Diagnostic Imaging of the Liver Biliary Tract and Pancreas: Data Analysis and Diagnostic Procedures

ISBN-13: 9783642713095 / Angielski / Miękka / 2011 / 340 str.

Sadayuki Sakuma; Takeo Ishigaki; Toshihiko Takeuchi

Opis

The development and the widespread clinical application of various di agnostic imaging modalities, such as diagnostic ultrasonography, X-ray computed tomography, single photon emission computed tomography, and magnetic resonance imaging, have been beyond all expectation. In particular, ultrasonography and X-ray computed tomography have be come major diagnostic tools for diseases of the liver, the biliary tract, and the pancreas. They often have virtually replaced other conventional imag ing modalities including invasive angiography and percutaneous trans he patic cholangiography. One modality may complement or conflict with another or other modalities. Each modality should be carefully selected with due regard for its diagnostic efficacy. In this book, the first section contains nine chapters dealing with current techniques of each diagnostic modality applicable to the liver, the biliary tract, and the pancreas. The second section deals with diseases of the liver, the biliary tract, and the pancreas and takes the form of case presentation with discussion of the significance of diagnostic imagings and diagnostic procedure. Preparation of the manuscript was made possible by the help of Dr. S. Fujita, who prepared the photographs, and Mrs. Sobajima, who typed the original manuscript. Dr. S. Miura and Miss Y. Shimizu under took the labor of translating our manuscript from Japanese into English. I would like to express my deep appreciation to all these persons, as well as to the contributors to this book, and also to the publishers, Shujunsha, Japan and Springer-Verlag."

Spis treści

I General Considerations.- A Main Imaging Modalities.- 1 Plain Abdominal Radiography.- 1.1 Positioning and Roentgenographic Conditions.- 1.2 Roentgenographic Findings in the Normal Liver.- 1.3 Abnormal Roentgenographic Findings in the Liver.- 1.4 Abnormal Roentgenographic Findings in the Biliary Tract.- 1.5 Abnormal Roentgenographic Findings in the Pancreas.- 2 Ultrasonography.- 2.1 Instrumentation.- 2.2 Examination Procedures.- 2.3 Liver.- 2.4 Gallbladder and Bile Duct.- 2.5 Pancreas.- 3 Nuclear Examination.- 3.1 Colloid Liver Scintigraphy.- 3.2 Radioisotope Angiography of the Liver.- 3.3 Hepatobiliary Scintigraphy.- 4 X-ray Computed Tomography.- 4.1 Equipment.- 4.2 Premedication.- 4.3 Examination Procedures.- 4.4 Contrast Medium Administration.- 4.5 Viewing of the Images.- 4.6 CT Images of the Normal Liver, Biliary Tract, and Pancreas.- 4.7 CT Images of the Diseased Liver.- 4.8 CT Images of Gallbladder and Biliary Tract Diseases.- 4.9 CT Images of Diseases of the Pancreas.- 5Angiography.- 5.1 Examination Procedures.- 5.2 Hepatic Vasculature and Its Findings.- 5.3 Angiographic Findings in Diseases of the Liver.- 5.4 Vessels of the Biliary Tract and Gallbladder and Their Angiograms.- 5.5Angiographic Findings in the Pancreas.- B Other Imaging Modalities.- 6Hypotonic Duodenography.- 6.1 Application.- 6.2 Roentgenographic Anatomy of the Duodenal Loop.- 6.3 Hypotonic Duodenography in Diseases of the Biliary Tract and Pancreas.- 7Excretory Cholecystocholangiography.- 7.1 Oral Cholecystography.- 7.2 Intravenous Cholangiography.- 7.3 Examination Procedures.- 7.4 Side Effects.- 7.5 Roentgenographic Findings.- 8 Endoscopic Retrograde Cholangiopancreatography (ERCP).- 8.1 Examination Procedures.- 8.2 Findings from Opacification of the Pancreas.- 8.3 Findings from Opacification of the Bile Duct.- 9Percutaneous Transhepatic Cholangiography (PTC).- 9.1 Opacification Procedure.- 9.2 Roentgenographic Anatomy of the Biliary Tract.- 9.3 PTC Images of Diseases of the Pancreas and Biliary Tract.- II Clinical Presentation.- Introductory Remarks.- A Diagnostic Imaging in Diseases of the Liver.- 1 Procedure.- 2 Cases.- 2.1 Liver Cyst.- 2.2 Parenchymal Hamartoma.- 2.3 Chronic Active Hepatitis (Lupoid Hepatitis).- 2.4 Liver Cirrhosis.- 2.5 Liver Cirrhosis.- 2.6 Fatty Liver.- 2.7 Hemochromatosis.- 2.8 Liver Abscess.- 2.9 Hemangioma of the Liver.- 2.10 Hepatoblastoma.- 2.11 Hepatocellular Carcinoma.- 2.12 Hepatocellular Carcinoma.- 2.13 Cholangiocarcinoma.- 2.14 Liver Metastasis (Carcinoma of the Rectum).- 2.15 Hepatic Injury.- B Diagnostic Imaging of Diseases of the Biliary Tract.- 1 Procedure.- 2 Cases.- 2.1 Hepatolithiasis and Choledocholithiasis.- 2.2 Congenital Dilatation of the Bile Duct.- 2.3 Primary Sclerosing Cholangitis.- 2.4 Carcinoma of the Gallbladder.- 2.5 Carcinoma of the Common Bile Duct.- 2.6 Carcinoma of the Common Hepatic Duct.- C Diagnostic Imaging of Diseases of the Pancreas.- 1 Procedure.- 2 Cases.- 2.1 Acute Pancreatitis.- 2.2 Chronic Pancreatitis.- 2.3 Chronic Pancreatitis (Pancreatolithiasis, Pseudocyst of the Pancreas.- 2.4 Cyst of the Pancreas (Pseudocyst).- 2.5 Carcinoma of the Pancreas (Body and Tail).- 2.6 Carcinoma of the Pancreas (Head).- 2.7 Cystadenocarcinoma of the Pancreas.- 2.8 Insulinoma of the Pancreas.- 2.9 Nonfunctioning Islet Cell Tumor.- Appendix, Methods of Measurement and Normal Values for Laboratory Data.