Clinical Applications of Medical Imaging by Jeffrey Bisker M.D. (auth.)

By Jeffrey Bisker M.D. (auth.)

The fundamental function of this publication is to bridge the distance be­ tween the perform of scientific medication and diagnostic radi­ ology. it truly is meant essentially for usage by means of scientific scholars in education and through nonradiologist physicians. during this international of quickly increasing wisdom within the many specialties of medication, it's turning into more and more tricky for lots of physicians to stick abreast of the more moderen and continuously altering modalities of analysis in addition to the healing regimens of the typical in addition to the fewer universal disorder methods inside their realm of perform. This ebook will permit the busy clinician to make use of the consultative providers provided through his or her colleagues in diagnostic radiology with greatest effectiveness. the most typical scientific functions of the newer imag­ ing modalities (i. e. , nuclear medication, ultrasound, comput­ erized tomography, and magnetic resonance imaging) were categorised and condensed right into a layout that might be either understandable and necessary each day for these physicians regularly inquiring for those diagnostic examina­ tions for his or her sufferers. For simplicity, the e-book is split, at any time when possible, into organ structures and subdivided into the a number of classifications of pathologic states (i. e. , con­ genital, trauma or iatrogenic, inflammatory, and neo­ plasm). additionally, there are short reviews relating to the vii particular merits and drawbacks in addition to the fee effectiveness of every modality.

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PANCREAS The prototype noninvasing imaging procedure for the pancreas consisted of nuclear studies based on pancreatic function. Radioactive selenium tagged to- methionine was discovered to be utilized by the pancreas to form enzymes in a manner similar to normal proteins. Scintigraphic images Inflammatory Disease of the Pancreas Nuclear Medicine 37 of the pancreas could be obtained following intravenous injection of the radioactively tagged methionine. l The test was useful in detecting focal pancreatic masses as well as diagnosing pancreatitis by non visualization of the entire pancreas, which was due to the decreased function and hence diminished enzyme production.

Axel L, Mbss AA , Berninger W: Dynamic computed tomography demonstration of hepatic arteriovenous fistula . J Comput Assist Tomogr 1981 ;5 :95-98. 3. Birnholz J: Diffuse liver disease. Clin Diagnostic Ultrasound 1979;1:35-37. REFERENCES HEPATOBILIARY SYSTEM 25 4. Federle MP, Goldberg HI, Kaiser JA, et al: Evaluation of abdominal trauma by computed tomography. Radiology 1981;l38:637-644. 5. Itai y, Furui S, Araki T, et a1: Computed tomography of cavernous hemangioma of the liver. Radiology 1980;137:149-155.

A similar appearance can also be created by certain infectious diseases such as mono- 46 I CHAPTER 3 Figure 3-8. Low attenuation mass (arrow) in splenic tip seen on computerized tomography representing abscess. nucleosis and Weirs disease. Focal cold lesions in the enlarged spleen may be seen in patients with metastasis from certain primary tumors such as breast, lung, and melanoma. Splenic abscesses and other benign lesions such as congenital cysts can also have a similar appearance, which necessitates correlation with either ultrasound or CT examination.

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