Normal Radiographic Anatomy 535
      Radiographic Signs of Diaphragmatic Disease 537
      Diaphragmatic Diseases 538
      Diaphragmatic Hernias 538
      Traumatic Diaphragmatic Hernias 540
      Congenitally Predisposed Diaphragmatic Hernias 541
      Peritoneopericardial Diaphragmatic Hernias 541
      Hiatal Hernias 543
      Gastroesophageal Intussusception 544
      Peritoneopleural Hernias 545
      Motor Disturbances of the Diaphragm 545
      Muscular Dystrophy 546
      References 548
      • 30 The Mediastinum 550
      Normal Anatomy 550
      Pathologic Mediastinal Conditions 552
      Mediastinal Shift 552
      Mediastinal Masses 554
      Cranioventral Mediastinal Masses 554
      Dorsal Mediastinal Masses 557
      Hilar-Region Mediastinal Masses 557
      Caudoventral Mediastinal Masses 562
      Some Facts About Mediastinal Lymph Nodes 564
      Distinguishing a Mediastinal Mass from a Lung Mass 565
      Confounding Effects of Pleural Fluid 565
      Pneumomediastinum 567
      References 570
      • 31 The Pleural Space 571
      Pleural Anatomy 571
      Normal Radiographic Appearance of Pleura and Pleural Thickening 571
      Pleural Fluid 571
      Interlobar Fissures, Retraction of Lung Margins, and Retrosternal Opacification 573
      Asymmetric Distribution of Pleural Fluid 573
      Horizontal-Beam Radiography 573
      Pitfalls in Pleural Fluid Diagnosis 573
      Significance of Pleural Fluid 574
      Simultaneous Pleural and Peritoneal Fluid 578
      Pneumothorax 579
      Lung Retraction from Pneumothorax 579
      “Elevation” of the Heart from the Sternum 581
      Some Facts about Pneumothorax 582
      Tension Pneumothorax 582
      Pitfalls in Pneumothorax Diagnosis 582
      References 584
      • 32 The Heart and Pulmonary Vessels 585
      Radiographic Signs 585
      Radiographic Signs of Specific Cardiac Chamber Enlargement 585
      Left Atrium 585
      Left Ventricle 588
      Right Atrium 588
      Right Ventricle 589
      Generalized Cardiomegaly 589
      Radiographic Signs of Major Vessel Enlargement 589
      Caudal Vena Cava 589
      Aorta 591
      Main Pulmonary Artery 592
      Radiographic Signs of Pulmonary Vascular Changes 592
      Congestive Heart Failure 596
      Acquired Cardiovascular Lesions 596
      Mitral Insufficiency 597
      Heartworm Infection 599
      Cardiomyopathy 600
      Pericardial Effusion 602
      Congenital Cardiovascular Lesions 603
      Patent Ductus Arteriosus 603
      Pulmonic Stenosis 603
      Aortic Stenosis 604
      Ventricular Septal Defect 604
      Tricuspid Dysplasia 605
      Reduction in Heart Size 605
      References 606
      • 33 The Canine and Feline Lung 608
      Pulmonary Anatomy 608
      Radiographic Appearance of Normal Lung 608
      Paradigms for Assessing Pulmonary Disease 609
      Pattern Recognition Paradigm 609
      Alveolar Pattern 610
      Bronchial Pattern 615
      Interstitial Pattern 619
      Structured Interstitial Pattern. 619
      Unstructured Interstitial Pattern. 623
      Airway Versus Nonairway Paradigm 626
      Specific Pulmonary Conditions 626
      Cardiogenic Pulmonary Edema 627
      Lung Lobe Torsion 629
      References 631
      • 34 The Equine Thorax 632
      Radiographic Technique 632
      Normal Anatomy 632
      Craniodorsal Projection 632
      Caudodorsal Projection 632
      Caudoventral Projection 633
      Cranioventral Projection 633
      Foals 634
      Adults 634
      Heart 635
      Alternative Imaging Modalities 635
      Pulmonary Disease 636
      Pneumonia 636
      Pulmonary Abscess 638
      Pulmonary Disease in Foals 639
      Inflammatory Airway Disease and Recurrent Airway Obstruction 641
      Exercise-Induced Pulmonary Hemorrhage 641
      Pulmonary Contusions 642
      Pulmonary Edema 642
      Neoplasia 642
      Alterations in Pulmonary Vasculature 642
      Pleural Disease 642
      Pleural Fluid 642
      Pneumothorax 643
      Diaphragmatic Hernia 644
      Mediastinal Disease 644
      Lymphadenopathy 644
      Pneumomediastinum 644
      Tracheal Disease 645
      Esophageal Disease 645
      Cardiac Disease 645
      References 646
      V The Abdominal Cavity: Canine and Feline 649
      • 35 Principles of Radiographic Interpretation of the Abdomen 650
      Nomenclature 650
      Preparation 650
      Positioning—Dog and Cat 650
      Lateral View 651
      Ventrodorsal and Dorsoventral Views 652
      Positioning—Horse 652
      Radiographic Technique—Dog and Cat 654
      Radiographic Technique—Horse 655
      Ancillary Factors 656
      Body Habitus 656
      Cutaneous Lesions and Structures 657
      Interpretation Paradigm 658
      References 658
      • 36 The Peritoneal Space 659
      Peritoneal Space 660
      Loss of Contrast Caused by Increased Fluid Opacity 660
      Increased Contrast Caused by Increased Gas Opacity 662
      Intraabdominal Mineral Opacity 663
      Abdominal Wall Abnormalities 664
      Sonography of the Peritoneal Space 664
      Abdominal Lymph Nodes 665
      Abnormalities of Lymph Nodes 665
      Sonography of Parietal and Visceral Lymph Nodes 666
      Pancreas 667
      Abnormalities of the Pancreas 667
      Sonography of the Pancreas 667
      Adrenal Glands 671
      Abnormalities of the Adrenal Glands 671
      Sonography of Adrenal Glands 673
      References 675
      • 37 The Liver and Spleen 679
      Radiology of the Liver 679
      Hepatomegaly 681
      Hepatic Opacity 684
      Special Radiographic Procedures of the Liver 685
      Hepatic Ultrasound 685
      Abnormal Sonographic Appearance of the Liver 688
      Disease of the Biliary System 691
      Vascular Disease 693
      Radiology of the Spleen 694
      Splenic Size 695
      Ultrasound of the Spleen 697
      Abnormal Splenic Sonographic Findings 698
      Diffuse Disease 698
      References 701
      • 38 The Kidneys and Ureters 705
      Normal Anatomy and Imaging Procedures 705
      Radiography 705
      Indications 705
      Technique 705
      Normal Imaging Findings 705
      Excretory Urography 706
      Indications 706
      Technique 706
      Normal Imaging Findings 706
      Antegrade Ultrasound-Guided Pyelography 708
      Index 825
      A 825
      B 826
      C 827
      D 829
      E 831
      F 832
      G 833
      H 833
      I 834
      J 835
      K 835
      L 835
      M 837
      N 838
      O 839
      P 839
      Q 841
      R 841
      S 842
      T 844
      U 846
      V 846
      W 847
      X 847
      Y 847
      Inside back cover ibc1
      Endsheet 2 Endsheet2
      Endsheet 3 Endsheet3
      Endsheet 6 Endsheet6
      Endsheet 7 Endsheet7