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Elastography A Practical Approach PDF

Elastography A Practical Approach PDF

Elastography A Practical Approach PDF
Author Richard G. Barr
File size 12.7 MB
Year 2016
Pages 200
Language English
File format EPUB
Category Free Medical Books
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Book Description
This book, a comprehensive review of the current clinical applications of elastography, is designed for sonographers and physicians performing elastography in routine clinical practice. The techniques to optimize each type of elastography for each organ system are discussed in detail with pitfalls clearly explained. A review of all artifacts and how to avoid them is included. If artifacts provide clinical information, their clinical significance is highlighted. This book is designed to be useful both for beginner and experienced imagers. The uses of elastography for each organ system are explored so that the reader can determine which of these applications would be of value in his or her department or clinical practice.
This book is a compilation of the experience of world experts on elastography. An attempt has been made to include all of the available techniques for each organ and to compare and contrast these techniques. Enough information is included for each technique so that those with access to only one technique will be able to optimize the clinical utility of their system. For those readers with multiple techniques available on different equipment, the discussion of the various techniques will help them determine which patients are best suited for each technique.
Clinical cases have been selected to demonstrate a wide range of pathology. Within a given disease state, cases have been selected to demonstrate the range of elastographic findings for that pathology. Cases where elastography can give false-positive or false-negative results are pointed out and discussed in detail, with tips on how to recognize findings that may be inaccurate and should not be used for clinical diagnosis.
The basic science principles of ultrasound elastography are covered in Chapter 2. The basic science presented in this book is not meant to be exhaustive but to give an overview highlighting the information needed when obtaining clinical images. In Chapters 3 through 12 the clinical use of elastography in specific organ systems is discussed, highlighting practical approaches to incorporating elastography into clinical practice. The clinical chapters give detailed tips and tricks to obtain high quality elastograms. The differences in SE and SWE for each organ system are discussed. Magnetic resonance elastography is discussed in Chapter 12, following the chapters on clinical uses of ultrasound-based elastography.
Elastography has been extensively validated for improved clinical diagnosis in diffuse liver disease and diseases of the breast and thyroid gland. Guidelines for the use of elastography for these organs have been published. The clinical applications of elastography for these organs are discussed in detail, highlighting in particular the use of elastography as an aid in clinical diagnosis.
There has been widespread evaluation of other organs with the approval of clinical use of elastography. In these organ systems, well-defined clinical applications have not been validated; however, many appear promising. Initial research on prostate elastography has excellent results in detection and characterization of prostate cancer in the peripheral zone. In many other organs, there appears to be overlap between stiffness values of benign and malignant lesions limiting the specificity and sensitivity of elastography in detection and characterization of disease states. Chapters on focal liver disease, prostate, lymph nodes, other abdominal organs, and the musculoskeletal system present the current state of development of techniques for these organs, systems and disease states. In the final chapter of this book newer applications that are in development are discussed.
Table of contents
Foreword by Cynthia L. Rapp
1   Introduction to Elastography
Richard G. Barr
2   Principles of Elastography
Richard G. Barr
3   Elastography for Diffuse Liver Disease
Giovanna Ferraioli, Mabel Zicchetti, Raffaella Lissandrin, and Carlo Filice
4   Elastography for Focal Liver Disease
Stephanie R. Wilson
5   Elastography of the Breast
Richard G. Barr
6   Elastography of the Thyroid Gland
Vito Cantisani, Hektor Grazhdani, Emanuele David, Fabrizio Calliada, Nicola Di Leo, Mattia DiSegni, Antonio Masciotra, Carlo Catalano, and Ferdinando D’Ambrosio
7   Elastography of the Prostate
Jean-Michel Correas and Olivier Hélénon
8   Elastography of the Lymph Nodes
Nitun Chaubal, Anupam Bam, and Ketki Khadtare
9   Elastography of the Spleen, Pancreas, and Kidneys
Mirko D’Onofrio, Vito Cantisani, Emilio Quaia, Riccardo De Robertis, Costanza Bruno, Stefano Crosara, Valentina Ciaravino, Antonio Giulio Gennari, Michele Pontello, Giuseppe Schillizzi and Roberto Pozzi Mucelli
10 Elastography of the Musculoskeletal System
Richard G. Barr, Amy M. Lex, and Nelson A. Hager
11 Elastography of the Salivary Glands, Lymph Nodes, and Testes
Fabrizio Calliada, Vito Cantisani, Chandra Bortolotto, Hector Grazhdani, Emanuele David, Antonio Masciotra, and Andrea Isidori
12 Magnetic Resonance Elastography
Bogdan Dzyubak
13 Future Applications for Elastography
David O. Cosgrove
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