Contrast harmonic imaging in the diagnosis and treatment of hepatic tumors:
Saved in:
| Format: | Book |
|---|---|
| Language: | English Japanese |
| Published: |
Tokyo [u.a.]
Springer
2003
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Item Description: | Literaturangaben |
| Physical Description: | XXVI, 257 S. zahlr. Ill., graph. Darst. |
| ISBN: | 443100002X |
Staff View
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| 245 | 1 | 0 | |a Contrast harmonic imaging in the diagnosis and treatment of hepatic tumors |c Masatoshi Kudo |
| 246 | 1 | 3 | |a Harmonic imaging |
| 264 | 1 | |a Tokyo [u.a.] |b Springer |c 2003 | |
| 300 | |a XXVI, 257 S. |b zahlr. Ill., graph. Darst. | ||
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| 500 | |a Literaturangaben | ||
| 650 | 4 | |a Carcinoma, Hepatocellular |x therapy | |
| 650 | 4 | |a Carcinoma, Hepatocellular |x ultrasonography | |
| 650 | 4 | |a Liver Neoplasms |x ultrasonography | |
| 650 | 4 | |a Liver |x Cancer |x Imaging | |
| 650 | 4 | |a Liver |x Tumors |x Diagnosis | |
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| adam_text | Contents
Foreword V
Preface XIV
List of Contributors XXV
Chapter 1
Intraarterial Contrast Enhanced Ultrasonography Is the Final
Goal of Intravenous Contrast Enhanced Ultrasonography 1
1 Types of Contrast Enhanced Ultrasonography 1
2 Intraarterial Contrast Enhanced US 1
a. Principles 1
b. Update of Intraarterial Contrast Enhanced US 2
c. Observation Tips for Intraarterial Contrast Enhanced US 2
d. Vascular Patterns on Intraarterial Contrast Enhanced US 2
e. Indications for Intraarterial Contrast Enhanced US 3
3 Intraarterial Contrast Enhanced US Is the Final Goal of (or the Gold
Standard for) Intravenous Contrast Enhanced US 3
Chapter 2
Vascularity and Hemodynamics of Liver Tumors as Seen with
Intraarterial Contrast Enhanced Ultrasonography 4
1 Hepatocellular Carcinoma 4
2 Metastatic Liver Cancer 7
3 Dysplastic Nodule or Adenomatous Hyperplasia 7
4 Well differentiated HCC Containing a Moderately Differentiated Focus
(Nodule in Nodule) 8
5 Focal Nodular Hyperplasia 9
6 Hemangioma 9
Chapter 3
Intranodular Hemodynamic Transition Associated with
Dedifferentiation of Hepatocellular Carcinoma 12
Chapter 4
Hepatocellular Carcinoma and the Role of Blood Flow Imaging in
Clinical Practice 14
XVII
Contents
Chapter 5
Properties of Levovist 15
1 Overview of Levovist: A Diagnostic Ultrasonic Contrast Agent 15
2 Granules 15
3 Microbubbles 15
4 Method of Preparation 16
5 Side Effects of Levovist 16
Chapter 6
Comparative Pharmacokinetic Behavior of Levovist with
Water Soluble Contrast Agents 19
1 Levovist Versus Water Soluble Contrast Agents 19
2 Pharmacokinetic Behavior of Levovist 20
3 Time Phases of Levovist Contrast Enhanced US 20
Chapter 7
Various Contrast Enhanced Imaging Modes
After Administration of Levovist 22
1 Contrast Enhanced Doppler Imaging 22
2 Color Flash Imaging 22
3 Harmonic Power Doppler Imaging 23
4 Harmonic Gray Scale Imaging 23
5 Digital Subtraction Harmonic B Mode Imaging , 24
6 Phase (Pulse) Inversion Harmonics 25
7 Coded Harmonic Angio Mode 25
Chapter 8
Glossary of Harmonic Imaging Terms 26
Chapter 9
Principles of Harmonic Imaging 29
Chapter 10
Harmonic Power Doppler and Other New Techniques on
ALOKA ProSound Series 31
1 Principles of Harmonic Power Doppler 31
2 Principles and Features of ALOKA ProSound Series
(SSD 5500 and SSD 6500) 32
a. Principles of Extended Pure Harmonic Detection 32
b. Features of ALOKA ProSound Series 37
3 Application Method and Main Point for ALOKA ProSound SSD 5500 38
a. Imaging Mode 38
b. Setting Conditions 38
c. Contrast Agent 38
d. Main Point 38
XVIII
Contents
4 Application Method and Main Point for ALOK.A Prosound SSD 6500 39
a. Imaging Mode 39
b. Setting Conditions 39
c. Contrast Agent 39
d. Main Point 39
5 Clinical Cases of Using the Harmonic Power Flow Function on
ALOKA ProSound SSD 5500 40
Case 1 Hepatocellular carcinoma: Difference of the stain degree based on
different intermittent intervals 40
Case 2 Harmonic Power Flow image of a giant hepatic tumor 41
Case 3 A case of hypervascular hepatocellular carcinoma (HCC) 43
Case 4 A case of hypovascular HCC 44
Case 5 HCC: Clear visualization of central necrosis by Harmonic Power Flow 45
Case 6 Harmonic Power Flow image of a deeply located HCC 46
Case 7 Harmonic Power Flow image of HCC recurrence and necrosis 48
Case 8 Local recurrence of HCC 49
Case 9 Focal nodular hyperplasia: Spoke wheel pattern of blood supply and dense
stain of the nodule 50
Case 10 Subtraction harmonic image of small HCC nodules 52
Case 11 Evaluation of treatment response after TAE combined with RFA 53
6 Clinical Cases of Using CHE on ALOKA ProSound SSD 6500 54
Case 1 Large HCC: Typical HCC findings shown by CHE mode 54
Case 2 CHE images of small HCC 55
Case 3 CHE images of metastatic liver cancer 57
Case 4 HCC after transcatheter arterial infusion treatment 58
Case 5 Nodule in nodule type HCC: Clearly observed by CHE mode 60
Case 6 HCC post RFA: Evaluation of treatment response 61
Case 7 CHE images of small HCC 63
Case 8 Typical findings on CHE of HCC 64
Case 9 CHE images of HCC 66
7 Summary 67
Chapter 11
Contrast Imaging (Toshiba PowerVision 8000 and Aplio) 69
1 Nonlinear Phenomenon of Microbubbles in an Ultrasonic
Contrast Agent 69
2 Contrast Imaging Using PowerVison (Principles and Features) 70
a. Flash Echo Imaging 70
b. Flash Color Imaging 71
c. Dynamic Flow 71
3 Techniques and Crucial Points for the Use of PowerVision 71
a. Visualization of Perfusion Image 72
b. Visualization of Vessel Image 73
4 Application Method and Main Point for Toshiba PowerVision 8000 73
a. Imaging Mode 73
b. Setting Conditions 73
c. Contrast Agent 73
d. Main Point 73
5 Clinical Cases of Harmonic Imaging by Using Toshiba PowerVision 8000 73
Case 1 Remarkable difference in vascularity due to different degrees of differentiation .. 75
Case 2 Harmonic power Doppler images of a 2.5 cm HCC in S6 76
XIX
Contents
Case 3 Visualization of HCC by using digital subtraction B mode 77
Case 4 Harmonic B mode image of a small HCC 78
Case 5 A dynamic study of harmonic power Doppler in a small HCC
(gradual increment of intermittent transmission interval) 79
Case 6 A dynamic study of harmonic power Doppler
(fixed intermittent transmission interval) 82
Case 7 A dynamic study of harmonic power Doppler
(gradual increment of intermittent transmission interval) 84
Case 8 A dynamic study of harmonic power Doppler
(gradual increment of intermittent transmission interval) 86
Case 9 Harmonic power Doppler image of a recurrent nodule after treatment with
transcatheter arterial embolization (TAE) 87
Case 10 A case of HCC with central necrosis 88
Case 11 (1) Visualization of blood flow in the local recurrent area after treatment 90
Case 11 (2) Evaluation of blood flow in the nodule after treatment 91
Case 12 Evaluation of treatment response after percutaneous ethanol
injection (PEI) therapy 93
Case 13 A case of HCC with complete response after RFA 95
Case 14 A case of HCC with complete response after RFA 97
Case 15 A case of HCC with complete response after Lipiodol TAE (LpTAE) and RFA.. 98
Case 16 A case of HCC with complete response after LpTAE and RFA 99
Case 17 A case of HCC with complete response after LpTAE and RFA 100
Case 18 A case of HCC with complete response after RFA 101
Case 19Harmonic power Doppler image of hemangioma 102
Case 20 Harmonic image of metastatic liver cancer 103
Case 21 Harmonic image of focal nodular hyperplasia 104
6 Application Method and Main Point for Toshiba Aplio 105
a. Imaging Mode 105
b. Setting Conditions 105
c. Contrast Agent 105
d. Main Point 105
e. Summary of Advanced Dynamic Flow and Pulse Subtraction Imaging 106
7 Clinical Cases of Harmonic Imaging by Using Toshiba Aplio 107
Case 1 ADF and PS images of HCC 107
Case 2 ADF and PS images of metastatic liver cancer 109
Case 3 A case of typical hepatic hemangioma 111
Case 4 A case of adenomatous hyperplasia 113
Case 5 A case of recurrent HCC after RFA treatment 115
Case 6 A case of small HCC 116
8 Summary 119
Chapter 12
Pulse Inversion Harmonic Imaging (ATL HDI 5000) 121
1 Principles 121
2 Features of ATL HDI 5000 122
a. Features of PIH 123
b. Power Pulse Inversion 123
c. Quantification Application 124
3 Application Method and Main Point for ATL HDI 5000 125
a. Imaging Mode 125
b. Setting Conditions 125
c. Contrast Agent 125
d. Main Point 125
XX
Contents
4 Clinical Cases Using Pulse Inversion Harmonics on the ATL HDI 5000 125
Casei HCC 126
Case 2 Far advanced huge HCC 127
Chapter 13
Agent Detection Imaging (ADI) (Acuson Sequoia 512) 128
1 Principles 128
a. The Basics of ADI 128
b. Equalization of Sound Pressure 130
c. Conclusion 131
2 Application Method and Main Point for Acuson Sequoia 512 131
a. Imaging Mode 131
b. Setting Conditions 132
c. Contrast Agent 132
d. Main Point 132
3 Clinical Cases of ADI Using Acuson Sequoia 512 132
Case 1 Hepatocellular carcinoma (HCC) with portal vein tumor thrombus (PVTT)
after radiofrequency ablation (RFA) treatment 132
Case 2 A case of HCC with complete response after RFA 134
Case 3 A case of HCC 135
Case 4 HCC with PVTT 136
Case 5 A case of typical HCC 138
Case 6 A case of HCC 140
Case 7 A case of recurrent cholangiocellular carcinoma after RFA 142
Case 8 Recurrent HCC after transcatheter arterial embolization (TAE) 143
Chapter 14
Coded Harmonic Angio (GE LOGIQ 700 EXPERT Series) 145
1 Principles of Coded Harmonic Angio 145
2 Characteristics of the GE LOGIQ 700 EXPERT, LOGIQ 7
and LOGIQ 9 Series 146
a. B Flow 147
b. Pulsatile Flow Detection 147
3 Application Method and Main Point for GE LOGIQ 700 EXPERT (CHA) 148
a. Imaging Mode 148
b. Setting Conditions 148
c. Contrast Agent 148
d. Main Point 148
4 Clinical Cases of Harmonic Images Using CHA 148
Casei Typical image of hepatocellular carcinoma (HCC) 149
Case 2 (1) Depiction of tumor vascularity in a small HCC 150
Case 2 (2) Evaluation of treatment response after radiofrequency ablation (RFA) for
HCC: CHA images of case 2 after one RFA treatment 151
Case 2 (3) Evaluation of the safety margin after retreatment: CHA images after
additional RFA was given to the same case 152
Case 3 HCC in the caudate lobe 153
Case 4 Untreated HCC in the left liver lobe 154
Case 5 (1) CHA images of a small HCC 155
Case 5 (2) Evaluating treatment response after Lipiodol transcatheter arterial
embolization (LpTAE) 157
Case 5 (3) Evaluating treatment response after additional RFA: Complete response 158
XXI
Contents
Case 6 (1) Comparison of CHA and intraarterial contrast enhanced US in a typical HCC . 159
Case 6 (2) Evaluating treatment response after LpTAE and RFA treatment:
Complete response case 161
Case 7 (1) CHA image of a typical HCC 162
Case 7 (2) Evaluation of blood flow after Lipiodol transcatheter arterial infusion
chemotherapy (LpTAI): Incomplete response 163
Case 7 (3) Evaluation of blood flow after additional RFA treatment 164
Case 8 (1) CHA image of a small, deeply located HCC 165
Case 8 (2) Evaluating treatment response after RFA 166
Case 9 A CHA image of a small HCC 167
Case 10 Difference in detectability in relation to the distance from body surface 168
Case 11 CHA image of a small HCC 169
Case 12 Depiction of the vascularity of HCC 171
Case 13Depiction of typical HCC vascularity 172
Case 14 (1) Weeping willow like vascularity in HCC 173
Case 14 (2) CHA image after RFA treatment 175
Case 15CHA image of a small HCC 176
Case 16 Vascularity of a typical HCC 177
Case 17 A case of a typical HCC 178
5 Conclusions about CHA 179
Chapter 15
Differential Diagnosis of Various Hepatic Tumors by
Harmonic Imaging 180
1 Key Points in Differentiation 180
2 Cases 180
Case 1 Vascularity of a giant HCC 181
Case 2 Typical images of HCC 182
Case 3 Typical HCC 183
Case 4 Typical HCC 184
Case 5 Harmonic imaging of a dy splastic nodule (adenomatous hyperplasia) 185
Case 6 Harmonic imaging of a dy splastic nodule (adenomatous hyperplasia) 186
Case 7 Harmonic image of a nodule with portal blood inflow (borderline lesion) 188
Case 8 Harmonic imaging of a nodule in nodule type HCC 189
Case 9 Typical harmonic image of a cavernous hemangioma 190
Case 10Typical cavernous hemangioma 191
Case 11 Spotty pooling of typical hemangioma 192
Case 12 Harmonic image of cavernous hemangioma (cotton wool appearance) 193
Case 13Harmonic image of capillary hemangioma 195
Case 14Harmonic image of a typical hemangioma 197
Case 15 Hemangioma showing atypical hemodynamics 199
Case 16Depiction of a small metastatic lesion 200
Case 17Breast cancer with liver metastasis 201
Case 18 Metastatic liver cancer 202
Case 19Involvement of preexisting blood vessels in metastatic liver cancer 204
Case 20 A CHA image of typical metastatic liver cancer 205
Case 21 A case of metastatic liver cancer with hypervascularity 206
Case 22 CHA image of cholangiocellular carcinoma 208
Case 23 Harmonic image of a small cholangiocellular carcinoma 210
Case 24 Harmonic image of focal nodular hyperplasia 211
Case 25 Typical harmonic image of focal nodular hyperplasia 212
Case 26 Angiomyolipoma with depiction of drainage blood flow 214
XXII
Contents
Chapter 16
The Roles of Contrast Enhanced Harmonic Imaging in Treating
Hepatocellular Carcinoma 216
1 Application to Treatment 216
2 Assessment of Treatment Response 216
3 Recognition of Local Recurrence 217
4 Localization of Residual Tumor 218
5 Real time Needle Insertion Guidance by US for Further Treatment 218
6 Cases 218
Case 1 Judgment of treatment response after RFA 219
Case 2 (1) Typical CHA image of HCC before treatment 220
Case 2 (2) Harmonic imaging of the same case after LpTAE treatment 222
Case 2 (3) CHA image after LpTAE and RFA treatment: Incomplete response 223
Case 2 (4) Harmonic imaging of local recurrence after treatment 224
Case 2 (5) Harmonic imaging of a complete response to additional RFA treatment 225
Case 3 Complete response after LpTAE and RFA treatment 226
Case 4 Complete response after one time RFA treatment 227
Case 5 Judgment of treatment response after RFA 228
Case 6 Assessment of treatment response after TAE on HCC 230
Case 7 Assessment of the treatment response of transcatheter arterial infusion (TAI)
on HCC 232
Case 8 Assessment of the treatment response of RFA 233
Case 9 Harmonic imaging of local recurrence 234
Case 10 Recurrence in a peripheral region after TAE treatment 235
Case 11 Depiction of residual tumor after LpTAE treatment: A different result from CT.... 236
Case 12 (1) Depiction of residual tumor after TAE treatment 237
Case 12 (2) Evaluation after additional RFA 238
Case 13 Tumor residue after TAE treatment 239
Case 14 ( 1) Harmonic imaging of local recurrence after PMCT treatment 240
Case 14 (2) Local treatment under the guidance of harmonic imaging 241
Case 14 (3) Additional RFA treatment under the guidance of harmonic imaging:
Complete response 242
Chapter 17
Postvascular Phase Sweep Scan Using Liver Specific Imaging 243
Case 1 Sweep scan of metastatic liver cancer 243
Chapter 18
The Role of Contrast Enhanced Ultrasonography in the
Diagnosis and Treatment of Hepatic Tumors (Summary) 246
Chapter 19
Application of Contrast Enhanced Harmonic Imaging in
Biliary and Pancreatic Tumors 248
1 The Usefulness of Intraarterial Contrast Enhanced US 248
2 Application of Harmonic Imaging in Biliary and Pancreatic Tumors 248
Case 1 A case of a pancreatic islet cell tumor 249
XXIII
Contents
Chapter 20
Update and Direction of Ultrasonic Contrast Agents 251
Subject Index 254
XXIV
|
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| indexdate | 2024-07-09T19:16:57Z |
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| publisher | Springer |
| record_format | marc |
| spelling | Kanshuyo-no zou-ei Contrast harmonic imaging in the diagnosis and treatment of hepatic tumors Masatoshi Kudo Harmonic imaging Tokyo [u.a.] Springer 2003 XXVI, 257 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Literaturangaben Carcinoma, Hepatocellular therapy Carcinoma, Hepatocellular ultrasonography Liver Neoplasms ultrasonography Liver Cancer Imaging Liver Tumors Diagnosis Ultrasonic Therapy methods Kontrastmittel (DE-588)4125566-5 gnd rswk-swf Ultraschalldiagnostik (DE-588)4061557-1 gnd rswk-swf Lebertumor (DE-588)4167075-9 gnd rswk-swf Lebertumor (DE-588)4167075-9 s Ultraschalldiagnostik (DE-588)4061557-1 s Kontrastmittel (DE-588)4125566-5 s DE-604 Kudo, Masatoshi Sonstige (DE-588)124652239 oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010457037&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Contrast harmonic imaging in the diagnosis and treatment of hepatic tumors Carcinoma, Hepatocellular therapy Carcinoma, Hepatocellular ultrasonography Liver Neoplasms ultrasonography Liver Cancer Imaging Liver Tumors Diagnosis Ultrasonic Therapy methods Kontrastmittel (DE-588)4125566-5 gnd Ultraschalldiagnostik (DE-588)4061557-1 gnd Lebertumor (DE-588)4167075-9 gnd |
| subject_GND | (DE-588)4125566-5 (DE-588)4061557-1 (DE-588)4167075-9 |
| title | Contrast harmonic imaging in the diagnosis and treatment of hepatic tumors |
| title_alt | Kanshuyo-no zou-ei Harmonic imaging |
| title_auth | Contrast harmonic imaging in the diagnosis and treatment of hepatic tumors |
| title_exact_search | Contrast harmonic imaging in the diagnosis and treatment of hepatic tumors |
| title_full | Contrast harmonic imaging in the diagnosis and treatment of hepatic tumors Masatoshi Kudo |
| title_fullStr | Contrast harmonic imaging in the diagnosis and treatment of hepatic tumors Masatoshi Kudo |
| title_full_unstemmed | Contrast harmonic imaging in the diagnosis and treatment of hepatic tumors Masatoshi Kudo |
| title_short | Contrast harmonic imaging in the diagnosis and treatment of hepatic tumors |
| title_sort | contrast harmonic imaging in the diagnosis and treatment of hepatic tumors |
| topic | Carcinoma, Hepatocellular therapy Carcinoma, Hepatocellular ultrasonography Liver Neoplasms ultrasonography Liver Cancer Imaging Liver Tumors Diagnosis Ultrasonic Therapy methods Kontrastmittel (DE-588)4125566-5 gnd Ultraschalldiagnostik (DE-588)4061557-1 gnd Lebertumor (DE-588)4167075-9 gnd |
| topic_facet | Carcinoma, Hepatocellular therapy Carcinoma, Hepatocellular ultrasonography Liver Neoplasms ultrasonography Liver Cancer Imaging Liver Tumors Diagnosis Ultrasonic Therapy methods Kontrastmittel Ultraschalldiagnostik Lebertumor |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=010457037&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | UT kanshuyonozouei AT kudomasatoshi contrastharmonicimaginginthediagnosisandtreatmentofhepatictumors AT kudomasatoshi harmonicimaging |