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Neurovascular ultrasound increases the reliability of assessing occlusive cerebrovascular disease, including the detection of instable carotid plaques, the delineation of cerebral perfusion and therapeutic options such as ultrasound-enhanced sonothrombolysis. Written by international experts, this publication provides the reader with the present knowledge and future research directions of diagnostic and therapeutic neurovascular ultrasound. The first chapters deal with physical and technical principles of ultrasound, arterial wall imaging, endothelial function testing and modern assessment of atherosclerotic obstruction of the carotid and vertebro-basilar systems. Subsequently, typical ultrasound findings in cervical artery dissection, dural fistula, glomus tumor and vasculitis are reported. The book concludes with the description of diagnostic and therapeutic transcranial ultrasound and clinical applications of transcranial Doppler monitoring as well as the presentation of future developments. Neurologists, angiologists and radiologists will find a valuable source of up-to-date information on this fascinating, essentially non-invasive technique, which allows real-time assessment of the human cerebral vessels.
The use of neurovascular ultrasound is of increasing importance in neurological practice, both for radiologists and increasingly by neurologists themselves. Written by the world’s most renowned expert, this book explains ultrasound examination of a stroke patient scanning protocols interpretation of the results Case examples (with a standard template presentation correlating presentation to waveform output) reinforce the book's practical nature. Illustrated with photos of the tests, explanations, and with actual waveforms, images, and result interpretation, and enhanced with 'pearls' and 'avoiding pitfalls' features, it is a practical reference for those learning ultrasound as well as those using ultrasound in their practices.
Neurosonology is non-invasive, portable, and has excellent temporal resolution, making it a valuable and increasingly popular tool for the diagnosis and monitoring of neurological conditions when compared to other imaging techniques. This guide looks beyond the use of neurovascular ultrasound in stroke to encompass a wide range of other neurological diseases and emergencies. It offers a practical approach to the examination of patients, interpretation of ultrasound studies, and the application of neurosonology to the development of management and treatment strategies. Each chapter incorporates a thorough and clear procedural methodology alongside scanning tips for trainees; this step-by-step approach is further enhanced by example images and focused diagnostic questions. Authored and edited by international experts, this practical manual of neurosonology is an invaluable resource for neurologists, neurosurgeons, intensivists, radiologists, and ultrasonographers.
Ultrasound enables us to monitor the cardiovascular system and brain responses to treatment in real time; a genuine blessing on the route to more effective stroke therapies, and an invaluable tool with which to tailor treatment when available evidence is meagre. Ultrasound is a vital observational tool, yet a probe needs a scientist to point it in the right direction and a skilled physician to synthesise scientific data with practical management strategies. This book, intended for clinicians who are eager to learn and prepared to observe, focusses on the examination of stroke patients, the interpretation of ultrasound studies, and the application of cerebrovascular ultrasound to management and treatment strategies. Produced by an international team of contributors and edited at the University of Texas, one of the major world centres in stroke research, it is a practical volume that can be used by beginners to learn the principles of ultrasound testing, by advanced users to learn differential diagnosis, and by clinicians (non-sonographers) who treat stroke patients. The latter will gain knowledge on how to apply ultrasound, and what to expect from it in terms of clinical decision making and treatment selection.
Transcranial Doppler (TCD) ultrasound, first introduced more than a decade ago, has steadily evolved into a dynamic, reliable, reproducible, and practical diagnostic tool. Clinical neuroscientists have found TCD to be an indispensable technique in the management of many types of patients. This book is designed to provide basic instruction in the perfor mance and interpretation of transcranial Doppler ultrasonography for technologists, nurses, and physicians. The information included in the text is critical for the development of a strong knowledge base. It is not intended to be all inclusive, and the TCD novice is likely to use it as the platform upon which to build his/her experience in the application of TCD. This book is organized as a step-guided approach for the performance of TCD, and it includes specific guidelines for interpretation of the TCD save forms. We hope that the reader finds it useful during what we think is the most difficult phase of this technique-the learning curve. John P. McCartney, R.V.T. Kathleen M. Thomas-Lukes, R.N., M.N.
An indispensable resource for anyone performing transcranial Doppler, TCD, and transcranial color Doppler imaging examinations, TCDI, whether novice or advanced level. Step by step instruction for performing transcranial Doppler and transcranial color Doppler examinations. Guidelines for accurate transcranial Doppler interpretation. Tips for difficult TCD exams. A comprehensive post-test examination. 158 pages with color graphics. Techniques in evaluating cerebral blood flow, vasospasm and intracranial stenosis. This manual will be a benefit to both technologist/sonographers and physicians.
Written by several stroke neurosonology experts in Asia, this volume brings together the diverse experiences and skills of a number of leading practitioners in the field. In addition to detailing the ‘science’ behind various neurosonological evaluations, it documents the ‘art’ of performing these tests and provides representative cases encountered in neurovascular laboratories and day-to-day clinical practice. This book will serve as a reference point for sonographers and interpreting neurologists, particularly with regards to transcranial Doppler and cervical duplex examinations.
Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.
An essential companion for busy professionals seeking to navigate stroke-related clinical situations successfully and make quick informed treatment decisions.
"Keeping pace with the technical advancements and broadening capabilities of vascular ultrasound can be a challenge. This comprehensive, how-to guide delivers both the technical know-how and the analytical skills you need to obtain clinically relevant results and sharpen your interpretive skills. Inside you'll discover detailed coverage of abdominal vasculature, peripheral arteries, hemodialysis and bypass grafts, peripheral veins, penile vessels, and the cerebrovascular system -- all presented in a structured chapter format that makes sure you never miss step!"--Jaquette du livre.