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Book Details
Abstract
Effectively perform and interpret MR body imaging with this concise, highly illustrated resource! Fundamentals of Body MRI, 2nd Edition, by Drs. Christopher Roth and Sandeep Deshmukh, covers the essential concepts residents, fellows, and practitioners need to know, laying a solid foundation for understanding the basics and making accurate diagnoses. This easy-to-use title in the Fundamentals of Radiology series covers all common body MR imaging indications and conditions, while providing new content on physics and noninterpretive skills with an emphasis on quality and safety.
- More than 1,400 detailed MRI images and 100 algorithms and diagrams highlight key findings and help you grasp visual nuances of images you’re likely to encounter.
- All common body MR imaging content is covered, along with discussion of how physics, techniques, hardware, and artifacts affect results.
- Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.
- Newly streamlined format helps you retrieve important information more quickly.
- Extensively revised content on the liver, including new MRI contrast agents; new coverage of the spleen; and new safety tips and guidelines keep you up to date.
- New chapters on GI imaging, the prostate, and the male genitourinary system make this a one-stop reference to address the full range of body MRI.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | Cover | ||
IFC | ES1 | ||
FUNDAMENTALS OF BODY MRI | ii | ||
Fundamentals of Radiology Series | ii | ||
FUNDAMENTALS OF BODY MRI | iii | ||
Copyright | iv | ||
Dedication | v | ||
Contributor | vii | ||
Preface | ix | ||
Acknowledgments | xi | ||
Contents | xiii | ||
1 - INTRODUCTION AND PHYSICS OF BODY MRI\r | 1 | ||
MAGNETIC RESONANCE IMAGING: WHAT IS THE OBJECTIVE? | 1 | ||
MAGNETISM: HOW IS THE HUMAN BODY MAGNETIZED? | 1 | ||
THE COMPONENTS | 1 | ||
The Magnet | 1 | ||
Rf System | 3 | ||
The Gradient System | 4 | ||
The Receiver System | 6 | ||
K Space and the Fourier Transform | 6 | ||
Operator’s Console | 7 | ||
Practical Technical Considerations | 7 | ||
PULSE SEQUENCES | 17 | ||
TISSUE CONTRAST | 20 | ||
THE PULSE SEQUENCE SCHEME | 24 | ||
OPTIMIZING BODY MRI | 31 | ||
Motion | 31 | ||
Susceptibility Artifact | 38 | ||
MRI SAFETY | 39 | ||
SUMMARY | 42 | ||
2 - MRI of Focal Liver Lesions\r | 45 | ||
INTRODUCTION | 45 | ||
NORMAL FEATURES | 45 | ||
FOCAL LESIONS | 46 | ||
Cystic Lesions | 48 | ||
Developmental Lesions | 48 | ||
SIMPLE HEPATIC CYST | 48 | ||
BILE DUCT HAMARTOMA | 49 | ||
CAROLI’S DISEASE | 50 | ||
CAVERNOUS HEMANGIOMA | 52 | ||
Neoplastic Lesions | 55 | ||
BILIARY CYSTADENOMA (-ADENOCARCINOMA) | 55 | ||
Infectious Lesions | 58 | ||
ECHINOCOCCAL CYST | 58 | ||
PYOGENIC ABSCESS | 60 | ||
AMEBIC ABSCESS | 61 | ||
FUNGAL ABSCESS | 62 | ||
Traumatic Lesions | 63 | ||
HEMATOMA | 63 | ||
BILOMA | 63 | ||
Solid (and Pseudosolid) Lesions | 63 | ||
HYPERVASCULAR LESIONS | 64 | ||
HEPATIC ADENOMA | 65 | ||
FOCAL NODULAR HYPERPLASIA | 66 | ||
FOCAL TRANSIENT HEPATIC INTENSITY DIFFERENCE | 68 | ||
CIRRHOTIC NODULES (PREHYPERVASCULAR) | 69 | ||
HEPATOCELLULAR CARCINOMA | 73 | ||
FIBROLAMELLAR CARCINOMA | 82 | ||
HYPERVASCULAR METASTASES | 82 | ||
HYPOVASCULAR LESIONS | 86 | ||
Hypovascular Metastases | 86 | ||
Lymphoma | 87 | ||
Ablated Tumors | 88 | ||
Peripheral Cholangiocarcinoma | 90 | ||
Lipid-Based Lesions | 93 | ||
HEPATIC ANGIOMYOLIPOMA | 93 | ||
HEPATIC LIPOMA | 93 | ||
FOCAL STEATOSIS (FATTY INFILTRATION) | 93 | ||
FOCAL FATTY SPARING | 96 | ||
3 - MRI of Diffuse Liver Disease\r | 103 | ||
INTRODUCTION | 103 | ||
GEOGRAPHIC OR SEGMENTAL LESIONS | 103 | ||
Primarily Enhancement Lesions | 103 | ||
GEOGRAPHIC THID | 103 | ||
OTHER GEOGRAPHIC VASCULAR LESIONS | 103 | ||
Signal ± Enhancement Lesions | 105 | ||
GEOGRAPHIC STEATOSIS/IRON DEPOSITION | 105 | ||
CONFLUENT FIBROSIS | 105 | ||
INTRAHEPATIC CHOLESTASIS | 106 | ||
DIFFUSE ABNORMALITIES | 107 | ||
Occult (General Lack of Signal and Morphologic Changes) Processes | 107 | ||
Primarily Signal Processes | 108 | ||
FATTY LIVER DISEASE | 108 | ||
IRON DEPOSITIONAL DISEASE | 110 | ||
Primarily Morphology Diseases | 113 | ||
CIRRHOSIS | 113 | ||
AUTOIMMUNE HEPATITIS | 120 | ||
PRIMARY BILIARY CIRRHOSIS | 120 | ||
PRIMARY SCLEROSING CHOLANGITIS | 121 | ||
BUDD-CHIARI SYNDROME | 122 | ||
LIVER TRANSPLANTATION | 125 | ||
4 - MRI of the Gallbladder and Biliary System\r | 137 | ||
GALLBLADDER | 137 | ||
Anatomy | 137 | ||
Normal Appearance | 137 | ||
Imaging Technique | 137 | ||
Congenital/Developmental Abnormalities of the Gallbladder | 137 | ||
ACCESSORY GALLBLADDERS, ECTOPIA, AND AGENESIS | 137 | ||
CHOLELITHIASIS | 137 | ||
Diffuse Processes of the Gallbladder | 137 | ||
NONSPECIFIC EDEMA | 140 | ||
ADENOMYOMATOSIS | 140 | ||
Focal Processes of the Gallbladder | 141 | ||
POLYP | 141 | ||
CARCINOMA | 141 | ||
METASTASES | 142 | ||
BILIARY TREE | 142 | ||
Anatomy and Normal Appearance | 142 | ||
Imaging Techniques | 143 | ||
Choledochal Cyst | 146 | ||
Choledocholithiasis | 149 | ||
MIRIZZI’S SYNDROME | 149 | ||
BILIARY OBSTRUCTION | 150 | ||
Benign Etiologies | 151 | ||
POSTOPERATIVE BILIARY STRICTURES | 151 | ||
INFLAMMATORY ETIOLOGIES | 151 | ||
PRIMARY SCLEROSING CHOLANGITIS | 151 | ||
INFECTIOUS CHOLANGITIS | 153 | ||
MALIGNANT ETIOLOGIES | 153 | ||
Cholangiocarcinoma | 153 | ||
Ampullary Carcinoma | 157 | ||
5 - MRI of the Pancreas and Spleen\r | 163 | ||
PANCREAS | 163 | ||
Anatomy and Function | 163 | ||
Normal Appearance | 163 | ||
IMAGING TECHNIQUES | 163 | ||
CONGENITAL/DEVELOPMENTAL ANOMALIES OF THE PANCREAS | 165 | ||
Annular Pancreas | 165 | ||
Pancreas Divisum | 165 | ||
Agenesis | 166 | ||
DIFFUSE PANCREATIC DISORDERS | 167 | ||
Lipomatosis | 167 | ||
Pancreatitis | 167 | ||
ACUTE PANCREATITIS | 168 | ||
CHRONIC PANCREATITIS | 171 | ||
AUTOIMMUNE PANCREATITIS | 172 | ||
GROOVE PANCREATITIS | 173 | ||
HEREDITARY PANCREATITIS | 173 | ||
GENETIC DISORDERS | 174 | ||
Cystic Fibrosis | 174 | ||
Primary (Idiopathic) Hemochromatosis | 177 | ||
Von Hippel–Lindau Disease | 179 | ||
Schwachman-Diamond Syndrome | 180 | ||
Johanson-Blizzard Syndrome | 180 | ||
FOCAL PANCREATIC LESIONS | 180 | ||
Solid Pancreatic Lesions | 182 | ||
PANCREATIC ADENOCARCINOMA | 182 | ||
PANCREATIC NEUROENDOCRINE (ISLET CELL) TUMORS | 185 | ||
OTHER SOLID PANCREATIC LESIONS | 188 | ||
Cystic Pancreatic Lesions | 190 | ||
CYSTS | 190 | ||
NEOPLASMS | 192 | ||
SPLEEN | 201 | ||
Anatomy and Function | 201 | ||
Normal Appearance | 202 | ||
IMAGING TECHNIQUE | 203 | ||
CONGENITAL/DEVELOPMENTAL ANOMALIES OF THE SPLEEN | 203 | ||
Accessory Spleen | 203 | ||
Polysplenia | 204 | ||
Splenogonadal Fusion | 205 | ||
BENIGN LESIONS OF THE SPLEEN | 205 | ||
Gamna-Gandy Bodies | 205 | ||
Splenic Cysts and Pseudocysts | 205 | ||
Hemangiomas | 206 | ||
Hamartoma | 207 | ||
Lymphangioma | 207 | ||
Peliosis | 209 | ||
Inflammatory Pseudotumor | 209 | ||
Lipoma | 210 | ||
Splenic Abscesses | 210 | ||
Sarcoidosis | 210 | ||
INTERMEDIATE LESIONS | 210 | ||
Littoral Cell Angioma | 210 | ||
Hemangiopericytoma | 211 | ||
Hemangioendothelioma | 211 | ||
MALIGNANT LESIONS OF THE SPLEEN | 212 | ||
Angiosarcoma | 212 | ||
Littoral Cell Angiosarcoma | 213 | ||
Pleomorphic Undifferentiated Sarcoma, Fibrosarcoma, and Leiomyosarcoma | 213 | ||
Kaposi Sarcoma | 213 | ||
Lymphoma | 213 | ||
Leukemia | 213 | ||
Cystadenocarcinoma | 214 | ||
Metastasis | 214 | ||
6 - MRI of the Kidneys, Ureters, and Urinary Bladder\r | 219 | ||
INTRODUCTION | 219 | ||
TECHNIQUE | 219 | ||
INTERPRETATION | 219 | ||
KIDNEYS | 221 | ||
Normal Features | 221 | ||
Anomalies and Pseudolesions | 221 | ||
Focal Lesions | 225 | ||
CYSTIC LESIONS | 229 | ||
SIMPLE RENAL CYST | 229 | ||
POLYCYSTIC DISEASES | 231 | ||
HYDRONEPHROSIS | 235 | ||
COMPLEX CYSTIC LESIONS | 240 | ||
PYOGENIC RENAL ABSCESS | 240 | ||
CYSTIC RENAL CELL CARCINOMA | 242 | ||
MULTILOCULAR CYSTIC NEPHROMA | 242 | ||
RENAL HEMATOMA | 244 | ||
SOLID LESIONS | 244 | ||
SOLID LESIONS WITH BALL MORPHOLOGY | 246 | ||
Renal Cell Carcinoma | 246 | ||
Oncocytoma | 251 | ||
Angiomyolipoma | 253 | ||
SOLID LESIONS WITH BEAN MORPHOLOGY | 255 | ||
Urothelial Neoplasms | 255 | ||
Renal Lymphoma | 257 | ||
Renal Metastases | 258 | ||
Segmental/Diffuse Lesions | 258 | ||
SEGMENTAL ± DIFFUSE LESIONS | 260 | ||
Pyelonephritis | 260 | ||
Renal Infarct | 260 | ||
DIFFUSE LESIONS | 262 | ||
Chronic Renal Artery Stenosis | 262 | ||
Renal Vein Thrombosis | 262 | ||
OTHER UNILATERAL DISORDERS | 264 | ||
DIFFUSE BILATERAL DISORDERS | 264 | ||
Bladder | 266 | ||
BLADDER NEOPLASMS | 267 | ||
Urothelial Carcinoma | 267 | ||
Squamous Cell Carcinoma | 268 | ||
Adenocarcinoma | 268 | ||
Other Bladder Tumors | 269 | ||
NONNEOPLASTIC CONDITIONS OF THE URINARY BLADDER | 271 | ||
7 - MRI of the Adrenal Glands and Retroperitoneum\r | 279 | ||
INTRODUCTION | 279 | ||
TECHNIQUE | 279 | ||
INTERPRETATION | 279 | ||
ADRENAL GLANDS | 281 | ||
Normal Features | 281 | ||
CYSTIC (NONSOLID) LESIONS | 282 | ||
SOLID LESIONS | 282 | ||
RETROPERITONEUM | 290 | ||
Inferior Vena Cava Anomalies | 290 | ||
Retroperitoneal Fibrosis | 290 | ||
Inflammatory Abdominal Aortic Aneurysm | 292 | ||
Retroperitoneal Lymphoma | 293 | ||
Retroperitoneal Metastases | 293 | ||
Retroperitoneal Sarcomas | 294 | ||
8 - MRI of the Gastrointestinal System\r | 305 | ||
INTRODUCTION | 305 | ||
SMALL BOWEL | 305 | ||
TECHNICAL CONSIDERATIONS | 305 | ||
NORMAL APPEARANCE | 307 | ||
INFLAMMATORY ETIOLOGIES | 307 | ||
CROHN’S DISEASE | 307 | ||
CELIAC DISEASE | 310 | ||
NEOPLASTIC ETIOLOGIES | 312 | ||
Polyposis Syndromes | 312 | ||
Small Bowel Tumors | 313 | ||
ADENOCARCINOMA | 313 | ||
CARCINOID TUMOR | 313 | ||
GASTROINTESTINAL STROMAL TUMOR (GIST) | 315 | ||
LYMPHOMA | 315 | ||
METASTASES | 315 | ||
COLORECTUM | 315 | ||
Introduction | 315 | ||
TECHNICAL CONSIDERATIONS | 316 | ||
NORMAL APPEARANCE | 317 | ||
COMMON FOCAL ABNORMALITIES | 318 | ||
Appendicitis | 318 | ||
Acute Diverticulitis | 319 | ||
Perianal Fistulas | 319 | ||
Rectal Cancer | 323 | ||
COMMON DIFFUSE ABNORMALITIES | 328 | ||
Ulcerative Colitis | 328 | ||
Pseudomembranous Colitis | 329 | ||
9 - MRI of the Uterus, Cervix, and Vagina\r | 334 | ||
INTRODUCTION | 334 | ||
Technique | 334 | ||
Interpretation | 335 | ||
UTERUS | 338 | ||
Normal Features | 338 | ||
Endometrial Pathology | 342 | ||
DIFFUSE ABNORMALITIES | 342 | ||
FOCAL ABNORMALITIES | 344 | ||
Myometrial Disease | 355 | ||
FOCAL AND DIFFUSE LESIONS | 355 | ||
GLOBAL UTERINE ABNORMALITIES | 371 | ||
CERVIX AND VAGINA | 377 | ||
Normal Features | 377 | ||
Cystic Lesions | 377 | ||
Solid Lesions | 386 | ||
Miscellaneous | 391 | ||
10 - MRI of the Ovaries and Adnexa\r | 396 | ||
INTRODUCTION | 396 | ||
Technique | 396 | ||
Interpretation | 397 | ||
Normal Anatomy | 398 | ||
Cystic Lesions | 400 | ||
WATER CONTENT | 400 | ||
LIPID CONTENT | 403 | ||
ACUTE LESIONS | 418 | ||
Complex Cystic and Solid Lesions | 424 | ||
PRIMARY | 424 | ||
MISCELLANEOUS | 438 | ||
Globally Abnormal Ovaries | 438 | ||
Vascular Lesions | 440 | ||
11 - MRI of the Prostate and Male Genitourinary System\r | 447 | ||
PROSTATE | 447 | ||
Anatomy | 447 | ||
Normal Appearance | 447 | ||
IMAGING TECHNIQUES | 447 | ||
Field Strength | 447 | ||
Endorectal Coil | 448 | ||
T2-Weighted Imaging | 448 | ||
T1-Weighted Imaging | 448 | ||
Diffusion-Weighted Imaging | 448 | ||
Dynamic Contrast Enhancement | 449 | ||
CONGENITAL/DEVELOPMENTAL PROCESSES | 449 | ||
Prostatic and Ejaculatory Duct Cysts | 449 | ||
Seminal Vesicle Cysts | 451 | ||
DIFFUSE PROSTATIC PROCESSES | 451 | ||
Prostatitis | 451 | ||
Benign Prostatic Hyperplasia | 451 | ||
FOCAL PROSTATIC PROCESSES | 452 | ||
Prostate Cancer | 452 | ||
Metastases | 453 | ||
PENIS | 453 | ||
Anatomy | 453 | ||
Normal Appearance | 453 | ||
IMAGING TECHNIQUE | 454 | ||
BENIGN PENILE PROCESSES | 454 | ||
Partial Cavernosal Thrombosis | 454 | ||
Cowper’s Duct Syringocele | 454 | ||
Peyronie’s Disease | 455 | ||
Penile Fracture | 455 | ||
PENILE MALIGNANCIES | 455 | ||
Squamous Cell Carcinoma | 455 | ||
Other Primary Penile Malignancies | 455 | ||
Penile Metastases | 455 | ||
SCROTUM AND CONTENTS | 455 | ||
Anatomy | 455 | ||
Normal Appearance | 457 | ||
IMAGING TECHNIQUE | 458 | ||
CONGENITAL/DEVELOPMENTAL PROCESSES OF THE SCROTUM AND CONTENTS | 460 | ||
Polyorchidism | 460 | ||
Cryptorchidism | 460 | ||
Dilatation of the Rete Testis | 460 | ||
Scrotal Calculi | 460 | ||
Inguinal Hernia | 461 | ||
Splenogonadal Fusion | 461 | ||
BENIGN PROCESSES OF THE SCROTUM AND CONTENTS | 461 | ||
Hydrocele | 461 | ||
Hematocele | 461 | ||
Pyocele and Fournier’s Gangrene | 461 | ||
Varicocele | 463 | ||
Tunical Cyst | 463 | ||
Epididymal Cysts and Spermatoceles | 463 | ||
Testicular Cyst | 463 | ||
Epidermoid Inclusion Cyst | 463 | ||
Granulomatous Disease | 464 | ||
TESTICULAR ADRENAL REST TUMORS (TARTS) | 464 | ||
LEYDIG CELL HYPERPLASIA | 465 | ||
LIPOMA | 466 | ||
ADENOMATOID TUMOR | 466 | ||
SPERM GRANULOMAS | 466 | ||
LEIOMYOMA | 467 | ||
PAPILLARY CYSTADENOMA | 467 | ||
FIBROUS PSEUDOTUMOR | 468 | ||
SCLEROSING LIPOGRANULOMA | 468 | ||
EPIDIDYMITIS AND EPIDIDYMOORCHITIS | 468 | ||
TORSION | 468 | ||
INFARCTION | 469 | ||
TRAUMA | 470 | ||
SPERMATIC CORD LIPOMA | 470 | ||
MALIGNANT PROCESSES OF THE SCROTUM AND CONTENTS | 471 | ||
Primary Testicular Malignancies | 471 | ||
Lymphoma | 472 | ||
Metastases | 473 | ||
Rhabdomyosarcoma | 473 | ||
Liposarcoma | 473 | ||
Appendix | 476 | ||
Index | 479 | ||
A | 479 | ||
B | 479 | ||
C | 480 | ||
D | 481 | ||
E | 481 | ||
F | 482 | ||
G | 482 | ||
H | 482 | ||
I | 483 | ||
J | 483 | ||
K | 483 | ||
L | 484 | ||
M | 485 | ||
N | 485 | ||
O | 486 | ||
P | 486 | ||
Q | 487 | ||
R | 487 | ||
S | 488 | ||
T | 488 | ||
U | 489 | ||
V | 489 | ||
W | 489 | ||
X | 489 | ||
Y | 489 | ||
Z | 489 | ||
IBC | ES2 |