How to Think Like a Radiologist Ordering Imaging Studies 1st Edition by Tara Marie Catanzano ISBN 0521715237 978-0521715232

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ISBN 10:  0521715237

ISBN 13:  978-0521715232

Author: Tara Marie Catanzano
Radiologic investigations can be confusing to clinicians and radiologists alike. Questions invariably arise as to which type of imaging study best answers the clinical question posed. Once a modality is determined, decisions must be made regarding the technical manner in which the study is performed and if intravenous contrast is required. Patient factors, risks, benefits, and other variables must also be considered. This pocket guide is written for anyone who needs to understand enough about radiology to know which study to order in a patient workup. The book addresses imaging studies by modality, body region, and type of study in bulleted outline format for easy reference. General considerations for each modality – including advantages and disadvantages – are presented, followed by patient preparation and requirements for each type of examination. Dr. Catanzano explains how specific studies are performed and what information can be obtained, study indications, contraindications, and limitations. The book also includes an appendix of tables.

Table of contents: 

1 Radiation and Contrast Concerns

• General Considerations
• Radiation Risks
• Contrast Agents and Administration
• Premedication for Intravascular Contrast
• Nephrogenic Systemic Fibrosis

2 Chest Imaging

• Conventional Radiographs
• Decubitus Radiographs
• Inspiration/Expiration Radiography
• Apical Lordotic Imaging
• Shallow Oblique Radiographs
• Nipple Markers
• Rib Films
• Indications for Repeat Chest X-Ray
• CT of the Thorax
• CT Angiography for Pulmonary Embolism
• “Triple Rule Out”: Contrast-Enhanced CT Angiography of the Thorax

3 Musculoskeletal Imaging

• Conventional Radiographs
• Arthrography
• CT
• Musculoskeletal Contrast-Enhanced CT
• CT Arthrography
• Musculoskeletal MRI
• Non-Contrast Musculoskeletal MRI
• IV Contrast-Enhanced Musculoskeletal MRI
• MR Arthrography

4 Genitourinary Imaging

• Conventional Radiographs
• IV Urogram/Pyelogram
• CT Urography
• Nephrostogram
• Loopogram
• Cystogram/Voiding Cystourethrogram
• Retrograde Urethrogram
• Hysterosalpingography

5 Gastrointestinal (Barium) Imaging

• Conventional Radiographs
• Esophagography
• Modified Barium Swallow
• Upper GI Series
• Small Bowel Follow-Through
• Enteroclysis
• Single Contrast Barium/Hypaque Enemas
• Double Contrast Barium Enema
• Fistulograms
• Ostomy Studies

6 Computed Tomography

• Abdominopelvic Imaging
• General Considerations in CT Imaging
• Premedication for Patients with IV Contrast
  • Allergies
• Hepatic CT Imaging
• Biliary Imaging
• Splenic Imaging
• Pancreatic Imaging
• Adrenal Imaging
• Renal Imaging
• Imaging of Suspected Renal Masses (Renal Mass Protocol CT)
• CT Urogram
• CT Cystogram
• CT Imaging of Gynecologic Disease
• CT Imaging of Bowel Pathology
• Vascular CT Imaging
• Aortic Imaging
• Renal Vascular CT Imaging
• Venous CT Imaging

7 Body MRI

• General Considerations
• Contraindications to MRI
• MR of the Chest
• MR of the Heart
• MR of the Abdomen
• MR of the Pelvis
• MR of the Liver
• Magnetic Resonance Cholangiopancreatography
• MR of the Pancreas
• MR of the Adrenal Glands
• MR of the Kidneys
• MR Angiogram of the Renal Arteries
• MR of Cardiac Abnormalities
• MR of Vascular Structures
• MR of the Pelvis (for Gynecology/Obstetrics)
• MR of the Breast
• MR of the Prostate

8 Neuroradiology

• Conventional Radiographs
• Non-Contrast CT of the Brain
• Contrast-Enhanced CT of the Brain
• CT Angiography of the Neck and Circle of Willis
• CT of the Sinus
• CT of the Facial Bones
• CT of the Petrous/Temporal Bone
• CT of the Orbits
• CT of the Neck
• CT of the Cervical Spine
• CT of the Thoracic/Lumbar Spine
• MRI of the Central Nervous System
• Contrast-Enhanced MR of the Brain
• MR of the Nasopharynx
• MR of the Orbits
• MR of the Pituitary
• MR of the Neck
• MR Angiography/MR Venography
• MR Spectroscopy
• MR of the Spine
• Non-Contrast MR of the Spine
• Contrast-Enhanced MR of the Spine

9 Cardiac Imaging

• General Considerations
• Chest Radiography
• Echocardiography
• Exercise Stress Testing
• Preparation for Nuclear Stress Tests
• Nuclear Stress/Rest Perfusion Imaging (201-Thallium, 99mTc Sestamibi/Tetrofosmin/Teboroxime)
• Nuclear Viability Imaging (FDG PET)
• Nuclear Medicine PET CT Stress/Rest Imaging
• Coronary Artery Calcium Scoring
• CT Coronary Angiography
• Cardiac MRI
• Conventional Catheter Angiography

10 Ultrasound

• General Considerations
• Vascular Ultrasound
• Carotid Ultrasound
• Abdominal Aorta Ultrasound
• Splanchnic Vasculature (Celiac Axis/Superior and Inferior Mesenteric Arteries) Ultrasound
• Renal Artery Stenosis Ultrasound
• Ultrasound Doppler Evaluation of the Hepatic Vasculature/Evaluation of TIPS
• Vascular Graft Ultrasound
• Arteriovenous Graft/Fistula Ultrasound
• Ultrasound Evaluation of Pseudoaneurysm or Arteriovenous Fistula Following Arterial Puncture
• DVT (Upper or Lower Extremity) Ultrasound
• Neck Ultrasound (Nonvascular)
• Breast Ultrasound
• Chest Ultrasound
• Abdomen Ultrasound
• Retroperitoneal (Renal) Ultrasound
• Renal Transplant Ultrasound
• Pancreatic Transplant Ultrasound
• Pelvic Ultrasound (Females)

11 Nuclear Medicine

• General Considerations
• CNS Imaging
• Technetium-99m Hexamethylpropyleneamine Oxime CNS Imaging
• F-18 Fluorodeoxyglucose CNS Imaging
• Cerebrospinal Fluid Leak
• Obstructive Hydrocephalus
• Vascular/Lymphatic
• Lymphatic Stasis
• Lymphoscintigraphy/Sentinel Node Sampling
• Bone Scan
• Endocrine
• Iodine-131 Thyroid Imaging
• Radioactive Thyroid Ablation
• Parathyroid Imaging
• Metaiodobenzylguanidine Imaging
• Gallium Imaging
• White Blood Cell Imaging
• Tagged Red Blood Cell Study
• Meckel’s Scan
• Sulfur Colloid Imaging
• HIDA Study
• Gastric Emptying Study
• Renal Imaging
• Captopril Studies
• Diuretic Renogram (Lasix Study)
• Radionuclide Cystography
• Ventilation/Perfusion Imaging
• PET CT (for Attenuation Correction)

12 Angiography/Interventional Radiology

• General Considerations
• Vascular Procedures
• Venous Interventions
• Inferior Vena Cava Filter
• Thrombolysis/Thrombectomy (PE, DVT)
• TIPS
• Venograms
• Arterial Procedures
• Aortography with and without Lower Extremity Run-Off
• Angioplasty
• Stent Placement
• Thrombolysis
• Embolization (Emergent [e.g. GI bleeding], Elective [e.g. Uterine Artery Embolization])
• Thrombin Injection for Pseudoaneurysm
• Aortic Stent Grafts
• Pulmonary Artery Angiography
• Nonvascular Procedures
• Biliary
• Percutaneous Cholangiogram
• Gastric
• Renal
• Thorax
• Pleurodesis
• Peritoneal

13 Pediatric Radiography

• Chest Imaging
• Rib Films
• Musculoskeletal Imaging
• Neuroradiology
• Gastrointestinal Imaging
• Genitourinary Imaging

14 Pediatric Fluoroscopy

• GI Fluoroscopy
• Esophagram (Barium Swallow)
• Upper GI Series (Upper GI/Barium Swallow with Upper GI)

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Tara Marie Catanzano,How to Think,a Radiologist Ordering,Imaging Studies