By Zachary Grossman, Douglas Katz, Ronald Alberico, Peter Loud
Written by way of radiologists yet for clinicians, and intended for session within the "heat of conflict" (the busy-sometimes hectic-clinical setting), this one of a kind little publication publications you thru the main most economical and direct imaging path to a prognosis. in contrast to all different books via radiologists, it doesn't try and educate photograph interpretation. relatively, protecting sixty five universal medical difficulties, from GI bleed, to Pulmonary Embolus, to Myocardial Ischemia, to Stroke, The Clinicians's consultant accommodates all to be had technologies-Multi-detector CT, MR, CT angiography, MR angiography, puppy, and mixed PET/CT- to assist clinicians get the solutions they need.Highlights the relative fee with greenback symptoms of every imaging attempt or imaging-guided process! (Not on hand in the other text). Explains in transparent, cogent language the step by step common sense at the back of the imaging series for every challenge, but avoids maddening "flow charts". each one problem-oriented bankruptcy stands on my own, for speedy and concise suggestions in picking out the right attempt, obviating the necessity to turn backward and forward while there's little time. contains the most recent imaging modalities that experience tremendously replaced the work-up for lots of medical stipulations. Covers the main debatable subject matters, like CT screening of the fit inhabitants, the price of mixed PET/CT scanners, and where of "virtual" colonoscopy.
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Additional resources for Cost Effective Diagnostic Imaging: The Clinician's Guide
A variation in angiographic diagnosis involves the infusion of agents such as heparin, streptokinase, or urokinase that provoke or prolong bleeding. This technique, diagnostic pharmacoangiography, is sometimes useful when bleeding has stopped by the time of diagnostic angiography. The short-term resumption of bleeding permits precise localization.
CT and MR have unique advantages and disadvantages for this evaluation, and both can demonstrate the Chapter 2 Biliary Tract Obstruction 13 Figure 2-1. Abdominal CT in a 57-year-old woman with cirrhosis. The liver has a nodular contour (two large arrows). The left hepatic lobe is enlarged (three arrows), and there is ascites. Also, the spleen (four arrows) is mildly enlarged. findings seen by US. Both effectively screen for suspected hepatocellular carcinoma, although there is much controversy regarding their advantages, disadvantages, and techniques.
ERCP is performed in the radiology department by a skilled gastroenterologist. Unfortunately, injection/ manipulation of the pancreas during ERCP can cause iatrogenic pancreatitis. (B) SEVERE OR ATYPICAL PANCREATITIS STEP 1: COMPUTED TOMOGRAPHY (CT) Overall, the best single imaging test to evaluate the pancreas is CT performed with intravenous contrast medium (contrast enhanced). The scan is timed relative to the peripheral contrast medium infusion so that the pancreas is imaged during maximal pancreatic contrast enhancement; afterward the remainder of the abdomen is scanned.