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Contents Contributors xiii 1. Basic Principles of Diagnostic Ultrasound 3 Sound Wave Characteristics 3 Generation of Sound Waves 5 The Interaction of Sound with Tissue 7 Instrumentation 10 Practical Considerations 17 References 20 Cases 22 2. Hepatic Ultrasonography 62 Hepatic Ultrasound Technique 62 Normal Ultrasonographic Anatomy of the Liver 63 Hepatic Pathology 64 References 67 Cases 68 3. Ultrasonography of the Gallbladder and Biliary System 116 Ultrasound Technique 116 Normal Anatomy 117 Pathological States 119 References 121 Cases 124 4. Ultrasonography of the Pancreas 168 Introduction 168 Normal Anatomy 169 Ultrasound Technique for Pancreatic Examination 170 Examination of the Normal Pancreas 172 Pathology of the Pancreas 172 Pitfalls in Pancreatic Examination 175 References 176 Cases 178 5. Ultrasonography of the Abdominal Aorta 226 Ultrasound Technique 226 Anatomy of the Abdominal Aorta 226 Pathology of the Abdominal Aorta 227 A Comparison of Ultrasound with Other Methods of Examination 228 References 229 Cases 230 6. Ultrasonography of the Spleen 244 9. Ultrasonography of Thyroid and Examination Technique 244 Neck Masses 452 Examination of the Normal Spleen 245 Introduction 452 Pathological Conditions 245 Anatomy fo the Thyroid Gland 453 References 247 Examination Technique 453 Cases 248 Pathology of the Thyroid Gland and Neck 454 References 457 7. Renal, Adrenal, Retroperitoneal, and Cases 458 Scrotal Ultrasonography 268 Renal Anatomy 268 10.
All the guidance you need to enhance your understanding and clinical application of ultrasound Includes DVD with video of key techniques Surgical and Interventional Ultrasound offers a thorough survey of image-guided treatments in the OR, in the endoscopy suite, and at the bedside. This one-stop clinical companion spans virtually every kind of surgical and interventional specialty that utilizes ultrasound and delivers high-yield perspectives on using these techniques to ensure accurate clinical decision making. FEATURES: An all-in-one primer for ultrasound--packed with valuable how-to's and insights that take you through the basic exam and the full scope of interventions Essential content for residents that supplements training in surgery residency programs--from the Focused Assessment with Sonography for Trauma (FAST) exam, to intraoperative ultrasound and ultrasound-guided procedures such as breast biopsy or radiofrequency ablation Up-to-date, multidisciplinary focus on surgical and interventional ultrasound covers the array of procedures for which ultrasound is increasingly utilized Full-color illustrations with hundreds of ultrasound images Valuable opening chapter on the physics of ultrasound, which enables better quality images and a better understanding of image interpretation Important chapter on advanced technologies highlights 3D ultrasound imaging and contrast ultrasound, drawing attention to their safe and effective implementation in surgical practice Emphasis on ultrasound-guided anesthesia explains how ultrasound can enhance the precision of regional anesthetic procedures Instructive companion DVD features clips of key diagnostic and interventional techniques
This book conjoins the latest advances on the use of endoscopy to diagnose, monitor, and treat patients with inflammatory bowel disease. Chapters include the historical use of rigid sigmoidoscopy, non-interventional imaging procedures, and the correlation of pathology and endoscopic visualization. This is the first book to include individual chapters in gastroenterology, colorectal surgery, and IBD texts, the preeminent role of endoscopic imaging in the management of chronic ulcerative colitis, and Crohn's disease. It also includes chapters on capsule endoscopy and balloon and overtube-assisted enteroscopy to define the presence and activity of Crohn's enteritis and additional chapters defining the use of random biopsies versus chromoendoscopy, and computer enhanced imaging to define possible dysplasia development. The book also includes access to online videos, making it the ultimate verbal and visual tool for all medical professionals interested in the advances in the field over the last several decades. Endoscopy in Inflammatory Bowel Disease is a concise text that is of great value to practicing endoscopists, gastroenterologists, general or colorectal surgeons, physicians in training, and all medical professionals caring for patients with inflammatory bowel disease.
by Dr. Jan. J. Smulewicz Ultrasound imaging has reached a stage of sophistication where by diagnostic information can be gained without discomfort to the patient and with complete absence of morbidity and mortality. The procedure is quick, safe, noninvasive and in many instances can supersede and obviate more time-consuming procedures requiring catheterization, injection of a contrast material, and radiographic imaging. In obstetrical problems the danger of ionizing radiation to the fetus is eliminated. In debilitated and very ill patients this simple and painless method becomes the procedure of choice. Unique features of ultrasound equipment allow for pinpoint local ization oflesions and direct visual guidance of percutaneous puncture techniques for aspiration and biopsy. The accuracy of ultrasound guided punctures and the absence of side effects make this modality far superior to percutaneous invasive techniques performed with other imaging systems. Renal cyst puncture and amniocentesis are but two of the procedures in which ultrasonic guidance is the method of choice. v Dr. Hassani has throughly explained and carefully explored the wide variety of exam inations available with ultrasound. The large volume of material and the clear interpre- tion makes this book of great interest to all of the medical profession. In addition to the existing methods available for diagnostic in terpretations, this method of noninvasive diagnosis should find its way into every hospital or center where good medical care is provided. JanJ. Smulewicz, M.D.
Emergency bedside ultrasound assessment is well established for adult patients, but has only recently been introduced into everyday clinical practice for the care of pediatric patients. Pediatric Emergency Critical Care and Ultrasound is a concise, practical text which explains the principles of ultrasound, its diagnostic application in all organ systems and its use as a procedural adjunct. Both well-established and innovative applications are described, assisting the practitioner in incorporating ultrasound into daily practice, facilitating patient care and decreasing radiation exposure. Case studies and abundant illustrations enable the reader to study the appropriate techniques in detail and learn from real examples from the pediatric emergency department and intensive care unit. Pediatric Emergency Critical Care and Ultrasound is the first comprehensive bedside ultrasonography resource focusing on pediatric patients and is essential reading not only for pediatric emergency medicine subspecialists but for all emergency physicians, intensivists/critical care physicians and pediatricians.
Abdominal Ultrasound for Surgeons provides a comprehensive guide to the use of ultrasonography in surgical practice of abdominal diseases. The content is divided into three major sections, with the final section being dedicated to the logistics of incorporating ultrasound into a surgical practice. In Part I : The Basics, the principles of ultrasonography are reviewed focusing on ultrasound physics, equipment and instrumentation. A detailed approach to the various scanning methods with image and artifact interpretation is demonstrated with illustrations and images. In Part II : Anatomy, Application and Intervention, ultrasound anatomy and its use in surgery are detailed. The normal and abnormal ultrasound anatomy of specific abdominal organ or organ systems (esophagus, liver, pancreas, biliary, stomach, anorectum, vascularabdominal wall) with illustrations and images are demonstrated. A state-of-the-art review of the major applications of surgical abdominal ultrasound is provided in this section ranging from trauma ultrasound and laparoscopic staging to techniques in ultrasound guidance and three-dimensional targeting. In Part III : Ultrasound in Surgical Practice, the practical aspects of incorporation of ultrasound into a surgical practice are addressed with topics ranging from credentialing to coding and billing. Abdominal Ultrasound for Surgeons will serve as a very useful resource and guide for surgeons and students with little to some experience in ultrasound, including practicing surgeons, surgical fellows and surgical residents.
This book of 85 index cases is organized by clinical presentations that simulate real-life radiology practice in the emergency department. Companion cases spanning the differential diagnoses and spectrum of disease provide hundreds more examples for a fast, focused, effective education we like to call COFFEE (Case-Oriented Fast Focused Effective Education).
All healthcare professionals practising ultrasound in a clinical setting should receive accredited training in the principles and practice of ultrasound scanning. This second edition of Diagnostic Ultrasound: Physics and Equipment provides a comprehensive introduction to the physics, technology and safety of ultrasound equipment, with high quality ultrasound images and diagrams throughout. It covers all aspects of the field at a level intended to meet the requirements of UK sonography courses. New to this edition: • Updated descriptions of ultrasound technology, quality assurance and safety. • Additional chapters dedicated to 3D ultrasound, contrast agents and elastography. • New glossary containing definitions of over 500 terms. The editors and contributing authors are all authorities in their areas, with contributions to the scientific and professional development of ultrasound at national and international level.