BOOK
Emergency Radiology, An Issue of Radiologic Clinics of North America - E-Book
(2012)
Additional Information
Book Details
Abstract
The practice of Emergency Radiology has undergone rapid change in the last decade: as imaging procedures are increasingly performed within short periods of time after the arrival of patients to the emergency room, the expectation for near real-time interpretations (often by subspecialists) has gained popularity. Larger emergency centers provide 24 hour on-site coverage by well trained radiologists, while others rely on the services of equally well trained radiologists located off-site, taking advantage of modern universal interconnectivity. Either way, radiologists’ input is increasingly affecting the immediate outcome of patients presenting with acute symptoms. Radiologists have embraced the challenge to protect patient safety by seeking evidence-based data to support the proper utilization of CT (including the use of alternative imaging modalities) and radiologists and CT manufacturers together have worked intensely to find optimal methods to deliver the inevitable radiation.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Emergency Radiology | i | ||
| Copyright Page | ii | ||
| Table of Contents | v | ||
| Contributors | iii | ||
| Preface: Emergency Radiology | xi | ||
| Chapter 1. Strategies for Reducing Radiation Exposure in Multi-Detector Row CT | 1 | ||
| REDUCING RADIATION EXPOSURE: BEFORE THE SCAN | 2 | ||
| UNDERSTANDING THE X-RAY TUBE OUTPUT METRICS, VOLUME CT DOSE INDEX AND DOSE-LENGTH PRODUCT | 2 | ||
| REDUCING RADIATION EXPOSURE: DURING THE SCAN | 3 | ||
| REDUCING RADIATION EXPOSURE: AFTER THE SCAN | 11 | ||
| AFTER THE SCAN: CAPTURING AND MONITORING RADIATION DOSES | 11 | ||
| SUMMARY | 11 | ||
| REFERENCES | 12 | ||
| Chapter 2. Updated Imaging of Traumatic Brain Injury | 15 | ||
| EPIDEMIOLOGY | 15 | ||
| IMAGING MODALITIES | 16 | ||
| SUMMARY | 39 | ||
| REFERENCES | 39 | ||
| Chapter 3. The Imaging of Maxillofacial Trauma and its Pertinence to Surgical Intervention | 43 | ||
| TECHNOLOGY | 43 | ||
| NASAL FRACTURES | 45 | ||
| NASO-ORBITAL-ETHMOID FRACTURES | 45 | ||
| FRONTAL SINUS FRACTURES | 46 | ||
| ORBITAL FRACTURES | 48 | ||
| ZYGOMA | 50 | ||
| MAXILLARY FRACTURES | 52 | ||
| MANDIBULAR FRACTURES | 54 | ||
| SUMMARY | 56 | ||
| REFERENCES | 56 | ||
| Chapter 4. Multi-Detector Row CT Angiography of the Neck in Blunt Trauma | 59 | ||
| PATIENT SCREENING AND RISK FACTORS FOR BCVI | 59 | ||
| SUMMARY | 71 | ||
| ACKNOWLEDGMENTS | 71 | ||
| REFERENCES | 71 | ||
| Chapter 5. Imaging of Acute Head and Neck Infections | 73 | ||
| SOURCES OF INFECTION AND IMAGING OPTIONS | 73 | ||
| ANATOMY | 74 | ||
| SUMMARY | 82 | ||
| REFERENCES | 82 | ||
| Chapter 6. Imaging of Aortic and Branch Vessel Trauma | 85 | ||
| NORMAL AORTIC ANATOMY | 85 | ||
| EPIDEMIOLOGY, OUTCOME, AND PATHOPHYSIOLOGY | 85 | ||
| CLASSIFICATION OF AORTIC INJURY | 87 | ||
| ASSOCIATED INJURIES | 87 | ||
| IMAGING TECHNIQUES | 88 | ||
| IMAGING APPEARANCES OF AORTIC INJURY | 90 | ||
| PITFALLS IN THE INTERPRETATION OF AORTIC INJURY ON MDCT | 98 | ||
| SUMMARY | 100 | ||
| REFERENCES | 100 | ||
| Chapter 7. Splenic Trauma: What is New? | 105 | ||
| ANATOMY AND TRAUMATOLOGY | 105 | ||
| MANAGEMENT OF SPLENIC INJURY | 105 | ||
| TRIAGE OF ABDOMINAL TRAUMA | 106 | ||
| ULTRASOUND IN SPLENIC TRAUMA | 106 | ||
| CT OF SPLENIC TRAUMA | 107 | ||
| REPORTING AND GRADING SPLENIC INJURY | 115 | ||
| SPLENIC ARTERIOGRAPHY AND EMBOLIZATION | 116 | ||
| IMAGING FOLLOW-UP AFTER SPLENIC INJURY | 117 | ||
| SUMMARY | 119 | ||
| REFERENCES | 119 | ||
| Chapter 8. CT Imaging of Blunt Traumatic Bowel and Mesenteric Injuries | 123 | ||
| GENERAL CONCEPTS AND PATHOPHYSIOLOGY | 123 | ||
| CT TECHNIQUE | 124 | ||
| SMALL BOWEL INJURIES | 124 | ||
| DUODENAL INJURIES | 128 | ||
| COLONIC INJURIES | 128 | ||
| ANORECTAL INJURY | 129 | ||
| INJURIES TO THE MESENTERY AND MESENTERIC VESSELS | 131 | ||
| FREE INTRAPERITONEAL FLUID | 131 | ||
| SUMMARY | 134 | ||
| REFERENCES | 134 | ||
| Chapter 9. Multi-Detector Row CT of Acute Non-traumatic Abdominal Pain: Contrast and Protocol Considerations | 137 | ||
| ORAL CONTRAST | 137 | ||
| INTRAVENOUS CONTRAST | 143 | ||
| IMAGE RECONSTRUCTION AND POST-PROCESSING | 144 | ||
| RADIATION DOSE | 144 | ||
| SUMMARY | 145 | ||
| REFERENCES | 146 | ||
| Chapter 10. Imaging of Abdominal Pain in Pregnancy | 149 | ||
| GENERAL CONSIDERATIONS | 150 | ||
| APPENDICITIS IN PREGNANCY | 151 | ||
| UROLITHIASIS | 157 | ||
| SUSPECTED BILIARY TRACT DISEASE | 164 | ||
| IMAGING OF ABDOMINAL AND PELVIC TRAUMA IN PREGNANCY | 166 | ||
| PATIENT COUNSELING | 168 | ||
| SUMMAR | 168 | ||
| REFERENCES | 169 | ||
| Chapter 11. Diagnosis of Acute Gastrointestinal Hemorrhage and Acute Mesenteric Ischemia in the Era of Multi-Detector Row CT | 173 | ||
| ACUTE GASTROINTESTINAL HEMORRHAGE | 173 | ||
| ACUTE MESENTERIC ISCHEMIA | 177 | ||
| SUMMARY | 181 | ||
| REFERENCES | 181 | ||
| Index | 183 |