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Myocardial Perfusion Imaging - Beyond the Left Ventricle (eBook)

Pathology, Artifacts and Pitfalls in the Chest and Abdomen
eBook Download: PDF
2016 | 1st ed. 2017
XVII, 385 Seiten
Springer International Publishing (Verlag)
978-3-319-25436-4 (ISBN)

Lese- und Medienproben

Myocardial Perfusion Imaging - Beyond the Left Ventricle - M. Elizabeth Oates, Vincent L. Sorrell
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This book will serve as a comprehensive reference source and self-assessment guide for physicians and technologists who practice myocardial perfusion SPECT imaging. Readers will learn to identify a wide variety of findings apart from the left ventricle, including those in the chest, the abdomen, and the right heart. It is explained which findings are clinically relevant and related to the reason for the myocardial perfusion imaging examination and which are incidental, with or without important clinical ramifications. The coverage includes a wide variety of common and uncommon focal lesions (e.g., benign or malignant neoplasms) and organ/systemic diseases (e.g., emphysema, cirrhosis and its sequelae, cholecystitis, duodenogastric reflux/gastroparesis, end-stage renal disease) that may be detected with myocardial perfusion SPECT imaging. In addition, guidance is provided in the recognition of typical artifacts, which may appear either 'hot' or 'cold' on the raw (unprocessed) and processed SPECT images, and, thereby, in the avoidance of potential interpretative pitfalls.

M. Elizabeth Oates, MD, graduated from Boston University School of Medicine, Massachusetts in 1981 and returned to Boston in 1985 to complete a Nuclear Radiology fellowship at Tufts University School of Medicine/New England Medical Center (now Tufts Medical Center). During 15 years at Tufts, she rose to the rank of Professor and served as Division Chief of Nuclear Medicine. In 2001, Dr. Oates became Section Head of Nuclear Radiology at Boston Medical Center and in 2006 she accepted a position as Medical Director of Radiology at the University of Massachusetts Medical School/UMass Memorial Medical Center. In 2007, she was recruited to the University of Kentucky as Chair of the Department of Radiology where she is a tenured Professor of Radiology and Medicine (Cardiovascular Medicine) and holds the Rosenbaum Endowed Chair of Radiology. Dr. Oates is a Past President of the American Association for Women Radiologists. Honored with its Distinguished Service Award, Lifetime Service Award, and Volunteer Service Award, she currently serves on the Board of Trustees of The American Board of Radiology. She has chaired the American College of Radiology's Commission on Nuclear Medicine and Molecular Imaging since 2011 and is in her second term on the Board of Chancellors. Dr. Oates has served on both the Education Exhibits and Scientific Program Committees for the Radiological Society of North America. She is a member of the editorial board of the Journal of the American College of Radiology and recently completed service as an Associate Editor for Radiology. Dr. Oates has published 140 scholarly articles and book chapters. She has been named by Best Doctors in America annually since 2007. Dr. Oates is respected as a thought leader in her field and her opinion is regularly sought by practitioners, educators, researchers, and leaders.  

Vincent L. Sorrell, MD, FACC, FACP-ASIM, FASE, graduated from St. George's University School of Medicine in 1989. After Cardiovascular Fellowship training at University of Texas Medical Branch, Galveston, and a Cardiovascular Imaging Fellowship at Temple University Hospital, Philadelphia, he started his academic career as Assistant Professor in Cardiology and Radiology and Medical Director of Echocardiography and Exercise Physiology Laboratories at East Carolina University Brody School of Medicine. Prior to being appointed as the first Allan C. Hudson and Helen Lovaas Endowed Chair for Cardiac Imaging at the University of Arizona, he was Chief of the Division of Cardiovascular Medicine at E.C.U. and founder of the William C. Reeve's Advanced Cardiac Imaging Center. At Arizona, he established one of the first multidisciplinary advanced cardiovascular imaging centers that seamlessly integrated imaging experts from Radiology, Vascular Medicine, Nuclear Medicine, and Cardiology. In 2011, Dr. Sorrell moved to the University of Kentucky to continue his efforts at improving regional and national healthcare through structured development, application, and investigation of advanced cardiac imaging techniques. He is the author of more than 100 publications, 25 book chapters, numerous editorials and abstracts, and three textbooks. He has received many awards for research, education, and mentoring, including the prestigious Richard Popp Excellence in Teaching Award from the American Society of Echocardiography in 2010 and the University of Kentucky's Borys Surawicz Distinguished Teacher Award in 2014. He has been listed in Who's Who in Science and Engineering since 2003 and in Best Doctors in America every year since 2007. He is considered a national key opinion leader.

M. Elizabeth Oates, MD, graduated from Boston University School of Medicine, Massachusetts in 1981 and returned to Boston in 1985 to complete a Nuclear Radiology fellowship at Tufts University School of Medicine/New England Medical Center (now Tufts Medical Center). During 15 years at Tufts, she rose to the rank of Professor and served as Division Chief of Nuclear Medicine. In 2001, Dr. Oates became Section Head of Nuclear Radiology at Boston Medical Center and in 2006 she accepted a position as Medical Director of Radiology at the University of Massachusetts Medical School/UMass Memorial Medical Center. In 2007, she was recruited to the University of Kentucky as Chair of the Department of Radiology where she is a tenured Professor of Radiology and Medicine (Cardiovascular Medicine) and holds the Rosenbaum Endowed Chair of Radiology. Dr. Oates is a Past President of the American Association for Women Radiologists. Honored with its Distinguished Service Award, Lifetime Service Award, and Volunteer Service Award, she currently serves on the Board of Trustees of The American Board of Radiology. She has chaired the American College of Radiology’s Commission on Nuclear Medicine and Molecular Imaging since 2011 and is in her second term on the Board of Chancellors. Dr. Oates has served on both the Education Exhibits and Scientific Program Committees for the Radiological Society of North America. She is a member of the editorial board of the Journal of the American College of Radiology and recently completed service as an Associate Editor for Radiology. Dr. Oates has published 140 scholarly articles and book chapters. She has been named by Best Doctors in America annually since 2007. Dr. Oates is respected as a thought leader in her field and her opinion is regularly sought by practitioners, educators, researchers, and leaders.  Vincent L. Sorrell, MD, FACC, FACP-ASIM, FASE, graduated from St. George’s University School of Medicine in 1989. After Cardiovascular Fellowship training at University of Texas Medical Branch, Galveston, and a Cardiovascular Imaging Fellowship at Temple University Hospital, Philadelphia, he started his academic career as Assistant Professor in Cardiology and Radiology and Medical Director of Echocardiography and Exercise Physiology Laboratories at East Carolina University Brody School of Medicine. Prior to being appointed as the first Allan C. Hudson and Helen Lovaas Endowed Chair for Cardiac Imaging at the University of Arizona, he was Chief of the Division of Cardiovascular Medicine at E.C.U. and founder of the William C. Reeve’s Advanced Cardiac Imaging Center. At Arizona, he established one of the first multidisciplinary advanced cardiovascular imaging centers that seamlessly integrated imaging experts from Radiology, Vascular Medicine, Nuclear Medicine, and Cardiology. In 2011, Dr. Sorrell moved to the University of Kentucky to continue his efforts at improving regional and national healthcare through structured development, application, and investigation of advanced cardiac imaging techniques. He is the author of more than 100 publications, 25 book chapters, numerous editorials and abstracts, and three textbooks. He has received many awards for research, education, and mentoring, including the prestigious Richard Popp Excellence in Teaching Award from the American Society of Echocardiography in 2010 and the University of Kentucky’s Borys Surawicz Distinguished Teacher Award in 2014. He has been listed in Who’s Who in Science and Engineering since 2003 and in Best Doctors in America every year since 2007. He is considered a national key opinion leader.

Foreword 10
Preface 12
Contents 14
Abbreviations by Convention 18
1: Introduction 19
Part I: The Fundamentals 21
2: Technical Principles 22
3: Image Interpretation 25
Part II: The Chest (“Above the Diaphragm”) 38
4: Thyroid Gland 39
5: Parathyroid Glands 44
6: Breasts 48
7: Chest Wall 60
8: Skeleton 68
9: Pleura 76
10: Lungs 83
11: Mediastinum 96
12: Myocardium and Pericardium 102
13: Right Atrium and Right Ventricle 105
14: Vascular System 113
15: Lymphatic System 119
16: Diaphragm 122
Part III: The Abdomen (“Below the Diaphragm”) 129
17: Abdominal Wall 130
18: Peritoneum 135
19: Liver 143
20: Biliary System and Gallbladder 158
21: Spleen 171
22: Stomach 178
23: Small Intestine and Large Intestine 202
24: Adrenal Glands 210
25: Kidneys and Female Reproductive System 212
26: Vascular System 216
Part IV: Case Challenges: A Self-Assessment Tool 219
27: Self-Assessment Cases: Basic 220
27.1 Case Challenge #1 221
27.1.1 Problem 221
Clinical Highlights 221
Images for Review 221
Characterize the Pertinent Finding(s) 222
State Your Relevant Diagnosis(es) 222
27.1.2 Solution 223
Additional Annotated Images 223
The Pertinent Findings 224
The Relevant Diagnosis(es) 224
Discussion 224
Relevant Chapter(s) 224
27.2 Case Challenge #2 225
27.2.1 Problem 225
Clinical Highlights 225
Images for Review 225
Characterize the Pertinent Finding(s) 226
State Your Relevant Diagnosis(es) 226
27.2.2 Solution 227
Additional Annotated Images 227
The Pertinent Findings 228
The Relevant Diagnosis(es) 228
Discussion 228
Relevant Chapter(s) 228
27.3 Case Challenge #3 229
27.3.1 Problem 229
Clinical Highlights 229
Images for Review 229
Characterize the Pertinent Finding(s) 230
State Your Relevant Diagnosis(es) 231
27.3.2 Solution 231
Additional Annotated Images 231
The Pertinent Findings 232
The Relevant Diagnosis(es) 232
Discussion 232
Relevant Chapter(s) 232
27.4 Case Challenge #4 233
27.4.1 Problem 233
Clinical Highlights 233
Images for Review 233
Characterize the Pertinent Finding(s) 234
State Your Relevant Diagnosis(es) 234
27.4.2 Solution 235
Additional Images 235
The Pertinent Findings 235
The Relevant Diagnosis(es) 236
Discussion 236
Relevant Chapter(s) 237
27.5 Case Challenge #5 238
27.5.1 Problem 238
Clinical Highlights 238
Images for Review 238
Characterize the Pertinent Finding(s) 239
State Your Relevant Diagnosis(es) 240
27.5.2 Solution 240
Additional Annotated Images 240
The Pertinent Findings 241
The Relevant Diagnosis(es) 241
Discussion 241
Relevant Chapter(s) 242
27.6 Case Challenge #6 243
27.6.1 Problem 243
Clinical Highlights 243
Images for Review 243
Characterize the Pertinent Finding(s) 243
State Your Relevant Diagnosis(es) 244
27.6.2 Solution 244
Additional Annotated Images 244
The Relevant Diagnosis(es) 244
Discussion 244
Relevant Chapter(s) 245
27.7 Case Challenge #7 246
27.7.1 Problem 246
Clinical Highlights 246
Images for Review 246
Characterize the Pertinent Finding(s) 246
State Your Relevant Diagnosis(es) 247
27.7.2 Solution 248
Additional Images 248
The Pertinent Findings 249
The Relevant Diagnosis(es) 249
Discussion 249
Relevant Chapter(s) 249
27.8 Case Challenge #8 250
27.8.1 Problem 250
Clinical Highlights 250
Images for Review 250
Characterize the Pertinent Finding(s) 250
State Your Relevant Diagnosis(es) 251
27.8.2 Solution 251
Additional Annotated Images 251
The Pertinent Findings 252
The Relevant Diagnosis(es) 252
Discussion 252
Relevant Chapter(s) 252
27.9 Case Challenge #9 253
27.9.1 Problem 253
Clinical Highlights 253
Images for Review 253
Characterize the Pertinent Finding(s) 253
State Your Relevant Diagnosis(es) 254
27.9.2 Solution 254
Additional Images 254
The Pertinent Findings 255
The Relevant Diagnosis(es) 255
Discussion 255
Relevant Chapter(s) 256
27.10 Case Challenge #10 257
27.10.1 Problem 257
Clinical Highlights 257
Images for Review 257
Characterize the Pertinent Finding(s) 257
State Your Relevant Diagnosis(es) 258
27.10.2 Solution 258
Additional Annotated Images 258
The Pertinent Findings 259
The Relevant Diagnosis(es) 259
Discussion 259
Relevant Chapter(s) 259
27.11 Case Challenge #11 260
27.11.1 Problem 260
Clinical Highlights 260
Images for Review 260
Characterize the Pertinent Finding(s) 260
State Your Relevant Diagnosis(es) 260
27.11.2 Solution 261
Additional Annotated Images 261
The Pertinent Findings 261
The Relevant Diagnosis(es) 262
Discussion 262
Relevant Chapter(s) 262
27.12 Case Challenge #12 263
27.12.1 Problem 263
Clinical Highlights 263
Images for Review 263
Characterize the Pertinent Finding(s) 263
State Your Relevant Diagnosis(es) 264
27.12.2 Solution 264
Additional Annotated Images 264
The Pertinent Findings 264
The Relevant Diagnosis(es) 264
Discussion 265
Relevant Chapter(s) 265
28: Self-Assessment Cases: Intermediate 266
28.1 Case Challenge #13 267
28.1.1 Problem 267
Clinical Highlights 267
Images for Review 267
Characterize the Pertinent Finding(s) 268
State Your Relevant Diagnosis(es) 269
28.1.2 Solution 270
Additional Annotated Images 270
The Pertinent Findings 270
The Relevant Diagnosis(es) 271
Discussion 271
Relevant Chapter(s) 271
28.2 Case Challenge #14 272
28.2.1 Problem 272
Clinical Highlights 272
Images for Review 272
Characterize the Pertinent Finding(s) 272
State Your Relevant Diagnosis(es) 273
28.2.2 Solution 273
Additional Annotated Images 273
The Pertinent Findings 273
The Relevant Diagnosis(es) 273
Discussion 274
Relevant Chapter(s) 274
28.3 Case Challenge #15 275
28.3.1 Problem 275
Clinical Highlights 275
Images for Review 275
Characterize the Pertinent Finding(s) 275
State Your Relevant Diagnosis(es) 276
28.3.2 Solution 276
Additional Images 276
The Pertinent Findings 276
The Relevant Diagnosis(es) 277
Discussion 277
Relevant Chapter(s) 277
28.4 Case Challenge #16 278
28.4.1 Problem 278
Clinical Highlights 278
Images for Review 278
Characterize the Pertinent Finding(s) 279
State Your Relevant Diagnosis(es) 279
28.4.2 Solution 280
Additional Annotated Images 280
The Pertinent Findings 280
The Relevant Diagnosis(es) 281
Discussion 281
Relevant Chapter(s) 281
28.5 Case Challenge #17 282
28.5.1 Problem 282
Clinical Highlights 282
Images for Review 282
Characterize the Pertinent Finding(s) 283
State Your Relevant Diagnosis(es) 284
28.5.2 Solution 285
Additional Annotated Images 285
The Pertinent Findings 285
The Relevant Diagnosis(es) 286
Discussion 286
Relevant Chapter(s) 286
28.6 Case Challenge #18 287
28.6.1 Problem 287
Clinical Highlights 287
Images for Review 287
Characterize the Pertinent Finding(s) 288
State Your Relevant Diagnosis(es) 289
28.6.2 Solution 289
Additional Images 289
The Pertinent Findings 290
The Relevant Diagnosis(es) 290
Discussion 290
Relevant Chapter(s) 290
28.7 Case Challenge #19 291
28.7.1 Problem 291
Clinical Highlights 291
Images for Review 291
Characterize the Pertinent Finding(s) 292
State Your Relevant Diagnosis(es) 293
28.7.2 Solution 294
Additional Images 294
The Pertinent Findings 294
The Relevant Diagnosis(es) 294
Discussion 294
Relevant Chapter(s) 295
28.8 Case Challenge #20 296
28.8.1 Problem 296
Clinical Highlights 296
Images for Review 296
Characterize the Pertinent Finding(s) 296
State Your Relevant Diagnosis(es) 297
28.8.2 Solution 297
Additional Annotated Images 297
The Pertinent Findings 298
The Relevant Diagnosis(es) 298
Discussion 298
Relevant Chapter(s) 298
28.9 Case Challenge #21 299
28.9.1 Problem 299
Clinical Highlights 299
Images for Review 299
Characterize the Pertinent Finding(s) 300
State Your Relevant Diagnosis(es) 300
28.9.2 Solution 301
Additional Annotated Images 301
The Pertinent Findings 301
The Relevant Diagnosis(es) 301
Discussion 302
Relevant Chapter(s) 302
28.10 Case Challenge #22 303
28.10.1 Problem 303
Clinical Highlights 303
Images for Review 303
Characterize the Pertinent Finding(s) 304
State Your Relevant The Relevant Diagnosis(es) 304
28.10.2 Solution 305
Additional Annotated Images 305
The Pertinent Findings 305
The Relevant Diagnosis(es) 305
Discussion 305
Relevant Chapter(s) 305
28.11 Case Challenge #23 306
28.11.1 Problem 306
Clinical Highlights 306
Images for Review 306
Characterize the Pertinent Finding(s) 306
State Your Relevant Diagnosis(es) 307
28.11.2 Solution 308
Additional Images 308
The Pertinent Findings 309
The Relevant Diagnosis(es) 309
Discussion 309
Relevant Chapter(s) 309
28.12 Case Challenge #24 310
28.12.1 Problem 310
Clinical Highlights 310
Images for Review 310
Characterize the Pertinent Finding(s) 311
State Your Relevant Diagnosis(es) 312
28.12.2 Solution 313
Additional Images 313
The Pertinent Findings 313
The Relevant Diagnosis(es) 313
Discussion 314
Relevant Chapter(s) 314
29: Self-Assessment Cases: Advanced 315
29.1 Case Challenge #25 316
29.1.1 Problem 316
Clinical Highlights 316
Images for Review 316
Characterize the Pertinent Finding(s) 316
State Your Relevant Diagnosis(es) 317
29.1.2 Solution 318
Additional Annotated Images 318
The Pertinent Findings 318
The Relevant Diagnosis(es) 318
Discussion 318
Relevant Chapter(s) 318
29.2 Case Challenge #26 319
29.2.1 Problem 319
Clinical Highlights 319
Images for Review 319
Characterize the Pertinent Finding(s) 321
State Your Relevant Diagnosis(es) 321
29.2.2 Solution 322
Additional Annotated Images 322
The Pertinent Findings 323
The Relevant Diagnosis(es) 323
Discussion 323
Relevant Chapter(s) 323
29.3 Case Challenge #27 324
29.3.1 Problem 324
Clinical Highlights 324
Images for Review 324
Characterize the Pertinent Finding(s) 325
State Your Relevant Diagnosis(es) 326
29.3.2 Solution 327
Additional Annotated Images 327
The Pertinent Findings 327
The Relevant Diagnosis(es) 327
Discussion 328
Relevant Chapter(s) 328
29.4 Case Challenge #28 329
29.4.1 Problem 329
Clinical Highlights 329
Images for Review 329
Characterize the Pertinent Finding(s) 331
State Your Relevant Diagnosis(es) 331
29.4.2 Solution 332
Additional Images 332
The Pertinent Findings 332
The Relevant Diagnosis(es) 332
Discussion 333
Relevant Chapter(s) 333
29.5 Case Challenge #29 334
29.5.1 Problem 334
Clinical Highlights 334
Images for Review 334
Characterize the Pertinent Finding(s) 336
State Your Relevant Diagnosis(es) 337
29.5.2 Solution 338
Additional Annotated Images 338
The Pertinent Findings 338
The Relevant Diagnosis(es) 339
Discussion 339
Relevant Chapter(s) 339
29.6 Case Challenge #30 340
29.6.1 Problem 340
Clinical Highlights 340
Images for Review 340
Characterize the Pertinent Finding(s) 341
State Your Relevant Diagnosis(es) 342
29.6.2 Solution 343
Additional Annotated Images 343
The Pertinent Findings 343
The Relevant Diagnosis(es) 343
Discussion 343
Relevant Chapter(s) 343
29.7 Case Challenge #31 344
29.7.1 Problem 344
Clinical Highlights 344
Images for Review 344
Characterize the Pertinent Finding(s) 345
State Your Relevant Diagnosis(es) 345
29.7.2 Solution 346
Additional Images 346
The Pertinent Findings 347
The Relevant Diagnosis(es) 347
Discussion 348
Relevant Chapter(s) 348
29.8 Case Challenge #32 349
29.8.1 Problem 349
Clinical Highlights 349
Images for Review 349
Characterize the Pertinent Finding(s) 350
State Your Relevant Diagnosis(es) 351
29.8.2 Solution 352
Additional Annotated Images 352
The Pertinent Findings 353
The Relevant Diagnosis(es) 354
Discussion 354
Relevant Chapter(s) 354
29.9 Case Challenge #33 355
29.9.1 Problem 355
Clinical Highlights 355
Images for Review 355
Characterize the Pertinent Finding(s) 356
State Your Relevant Diagnosis(es) 356
29.9.2 Solution 357
Additional Annotated Images 357
The Pertinent Findings 359
The Relevant Diagnosis(es) 359
Discussion 359
Relevant Chapter(s) 359
29.10 Case Challenge #34 360
29.10.1 Problem 360
Clinical Highlights 360
Images for Review 360
Characterize the Pertinent Finding(s) 360
State Your Relevant Diagnosis(es) 361
29.10.2 Solution 362
Additional Annotated Images 362
The Pertinent Findings 364
The Relevant Diagnosis(es) 364
Discussion 365
Relevant Chapter(s) 365
29.11 Case Challenge #35 366
29.11.1 Problem 366
Clinical Highlights 366
Images for Review 366
Characterize the Pertinent Finding(s) 367
State Your Relevant Diagnosis(es) 368
29.11.2 Solution 369
Additional Annotated Images 369
The Pertinent Findings 369
The Relevant Diagnosis(es) 370
Discussion 370
Relevant Chapter(s) 370
29.12 Case Challenge #36 371
29.12.1 Problem 371
Clinical Highlights 371
Images for Review 371
Characterize the Pertinent Finding(s) 371
State Your Relevant Diagnosis(es) 372
29.12.2 Solution 373
Additional Annotated Images 373
The Pertinent Findings 373
The Relevant Diagnosis(es) 374
Discussion 374
Relevant Chapter(s) 374
References 375
Index 381

Erscheint lt. Verlag 12.10.2016
Zusatzinfo XVII, 385 p. 135 illus. in color.
Verlagsort Cham
Sprache englisch
Themenwelt Medizinische Fachgebiete Radiologie / Bildgebende Verfahren Radiologie
Studium 2. Studienabschnitt (Klinik) Anamnese / Körperliche Untersuchung
Schlagworte diagnostic radiology • heart • Radionuclide imaging • SPECT • Stress Test • Technetium-99m • Thallium-201
ISBN-10 3-319-25436-7 / 3319254367
ISBN-13 978-3-319-25436-4 / 9783319254364
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