Emergency Radiology: Imaging and Intervention

Front Cover
Borut Marincek, Robert F. Dondelinger
Springer Science & Business Media, Mar 6, 2007 - Medical - 650 pages
Why write a book on emergency radiology? In many coun- decline. There is an increasing trend towards the use of tries, hospital emergency departments have become a MDCT to evaluate traumatic injuries and non-traumatic major part of the healthcare safety net. In the last decade emergencies. The use of workstations for reporting and for economically-driven structural changes in health care further image reconstruction becomes standard practice. delivery have caused a dramatic increase in emergency On the occasion of the European Congress of Radiology department visits. In response to capacity and staffing (ECR) 2003 and 2004 a Categorical Course on “Emergency pressures, hospitals are developing and implementing a Radiology”has been organized to assess current devel- variety of strategies designed to improve patient flow and ments and concepts in this rapidly growing field. reduce overcrowding in the emergency department. Numerous radiologists,all outstanding and international- Several factors are considered critical for success, such as ly renowned experts in their field,have made superb c- having the right multidisciplinary teams in place and opti- tributions in an ECR syllabus. These authors have now mizing the use of imaging tests. For a critical care physi- made a second effort and updated their contributions for cian it is paramount to obtain the images quickly and for this book. The chapters in the book mirror the topics p- them to be interpreted accurately. sented in the ECR course, encompassing imaging ap- To accomplish this, the emergency radiology division proaches as well as interventional aspects.
 

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Contents

428 Severity Assessment of Pulmonary Embolism
361
429 Alternative Diagnoses
362
4210 Other Advantages
363
4211 Limitations of CTPA
364
4213 Conclusion
365
CT Venography in an Integrated Diagnostic Strategy of Acute Pulmonary Embolism and Venous Thrombosis
371
432 History
372
435 Indirect CT Venography
373

Hemostatic Arterial Embolization in Trauma Victims at Admission
41
with Computed Tomography
45
214 Indications of Therapeutic Arteriography
47
215 Arteriographic Demonstration of Posttraumatic Hemorrhage
48
217 OrganSpecific Hemostatic Embolization
51
218 Conclusion
58
Imaging and Intervention in Posttraumatic Complications Delayed Intervention
61
222 Liver and Bile Ducts
62
223 Spleen
75
224 Pancreas
83
225 KidneysAdrenalsUrinary Bladder
86
226 Gastrointestinal Tract
88
227 Vascular Complications
89
228 Diaphragm
92
Imaging of Head Injuries
99
233 Imaging
100
234 Biomechanical Considerations of Brain Injury
102
235 Classification of Brain Injury
108
236 ClosedHead Injury
109
237 Imaging of Diffuse Axonal Injury Shearing Injury
114
238 Early Secondary Lesions in Brain Injury
118
239 Late Sequelae of Trauma
120
2310 Conclusion
122
References
123
Imaging of Facial Injuries
125
243 Nasal Fractures
127
244 Complex Midfacial Fractures
128
245 Isolated Fractures
131
246 Foreign Bodies and Penetrating Injuries
133
248 Mandibular Fractures
136
249 Conclusion
138
Imaging of Spinal Injuries
140
252 Injury Assessment and Imaging
142
254 Classification
144
References
154
Imaging of Thoracic Injuries
155
262 Clinical and Imaging Findings
156
263 Conclusion
175
References
176
Vascular Injuries of the Thorax MultiDetectorRow CT and 3D Imaging
179
273 Imaging
180
274 Conclusion
187
Imaging of Abdominal and Pelvic Injuries
189
282 Clinical Findings
190
283 Imaging
191
284 Conclusion
201
Imaging and Intervention of Large Arterial Trauma
205
292 Supraaortic Arch Vessels
206
293 Pelvic Arteries and Lower Limbs
208
294 Thoracic Aorta
212
295 Abdominal Aorta
218
296 Abdominal Aortic Branches
220
Pelvic Fractures
224
2104 Imaging
228
2105 Classifications
231
2106 Pelvic Trauma Management
246
2107 Complications
247
2108 Conclusion
248
Traumatic Injuries Imaging of Peripheral Muskuloskeletal Injuries
251
2113 Soft Tissue Injuries in General
253
2114 Upper Extremity
254
2115 Lower Extremity
273
References
288
NonTraumatic Neurologic Emergencies Imaging and Intervention
290
Imaging of Cerebral Ischemia
293
313 Acute Ischemic Stroke
294
314 Clinical Terms of Stroke
296
315 Lacunar Infarctions
308
318 HypoxicIschemic Encephalopathy
309
References
310
Neuroradiological Emergency Interventions
312
323 Acute Ischaemic Stroke
323
324 Discussion
326
References
327
NonTraumatic Thoracic Emergencies Imaging and Intervention
329
Acute Chest Pain Diagnostic Strategies
331
413 Aortic Diseases
333
414 MultidectorRow CT and Acute Chest Pain
342
References
344
CT Diagnosis of Acute Pulmonary Embolism
346
422 History
348
424 Image Interpretation
349
425 Estimation of the Age of the Embolus
354
427 Interpretation Pitfalls
358
436 Venous Anatomy
375
437 Image Interpretation
378
438 Interpretive Pitfalls
379
439 Potential Benefits of Combined CTPA and CTV
383
4310 Clinical Results
388
Imaging and Treatment of Thoracic Fluid and Gas Collections
391
443 Imaging Guidance Modalities
394
444 Percutaneous Drainage of Thoracic Fluid Collections
395
445 Pulmonary Collections
401
446 Mediastinal Collections
403
447 Complications of Percutaneous Catheter Drainage
406
NonTraumatic Abdominal Emergencies Imaging and Intervention
409
Acute Abdominal Pain Diagnostic Strategies
411
513 Imaging
413
514 Conclusion
429
References
431
Imaging of Acute Intestinal Obstruction
434
523 Diagnosis of Site
437
525 Diagnosis of Complications
446
526 Impact and Diagnostic Strategy
449
References
450
Imaging and Intervention in Gastrointestinal Hemorrhage and Ischemia
453
532 Gastrointestinal Hemorrhage
454
533 Intestinal Ischemia
461
References
467
Imaging and Intervention in Sepsis
471
543 Computed Tomography
472
545 Diagnostic Fluid Aspiration
473
546 Percutaneous Abscess Drainage
474
547 Results of Percutaneous Abscess Drainage
476
548 Conclusion
479
Nontraumatic Abdominal Emergencies Imaging and Intervention in Acute Biliary Conditions
481
554 Emphysematous Cholecystitis
485
558 Cholecystostomy
487
5511 Conclusion
491
Imaging and Intervention in Acute Pancreatic Conditions
492
563 Involvement of Adjacent Organs Structures and Spaces
503
564 Vascular Involvement
510
References
519
Nontraumatic Uroradiological Emergencies
523
573 Treatment of Acute Urinary Obstruction
530
574 Spontaneous Haemorrhage from the Urinary Tract
533
575 Spontaneous Bladder Rupture
534
577 Priapism
535
NonTraumatic Vascular Emergencies Imaging and Intervention
537
Imaging and Intervention in Acute Nontraumatic Arterial Condition
539
613 Acute Arterial Gastrointestinal Bleeding
544
614 Conclusion
546
Imaging and Intervention in Acute Venous Occlusion
548
623 Acute Pelvic Vein and Inferior Vena Cava Occlusion
552
624 Acute Mesenteric Vein Occlusion
554
625 Acute Venous Occlusion of the Upper Extremity
556
626 Acute Venous Occlusion of Arteriovenous Hemodialysis Access
557
627 Acute Cerebral Vein Thrombosis
560
References
568
Management of Occluded Hemodialysis Shunts Grafts and Venous Access
571
633 Conclusion
577
634 Venous Access Occlusion
578
Imaging Pediatric Emergencies
580
Pediatric Neurological Emergencies
581
712 Clinical Findings
584
714 The Preterm Infant
585
715 The Term Infant
587
716 Congenital Infection
588
717 Acquired Infection
589
718 Nonaccidental Injury
590
719 Acute Disseminated Encephalomyelitis
592
7110 Hypertensive Encephalopathy
593
7111 Cerebral Sinovenous Thrombosis and Venous Infarction
594
7112 Arterial Infarction
595
Asparaginase Methotrexate and Cyclosporin
596
7116 EndocrineRelated Encephalopathy
597
Thoracic Emergencies
601
723 Clinical Symptoms
602
724 Imaging of Nontraumatic Pediatric Thoracic Emergencies
603
725 Imaging of Traumatic Pediatric Thoracic Emergencies
617
726 Conclusion
618
Pediatric Emergencies Nontraumatic Abdominal Emergencies
621
732 Imaging
622
733 The Diseases
623
734 Conclusion
642
Subject Index
646
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