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

By Tommaso Vincenzo Bartolotta, Adele Taibbi, Massimo Midiri

This e-book bargains an image-based, finished fast reference advisor that would help in the translation of contrast-enhanced ultrasound (CEUS) examinations of the liver in day-by-day perform. It describes and depicts average and peculiar habit of either universal and not more often saw focal liver lesions. for every form of lesion, the findings on pre- and post-contrast photos are awarded and key features are highlighted. person chapters additionally specialize in the overview of reaction to locoregional and systemic therapy and the influence of ecu instructions on CEUS. The Atlas of Contrast-Enhanced Sonography of Focal Liver Lesions will function a useful hands-on device 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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Sample text

HA consists of normal hepatocytes with a variable rate of fat and glycogen, fibrous tissue and large sinusoids related to a high risk of bleeding especially in large lesions. Moreover, malignant degeneration is possible. Hence, a correct diagnosis is mandatory since surgical resection is advised mainly for HA larger than 4 cm [28–30]. At grayscale US, HA can present various appearances with homogeneous or inhomogeneous echotexure depending on the size or the presence of thrombotic–hemorrhagic phenomena.

4 Focal Nodular Hyperplasia c d Fig. 9 (continued) 25 26 2 Benign Focal Liver Lesions a b Fig. 10 Focal nodular hyperplasia and focal fatty sparing. 4-cm slightly hypoechoic lesion located in segment V (calipers) with intralesional arterial signal at pulsed-Doppler evaluation (b). Adjacent to the above mentioned lesion, a hypoechoic area with illdefined margins is also appreciable in a (arrow). (c) At CEUS in the arterial phase, the lesion shows a clear-cut and homogeneous contrast enhancement (arrow) except for a small central hypoechoic area representing the central scar (black arrowhead).

4 Focal Nodular Hyperplasia c d Fig. 9 (continued) 25 26 2 Benign Focal Liver Lesions a b Fig. 10 Focal nodular hyperplasia and focal fatty sparing. 4-cm slightly hypoechoic lesion located in segment V (calipers) with intralesional arterial signal at pulsed-Doppler evaluation (b). Adjacent to the above mentioned lesion, a hypoechoic area with illdefined margins is also appreciable in a (arrow). (c) At CEUS in the arterial phase, the lesion shows a clear-cut and homogeneous contrast enhancement (arrow) except for a small central hypoechoic area representing the central scar (black arrowhead).

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