By Christoph Frank Dietrich, Dieter Nürnberg
The first accomplished, multi-specialty textual content on ultrasound information in interventional tactics, this booklet makes use of the authors vast scientific adventure to supply a whole review of recent interventional ultrasound. For all practitioners, even if new to the methods or already utilizing them, Interventional Ultrasound bargains specialist recommendation and ideas to typically encountered questions and problems.
- offers an entire method of interventional ultrasound, starting with crucial fundamentals on fabrics, apparatus, setup requisites, knowledgeable consent concerns, microbiologic points, and hygiene
- Covers particular, ultrasound-guided diagnostic and healing interventions within the stomach, thorax, urogenital tract, musculoskeletal process, thyroid and different websites, together with symptoms, choice of fabrics and biopsy units, education and specific, hands-on innovations in addition to administration of complications
- Describes key fresh advances, resembling using ultrasound distinction brokers in interventional strategies, adapting ultrasound transducers for endoscopic use in biopsies of the thorax and gastrointestinal tract, appearing percutaneous biopsy aspiration and drainage with ultrasound, making use of sonography in complex ablative innovations and more
- Explores such innovative issues as symptom-oriented palliative care interventions, functions in serious care drugs and interventions in children
- Highlights, for the 1st time, the important position of aiding group of workers in interventional ultrasound procedures
Offering easy-to-follow directions and approximately six hundred top quality illustrations, Interventional Ultrasound takes a pragmatic, cookbook method perfect for day-by-day use within the clinic or sanatorium. it really is an crucial reference for interventional radiologists, gastroenterologists, internists, surgeons and different experts who have to remain up to date at the most modern know-how and functions during this quickly advancing field.
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Extra info for Interventional Ultrasound: A Practical Guide and Atlas
Improvements in the resolution of ultrasound scanners. At first, the organs of greatest interest were the liver and kidneys. 11,28 Kristensen et al29 reported on the fine needle biopsy of solid renal tumors in 1972, and Goldberg30 described the diagnostic aspiration of renal cysts in 1973. In 1974, Pedersen31 reported on the ultrasound-guided percutaneous puncture of the (obstructed) renal pelvis for cytologic and microbiologic analysis as well as antegrade pyelography and nephrostomy (▶ Fig.
3). 3 Needle Systems Needle Technology Biopsy needles have a sharp, beveled tip that cuts the tissue when the needle is advanced. They enter the body more easily than a sharp-pointed needle without a cutting edge, which would damage the tissue and cause considerably more pain. ”18 Biopsy needles are manufactured from medically approved stainless steel alloys composed of iron, chromium, nickel, molybdenum, or manganese that are resistant to corrosion, acids, and alkalis. Chromium (at least 13%) imparts rust resistance, while nickel makes the alloy resistant to acids.
46 Today they are still an important consideration in the development and practice of interventional sonography. 47,48 Significant hemorrhages and bile leaks were described in association with liver biopsies, necrotizing pancreatitis after pancreatic biopsies, and the inadvertent transfer of infectious material leading to sepsis. 47–52 The risk of seeding tumor cells into the needle tract is a potentially serious problem. 47,48,50 As a precaution against needle-track seeding, Holm recommended introducing the actual biopsy needle through an outer needle that had been advanced to the biopsy site or target organ.