Practical Head and Neck Ultrasound

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Anil T. Ahuja, Rhodri M. Evans
Cambridge University Press, Jan 4, 2000 - Medical - 172 pages
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Head and neck ultrasound is a standard radiological examination performed at most hosp itals. It is an important topic and all specialist registrars in radiology will need to learn how to scan the organs and structures of the head and neck. This book covers normal anatomy and provides a comprehensive account of pathological processes in all of the head and neck structures, including the vasculature. With excellent diagrams and high quality images, it illustrates the key technical and diagnostic steps needed by both trainee and established radiographers or radiologists. It provides clear guidance on scanning technique, potential pitfalls and common problems, and how to achieve optimum image quality. Key topics include: normal anatomy of the head and neck region, practical scanning technique, the salivary glands, the thyroid and parathyroid, lymph nodes, cystic masses, the larynx, what the surgeon needs to know and why, biopsy techniques and basic vascular ultrasound.
 

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Contents

Anatomy and Technique
1
Equipment and technique
3
introduction
4
Ultrasound anatomy
6
Salivary Glands
17
Normal anatomy
19
Salivary gland technique
21
Calculi and acute inflammatory disease
22
Classification systems
74
Criteria of malignancy
75
Lumps and Bumps in the Head and Neck
85
Masses in the submental region
87
Masses in the submandibular region
89
Masses in the parotid region
94
Masses along the carotid artery and internal jugular vein
97
Masses in the posterior triangle
100

Chronic inflammatory conditions
25
Trauma
26
Miscellaneous parotid lesions
31
The Thyroid and parathyroids
35
Ultrasound of the thyroid
37
Examination
39
Papillary carcinoma
43
Anaplastic carcinoma
46
Medullary carcinoma
48
Follicular lesion
49
Lymphoma
50
Thyroid metastases
51
Hurthle cell tumours
52
Multinodular thyroid
53
Thyroid cysts
55
Postoperative hypertrophy
58
Ultrasound of the parathyroids
59
Lymph Nodes
65
Anatomy
67
Ultrasound anatomy
68
Miscellaneous neck masses
101
The Larynx
105
Anatomy and sonographic anatomy
107
Examination technique
108
Vocal folds
109
Clinical applications
110
What the Surgeon Needs to Know and Why
119
The clinical characteristics of a lump
121
Establishing a tissue diagnosis
122
Does improved imaging result in a better outcome for the patient?
127
FineNeedle Aspiration or Core Biopsy?
129
Fineneedle aspiration
131
Core biopsy
138
Carotid and Vertebral Ultrasonography
145
Anatomy
147
Examination
148
Normal ultrasound appearances
153
Index
167
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Page 164 - European Carotid Surgery Trialists' Collaborative Group: MRC European Carotid Surgery Trial: Interim results for symptomatic patients with severe (70-99%) or with mild (0-29%) carotid stenosis. Lancet 337:1235-1243, 1991.
Page 164 - North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 1991; 325: 445-53. 2. European Carotid Surgery Trialists

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