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E-raamat: MRI of the Liver: A Practical Guide

  • Formaat: 410 pages
  • Ilmumisaeg: 19-Apr-2016
  • Kirjastus: CRC Press Inc
  • ISBN-13: 9781420016604
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  • Formaat: 410 pages
  • Ilmumisaeg: 19-Apr-2016
  • Kirjastus: CRC Press Inc
  • ISBN-13: 9781420016604
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With 2300 radiological images dispersed throughout the text, this source provides an expansive armamentarium of case studies and examples showcasing both common and uncommon liver pathologies. Serving as an unparalleled how-to source for the investigation of liver disease by MRI, this guide demonstrates key MRI techniques currently utilized in clinical practice, as well as explains the choice of acquisition sequences, specific parameters, and the use of contrast media for each application.
Preface iii
Part A: Why, When, and How to Perform MRI of the Liver
An Introduction to the Role of MRI in Liver Disease
3(6)
A Frame of Reference for Approaching Imaging in Liver Disease
4(1)
Recent Developments in MR and Other Imaging Techniques
4(1)
Current Choices for Imaging the Liver
4(1)
Defining the Appropriate Clinical Applications of Liver MRI
5(1)
References
6(3)
Techniques for MRI of the Liver
9(26)
Gradients, Sampling Frequency, Bandwith, and Echo Time (TE)
10(1)
Parallel Acquisition Techniques
11(1)
Reducing Breathing Artifact
11(1)
Reducing Ghosting and Flow Artifacts
12(1)
Susceptibility
12(1)
Chemical Shift
12(1)
Fat Suppression
13(1)
T2-Weighted Imaging
13(1)
Greater T2 Weighting
14(1)
Single Shot FSE Sequences
14(1)
STIR Sequences
15(1)
Hybrid Sequences
15(1)
True FISP/Balanced FFE Sequences
16(1)
T2-Weighted GRE
16(1)
T1-Weighted Imaging
16(1)
Chemical Shift Imaging
16(1)
Dynamic Gadolinium-Enhanced Imaging
17(1)
Imaging the Non-Compliant Patient
17(1)
Illustrative Figures
18(1)
References
18(17)
Contrast Agents for Liver MRI
35(32)
Non-Specific Extra-Cellular (ECF) Gadolinium Agents
36(2)
Tissue-Specific Contrast Agents
38(1)
Hepatocyte Agents
38(1)
Reticulo-Endothelial System (Kupffer Cell) Agents
39(2)
Diagnostic Value of Contrast Agents
41(1)
Dual Contrast MRI
42(1)
Illustrative Figures
43(1)
References
43(24)
Normal and Variant Anatomy, and Imaging Artifacts
67(24)
Hepatic Arterial Anatomy
68(1)
Venous Anatomy
68(1)
Segmental or Wedge-Shaped Signal Intensity Changes
69(1)
Perfusion
69(1)
Non-Portal Venous Inflow to the Liver
70(2)
Lymphatic Drainage from the Liver
72(1)
Post-Resection Anatomy
72(1)
Artifacts from Clips, Stents, Coils, etc
72(1)
Illustrative Figures
73(1)
References
73(18)
Part B: MRI for Characterizing Focal Lesions in the Non-Cirrhotic Liver
Cysts and Cyst-Like Lesions of the Liver
91(20)
Simple Liver Cysts
92(1)
Polycystic Disease
92(1)
Other Developmental Cysts
92(1)
Hydatid Cysts
93(1)
Cystadenoma and Cystadenocarcinoma
93(1)
Hamartoma and Biliary Adenoma
93(1)
Differential Diagnosis of Cysts and Cyst-Like Lesions
94(1)
Illustrative Figures
95(1)
References
95(16)
Solid Masses in the Non-Cirrhotic Liver
111(64)
Focal Nodular Hyperplasia
112(2)
Adenoma
114(2)
Hemangioma
116(3)
Angiomyolipoma
119(1)
Peripheral Cholangiocarcinoma
119(1)
Hepatocellular Carcinoma in the Non-Cirrhotic Liver
119(1)
Fibrolamellar HCC
120(1)
Inflammatory Pseudotumor
121(1)
Hepatic Lymphoma
122(1)
Miscellaneous Tumors
122(1)
Illustrative Figures
123(1)
References
123(52)
Part C: MRI in Diffuse Liver Disease
Fat and the Liver
175(18)
The Importance of Fat in Liver Disease
176(1)
Causes of Fatty Liver
176(1)
Imaging the Fatty Liver
176(1)
Chemical Shift MRI
176(1)
Geographic Distribution of Fatty Change
177(1)
Tumors in the Fatty Liver
177(1)
Fat in Liver Tumors
178(1)
Illustrative Figures
178(1)
References
178(15)
Structural and Vascular Changes in Diffuse Liver Disease
193(40)
Hepatitis and Liver Fibrosis
194(1)
Iron and the Liver
195(2)
Budd-Chiari Syndrome
197(2)
Cirrhosis
199(1)
Portal Hypertension and Portal Vein Thrombosis
200(1)
Other Non-Cirrhotic Conditions Causing Disturbed Liver Architecture
201(1)
Nodular Regenerative Hyperplasia
201(1)
Peliosis
202(1)
Hereditary Haemorrhagic Telangiectasia
202(1)
Pseudo-Cirrhosis
203(1)
Post-Necrotic Scarring
203(1)
Illustrative Figures
203(1)
References
203(30)
Detecting Hepatocellular Carcinoma in the Cirrhotic Liver
233(34)
Dysplastic Nodules
234(1)
Dysplasia and HCC
234(1)
Why Look for HCC in Cirrhosis?
235(1)
Who Is at High Risk of HCC in Cirrhosis?
235(1)
Hepatocellular Carcinoma
235(2)
Non-Hepatocellular Focal Lesions in the Cirrhotic Liver
237(1)
An Approach to the Differential Diagnosis of Cirrhotic Nodules
237(3)
``Unidentified Bright Objects''
240(1)
Illustrative Figures
241(1)
References
241(26)
Part D: MRI in Metastatic Disease of the Liver
Early Detection of Liver Metastases by MRI
267(22)
The Role and Value of Imaging
268(1)
Microscopic Metastases
268(1)
The True Accuracy of Imaging
268(1)
Optimizing MR Technique for Detecting Small Metastases
269(2)
Recommendations
271(1)
Illustrative Figures
271(1)
References
272(17)
Characterization of Liver Metastases
289(38)
MR Appearances of Liver Metastases
290(3)
Differential Diagnosis
293(3)
Illustrative Figures
296(1)
References
297(30)
MRI of Liver Tumors After Treatment
327(32)
Post-Operative Anatomy and Surgical Residues
328(1)
Effects of Chemotherapy
329(1)
Effects of Chemotherapy on Liver Parenchyma
329(1)
Effects of Chemotherapy on Tumors
330(1)
Thermal Ablation
331(1)
Transarterial Chemo-Embolization
331(1)
Differential Diagnosis
332(1)
Recurrent Disease
333(1)
Illustrative Figures
333(1)
References
333(26)
Part E: Liver MRI for Biliary Obstruction
Hilar Cholangiocarcinoma and Its Mimics
359(28)
Associations
360(1)
Anatomic Classification
360(1)
Morphology and Modes of Spread
360(1)
Clinical Presentation
360(1)
Treatment
361(1)
Objectives of Imaging
361(1)
MRI Techniques
361(1)
Appearances on MRI
362(1)
Differential Diagnosis
363(1)
Illustrative Figures
363(1)
References
363(24)
Some Unsolved Problems in Liver Imaging
387(6)
Limitations in Detecting Small Volume Disease
388(2)
Small Hypervascular Nodules in the Cirrhotic Liver
390(1)
References
391(2)
Index 393


Robinson, Philip J. A.; Ward, Janice