Chest sonography: with 25 tables
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
Berlin [u.a.]
Springer
2008
|
Ausgabe: | 2. ed. |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis Klappentext |
Beschreibung: | Früher u.d.T.: Atlas of chest sonography. - Literaturangaben |
Beschreibung: | XIII, 242 S. zahlr. Ill., graph. Darst. 28 cm |
ISBN: | 9783540724278 3540724273 |
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245 | 1 | 0 | |a Chest sonography |b with 25 tables |c Gebhard Mathis (ed.) |
250 | |a 2. ed. | ||
264 | 1 | |a Berlin [u.a.] |b Springer |c 2008 | |
300 | |a XIII, 242 S. |b zahlr. Ill., graph. Darst. |c 28 cm | ||
336 | |b txt |2 rdacontent | ||
337 | |b n |2 rdamedia | ||
338 | |b nc |2 rdacarrier | ||
500 | |a Früher u.d.T.: Atlas of chest sonography. - Literaturangaben | ||
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Datensatz im Suchindex
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adam_text | Contents
VII
1
Indications,
Technical
Prerequisites
and Investigation Procedure
....... 1
S. Beckh
1.1
Indications
.......................... 2
1.2
Technical Requirements in Terms
of Equipment
....................... 3
1.3
Investigation Procedure
............. 4
1.3.1
Thorax Wall, Pleura, Diaphragm,
Lung
................................ 4
1.3.2
Investigation of the Supraclavicular
Region
.............................. 6
1.4
Summary
........................... 9
References
.......................... 9
2
The Chest Wall
.................... 11
G. Mathis, W. Blank
2.1
Soft Tissue
......................... 12
2.1.1
Accumulation of Fluid
............. 12
2.1.1.1
Hematoma
........................ 12
2.1.1.2 Seroma,
Lymphatic Cyst
............ 12
2.1.1.3
Abscess
............................ 12
2.1.2
Tumors
............................ 13
2.1.2.1
Lipoma,
Fibroma
................... 13
2.1.2.2
Sarcomas, Soft-Tissue
Métastases
.. 14
2.1.3
Lymph Nodes
...................... 14
2.1.3.1
Inflammatory Lymph Nodes
....... 14
2.1.3.2
Malignant Lymphoma
............. 16
2.1.3.3
Lymph Node
Métastases
........... 16
2.2
TheBonyChest
.................... 17
2.2.1
Fractures of the Ribs
and the Sternum
................... 17
2.2.2
Osteolysis
.......................... 19
2.3
Summary
.......................... 21
References
........................ 21
3
The Pleura
......................... 23
1
Reuss
3.1
Normal Pleura
..................... 24
3.2
Pleural
Effusion
.................... 25
3.2.1
Detection Limit
.................... 26
3.2.2
Volume estimation
................. 27
3.2.3
Type of Effusion
.................... 29
3.2.4
Complicated
Pleural
Effusion
....... 30
3.2.5
Pleural
Empyema
.................. 30
3.2.6
Pleurodesis
........................ 32
3.3
Solid
Pleural
Changes
.............. 32
3.3.1 Pleuritis ............................ 33
3.3.2
Benign
Pleural
Tumors
............. 34
3.3.3
Pleural Métastases .................
35
3.3.4
Malignant
Pleural Mesothelioma
... 36
3.3.5
Transpleural
Growth of Tumors
..... 37
3.3.6
Pleural Fibrosis
..................... 38
3.4
Pneumothorax
..................... 39
3.5
Thorax Trauma
..................... 40
3.6
The Diaphragm
.................... 40
3.7
Summary
.......................... 44
References
......................... 44
4
Subpleural
Lung Consolidations
.. 47
4.1
Inflammatory Consolidations
in the Lung
........................ 50
G. Mathis
4.1.1
Pneumonia
........................ 50
4.1.1.1
Pathophysiological Prerequisites
... 50
ΑΛΛ.
2
Sonomorphology of Pneumonia
... 50
4.1.1.3
Phase of Engorgement
............. 50
4.1.1.4
Fluid Alveologram
................. 50
4.1.1.5
Bronchoaerogram
................. 50
4ЛЛ.
6
Fluid Bronchogram
................ 50
4.1.1..7
Poststenotic Pneumonia
........... 51
4.1.1.8
Circulation
......................... 54
4.1.1.9
Abscess Formation
................. 54
4.1.1.10
HealingPhase
..................... 55
4.1.2
Tuberculosis
....................... 55
4.1.3
Interstitial Lung Disease
............ 61
4.1.4
Summary
.......................... 61
References
......................... 62
VIII
Contents
4.2
Neoplastic
Consolidations
4.3.4
in the Lung: Primary Lung Tumors
and
Métastases
.................... 63
S. Beckh
4.3.5
4.2.1
Contours of the Lung Surface
...... 64 4.3.5.1
4.2.2
Delineation of Margins
4.3.5.2
from Ventilated Lung Tissue
........ 64 4.3.5.3
4.2.3
Invasion of Adjacent Structures
— 4.3.6
Chest Wall, Diaphragm and
Pericardium
........................ 65 4.3.6.1
4.2.4
Destruction of the Normal Tissue
4.3.6.2
Architecture and Displacement
4.3.7
of Regular Vessels
.................. 65
4.2.5
Additional Investigations
to Assess the Possibility
4.4
of Resection
....................... 65
4.2.5.1
Tumor-Related Complications
in Mediastinal Vessels
.............. 68
4.2.5.2
Differentiation of a Central
4.4.1
Space-Occupying Lesion
4.4.2
from an Atelectasis
................ 68 4.4.3
4.2.6
Heterogeneous Structural Pattern
.. 68 4.4.4
4.2.7
Pulmonary
Métastases
............. 69 4.4.5
4.2.8
Summary
.......................... 69 4.4.6
References
......................... 71 4.4.7
4.4.8
4.3
Vascular Lung Consolidations:
Pulmonary Embolism
and Pulmonary Infarction
.......... 72 4.5
G. Mathis
4.3.1
Pathophysiological Prerequisites
for Sonographic Imaging
of Pulmonary Embolism
........... 72
4.3.2
Sonomorphology of Pulmonary
Infarction
......................... 73 5
4.3.2.1
Early Pulmonary Infarctions
........ 73
4.3.2.2
Late Pulmonary Infarction,Tissue
5.1
Necrosis
........................... 74
4.3.2.3
Localization
........................ 74
4.3.2.4
Number
........................... 74 5.1.1
4.3.2.5
Size
................................ 76
4.3.2.6
Morphology
....................... 76 5.1.2
4.3.2.7
Vascular Signs
..................... 76 5.1.3
4.3.2.8
Pleural
Effusion
.................... 76
4.3.2.9
Signal Embolism
................... 81 5.1.4
4.3.2.10
Color-Coded Duplex Sonography
in Pulmonary Embolism
............ 81 5.1.5
4.3.2.11
Contrast-Assisted Sonography
..... 81
4.3.2.12
Phase of Healing
—
Infarction
Pneumonia
........................ 82 5.1.6
4.3.3
Sonomorphological Differential
Diagnosis
.......................... 82
Accuracy of Chest Sonography
in the Diagnosis of Pulmonary
Embolism
......................... 82
Chest Sonography Compared
with Other Imaging Procedures
... 82
Chest Radiograph
.................. 82
Ventilation/Perfusion Scintigraphy
83
Angio Computed Tomography
..... 83
The Sonographic Search
for the Source of Embolism
........ 84
Duplex Sonography of Leg Veins
... 84
Echocardiography
................. 84
Summary
.......................... 86
References
......................... 86
Mechanical Lung Consolidations:
Atelectasis
......................... 87
C
Görg
Definition
.......................... 87
Pathomorphology
................. 87
Sonomorphology
.................. 88
Compression Atelectasis
........... 88
Obstructive Atelectasis
............ 90
Color-Doppler Sonography
....... 100
Lung Contusion
................... 100
Summary
......................... 100
References
........................ 105
Congenital Pulmonary
Sequestration
..................... 105
G. Mathis
References
........................ 105
Mediastinum
..................... 107
Transthoracic
..................... 109
W. Blank
Sonographic Investigation
Technique and Reporting
......... 109
Sonoanatomy
..................... 109
Imaging Compartments
of the Mediastinum
............... 116
Imaging Tumors
in the Mediastinum
............... 116
Diagnostic Value of Sonography,
Chest Radiographs and Computed
Tomography
...................... 116
General Indications
............... 116
Contents
IX
5.1.7
Specific Sonographic
Findings
in
Selected Space-Occupying
Masses in the Mediastinum
....... 117
5.1.7.1
Lymph Node Disease
............. 117
5.1.7.2
Tumors of the
Thymus
............ 117
5.1.7.3
Germinal Cell Tumors
............. 120
5.1.7.4
NeurogenicTumors
.............. 120
5.1.7.5
Retrosternal Portions
of the Thyroid and Parathyroid
.... 120
5.1.7.6
Mediastinal Cysts
................. 120
5.1.7.7
Pericardial Alterations
............ 122
5.1.7.8
Esophageal Disease
............... 122
5.1.8
Summary
......................... 124
References
........................ 124
5.2
Transesophageal Sonography
for Lung Cancer and Mediastinal
Lesions
........................... 125
IT. Annema,
M. Veseliç,
K.F.
Rabe
5.2.1
Technical Aspects
................ 125
5.2.2
Transesophageal Sonography-
Guided Fine-Needle Aspiration
and Lung Cancer
.................. 128
5.2.2.1
Diagnosing Lung Cancer
.......... 128
5.2.2.2
Staging of Lung Cancer
........... 128
5.2.2.3
Clinical Implications
.............. 128
5.2.2.4
Transesophageal Sonography
in Lung Cancer Staging Algorithms
128
5.2.3
Transesophageal Sonography-
Guided Fine-Needle Aspiration
and Sarcoidosis
................... 130
5.2.4
Transesophageal Sonography
and Cysts
......................... 130
5.2.5
Summary
......................... 130
References
........................ 131
б
Endobronchial Sonography
...... 133
F.J.F. Herth, R. Eberhardt
6.1
Instruments and Technique
....... 134
6.1.1
Endobronchial Sonography
Miniprobes
....................... 134
6.1.2
Endobronchial Sonography
Transbronchial
Needle Aspiration
134
6.2
Sonographic Anatomy
........... 135
6.3
Indications and Results
for the Endobronchial Sonography
Miniprobe
........................ 135
6.3.1
EarlyCancer
...................... 135
6.3.2
Advanced Cancer
................. 136
6.3.3
Peripheral Lesions
................ 136
6.3.4
Lymph Node Staging
............. 137
6.3.5
Endobronchial Sonography
in Therapeutic Interventions
...... 137
6.4
Indications and Results
for the Endobronchial Sonography
Transbronchial
Needle Aspiration
Scope
............................. 137
6.5
Summary
......................... 140
References
........................ 140
7
Vascularization
................... 143
C. Görg
7.1
Introduction
...................... 144
7.2
Pathophysiological Principles
..... 144
7.3
Principles of Color-Doppler
Sonography
...................... 145
7.4
Basic Principles of Contrast-Assisted
Sonography
...................... 148
7.5
Predominantly Anechoic
Peripheral Lung Consolidation
___ 152
7.5.1
Color-Doppler Sonography
....... 152
7.5.2
Contrast-Assisted Sonography
___ 152
7.6
Predominantly Echogenic
Lung Consolidation
............... 152
7.6.1
Lung Infarction
................... 152
7.6.1.1
Color-Doppler Sonography
....... 152
7.6.1.2
Contrast-Assisted Sonography
.... 154
7.6.2
Pleurisy
........................... 154
7.6.2.1
Color-Doppler Sonography
....... 154
7.6.2.2
Contrast-Assisted Sonography
___ 156
7.6.3
The Peripheral Round Lesion
...... 156
7.6.3.1
Color-Doppler Sonography
....... 156
7.6.3.2
Contrast-Assisted Sonography
.... 156
7.6.4
Large Lung Consolidation:
Pneumonia
....................... 156
7.6.4.1
Color-Doppler Sonography
....... 156
7.6.4.2
Contrast-Assisted Sonography
.... 160
7.6.5
Large Lung Consolidation:
Compressive
Atelectasis
.......... 160
7.6.5.1
Color-Doppler Sonography
....... 160
7.6.5.2
Contrast-Assisted Sonography
___ 163
7.6.6
Large Lung Consolidation:
Obstructive Atelectasis
........... 163
7.6.6.1
Color-Doppler Sonography
....... 163
Contents
7.6.6.2
Contrast-Assisted Sonography
___ 166
7.6.7
Space-Occupying Lesion
of the Chest Wall
.................. 166
7.6.7.1
Color-Doppler Sonography
....... 166
7.6.7.2
Contrast-Assisted Sonography
___ 166
7.7
Summary
......................... 168
References
........................ 170
8
Image Artifacts and Pitfalls
...... 173
A.
Schuier
8.1
Artifacts
.......................... 175
8.2
Pitfalls
............................ 175
8.3
Ultrasound Physics in the Chest
... 175
8.4
Imaging of Marginal Surfaces
of the Pleura and the Diaphragm
.. 176
8.5
B-Mode Artifacts
.................. 176
8.5.1
Ultrasound Beam Artifacts
in Chest Sonography
.............. 176
8.5.1.1
Reverberations (Repetitive Echoes):
Margin Between Tissue and Air,
Bone Fracture Fissures
............ 176
8.5.1.2
Mirror Artifacts: Liver Parenchyma
in the Diaphragm, Vessels
attheTleura
..................... 177
8.5.1.3
Arcuate Artifacts:
Rib Reflex in
Pleural
Effusion
...... 177
8.5.1.4
Scatter Lens Artifact/Shortening
Phenomenon: Distortion
of the Lung Surface Dorsal
to Rib Cartilage
................... 177
8.5.1.5
Marginal Shadows: Diffraction/
Refraction at Strong Reflectors
( Diaphragmatic Gap )
............ 178
8.5.2
Artifacts Caused by Alterations
in Echo Enhancement
............. 178
8.5.2.1
Acoustic Shadow/Echo Obliteration:
Formation of Plaque on All Bony
Structures of the Chest
............ 178
8.5.2.2
Echo Enhancement: Distal
to Hypoechoic Structures
(Pleural
Effusion, Cyst, Vessel,
Hypoechoic Space-Occupying
Mass)
............................. 178
8.5.2.3
Echo Resolution Artifacts
......... 179
8.5.3
Other Artifacts
.................... 179
8.5.3.1
Comet-Tail (Resonance Artifact):
in Aerated Structures
............. 179
8.5.3.2
Artifacts Caused by Foreign Bodies:
Needle Tip, Drainage
.............. 179
8.5.3.3
Ring-Down Artifact: Insufficient
Probe-to-Specimen Contact
...... 180
8.6
Color
Doppler
Artifacts
and Pitfalls in the Chest
........... 180
8.6.1
Pulse Repetition Frequency, Overall
Enhancement, Filter, Background
Noise
............................. 180
8.6.2
Directional Artifact
................ 180
8.6.3
Aliasing
........................... 180
8.6.4
Motion Artifacts
.................. 181
8.6.5
Unfavorable Angles
............... 182
8.7
Summary
......................... 182
References
........................ 182
9.1
9.2
9.3
9.4
9.4.1
9.4.1.1
9.4.1.2
9.4.1.3
9.4.2
9.4.3
9.4.4
9.5
9.5.1
9.5.2
9.5.2.1
9.5.2.2
9.5.2.3
9.5.2.4
9.5.2.5
9.5.2.6
9.5.3
9.6
Interventional Chest Sonography
W. Blank
183
General Indications
............... 184
Contraindications
................. 184
Sonography-Guided
or CT-Guided Puncture
............ 184
Apparatus, Instruments
and Puncture Technique
.......... 186
Puncture Needles
................ 187
Fine Needles
...................... 187
Cutting Biopsy Needles
........... 190
Gross Needles
.................... 191
Drainage Catheter
................ 191
Checking the Position
of the Needle and the Catheter
... 191
Preparation and Execution of
Puncture
......................... 194
Indications
........................ 194
Processes of the Chest Wall
....... 194
Pleural
Cavity
..................... 195
Thoracocentesis
.................. 195
Pleura Biopsy
..................... 195
Percutaneous
Pleural
Drainage
___ 196
Lung Consolidations
............. 197
Special Puncture Technique
....... 198
Pneumonia and Pulmonary
Abscesses
......................... 199
Mediastinum
..................... 199
Risks
.............................. 199
Contents
XI
9.7 Pneumothorax After
Puncture
___ 199
9.8
Summary .........................
202
9.9
List of
Materials ................... 204
References
........................ 204
10
The White
Hemìthorax
........... 207
C. Görg
10.1
Predominantly Liquid
Space-Occupying Mass
........... 208
10.2
Predominantly Solid Space-
Occupying Mass
.................. 208
11
From the Symptom to the
Diagnosis
........................ 227
S. Beckh
11.1
ChestPain
........................ 228
11.1.1
Chest Pain as a Symptom
of Life-Threatening Diseases
...... 229
11.1.1.1
Tension
Pneumothorax ........... 229
11.1.1.2
Pulmonary Embolism
............. 230
11.1.1.3
Acute Dissection of the Aorta
..... 230
11.1.2
Pain Due to Diseases of the Chest
Wall
............................... 230
11.1.2.1
RibFracture
....................... 230
11.1.2.2
Tumor Invasion of the Chest Wall
.. 230
11.2
Fever
............................. 230
11.2.1
Fever with Chest Pain
............. 232
11.2.1.1
Abscesses in the Chest Wall
....... 232
11.2.1.2
Pleuritis
........................... 232
11.2.1.3
Pulmonary Embolism
............. 232
11.2.1.4
Pericarditis
........................ 233
11.2.2
Fever with Dyspnea
............... 233
11.2.2.1
Pneumonia
....................... 233
11.2.2.2
Pleural
Empyema
................. 233
11.2.3
Fever with Dyspnea
and Chest Pain
.................... 234
11.2.4
Fever as the Sole Symptom
in Chest Diseases
................. 234
11.2.4.1
Polyserositis
...................... 234
11.2.4.2
Mycobacteriosis
.................. 235
11.2.4.3
Endocarditis
...................... 235
11.3
Dyspnea
.......................... 235
11.3.1
Respiratory Tract
.................. 236
11.3.2
Pleura
............................ 236
11.3.3
Lung
.............................. 238
11.3.4
Heart
............................. 238
11.3.5
Respiratory Muscles
............... 239
11.4
Summary
......................... 239
References
........................ 240
Subject Index
.............................. 241
Chest sonography is an established
proce-
Mathis
dure in
the stepwise imaging diagnosis Editor
of pulmonary and
pleural
disease. It is Chest
the method of choice to distinguish Sonography
between solid and liquid lesions and allows
2nd
Edition
the investigator to make an unequivocal
diagnosis without exposing the patient
to costly and stressful procedures. This
book presents the state of the art in chest
investigation by means of ultrasonography.
A number of excellent illustrations and
the compact text provide concise and
easy-to-assimilate information about the
diagnostic procedure. Basic elements such
as indications, investigation techniques
and image artifacts are detailed in separate
chapters.
|
adam_txt |
Contents
VII
1
Indications,
Technical
Prerequisites
and Investigation Procedure
. 1
S. Beckh
1.1
Indications
. 2
1.2
Technical Requirements in Terms
of Equipment
. 3
1.3
Investigation Procedure
. 4
1.3.1
Thorax Wall, Pleura, Diaphragm,
Lung
. 4
1.3.2
Investigation of the Supraclavicular
Region
. 6
1.4
Summary
. 9
References
. 9
2
The Chest Wall
. 11
G. Mathis, W. Blank
2.1
Soft Tissue
. 12
2.1.1
Accumulation of Fluid
. 12
2.1.1.1
Hematoma
. 12
2.1.1.2 Seroma,
Lymphatic Cyst
. 12
2.1.1.3
Abscess
. 12
2.1.2
Tumors
. 13
2.1.2.1
Lipoma,
Fibroma
. 13
2.1.2.2
Sarcomas, Soft-Tissue
Métastases
. 14
2.1.3
Lymph Nodes
. 14
2.1.3.1
Inflammatory Lymph Nodes
. 14
2.1.3.2
Malignant Lymphoma
. 16
2.1.3.3
Lymph Node
Métastases
. 16
2.2
TheBonyChest
. 17
2.2.1
Fractures of the Ribs
and the Sternum
. 17
2.2.2
Osteolysis
. 19
2.3
Summary
. 21
References
. 21
3
The Pleura
. 23
1
Reuss
3.1
Normal Pleura
. 24
3.2
Pleural
Effusion
. 25
3.2.1
Detection Limit
. 26
3.2.2
Volume estimation
. 27
3.2.3
Type of Effusion
. 29
3.2.4
Complicated
Pleural
Effusion
. 30
3.2.5
Pleural
Empyema
. 30
3.2.6
Pleurodesis
. 32
3.3
Solid
Pleural
Changes
. 32
3.3.1 Pleuritis . 33
3.3.2
Benign
Pleural
Tumors
. 34
3.3.3
Pleural Métastases .
35
3.3.4
Malignant
Pleural Mesothelioma
. 36
3.3.5
Transpleural
Growth of Tumors
. 37
3.3.6
Pleural Fibrosis
. 38
3.4
Pneumothorax
. 39
3.5
Thorax Trauma
. 40
3.6
The Diaphragm
. 40
3.7
Summary
. 44
References
. 44
4
Subpleural
Lung Consolidations
. 47
4.1
Inflammatory Consolidations
in the Lung
. 50
G. Mathis
4.1.1
Pneumonia
. 50
4.1.1.1
Pathophysiological Prerequisites
. 50
ΑΛΛ.
2
Sonomorphology of Pneumonia
. 50
4.1.1.3
Phase of Engorgement
. 50
4.1.1.4
Fluid Alveologram
. 50
4.1.1.5
Bronchoaerogram
. 50
4ЛЛ.
6
Fluid Bronchogram
. 50
4.1.1.7
Poststenotic Pneumonia
. 51
4.1.1.8
Circulation
. 54
4.1.1.9
Abscess Formation
. 54
4.1.1.10
HealingPhase
. 55
4.1.2
Tuberculosis
. 55
4.1.3
Interstitial Lung Disease
. 61
4.1.4
Summary
. 61
References
. 62
VIII
Contents
4.2
Neoplastic
Consolidations
4.3.4
in the Lung: Primary Lung Tumors
and
Métastases
. 63
S. Beckh
4.3.5
4.2.1
Contours of the Lung Surface
. 64 4.3.5.1
4.2.2
Delineation of Margins
4.3.5.2
from Ventilated Lung Tissue
. 64 4.3.5.3
4.2.3
Invasion of Adjacent Structures
— 4.3.6
Chest Wall, Diaphragm and
Pericardium
. 65 4.3.6.1
4.2.4
Destruction of the Normal Tissue
4.3.6.2
Architecture and Displacement
4.3.7
of Regular Vessels
. 65
4.2.5
Additional Investigations
to Assess the Possibility
4.4
of Resection
. 65
4.2.5.1
Tumor-Related Complications
in Mediastinal Vessels
. 68
4.2.5.2
Differentiation of a Central
4.4.1
Space-Occupying Lesion
4.4.2
from an Atelectasis
. 68 4.4.3
4.2.6
Heterogeneous Structural Pattern
. 68 4.4.4
4.2.7
Pulmonary
Métastases
. 69 4.4.5
4.2.8
Summary
. 69 4.4.6
References
. 71 4.4.7
4.4.8
4.3
Vascular Lung Consolidations:
Pulmonary Embolism
and Pulmonary Infarction
. 72 4.5
G. Mathis
4.3.1
Pathophysiological Prerequisites
for Sonographic Imaging
of Pulmonary Embolism
. 72
4.3.2
Sonomorphology of Pulmonary
Infarction
. 73 5
4.3.2.1
Early Pulmonary Infarctions
. 73
4.3.2.2
Late Pulmonary Infarction,Tissue
5.1
Necrosis
. 74
4.3.2.3
Localization
. 74
4.3.2.4
Number
. 74 5.1.1
4.3.2.5
Size
. 76
4.3.2.6
Morphology
. 76 5.1.2
4.3.2.7
Vascular Signs
. 76 5.1.3
4.3.2.8
Pleural
Effusion
. 76
4.3.2.9
Signal Embolism
. 81 5.1.4
4.3.2.10
Color-Coded Duplex Sonography
in Pulmonary Embolism
. 81 5.1.5
4.3.2.11
Contrast-Assisted Sonography
. 81
4.3.2.12
Phase of Healing
—
Infarction
Pneumonia
. 82 5.1.6
4.3.3
Sonomorphological Differential
Diagnosis
. 82
Accuracy of Chest Sonography
in the Diagnosis of Pulmonary
Embolism
. 82
Chest Sonography Compared
with Other Imaging Procedures
. 82
Chest Radiograph
. 82
Ventilation/Perfusion Scintigraphy
83
Angio Computed Tomography
. 83
The Sonographic Search
for the Source of Embolism
. 84
Duplex Sonography of Leg Veins
. 84
Echocardiography
. 84
Summary
. 86
References
. 86
Mechanical Lung Consolidations:
Atelectasis
. 87
C
Görg
Definition
. 87
Pathomorphology
. 87
Sonomorphology
. 88
Compression Atelectasis
. 88
Obstructive Atelectasis
. 90
Color-Doppler Sonography
. 100
Lung Contusion
. 100
Summary
. 100
References
. 105
Congenital Pulmonary
Sequestration
. 105
G. Mathis
References
. 105
Mediastinum
. 107
Transthoracic
. 109
W. Blank
Sonographic Investigation
Technique and Reporting
. 109
Sonoanatomy
. 109
Imaging Compartments
of the Mediastinum
. 116
Imaging Tumors
in the Mediastinum
. 116
Diagnostic Value of Sonography,
Chest Radiographs and Computed
Tomography
. 116
General Indications
. 116
Contents
IX
5.1.7
Specific Sonographic
Findings
in
Selected Space-Occupying
Masses in the Mediastinum
. 117
5.1.7.1
Lymph Node Disease
. 117
5.1.7.2
Tumors of the
Thymus
. 117
5.1.7.3
Germinal Cell Tumors
. 120
5.1.7.4
NeurogenicTumors
. 120
5.1.7.5
Retrosternal Portions
of the Thyroid and Parathyroid
. 120
5.1.7.6
Mediastinal Cysts
. 120
5.1.7.7
Pericardial Alterations
. 122
5.1.7.8
Esophageal Disease
. 122
5.1.8
Summary
. 124
References
. 124
5.2
Transesophageal Sonography
for Lung Cancer and Mediastinal
Lesions
. 125
IT. Annema,
M. Veseliç,
K.F.
Rabe
5.2.1
Technical Aspects
. 125
5.2.2
Transesophageal Sonography-
Guided Fine-Needle Aspiration
and Lung Cancer
. 128
5.2.2.1
Diagnosing Lung Cancer
. 128
5.2.2.2
Staging of Lung Cancer
. 128
5.2.2.3
Clinical Implications
. 128
5.2.2.4
Transesophageal Sonography
in Lung Cancer Staging Algorithms
128
5.2.3
Transesophageal Sonography-
Guided Fine-Needle Aspiration
and Sarcoidosis
. 130
5.2.4
Transesophageal Sonography
and Cysts
. 130
5.2.5
Summary
. 130
References
. 131
б
Endobronchial Sonography
. 133
F.J.F. Herth, R. Eberhardt
6.1
Instruments and Technique
. 134
6.1.1
Endobronchial Sonography
Miniprobes
. 134
6.1.2
Endobronchial Sonography
Transbronchial
Needle Aspiration
134
6.2
Sonographic Anatomy
. 135
6.3
Indications and Results
for the Endobronchial Sonography
Miniprobe
. 135
6.3.1
EarlyCancer
. 135
6.3.2
Advanced Cancer
. 136
6.3.3
Peripheral Lesions
. 136
6.3.4
Lymph Node Staging
. 137
6.3.5
Endobronchial Sonography
in Therapeutic Interventions
. 137
6.4
Indications and Results
for the Endobronchial Sonography
Transbronchial
Needle Aspiration
Scope
. 137
6.5
Summary
. 140
References
. 140
7
Vascularization
. 143
C. Görg
7.1
Introduction
. 144
7.2
Pathophysiological Principles
. 144
7.3
Principles of Color-Doppler
Sonography
. 145
7.4
Basic Principles of Contrast-Assisted
Sonography
. 148
7.5
Predominantly Anechoic
Peripheral Lung Consolidation
_ 152
7.5.1
Color-Doppler Sonography
. 152
7.5.2
Contrast-Assisted Sonography
_ 152
7.6
Predominantly Echogenic
Lung Consolidation
. 152
7.6.1
Lung Infarction
. 152
7.6.1.1
Color-Doppler Sonography
. 152
7.6.1.2
Contrast-Assisted Sonography
. 154
7.6.2
Pleurisy
. 154
7.6.2.1
Color-Doppler Sonography
. 154
7.6.2.2
Contrast-Assisted Sonography
_ 156
7.6.3
The Peripheral Round Lesion
. 156
7.6.3.1
Color-Doppler Sonography
. 156
7.6.3.2
Contrast-Assisted Sonography
. 156
7.6.4
Large Lung Consolidation:
Pneumonia
. 156
7.6.4.1
Color-Doppler Sonography
. 156
7.6.4.2
Contrast-Assisted Sonography
. 160
7.6.5
Large Lung Consolidation:
Compressive
Atelectasis
. 160
7.6.5.1
Color-Doppler Sonography
. 160
7.6.5.2
Contrast-Assisted Sonography
_ 163
7.6.6
Large Lung Consolidation:
Obstructive Atelectasis
. 163
7.6.6.1
Color-Doppler Sonography
. 163
Contents
7.6.6.2
Contrast-Assisted Sonography
_ 166
7.6.7
Space-Occupying Lesion
of the Chest Wall
. 166
7.6.7.1
Color-Doppler Sonography
. 166
7.6.7.2
Contrast-Assisted Sonography
_ 166
7.7
Summary
. 168
References
. 170
8
Image Artifacts and Pitfalls
. 173
A.
Schuier
8.1
Artifacts
. 175
8.2
Pitfalls
. 175
8.3
Ultrasound Physics in the Chest
. 175
8.4
Imaging of Marginal Surfaces
of the Pleura and the Diaphragm
. 176
8.5
B-Mode Artifacts
. 176
8.5.1
Ultrasound Beam Artifacts
in Chest Sonography
. 176
8.5.1.1
Reverberations (Repetitive Echoes):
Margin Between Tissue and Air,
Bone Fracture Fissures
. 176
8.5.1.2
Mirror Artifacts: Liver Parenchyma
in the Diaphragm, Vessels
attheTleura"
. 177
8.5.1.3
Arcuate Artifacts:
Rib Reflex in
Pleural
Effusion
. 177
8.5.1.4
Scatter Lens Artifact/Shortening
Phenomenon: Distortion
of the Lung Surface Dorsal
to Rib Cartilage
. 177
8.5.1.5
Marginal Shadows: Diffraction/
Refraction at Strong Reflectors
("Diaphragmatic Gap")
. 178
8.5.2
Artifacts Caused by Alterations
in Echo Enhancement
. 178
8.5.2.1
Acoustic Shadow/Echo Obliteration:
Formation of Plaque on All Bony
Structures of the Chest
. 178
8.5.2.2
Echo Enhancement: Distal
to Hypoechoic Structures
(Pleural
Effusion, Cyst, Vessel,
Hypoechoic Space-Occupying
Mass)
. 178
8.5.2.3
Echo Resolution Artifacts
. 179
8.5.3
Other Artifacts
. 179
8.5.3.1
Comet-Tail (Resonance Artifact):
in Aerated Structures
. 179
8.5.3.2
Artifacts Caused by Foreign Bodies:
Needle Tip, Drainage
. 179
8.5.3.3
Ring-Down Artifact: Insufficient
Probe-to-Specimen Contact
. 180
8.6
Color
Doppler
Artifacts
and Pitfalls in the Chest
. 180
8.6.1
Pulse Repetition Frequency, Overall
Enhancement, Filter, Background
Noise
. 180
8.6.2
Directional Artifact
. 180
8.6.3
Aliasing
. 180
8.6.4
Motion Artifacts
. 181
8.6.5
Unfavorable Angles
. 182
8.7
Summary
. 182
References
. 182
9.1
9.2
9.3
9.4
9.4.1
9.4.1.1
9.4.1.2
9.4.1.3
9.4.2
9.4.3
9.4.4
9.5
9.5.1
9.5.2
9.5.2.1
9.5.2.2
9.5.2.3
9.5.2.4
9.5.2.5
9.5.2.6
9.5.3
9.6
Interventional Chest Sonography
W. Blank
183
General Indications
. 184
Contraindications
. 184
Sonography-Guided
or CT-Guided Puncture
. 184
Apparatus, Instruments
and Puncture Technique
. 186
Puncture Needles
. 187
Fine Needles
. 187
Cutting Biopsy Needles
. 190
Gross Needles
. 191
Drainage Catheter
. 191
Checking the Position
of the Needle and the Catheter
. 191
Preparation and Execution of
Puncture
. 194
Indications
. 194
Processes of the Chest Wall
. 194
Pleural
Cavity
. 195
Thoracocentesis
. 195
Pleura Biopsy
. 195
Percutaneous
Pleural
Drainage
_ 196
Lung Consolidations
. 197
Special Puncture Technique
. 198
Pneumonia and Pulmonary
Abscesses
. 199
Mediastinum
. 199
Risks
. 199
Contents
XI
9.7 Pneumothorax After
Puncture
_ 199
9.8
Summary .
202
9.9
List of
Materials . 204
References
. 204
10
The White
Hemìthorax
. 207
C. Görg
10.1
Predominantly Liquid
Space-Occupying Mass
. 208
10.2
Predominantly Solid Space-
Occupying Mass
. 208
11
From the Symptom to the
Diagnosis
. 227
S. Beckh
11.1
ChestPain
. 228
11.1.1
Chest Pain as a Symptom
of Life-Threatening Diseases
. 229
11.1.1.1
Tension
Pneumothorax . 229
11.1.1.2
Pulmonary Embolism
. 230
11.1.1.3
Acute Dissection of the Aorta
. 230
11.1.2
Pain Due to Diseases of the Chest
Wall
. 230
11.1.2.1
RibFracture
. 230
11.1.2.2
Tumor Invasion of the Chest Wall
. 230
11.2
Fever
. 230
11.2.1
Fever with Chest Pain
. 232
11.2.1.1
Abscesses in the Chest Wall
. 232
11.2.1.2
Pleuritis
. 232
11.2.1.3
Pulmonary Embolism
. 232
11.2.1.4
Pericarditis
. 233
11.2.2
Fever with Dyspnea
. 233
11.2.2.1
Pneumonia
. 233
11.2.2.2
Pleural
Empyema
. 233
11.2.3
Fever with Dyspnea
and Chest Pain
. 234
11.2.4
Fever as the Sole Symptom
in Chest Diseases
. 234
11.2.4.1
Polyserositis
. 234
11.2.4.2
Mycobacteriosis
. 235
11.2.4.3
Endocarditis
. 235
11.3
Dyspnea
. 235
11.3.1
Respiratory Tract
. 236
11.3.2
Pleura
. 236
11.3.3
Lung
. 238
11.3.4
Heart
. 238
11.3.5
Respiratory Muscles
. 239
11.4
Summary
. 239
References
. 240
Subject Index
. 241
Chest sonography is an established
proce-
Mathis
dure in
the stepwise imaging diagnosis Editor
of pulmonary and
pleural
disease. It is Chest
the method of choice to distinguish Sonography
between solid and liquid lesions and allows
2nd
Edition
the investigator to make an unequivocal
diagnosis without exposing the patient
to costly and stressful procedures. This
book presents the state of the art in chest
investigation by means of ultrasonography.
A number of excellent illustrations and
the compact text provide concise and
easy-to-assimilate information about the
diagnostic procedure. Basic elements such
as indications, investigation techniques
and image artifacts are detailed in separate
chapters. |
any_adam_object | 1 |
any_adam_object_boolean | 1 |
building | Verbundindex |
bvnumber | BV023199045 |
classification_rvk | YR 4103 |
ctrlnum | (OCoLC)255786377 (DE-599)DNB984079297 |
dewey-full | 616.2407543 |
dewey-hundreds | 600 - Technology (Applied sciences) |
dewey-ones | 616 - Diseases |
dewey-raw | 616.2407543 |
dewey-search | 616.2407543 |
dewey-sort | 3616.2407543 |
dewey-tens | 610 - Medicine and health |
discipline | Medizin |
discipline_str_mv | Medizin |
edition | 2. ed. |
format | Book |
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genre | (DE-588)4143413-4 Aufsatzsammlung gnd-content |
genre_facet | Aufsatzsammlung |
id | DE-604.BV023199045 |
illustrated | Illustrated |
index_date | 2024-07-02T20:07:33Z |
indexdate | 2024-07-09T21:12:52Z |
institution | BVB |
isbn | 9783540724278 3540724273 |
language | English |
oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-016385307 |
oclc_num | 255786377 |
open_access_boolean | |
owner | DE-355 DE-BY-UBR |
owner_facet | DE-355 DE-BY-UBR |
physical | XIII, 242 S. zahlr. Ill., graph. Darst. 28 cm |
publishDate | 2008 |
publishDateSearch | 2008 |
publishDateSort | 2008 |
publisher | Springer |
record_format | marc |
spelling | Chest sonography with 25 tables Gebhard Mathis (ed.) 2. ed. Berlin [u.a.] Springer 2008 XIII, 242 S. zahlr. Ill., graph. Darst. 28 cm txt rdacontent n rdamedia nc rdacarrier Früher u.d.T.: Atlas of chest sonography. - Literaturangaben Lungenkrankheit - Ultraschalldiagnostik - Aufsatzsammlung Lungenkrankheit (DE-588)4036660-1 gnd rswk-swf Ultraschalldiagnostik (DE-588)4061557-1 gnd rswk-swf Brustkorb (DE-588)4069698-4 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Lungenkrankheit (DE-588)4036660-1 s Ultraschalldiagnostik (DE-588)4061557-1 s DE-604 Brustkorb (DE-588)4069698-4 s b DE-604 Mathis, Gebhard Sonstige oth Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016385307&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016385307&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
spellingShingle | Chest sonography with 25 tables Lungenkrankheit - Ultraschalldiagnostik - Aufsatzsammlung Lungenkrankheit (DE-588)4036660-1 gnd Ultraschalldiagnostik (DE-588)4061557-1 gnd Brustkorb (DE-588)4069698-4 gnd |
subject_GND | (DE-588)4036660-1 (DE-588)4061557-1 (DE-588)4069698-4 (DE-588)4143413-4 |
title | Chest sonography with 25 tables |
title_auth | Chest sonography with 25 tables |
title_exact_search | Chest sonography with 25 tables |
title_exact_search_txtP | Chest sonography with 25 tables |
title_full | Chest sonography with 25 tables Gebhard Mathis (ed.) |
title_fullStr | Chest sonography with 25 tables Gebhard Mathis (ed.) |
title_full_unstemmed | Chest sonography with 25 tables Gebhard Mathis (ed.) |
title_short | Chest sonography |
title_sort | chest sonography with 25 tables |
title_sub | with 25 tables |
topic | Lungenkrankheit - Ultraschalldiagnostik - Aufsatzsammlung Lungenkrankheit (DE-588)4036660-1 gnd Ultraschalldiagnostik (DE-588)4061557-1 gnd Brustkorb (DE-588)4069698-4 gnd |
topic_facet | Lungenkrankheit - Ultraschalldiagnostik - Aufsatzsammlung Lungenkrankheit Ultraschalldiagnostik Brustkorb Aufsatzsammlung |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016385307&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016385307&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
work_keys_str_mv | AT mathisgebhard chestsonographywith25tables |