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Imaging of Urogenital Diseases (eBook)

A Color Atlas
eBook Download: PDF
2010 | 2009
XVIII, 496 Seiten
Springer Italia (Verlag)
978-88-470-1344-5 (ISBN)

Lese- und Medienproben

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Nowadays, there is tremendous interest in an integrated imaging approach to urogenital diseases. This interest is tightly linked to the recent technological advances in ultrasound, computed tomography, magnetic resonance imaging, and nuclear medicine. Significant improvements in image quality have brought numerous clinical and diagnostic benefits to every medical specialty.

This book is organized in nine parts and twenty-seven chapters. The first six chapters review the normal macroscopic and radiological anatomy of the urogenital system. In subsequent chapters, urogenital malformations, lithiasis, as well as infectious and neoplastic disorders of the kidneys, bladder, urinary collecting system, and male and female genitalia are extensively discussed. The pathologic, clinical, and diagnostic (instrumental and not) features of each disease are described, with particular emphasis, in neoplastic pathologies, on primitive tumors and disease relapse. The statics and dynamics of the pelvic floor are addressed as well and there is a detailed presentation of state-of-the-art interventional radiology.

The volume stands out in the panorama of the current medical literature by its rich iconography. Over 1000 anatomical illustrations and images, with detailed captions, provide ample evidence of how imaging can guide the therapeutic decision-making process. Imaging of Urogenital Diseases is an up-to-date text for radiologists, urologists, gynecologists, and oncologists, but it also certainly provides an invaluable tool for general practitioners. Its succinct, well-reasoned approach integrates old and new knowledge to obtain diagnostic algorithms. This information will direct the clinician to the imaging modality best-suited to yielding the correct diagnosis.



About the Editors:

The incidence of urogenital disorders and the biological processes that explain them led the authors to chose their professions in gynecology and urology and then to specialize in the radiological aspects of the respective organ systems. Their commitment as practitioners and educators has remained strong over many years of practice.

Prof. Grazioli is already Springer author (MRI of the Liver, of which the 2nd ed. was published in 2006, ISBN 88-470-0335-4) and very actively participating in international congresses.

Since 1993 he teaches Diagnostic Imaging at the School of Internal Medicine and the School of Gynecology and Obstetrics in Brescia.

He is author of 65 publications in diagnostic imaging (particularly on CT and MR applications). Since 1990 he is collaborating at various trials on the utilization of paramagnetic contrast media in magnetic resonance.

Prof. Olivetti specialized in oncology (subspecialty: genitourinary tract) and radiology and is since 2002 Chief of the Dept. of Radiology in Cremona. He teaches Diagnostic Imaging in the School of Radiology in Brescia. He is author of over 140 journal articles and co-ed. in 6 books in italian language. This is the first book he publishes with Springer.


Nowadays, there is tremendous interest in an integrated imaging approach to urogenital diseases. This interest is tightly linked to the recent technological advances in ultrasound, computed tomography, magnetic resonance imaging, and nuclear medicine. Significant improvements in image quality have brought numerous clinical and diagnostic benefits to every medical specialty.This book is organized in nine parts and twenty-seven chapters. The first six chapters review the normal macroscopic and radiological anatomy of the urogenital system. In subsequent chapters, urogenital malformations, lithiasis, as well as infectious and neoplastic disorders of the kidneys, bladder, urinary collecting system, and male and female genitalia are extensively discussed. The pathologic, clinical, and diagnostic (instrumental and not) features of each disease are described, with particular emphasis, in neoplastic pathologies, on primitive tumors and disease relapse. The statics and dynamics of the pelvic floor are addressed as well and there is a detailed presentation of state-of-the-art interventional radiology.The volume stands out in the panorama of the current medical literature by its rich iconography. Over 1000 anatomical illustrations and images, with detailed captions, provide ample evidence of how imaging can guide the therapeutic decision-making process. Imaging of Urogenital Diseases is an up-to-date text for radiologists, urologists, gynecologists, and oncologists, but it also certainly provides an invaluable tool for general practitioners. Its succinct, well-reasoned approach integrates old and new knowledge to obtain diagnostic algorithms. This information will direct the clinician to the imaging modality best-suited to yielding the correct diagnosis.

About the Editors: The incidence of urogenital disorders and the biological processes that explain them led the authors to chose their professions in gynecology and urology and then to specialize in the radiological aspects of the respective organ systems. Their commitment as practitioners and educators has remained strong over many years of practice. Prof. Grazioli is already Springer author (MRI of the Liver, of which the 2nd ed. was published in 2006, ISBN 88-470-0335-4) and very actively participating in international congresses. Since 1993 he teaches Diagnostic Imaging at the School of Internal Medicine and the School of Gynecology and Obstetrics in Brescia. He is author of 65 publications in diagnostic imaging (particularly on CT and MR applications). Since 1990 he is collaborating at various trials on the utilization of paramagnetic contrast media in magnetic resonance. Prof. Olivetti specialized in oncology (subspecialty: genitourinary tract) and radiology and is since 2002 Chief of the Dept. of Radiology in Cremona. He teaches Diagnostic Imaging in the School of Radiology in Brescia. He is author of over 140 journal articles and co-ed. in 6 books in italian language. This is the first book he publishes with Springer.

Foreword 6
Preface 8
Table of Cotents 10
Contributors 13
Part I Anatomy 16
1 Urinary System: Normal Gross and Microscopic Anatomy 17
Embryology 17
Normal Anatomy 17
Kidney 17
Ureter 20
Urinary Bladder 21
Urethra 23
2 Urinary System: Normal Radiologic Anatomy 25
Radiographic Anatomy 25
Angiographic Anatomy of the Kidney 29
Ultrasonographic Anatomy 30
Computed Tomography Anatomy 37
Magnetic Resonance Anatomy 42
3 Male Reproductive System: Normal Gross and Microscopic Anatomy 48
Embryology 48
Normal Anatomy 49
Testicles 49
Pathway of Sperm 52
Seminal Vesicles 53
Prostate 54
Penis 58
4 Male Reproductive System: Normal Radiologic Anatomy 60
Ultrasonographic Anatomy 60
Scrotum and Testicles 60
Epididymis, Ductus Deferens and Spermatic Cord 62
Prostate 64
Penis 68
Computed Tomography Anatomy 70
Scrotum and Testicles 70
Prostate and Seminal Vesicles 70
Magnetic Resonance Anatomy 70
Scrotum and Testicles 70
Prostate and Seminal Vesicles 71
Penis 75
5 Female Reproductive System: Normal Gross and Microscopic Anatomy 78
Embryology 78
Ovaries 79
Uterine Tubes 80
Uterus 81
Vagina 84
Vulva 85
6 Female Reproductive System: Normal Radiologic Anatomy 86
Radiologic Anatomy 86
Ultrasonographic Anatomy 87
Anatomy in Computed Tomography 93
Anatomy in Magnetic Resonance 95
Part II Malformation 103
7 Clinics and Imaging 104
Introduction 104
Renal Malformations 105
Agenesis 105
Fusion and Displacement Anomalies 106
Cystic Kidney Disease 109
Multicystic Dysplastic Kidney Disease 110
Caliceal Diverticula 111
Malformations of the Upper Urinary Tract 112
Double or Triple Collecting Systems 112
Anomalies of the Ureteropelvic Junction 113
Ectopic Ureter 115
Ureterocele 116
Anomalies of the Ureterovesical Junction 119
Vesicoureteric Reflux 119
Megaureter 120
Malformations of the Lower Urinary Tract 121
Urachal Anomalies 121
Anomalies of the Urinary Bladder 122
Anomalies of the Urethra 124
Double Urethra 124
Cowper’s Syringocele 125
Posterior Urethral Valves 125
Anterior Urethral Diverticula 127
Urethral Stricture 128
Anomalies of the Reproductive System 130
Cloacal Anomalies 133
Part III Urinary System Disease 135
8 Clinical Approach 136
Lithiasis 136
Inflammation 138
Tumors 140
Renal Parenchymal Tumors 140
Tumors of the Renal Pelvis and Ureters 141
Bladder Cancer 143
9 Diagnostic Imaging 144
Renal Lithiasis 144
Clinical Anatomy 144
Diagnostic Imaging 145
Plain Abdominal Film 146
Urography 146
Ultrasonography 147
Computed Tomography 149
Renal Inflammation 155
Clinical Anatomy 155
Diagnostic Imaging 157
Acute Pyelonephritis 158
Pyonephrosis 164
Renal Abscesses 164
Emphysematous Pyelonephritis 166
Fungal Pyelonephritis 167
Chronic Pyelonephritis 167
Renal Tuberculosis 169
Xanthogranulomatous Pyelonephritis 172
Renal cancer 174
Pathology 174
Parenchymal Tumors in Adults 175
Parenchymal Tumors in Children: Nephroblastoma 177
Rare Parenchymal Tumors 177
Cystic Lesions 178
Pelvicaliceal Tumors 179
Diagnostic Imaging 180
Parenchymal Tumors 180
Identification 180
Characterization 183
Staging 185
Parenchymal Tumors in Children 190
Cystic Tumors 192
Pelvicaliceal Tumors 195
Ureteric Tumors 204
Pathology 204
Diagnostic Imaging 205
Identification 205
Staging 210
Bladder Cancer 210
Pathology 210
Diagnostic Imaging 212
Identification 212
Staging 219
Part IV Disease of the Male Reproductive System 221
10 Clinical Approach to Prostate Disease 222
Inflammation 222
Acute Prostatitis 223
Chronic Prostatitis 223
Benign Prostatic Hyperplasia 224
Prostate Cancer 225
11 Diagnostic Imaging of the Prostate 228
Inflammation 228
Pathology 228
Diagnostic Imaging 229
Acute Prostatitis and Prostatic Abscess 229
Chronic Prostatitis 231
Hyperplasia 232
Pathology 232
Diagnostic Imaging 233
Malignant Neoplasms 237
Pathology 237
Diagnostic Imaging 239
Identification 239
PSA Assay 239
Age-adjusted PSA 240
PSA Ratio 240
PSA Velocity and PSA Doubling Time 240
PSA Density 241
cPSA 241
Digital Rectal Examination 241
Transrectal Ultrasonography of the Prostate 242
Prostate Needle Biopsy 244
Computed Tomography 246
Magnetic Resonance 246
Staging 251
Digital Rectal Examination 252
Transrectal Ultrasonography of the Prostate 253
Computed Tomography 254
Magnetic Resonance 255
Bone Scintigraphy 261
Positron Emission Tomography (PET) and CT-PET 261
Laparoscopic Lymphadenectomy 262
12 Clinical Approach to Testicular Disease 263
Inflammation 263
Testicular Cancer 264
13 Diagnostic Imaging of the Testicle 266
Study Technique and Radiologic Signs 266
Ultrasonography 266
Magnetic Resonance 268
Pathologic Findings 269
Acute Scrotum 269
Torsion of the Spermatic Cord 269
Torsion of the Appendix Testis and Appendix Epididymis 271
Acute Epididymitis and Orchitis 271
Chronic Epididymitis and Orchitis 273
Fournier Gangrene 274
Testicular Cancer 276
Risk Factors 276
Diagnostic Imaging 277
Benign Intratesticular Focal Lesions 280
Testicular Cysts 280
Cystic Ectasia of the Rete Testis 281
Epidermoid Cysts 281
Focal Inflammatory Alterations 282
Focal Traumatic Lesions 282
Testicular Infarction 282
Part V Oncologic Recurrences of the Male Reproductive System 284
14 Clinical Approach 285
Kidney 285
Upper Urinary Tract 286
Urinary Bladder 286
Prostate 287
Testicle 287
Penis 288
15 Diagnostic Imaging 290
Kidney 290
Introduction 290
Diagnostic Imaging 290
Computed Tomography 290
Magnetic Resonance 293
CT-PET 293
Urinary Bladder 295
Introduction 295
Diagnostic Imaging 295
Computed Tomography 295
Magnetic Resonance 295
Prostate 296
Introduction 296
PSA 297
PSA after Radical Prostatectomy 297
PSA after Radiotherapy 298
Digital Rectal Examination 298
Diagnostic Imaging 299
Transrectal Ultrasonography 299
Computed Tomography 300
Magnetic Resonance 302
Bone Scintigraphy 304
Imaging with monoclonal antibodies 305
CT-PET 305
Testicle 309
Part VI Female Pelvic Floor 310
16 Female Pelvic Floor Dysfunction: Clinics and Imaging 311
Introduction 311
Anatomy of the Pelvic Floor 311
Epidemiology and Pathogenesis of Pelvic Organ Prolapse 313
Endopelvic Fascial Defects 314
Classification 315
Pelvic Organ Prolapse and Correlated Disease 316
Urinary Incontinence and Prolapse 316
Gastrointestinal Dysfunction and Prolapse 317
Pelvic Organ Prolapse: Imaging 318
Introduction 318
Voiding Cystourethrography 319
Quantitative Parameters 320
Qualitative Parameters 320
Anterior Bladder Wall Support Defects 320
Posterior Bladder Wall Support Defects 321
Defecography 322
Ultrasonography 324
Magnetic Resonance 327
Part VII Disease of the Female Reproductive System 332
17 Endometriosis, Pelvic Pain: Clinics and Imaging 333
Introduction 333
Rectovaginal Endometriosis 333
Intestinal Endometriosis 333
Endometriosis of the Urogenital Tract 334
Imaging 334
Comparison of Diagnostic Modalities 340
Ultrasonography and Magnetic Resonance 340
Endoscopic Ultrasonography 343
Magnetic Resonance Urography 344
18 Pelvic Inflammatory Disease:Clinics and Imaging 347
Pathology 347
Clinical Diagnosis 348
Instrumental Diagnosis 348
Diagnostic Imaging 349
Hysterosalpingography 349
Ultrasonography 350
Computed Tomography 351
Magnetic Resonance 354
19 Clinical Approach to Uterine Disease 359
Uterine Fibroids 359
Endometrial Cancer 360
Epidemiology 360
Risk Factors 360
Pathology 360
Spread Patterns 361
Prognostic Factors 361
Diagnosis 362
Treatment 362
Cervical Cancer 363
Epidemiology and Etiopathogenesis 363
Clinical and Histologic Forms 363
Spread Patterns 364
Staging 364
Diagnosis and Pretreatment Examinations 364
Prognosis and Survival 365
Treatment 365
20 Diagnostic Imaging of the Uterus 367
Endometritis 367
Pathology 367
Diagnostic Imaging 367
Benign Tumors 369
Leiomyomas 369
Pathology 369
Diagnostic Imaging 369
Adenomyosis and adenomyoma 375
Hyperplasia and Endometrial Polyps 378
Simple Benign Hyperplasia 378
Endometrial Polyps 380
Malignant Tumors of the Endometrium 383
Pathology 383
Diagnostic Imaging 384
Identification 384
Staging 386
Cervical cancer 396
Pathology 396
Diagnostic Imaging 397
Identification 397
Staging 399
21 Clinical Approach to Adnexal Disease 410
Malformations 410
Inflammation 412
Tumors 413
22 Diagnostic Imaging of the Adnexa 417
Introduction 417
Non-neoplastic Lesions 418
Functional Ovarian Cysts 418
Para-ovarian and Peritubal Cysts 419
Peritoneal Inclusion Cysts or Pseudocysts or Benign Cystic Mesotheliomas 419
Theca Lutein Cysts 420
Polycystic Ovary Syndrome 420
Benign Neoplastic Lesions 421
Cystadenoma 421
Cystadenofibroma 422
Benign Teratoma 423
Mature Cystic Teratoma or Dermoid Cysts 424
Monodermal Teratoma 426
Brenner Tumor 426
Sex Cord-Stromal Tumors 427
Granulosa Cell Tumor 427
Sertoli-Leydig Tumor 427
Tumors of the Thecoma-Fibroma Group 427
Sclerosing Stromal Tumor 428
Malignant Neoplastic Lesions 429
Epithelial Forms 430
Serous Adenocarcinoma 430
Mucinous Adenocarcinoma 432
Endometrioid Carcinoma 433
Clear-cell Carcinoma 433
Borderline Forms 433
Nonepithelial Forms 433
Germ Cell Tumors 433
Spread Patterns of Ovarian Malignancies 438
Metastases 442
Uterine Tube Carcinoma 443
Part VIII Oncologic Recurrences of the Female Reproductive System 445
23 Clinical Approach 446
Ovary 446
Endometrium 447
Cervix 448
24 Diagnostic Imaging 450
Recurrences of Ovarian Malignancies 451
Recurrences of Uterine Malignancies 455
Recurrences of Vulvovaginal Malignancies 460
Part IX Interventional Radiology 462
25 Prostate Biopsy 463
Indications 463
Patient Preparation 464
Technique 464
Complications 469
26 Treatment of Varicocele 470
Introduction 470
Ultrasonography 470
Endovascular Procedure 471
27 Drainage and Embolization Techniques 476
Introduction 476
Percutaneous Nephrostomy 476
Ureteric Stenting 478
Ureteroplasty 481
Arterial Embolization 482
Subject Index 485

Erscheint lt. Verlag 16.8.2010
Zusatzinfo XVIII, 496 p. 988 illus., 104 illus. in color.
Verlagsort Milano
Sprache englisch
Themenwelt Medizin / Pharmazie Medizinische Fachgebiete Gynäkologie / Geburtshilfe
Medizinische Fachgebiete Radiologie / Bildgebende Verfahren Radiologie
Medizin / Pharmazie Medizinische Fachgebiete Urologie
Studium 2. Studienabschnitt (Klinik) Anamnese / Körperliche Untersuchung
Schlagworte Computed tomography (CT) • Diagnosis • Female urogenital diseases • Genitalia • Genitourinary tract • Male urogenital diseases • Neoplasms • Pelvis • Radiological anatomy • Radiology • Tumor • Ultrasound
ISBN-10 88-470-1344-5 / 8847013445
ISBN-13 978-88-470-1344-5 / 9788847013445
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