Download Atlas of Contrast-enhanced Sonography of Focal Liver Lesions by Tommaso Vincenzo Bartolotta, Adele Taibbi, Massimo Midiri PDF

By Tommaso Vincenzo Bartolotta, Adele Taibbi, Massimo Midiri

This e-book deals an image-based, finished speedy reference consultant that might help in the translation of contrast-enhanced ultrasound (CEUS) examinations of the liver in day-by-day perform. It describes and depicts average and ordinary habit of either universal and not more usually saw focal liver lesions. for every form of lesion, the findings on pre- and post-contrast pictures are awarded and key features are highlighted. person chapters additionally specialize in the review of reaction to locoregional and systemic therapy and the effect of ecu guidance on CEUS. The Atlas of Contrast-Enhanced Sonography of Focal Liver Lesions will function a useful hands-on software for practitioners who have to diagnose liver lesions utilizing CEUS within the significant medical settings: oncology sufferers, cirrhotic sufferers, and sufferers with incidental focal liver lesions.

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Additional info for Atlas of Contrast-enhanced Sonography of Focal Liver Lesions

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4 Focal Nodular Hyperplasia 39 a b c d Fig. 14 Focal nodular hyperplasia in a 41-year-old woman. 4 cm-sized isoechoic lesion located in the IV segment (arrow) between middle and left suprahepatic veins (arrowheads). (b) At CEUS, during the arterial phase, the lesion presents a strong and homogeneous enhancement (arrow), and a feeding vessel is appreciable in the upper side (arrowhead). (c, d) The lesion becomes isovascular with respect to the surrounding liver parenchyma during the portal-venous (c) and late (d) phases 2 40 Benign Focal Liver Lesions a b Fig.

A) Central ascending subcostal baseline image reveals an inhomogeneous hyperechoic lesion with small central fluid area sized 4 cm in the IV hepatic segment (calipers) without any vascular signal at color-Doppler evaluation (b). 6 Abscesses d Fig. 19 (continued) 53 54 2 Benign Focal Liver Lesions a b Fig. 20 Abscess in a 56-year-old woman with fever after biopsy. 2 cm in the VII hepatic segment without any vascular signal at colorDoppler evaluation (arrow).

B) Color-Doppler evaluation shows the spoke-wheel sign (arrow). (c) At CEUS, in the arterial phase, the lesion shows a marked and homogeneous contrast enhancement (arrow) and presents isoechoic aspect during, respectively, the portalvenous (d) and late (e) phases (arrows) 46 d e Fig. 5 Hepatocellular Adenoma Hepatocellular Adenoma Hepatocellular adenoma (HA) is a rare hepatic lesion, most commonly discovered in young women and closely associated with the assumption of oral contraceptives, anabolic steroid, and glycogen storage disease.

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