By Dirk-André Clevert, Mirko D'Onofrio, Emilio Quaia
With the help of an in depth sequence of high quality photographs, this atlas describes all of the power purposes of elastosonography in regimen scientific perform. After a quick advent on technical and actual elements, the diagnostic merits of elastosonography in quite a number settings are illustrated by using a variety of consultant circumstances. The insurance encompasses pathologies of the liver, spleen, pancreas, kidney, breast, thyroid, testis, musculoskeletal method, and vascular procedure. additionally, worthwhile correlations with imaging appearances on ultrasound and computed tomography are integrated. Elastosonography is a strong, fairly new diagnostic procedure that assesses the pliancy of tissues as a trademark of malignancy. Readers will locate this publication to be a superb reduction to take advantage of and interpretation of the technique.
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Extra resources for Atlas of Elastosonography: Clinical Applications with Imaging Correlations
10 (continued) a g b c Fig. 11 Hepatocellular carcinoma (a, b) US study: round-shaped hypoechoic liver mass (a) resulting stiff in the centre and inhomogeneously soft in the periphery at elastography (b) due to presence of fibrotic tissue and d vessels. (c, d) CT study: typical appearance of a hepatocellular carcinoma, presenting as a hypervascular (c) lesion with washout resulting hypodense with capsule (d) in the late phase 2 Liver and Spleen a b Fig. 12 Liver metastasis. Liver nodule is stiffer (a) in respect to the liver parenchyma (b) 33 E.
16 Spleen nodule. Mainly isoechoic focal splenic lesion absolutely better visible as black because stiffer in respect to the adjacent parenchyma on elastogram 2 Liver and Spleen 43 References 1. Gebo KA, Herlong HF, Torbenson MS, Jenckes MW, Chander G, Ghanem KG, El-Kamary SS, Sulkowski M, Bass EB. Role of liver biopsy in management of chronic hepatitis C: a systematic review. Hepatology. 2002;36:S161–72. 2. Seeff LB, Everson GT, Morgan TR, Curto TM, Lee WM, Ghany MG, Shiffman ML, Fontana RJ, Di Bisceglie AM, Bonkovsky HL, Dienstag JL, HALT–C Trial Group.
40. Kwon HJ, Kang MJ, Cho JH, Oh JY, Nam KJ, Han SY, Lee SW. Acoustic radiation force impulse elastography for hepatocellular carcinoma-associated radiofrequency ablation. World J Gastroenterol. 2011;17:1874–8. 41. Merli M, Nicolini G, Angeloni S, Rinaldi V, De Santis A, Merkel C, Attili AF, Riggio O. Incidence and natural history of small esophageal varices in cirrhotic patients. J Hepatol. 2003;38:266–72. 42. Bintintan A, Chira RI, Mircea PA. Non-invasive ultrasound-based diagnosis and staging of esophageal varices in liver cirrhosis.