Cost Effective Diagnostic Imaging: The Clinician's Guide by Zachary Grossman, Douglas Katz, Ronald Alberico, Peter Loud PDF

By Zachary Grossman, Douglas Katz, Ronald Alberico, Peter Loud

ISBN-10: 0323032834

ISBN-13: 9780323032834

Written via radiologists yet for clinicians, and intended for session within the "heat of conflict" (the busy-sometimes hectic-clinical setting), this distinctive little booklet courses you thru the main cost effective and direct imaging path to a prognosis. in contrast to all different books by means of radiologists, it doesn't try and educate photo interpretation. particularly, masking sixty five universal scientific difficulties, from GI bleed, to Pulmonary Embolus, to Myocardial Ischemia, to Stroke, The Clinicians's consultant contains all on hand technologies-Multi-detector CT, MR, CT angiography, MR angiography, puppy, and mixed PET/CT- to aid clinicians get the solutions they need.Highlights the relative fee with buck indicators of every imaging try or imaging-guided approach! (Not on hand in the other text). Explains in transparent, cogent language the step by step common sense at the back of the imaging series for every challenge, but avoids maddening "flow charts". every one problem-oriented bankruptcy stands by myself, for fast and concise suggestions in deciding on the precise attempt, obviating the necessity to turn backward and forward whilst there's little time. accommodates the latest imaging modalities that experience tremendously replaced the work-up for lots of scientific stipulations. Covers the main arguable issues, like CT screening of the fit inhabitants, the price of mixed PET/CT scanners, and where of "virtual" colonoscopy.

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Additional info for Cost Effective Diagnostic Imaging: The Clinician's Guide

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Overall, CT is the best single imaging test to evaluate the pancreas and surrounding structures. Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) can define subtle abnormalities of the biliary and pancreatic ducts and guide interventions to relieve obstruction from stones or strictures; 35 36 Part I Gastrointestinal however, these tests—particularly ERCP—are much more invasive than CT or US. Relative Costs: US, $$; CT, $$$; EUS, $$$; ERCP, $$$$. PLAN AND RATIONALE (A) MILD ACUTE PANCREATITIS STEP 1: ULTRASOUND (US) Generally, no imaging is required beyond abdominal US to exclude gallstones as a cause and to examine the bile ducts for obstruction (dilation).

The patient should fast for at least 4 to 6 hours before US, so that the gallbladder becomes distended with bile. The pancreas itself may appear normal sonographically or show very subtle peripancreatic inflammation in mild cases. Whereas the head and body of the pancreas are well seen with US, the pancreatic tail is often incompletely visualized because of overlying bowel gas. If gallstones are present, elective cholecystectomy is usually warranted, after the acute episode resolves, to prevent future episodes of pancreatitis or cholecystitis.

Relative Costs: Abdominal US, $$; abdominal CT, enhanced, $$$; ERCP, $$$–$$$$; endoscopic US, $$$; pancreatic biopsy, CT-guided, $$$–$$$$; pancreatic biopsy, US-guided, $$$–$$$$. 29 30 Part I Gastrointestinal PLAN AND RATIONALE For suspected pancreatic carcinoma in the jaundiced patient: STEP 1: ULTRASOUND (US) Pancreatic lesions producing jaundice are most likely in the pancreatic head. US defines pancreatic head tumors and often other causes of jaundice, such as a gallstone in the common bile duct or a tumor in the liver or porta hepatis.

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Cost Effective Diagnostic Imaging: The Clinician's Guide by Zachary Grossman, Douglas Katz, Ronald Alberico, Peter Loud


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