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Multidetector-row computed tomography (MDCT) has become a fundamental imaging technique for the study of many anatomical districts in different clinical situations, as it provides a fast, reliable, and accurate simultaneous evaluation of different organs, including parenchyma, hollow viscera, vessels, and bony structures. It has also equipped the radiologist with the ability to explore areas that in the last decade were largely ignored by CT, especially the coronary arteries and the colon, and to limit invasive diagnostic tests (e.g., catheter angiography) to those cases in which interventional procedures are required. The examination quality and the consequent diagnostic accuracy of MDCT are the results of an optimized study technique, which nonetheless needs to be adapted to the particular clinical situation of the patient, while bearing in mind the radiation exposure. Another fundamental parameter in the optimization of MDCT is the protocol for the intravenous injection of iodinated contrast material; in these studies, multiple variables, some modifiable by the operator and others patient-dependent, must be considered based on the aims of maximizing arterial and venous enhancements whilst minimizing the dose of iodine injected, saving money, and increasing patient safety. Through the presentation of cases addressing different anatomical regions and various clinical indications, including emergency and neuro-imaging, this volume seeks to provide the general radiologist and trainee specialist with a guide to the main study protocols to be implemented in order to optimize examination quality and, consequently, facilitate the diagnostic process.
"MDCT: From Protocols to Practice" tackles contemporary and topical issues in MDCT technology and applications. As an updated edition of MDCT: A Practical Approach, this volume offers new content as well as revised chapters from the previous volume. New chapters discuss important topics such as imaging of children and obese subjects, the use of contrast medium in pregnant women, coronary MDCT angiography, and PET/CT in abdominal and pelvic malignancies. Furthermore an Appendix with over 50 updated MDCT scanning protocols completes this publication. The book emphasizes the practical aspects of MDCT, making it an invaluable source of information for radiologists, residents, medical physicists, and radiology technologists in everyday clinical practice.
This book describes current examination techniques and advanced clinical applications of state-of-the-art multidetector computed tomography (MDCT) scanners. There are contributions from several distinguished radiologists and clinicians. Each chapter is written from a practical perspective, so that radiologists, residents, medical physicists, and radiology technologists can obtain relevant information about MDCT applications.
Section I:Principles and challenges of MDCT / Introduction-I.1.MDCT:Technical principles and future trends-I.2.Contrast medium administration and scan timing for MDCT Section II:Abdominal imaging / Introduction-II.1.MDCT:Secondary malignancies and benign liver lesions-II.2.Primary liver malignancies-II.3.MDCT of the pancreas-II.4.Abdominal imaging:Use of high concentration contrast media Section III:Cardiac and vascular imaging / Introduction-III.1.Use of high concentration contrast media in CT angiography:Principles and rationale-III.2.Cardiac and vascular imaging:Cardiology indications-III.3.Aorta, peripheral and renal vessels-III.4.MDCT for diagnosis of pulmonary embolism: Have we reached our goal? Section IV:Future prospects in MDCT imaging / Introduction-IV.1.Interventional MDCT-IV.2.Functional CT imaging in stroke and oncology-IV.3.From acquisition to report: managing the information overload-IV.4.Recent update on contrast media safety
This book is an up-to-date, technically detailed yet easy-to-read reference book on current clinical applications of MDCT in small animals. It has been designed to serve as the reference book for all MDCT-users, such as veterinary radiologists, imaging technicians, oncologists, surgeons, and non-radiologist clinicians. Individual chapters on novel clinically important topics include applications in endocrinology, oncology, trauma, and cardiovascular CT, as well as sections on organ-specific pathologies and their CT characteristics. The book will also cover main domains of CT, such as thorax and the trauma imaging. Anatomy, clinical aspects, pathology, and CT signs are integrated to provide the reader with the basis for interpretation of MDCT findings. Many excellent 2D multiplanar and 3D figures illustrating typical CT findings of various conditions will serve as a clinical reference for the reader.
This book provides structured up-to-date information on all routine protocols used for multislice (multidetector row) CT. The volume contains a detailed technical section and covers the prevailing investigations of the brain, neck, lungs and chest, abdomen with parenchymal organs and gastrointestinal tract, the musculoskeletal system and CTA as well as dedicated protocols for the heart. Separate chapters address the how-to of CT-guided interventions such as punctures, drainages, and therapeutic approaches. Each protocol is displayed en bloc, enabling rapid appreciation of indications and the necessary scanner settings. The second edition includes contributions by renowned experts in the field, who not only provide their clinical experience on each topic, but also give guidelines for indications, workflow, postprocessing and reconstruction algorithms.
Written by the chief physicist at Johns Hopkins University Hospital, this easy-to-read short textbook explains the physics behind multi-detector CT technology, particularly newer, more complex technology. The focus is on principles of physics, effects of scan parameters on image quality, and optimum radiation dosage. The book includes numerous key points summaries and questions to assist in exam preparation.
This book is a comprehensive and richly-illustrated guide to cardiac CT, its current state, applications, and future directions. While the first edition of this text focused on what was then a novel instrument looking for application, this edition comes at a time where a wealth of guideline-driven, robust, and beneficial clinical applications have evolved that are enabled by an enormous and ever growing field of technology. Accordingly, the focus of the text has shifted from a technology-centric to a more patient-centric appraisal. While the specifications and capabilities of the CT system itself remain front and center as the basis for diagnostic success, much of the benefit derived from cardiac CT today comes from avant-garde technologies enabling enhanced visualization, quantitative imaging, and functional assessment, along with exciting deep learning, and artificial intelligence applications. Cardiac CT is no longer a mere tool for non-invasive coronary artery stenosis detection in the chest pain diagnostic algorithms; cardiac CT has proven its value for uses as diverse as personalized cardiovascular risk stratification, prediction, and management, diagnosing lesion-specific ischemia, guiding minimally invasive structural heart disease therapy, and planning cardiovascular surgery, among many others. This second edition is an authoritative guide and reference for both novices and experts in the medical imaging sciences who have an interest in cardiac CT.
Computed tomography (CT) is a powerful technique providing precise and confident diagnoses. The burgeoning use of CT has resulted in an exponential increase in collective radiation dose to the population. Despite investigations supporting the use of lower radiation doses, surveys highlight the lack of proper understanding of CT parameters that affect radiation dose. Dynamic advances in CT technology also make it important to explain the latest dose-saving strategies in an easy-to-comprehend manner. This book aims to review all aspects of the radiation dose from CT and to provide simple rules and tricks for radiologists and radiographers that will assist in the appropriate use of CT technique. The second edition includes a number of new chapters on the most up-to-date strategies and technologies for radiation dose reduction while updating the outstanding contents of the first edition. Vendor perspectives are included, and an online image gallery will also be available to readers.
In a comparatively short space of time, the rapid advances in CT imaging technology have led to significant increases in both speed and resolution of images captured. The latest generation of multi-detector CT (MDCT) scanners are finding new applications in a wide variety of fields, making this one of the most exciting imaging modalities currently available. In this new volume, a prestigious team of specialists drawn from centres all over the world brings its own expertise in MDCT to a series of reviews that focus in turn on selected applications in imaging the head and neck, thorax and abdomen. Topics covered include: * emergency CT training * CT angiography and perfusion CT * gynaecologic and genitourinary imaging * scanning protocols and contrast media. For experienced specialists requiring a comprehensive update on recent developments, as well as newcomers seeking an introduction to the diverse capabilities of the technology, The Year in Radiology: Advances in MDCT undoubtedly provides a unique, well-informed guide to the field.