Learning Imaging – serie

A Teaching File” is intended to provide medical students, residents of Radiology, and anybody else beginning to be involved in the radiological world, with a useful tool that gives them a quick and comprehensive overview of Radiology.

Interventional radiology is an exciting feld, and interventional radiologists perform a huge variety of diagnostic and therapeutic procedures. Most interventional diagnostic procedures have been superseded by noninvasive methods, and the role of interventional radiologists has changed accordingly. Whereas traditionally interventional radiology involved diagnosis and a few therapeutic measures, nowadays it involves mostly interv- tional procedures planned using noninvasive diagnostic methods. Interventional radiologists have to keep up with advances in noninvasive imaging te- niques like conventional sonography, Doppler sonography, magnetic resonance imaging, MR angiography, cardiac MRI, multidetector CT, and CT angiography for treatment planning. On the other hand, the number and variety of treatments that interventional radiologists perform continues to grow, supplanting or complementing other techniques traditionally performed by surgeons. This teaching fle aims to review our exciting feld. We emphasize the two fundamental aspects that enable us to provide creative, agile solutions to our patients' problems: diagnosis and treatment.Cordoba, March 2010 Ramon Ribes Malaga, March 2010 Jose J. Munoz Contents 1 Fundamentals of Diagnostic Angiography Ivan Artero, Jose Rodriguez, and Jose J. Munoz ...1 Case 1.1 Catheters, Guides, and Introducer Sheaths ...2 Case 1.2 Seldinger Technique. Retrograde and Antegrade Approach Through the Femoral Artery ...4 Case 1.3 Brachial Arterial Access with a Micropuncture System ...6 Case 1.4 Hemostasis Systems. Femoral Artery Closure with Angio-Seal Vascular Closure Device ...8 Case 1.5 Complications of Vascular Access.

Musculoskeletal (MSK) radiology is a radiological subspecialty that has expanded its knowledge base and imaging capabilities with the advent of MRI, multi/detector CT, ult- sound, and PET. Prior to the advent of MRI, MSK radiologists used plain flm X-rays and arthrograms as their primary tools. The subspecialty has progressed from primary im- ing of osseous structures and indirect imaging of joint spaces, to direct imaging of soft tissue structures with direct visualization and fne defnition of MSK structures. A specialized MSK radiologist requires a sound knowledge of anatomy, pathophysi- ogy, orthopedic surgical techniques, and advancements in imaging modalities. MSK im- ing involves all aspects about anatomy, function, disease states, and aspects of interventional radiology appertaining to the MSK system including imaging in orthopedics, trauma, rheumatology, metabolic and endocrine diseases, as well as aspects of pediatrics, oncology, and sports imaging.Subspecialty training in MSK radiology must ensure competence to obtain experience in the following techniques: plain radiography, ultrasonography, CT, MRI, nuclear me- cine, bone densitometry, and fuoroscopic procedures including arthrography. MSK ra- ologists must be aware of the strengths and weaknesses of the different imaging methods in each pathological condition and choose the appropriate imaging technique and/or the appropriate sequence in the investigation of specifc clinical problems.

This book is an ideal introduction to the use of radiology in imaging diseases of the liver, gallbladder and biliary system, pancreas, spleen, and gastrointestinal tract.

This book, in a user-friendly format, is an ideal introduction to pediatric diagnostic imaging. Each case serves to identify essential imaging features of the pathology under consideration and will assist the reader in diagnosing similar cases. The book is divided into ten chapters, each comprising ten cases that are presented in a standard way.

This introduction to genitourinary and pelvic radiology is a further volume in the Learning Imaging series. Written in a case-based format, the book is subdivided into ten chapters: kidney; adrenal gland; urinary bladder, collecting system and urethra; prostate and seminal vesicles; scrotum; obstetrics; uterus; cervix and vagina; adnexa and retroperitoneum. Genitourinary radiology has undergone a tremendous change owing to advances in ultrasound, CT and MRI that have redefined our understanding of genitourinary and pelvic pathology. Each chapter includes an introduction and ten case studies with illustrations and comments from anatomical, physiopathological and radiological standpoints and with bibliographic recommendations.

This book offers a practical approach to the world of diagnostic ultrasound. It has been structured in a reader-friendly, case-based format that makes it easy and enjoyable to learn the basics of the applications and interpretation of ultrasound. Each case includes illustrations, descriptions of the imaging findings, and technical details and serves to identify the essential imaging features of the pathology under consideration, thus assisting the reader in the diagnosis of similar cases. The book is divided into 17 short chapters that review the most important areas of ultrasound application and also document the latest advances in the use of contrast and interventional ultrasound. The authors treat every topic from a “how to do it” perspective with the aim of imparting their wide experience in use of the technique. This book forms part of the Learning Imaging series for medical students, residents, less experienced radiologists, and other medical staff.