Contemporary chest imaging:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2008
|
| Schriftenreihe: | Clinics in chest medicine
29,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X, 223 S. zahlr. Ill., graph. Darst. |
| ISBN: | 1416058664 9781416058663 |
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| 245 | 1 | 0 | |a Contemporary chest imaging |c guest ed. David A. Lynch |
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| 650 | 4 | |a Image Interpretation, Computer-Assisted | |
| 650 | 4 | |a Lung Diseases |x radiography | |
| 650 | 4 | |a Lungs |x Diseases |x Diagnosis | |
| 650 | 4 | |a Radiography, Thoracic | |
| 650 | 4 | |a Radionuclide Imaging | |
| 650 | 4 | |a Respiratory Tract Diseases |x radiography | |
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| adam_text | CONTEMPORARY CHEST IMAGING
CONTENTS
Preface ix
David A. Lynch
Lung Cancer Screening with CT 1
Denise R. Aberle and Kathleen Brown
Lung cancer is the leading cause of cancer death in the United States. Non-small cell
lung cancer accounts for 75% to 80% of all lung cancers. There is an impetus to find a
screening test that can detect non-small cell lung cancer in its early preclinical stages,
when surgical resection is most likely to reduce lung cancer mortality. Although earlier
randomized controlled trials of lung cancer screening using chest radiography and
sputum cytology failed to show reduced lung cancer mortality, CT is a much more
sensitive test for detecting small lung nodules, and has generated considerable
enthusiasm as a potential contemporary screening tool for lung cancer.
Imaging Evaluation of the Solitary Pulmonary Nodule 15
Jeffrey S. Klein and Samuel Braff
The solitary pulmonary nodule (SPN) is a common diagnostic problem facing the
pulmonologist. The incidence of SPNs is increasing primarily because of the increasing
use of multidetector CT scanning for the evaluation of chest disease. This article reviews
the radiologic assessment of the SPN, with a focus on thin-section CT, positron emission
tomography, and CT-guided transthoracic needle biopsy in the characterization of SPNs.
The incorporation of clinical factors, local practice patterns and expertise, and access to
technology will guide the diagnostic evaluation in a given patient. An evidence-based
diagnostic algortihm for SPN evaluation will be proposed.
CT, Positron Emission Tomography, and MRI in Staging Lung Cancer 39
Jeremy J. Erasmus and Bradley S. Sabloff
Lung cancer is a common malignancy and remains the leading cause of cancer-related
deaths in both men and women in the United States. Imaging plays an important role in
the detection, diagnosis, and staging of the disease as well as in assessing response to
therapy and monitoring for tumor recurrence after treatment. This article reviews the
staging of the two major histologic categories of lung cancer—non-small-cell lung
carcinoma (NSCLC) and small-cell lung carcinoma—and emphasizes the appropriate
use of CT, MRI, and positron emission tomography imaging in patient management.
Also discussed are proposed revisions of the International Association for the Study of
Lung Cancer s terms used to describe the extent of NSCLC in terms of the primary
tumor, lymph nodes, and metastases descriptors.
VOLUME 29 • NUMBER 1 • MARCH 2008 v
ICU Imaging 59
Joshua R. Hill, Peder E. Homer, and Steven L. Primack
Chest radiography serves a crucial role in imaging of the critically ill. Its uses include
diagnosis and monitoring of commonly encountered pulmonary parenchymal and
pleural space abnormalities. It is also important in evaluating monitoring and support
devices and associated complications. CT, another useful imaging modality in select
patients, can better characterize pulmonary parenchymal and pleural space disease.
Imaging Infection 77
Loren Ketai, Kirk Jordan, and Edith M. Marom
Diagnostic imaging of the thorax is routinely used among both immunocompetent and
immunosuppressed patients to detect infection, identify its complications, and aid in
differentiating infectious from noninfectious intrathoracic disease. Imaging is more
effective in suggesting specific types of infection in immunocompromised hosts where
imaging findings can be combined with information on the patient s immune status,
which in some cases allows treatment to be initiated without a pathologic diagnosis. CT
imaging is particularly useful in immunosuppressed hosts with symptoms and minimally
abnormal radiographs, such as those patients afflicted with bacterial airway infections.
Imaging of Pulmonary Thromboembolism 107
Meltem Gulsun Akpinar and Lawrence R. Goodman
Pulmonary thromboembolism usually results from deep venous thrombi originating in
the lower extremities. Therefore, imaging of venous thromboembolism includes
evaluation of the pulmonary arteries and the deep veins of the lower extremities. The
introduction of helical CT and multidetector row CT into daily use has enabled direct
visualization of pulmonary arteries. CT venography, performed 3 minutes after CT
pulmonary angiography (without additional contrast administration), adds the ability to
evaluate the veins of the lower extremities and pelvis. The modalities currently used in
the diagnostic workup of venous thromboembolic disease and their advantages and
disadvantages are discussed in this article.
Imaging of Occupational and Environmental Lung Diseases 117
Masanori Akira
The chest radiograph is the basic tool for identifying occupational and environmental
lung diseases; however, its sensitivity and specificity for the diagnosis of occupational
and environmental lung diseases are low. High-resolution CT is the optimal method of
recognizing parenchymal abnormalities in occupational and environmental disease.
With the exception of pleural plaques, the CT findings of occupational and environ¬
mental lung diseases are nonspecific. Therefore, correlation of imaging features with
history of exposure, other clinical features, and sometimes pathology is needed for the
diagnosis of pneumoconiosis.
Imaging of Idiopathic Interstitial Pneumonias 133
Takeshi Johkoh
Idiopathic interstitial pneumonias are classified into acute interstitial pneumonia,
cryptogenic organizing pneumonia, nonspecific interstitial pneumonia, usual interstitial
pneumonia, desquamative interstitial pneumonia, respiratory bronchiolitis-associated
interstitial lung disease, and lymphoid interstitial pneumonia. In this article, the imaging
findings of each idiopathic interstitial pneumonia are described, paying special attention
to the characteristic CT findings.
vi CONTENTS
Pulmonary Complications of Connective Tissue Diseases 149
Felix Woodhead, Athol U. Wells, and Sujal R. Desai
Lung involvement is common in patients who have complications of connective tissue
disease (CTDs) and causes considerable morbidity and mortality. High resolution CT
(HRCT) has a pivotal role in the detection of lung fibrosis. In patients who have
coexistent pathologic processes, HRCT often allows the predominant process to be
identified. HRCT has an important role in detecting possible complications such as
opportunistic infection or the development of malignancy. However, the limitations of
HRCT should not be overlooked. In many cases, HRCT appearances are nonspecific and
may or may not be related to an underlying CTD. Thus, radiologic findings should never
be interpreted without knowledge of the clinical picture.
Imaging of Small Airways Disease and Chronic Obstructive Pulmonary Disease 165
David A. Lynch
CT is a useful tool for identification of small airways diseases, and it can be used to
classify these entities into inflammatory and constrictive bronchiolitis. Inflammatory
forms of bronchiolitis include cellular bronchiolitis (usually caused by infection or
aspiration), respiratory bronchiolitis, panbronchiolitis, and follicular bronchiolitis.
Constrictive bronchiolitis may be caused by previous infection, toxic inhalation, collagen
vascular disease, or transplantation. CT also helps categorize chronic obstructive
pulmonary disease into emphysema predominant and airway predominant forms.
Imaging of the Large Airways 181
Phillip M. Boiselle
Recent advances in multidetector-row CT technology and advances in post-processing
techniques have revolutionized the ability to noninvasively image the large airways.
This article provides a comprehensive review of imaging of the large airways.
Introductory sections covering airway anatomy and CT imaging methods are followed
by a review of tracheobronchial stenoses, neoplasms, tracheobrqnchomalacia, and
congenital large airway abnormalities. Throughout, an emphasis is placed upon the
complementary role of axial CT images and multiplanar reformation and three-
dimensional reconstruction images for noninvasively assessing the large airways.
Functional Imaging: CT and MRI 195
Edwin J.R. van Beek and Eric A. Hoffman
Numerous imaging techniques permit evaluation of regional pulmonary function.
Contrast-enhanced CT methods now allow assessment of vasculature and lung
perfusion. Techniques using spirometric controlled multi-detector row CT allow for
quantification of presence and distribution of parenchymal and airway pathology; xenon
gas can be employed to assess regional ventilation of the lungs, and rapid bolus
injections of iodinated contrast agent can provide a quantitative measure of regional
parenchymal perfusion. Advances in MRI of the lung include gadolinium-enhanced
perfusion imaging and hyperpolarized gas imaging, which allow functional assessment,
including ventilation/perfusion, microscopic air space measurements, and gas flow and
transport dynamics.
Index 217
CONTENTS vii
|
| adam_txt |
CONTEMPORARY CHEST IMAGING
CONTENTS
Preface ix
David A. Lynch
Lung Cancer Screening with CT 1
Denise R. Aberle and Kathleen Brown
Lung cancer is the leading cause of cancer death in the United States. Non-small cell
lung cancer accounts for 75% to 80% of all lung cancers. There is an impetus to find a
screening test that can detect non-small cell lung cancer in its early preclinical stages,
when surgical resection is most likely to reduce lung cancer mortality. Although earlier
randomized controlled trials of lung cancer screening using chest radiography and
sputum cytology failed to show reduced lung cancer mortality, CT is a much more
sensitive test for detecting small lung nodules, and has generated considerable
enthusiasm as a potential contemporary screening tool for lung cancer.
Imaging Evaluation of the Solitary Pulmonary Nodule 15
Jeffrey S. Klein and Samuel Braff
The solitary pulmonary nodule (SPN) is a common diagnostic problem facing the
pulmonologist. The incidence of SPNs is increasing primarily because of the increasing
use of multidetector CT scanning for the evaluation of chest disease. This article reviews
the radiologic assessment of the SPN, with a focus on thin-section CT, positron emission
tomography, and CT-guided transthoracic needle biopsy in the characterization of SPNs.
The incorporation of clinical factors, local practice patterns and expertise, and access to
technology will guide the diagnostic evaluation in a given patient. An evidence-based
diagnostic algortihm for SPN evaluation will be proposed.
CT, Positron Emission Tomography, and MRI in Staging Lung Cancer 39
Jeremy J. Erasmus and Bradley S. Sabloff
Lung cancer is a common malignancy and remains the leading cause of cancer-related
deaths in both men and women in the United States. Imaging plays an important role in
the detection, diagnosis, and staging of the disease as well as in assessing response to
therapy and monitoring for tumor recurrence after treatment. This article reviews the
staging of the two major histologic categories of lung cancer—non-small-cell lung
carcinoma (NSCLC) and small-cell lung carcinoma—and emphasizes the appropriate
use of CT, MRI, and positron emission tomography imaging in patient management.
Also discussed are proposed revisions of the International Association for the Study of
Lung Cancer's terms used to describe the extent of NSCLC in terms of the primary
tumor, lymph nodes, and metastases descriptors.
VOLUME 29 • NUMBER 1 • MARCH 2008 v
ICU Imaging 59
Joshua R. Hill, Peder E. Homer, and Steven L. Primack
Chest radiography serves a crucial role in imaging of the critically ill. Its uses include
diagnosis and monitoring of commonly encountered pulmonary parenchymal and
pleural space abnormalities. It is also important in evaluating monitoring and support
devices and associated complications. CT, another useful imaging modality in select
patients, can better characterize pulmonary parenchymal and pleural space disease.
Imaging Infection 77
Loren Ketai, Kirk Jordan, and Edith M. Marom
Diagnostic imaging of the thorax is routinely used among both immunocompetent and
immunosuppressed patients to detect infection, identify its complications, and aid in
differentiating infectious from noninfectious intrathoracic disease. Imaging is more
effective in suggesting specific types of infection in immunocompromised hosts where
imaging findings can be combined with information on the patient's immune status,
which in some cases allows treatment to be initiated without a pathologic diagnosis. CT
imaging is particularly useful in immunosuppressed hosts with symptoms and minimally
abnormal radiographs, such as those patients afflicted with bacterial airway infections.
Imaging of Pulmonary Thromboembolism 107
Meltem Gulsun Akpinar and Lawrence R. Goodman
Pulmonary thromboembolism usually results from deep venous thrombi originating in
the lower extremities. Therefore, imaging of venous thromboembolism includes
evaluation of the pulmonary arteries and the deep veins of the lower extremities. The
introduction of helical CT and multidetector row CT into daily use has enabled direct
visualization of pulmonary arteries. CT venography, performed 3 minutes after CT
pulmonary angiography (without additional contrast administration), adds the ability to
evaluate the veins of the lower extremities and pelvis. The modalities currently used in
the diagnostic workup of venous thromboembolic disease and their advantages and
disadvantages are discussed in this article.
Imaging of Occupational and Environmental Lung Diseases 117
Masanori Akira
The chest radiograph is the basic tool for identifying occupational and environmental
lung diseases; however, its sensitivity and specificity for the diagnosis of occupational
and environmental lung diseases are low. High-resolution CT is the optimal method of
recognizing parenchymal abnormalities in occupational and environmental disease.
With the exception of pleural plaques, the CT findings of occupational and environ¬
mental lung diseases are nonspecific. Therefore, correlation of imaging features with
history of exposure, other clinical features, and sometimes pathology is needed for the
diagnosis of pneumoconiosis.
Imaging of Idiopathic Interstitial Pneumonias 133
Takeshi Johkoh
Idiopathic interstitial pneumonias are classified into acute interstitial pneumonia,
cryptogenic organizing pneumonia, nonspecific interstitial pneumonia, usual interstitial
pneumonia, desquamative interstitial pneumonia, respiratory bronchiolitis-associated
interstitial lung disease, and lymphoid interstitial pneumonia. In this article, the imaging
findings of each idiopathic interstitial pneumonia are described, paying special attention
to the characteristic CT findings.
vi CONTENTS
Pulmonary Complications of Connective Tissue Diseases 149
Felix Woodhead, Athol U. Wells, and Sujal R. Desai
Lung involvement is common in patients who have complications of connective tissue
disease (CTDs) and causes considerable morbidity and mortality. High resolution CT
(HRCT) has a pivotal role in the detection of lung fibrosis. In patients who have
coexistent pathologic processes, HRCT often allows the predominant process to be
identified. HRCT has an important role in detecting possible complications such as
opportunistic infection or the development of malignancy. However, the limitations of
HRCT should not be overlooked. In many cases, HRCT appearances are nonspecific and
may or may not be related to an underlying CTD. Thus, radiologic findings should never
be interpreted without knowledge of the clinical picture.
Imaging of Small Airways Disease and Chronic Obstructive Pulmonary Disease 165
David A. Lynch
CT is a useful tool for identification of small airways diseases, and it can be used to
classify these entities into inflammatory and constrictive bronchiolitis. Inflammatory
forms of bronchiolitis include cellular bronchiolitis (usually caused by infection or
aspiration), respiratory bronchiolitis, panbronchiolitis, and follicular bronchiolitis.
Constrictive bronchiolitis may be caused by previous infection, toxic inhalation, collagen
vascular disease, or transplantation. CT also helps categorize chronic obstructive
pulmonary disease into emphysema predominant and airway predominant forms.
Imaging of the Large Airways 181
Phillip M. Boiselle
Recent advances in multidetector-row CT technology and advances in post-processing
techniques have revolutionized the ability to noninvasively image the large airways.
This article provides a comprehensive review of imaging of the large airways.
Introductory sections covering airway anatomy and CT imaging methods are followed
by a review of tracheobronchial stenoses, neoplasms, tracheobrqnchomalacia, and
congenital large airway abnormalities. Throughout, an emphasis is placed upon the
complementary role of axial CT images and multiplanar reformation and three-
dimensional reconstruction images for noninvasively assessing the large airways.
Functional Imaging: CT and MRI 195
Edwin J.R. van Beek and Eric A. Hoffman
Numerous imaging techniques permit evaluation of regional pulmonary function.
Contrast-enhanced CT methods now allow assessment of vasculature and lung
perfusion. Techniques using spirometric controlled multi-detector row CT allow for
quantification of presence and distribution of parenchymal and airway pathology; xenon
gas can be employed to assess regional ventilation of the lungs, and rapid bolus
injections of iodinated contrast agent can provide a quantitative measure of regional
parenchymal perfusion. Advances in MRI of the lung include gadolinium-enhanced
perfusion imaging and hyperpolarized gas imaging, which allow functional assessment,
including ventilation/perfusion, microscopic air space measurements, and gas flow and
transport dynamics.
Index 217
CONTENTS vii |
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| spelling | Contemporary chest imaging guest ed. David A. Lynch Philadelphia [u.a.] Saunders 2008 X, 223 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Clinics in chest medicine 29,1 Image Interpretation, Computer-Assisted Lung Diseases radiography Lungs Diseases Diagnosis Radiography, Thoracic Radionuclide Imaging Respiratory Tract Diseases radiography Lynch, David A. 1956- Sonstige (DE-588)1074128427 oth Clinics in chest medicine 29,1 (DE-604)BV000001084 29,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016449765&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Contemporary chest imaging Clinics in chest medicine Image Interpretation, Computer-Assisted Lung Diseases radiography Lungs Diseases Diagnosis Radiography, Thoracic Radionuclide Imaging Respiratory Tract Diseases radiography |
| title | Contemporary chest imaging |
| title_auth | Contemporary chest imaging |
| title_exact_search | Contemporary chest imaging |
| title_exact_search_txtP | Contemporary chest imaging |
| title_full | Contemporary chest imaging guest ed. David A. Lynch |
| title_fullStr | Contemporary chest imaging guest ed. David A. Lynch |
| title_full_unstemmed | Contemporary chest imaging guest ed. David A. Lynch |
| title_short | Contemporary chest imaging |
| title_sort | contemporary chest imaging |
| topic | Image Interpretation, Computer-Assisted Lung Diseases radiography Lungs Diseases Diagnosis Radiography, Thoracic Radionuclide Imaging Respiratory Tract Diseases radiography |
| topic_facet | Image Interpretation, Computer-Assisted Lung Diseases radiography Lungs Diseases Diagnosis Radiography, Thoracic Radionuclide Imaging Respiratory Tract Diseases radiography |
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