Contrast Enhanced Ultrasound In Pediatric Imaging

This book is a comprehensive guide to the rapidly evolving field of contrast-enhanced ultrasound (CEUS) in the child. The uses and interpretation of CEUS are clearly explained with the aid of numerous illustrations. The coverage encompasses both established indications, such as focal liver lesions, abdominal solid organ injury, and vesicoureteral reflux, and a range of newer applications. Extensive information is also provided on microbubble agents and their use in the pediatric age group, as well as on practical aspects of setting up a CEUS service for children. CEUS is a safe imaging method that is ideal for the young patient and can be used for problem solving in a number of clinical situations. Ultrasound combined with microbubble contrast avoids the ionizing radiation of a CT examination, the use of iodinated contrast, the need for sedation or a general anesthetic, and the complexities of MR imaging. In bringing readers up to date with best practice and the latest innovations in CEUS, this book will be of value for pediatric radiologists, pediatric sonographers/technicians, and pediatricians.

This essential book is a unique, authoritative and clinically oriented text on pediatric ultrasound. It provides up-to-date information addressing all aspects of congenital and acquired disorders in children encountered in clinical practice. The easy-to-navigate text is divided into 20 chapters. Each chapter is organized to cover the latest ultrasound techniques, normal development and anatomy, anatomic variants, key clinical presentations, characteristic ultrasound imaging findings, differential diagnoses and relevant pitfalls. With more than 2400 images, examples of new technological developments such as contrast-enhanced ultrasound and elastography are included. Written by internationally known pediatric radiology experts and editorial team lead by acclaimed authors, Harriet J. Paltiel, MDCM and Edward Y. Lee, MD, MPH, this reference is a practical and ideal guide for radiologists, radiology trainees, ultrasound technologists as well as clinicians in other specialties with an interest in pediatric ultrasound.

This issue of Ultrasound Clinics addresses pediatric applications. Topics include: Chest; Spine; Adrenal; Pancreas and Spleen; Bladder; Gynecology; Portal Hypertension; Unusual Abdominal; Hepatic, Renal and Multivisceral Transplantation; Abdominal Emergencies.

This book presents a comprehensive, state-of the-art guide and review of ultrasound applications for children and infants with surgical problems. It is meant as a single source to provide information about sonographic application, interpretation and technique for a diversity of pediatric surgical care providers, making it a useful tool for the ultrasound novice as well as the more advanced ultrasonographer. Sections address initial obstacles faced by a physician starting with ultrasound such as the scanning techniques, underlying anatomy and normal sonographic findings. The initial chapter provides an introduction and basic overview about ultrasound theory and techniques. Subsequent chapters focus on specific body parts and systems and their disease processes as it pertains to pediatric and neonatal patients. The text also includes a chapter on abdominal trauma and its evaluation with the FAST (focused abdominal sonography for trauma) exam. Diagnostic and Interventional Ultrasound in Pediatric Surgery serves as a useful resource for a broad spectrum of pediatric care providers, including a growing number of ultrasound users, surgeons and pediatricians alike.

This book, now in a revised and updated second edition, systematically covers the use of ultrasound in all organ systems throughout childhood. After discussing the basics, including physics, ultrasound methods, and artifacts, it elucidates decision-making regarding the use of ultrasound by discussing diagnostic flow charts based on recommended imaging algorithms. The main part of the book addresses ultrasound investigations of the various organs. It documents the indications and prerequisites for specific examinations and offers practical tips and tricks. The normal, age-dependent ultrasound findings and typical appearances in different pathologies are presented in detail and illustrated by numerous high-quality images, with a particular emphasis on those findings that differ from the adult sonographic appearances. And finally, dedicated chapters explore point-of-care and emergency ultrasound, interventional ultrasound, and present orienting tables. This state-of-the-art book covers modern techniques and applications, like contrast-enhanced ultrasound, ultrasound elastography, and automated-image optimization, as well as all pediatric ultrasound applications from point-of-care ultrasound and orienting assessment also at the intensive care unit/emergency room to more detailed and advanced applications, e.g., in dedicated tertiary referral centers. Pediatric Ultrasound is an invaluable source of information and an indispensable aid to decision-making and diagnosis for radiology residents, (pediatric) radiologists, sonographers, pediatricians, (pediatric) surgeons, urologists, and all other physicians who deal with children as a part of their daily practice.

For all radiologists diagnosing infants and children, knowledge of best practices in pediatric imaging is essential to safely obtaining high-quality images and achieving accurate diagnoses. This practical text covers current guidelines and key topics in the field, including choice of modality, equipment and dosages, child-specific diseases, typical imaging findings, differential diagnostic aspects, and safety factors. This book is invaluable for all clinicians and radiologists who diagnose and manage this sensitive population. Special Features: Explores the use of all standard imaging modalities in children as compared to adults, especially with regard to ultrasound, CT, and MRI Supplies more than 600 high-quality images to help in interpreting findings, including imaging of suspected child abuse Shows how to adapt examination protocols and equipment requirements for the specialized needs of pediatric patients Describes important safety protection measures in children utilizing the ALARA principle of radiation exposure (As Low As Reasonably Achievable) Summarizes a wide array of pediatric diseases and disorders in a concise, checklist format, including clinical features, imaging findings, differential diagnosis, associated syndromes, and treatment recommendations Includes lists of indications, summary tables, imaging protocols, case studies, and quiz questions to test your knowledge This book provides a fundamental understanding of imaging in infants and children and is an ideal, practice-oriented reference for residents, fellows in pediatric radiology, and general radiologists. It is also written for pediatricians, pediatric surgeons, and other interested doctors and specialists who want to know more about imaging specifics in the pediatric age group.

The value of ultrasound contrast agents (USCA) in everyday clinical practice depends on the pharmacokinetics, the signal processing, and the contrast-specific imaging modalities. Second-generation USCA, are blood pool agents that do not leak into the organ tissue to be examined but remain in the intravascular compartment increasing the Doppler signal amplitude during their dynamic vascular phase. Taking advantage of the stability of their microbubbles, they can withstand the acoustic pressure of insonation much better than first-generation contrast media, which results in an increased half-life of the agent and, consequently, in a prolonged diagnostic window. Concomitant with the improvement of contrast agents, different contrast-specific imaging modalities have been developed which, used in combination with USCA and a low mechanical index, allow continuous real-time grey-scale imaging. These recent technical improvements have opened new possibilities in the use of USCA in a variety of indications. Written by internationally renowned experts, the contributions gathered in this book give an overview of current and possible future new applications of USCA in routine and clinical practice.

This book, co-authored by an internationally acclaimed team of experts in the field of pediatric oncologic imaging, provides a comprehensive update on new advances in diagnostic imaging as they relate to pediatric oncology. In contrast to other oncologic imaging texts focusing on the radiology of specific tumors, this book emphasizes the important fundamentals of imaging that every child with a new or treated malignancy receives. Guidance is provided on the selection and use of appropriate imaging techniques, with individual chapters devoted to each of the major cross-sectional imaging modalities used in the detection and follow-up of pediatric cancers, including PET-CT, PET-MRI, whole-body MRI, and diffusion-weighted MRI. Additional nuclear medicine techniques are addressed, and detailed attention is paid to more advanced areas of practice such as contrast-enhanced ultrasound, pediatric interventional radiology techniques, radiation treatment planning, and radiation dose considerations (ALARA). Other areas covered include screening of children with cancer predisposition syndromes, treatment related complications, potential pitfalls during neuro-oncologic imaging, and the risks and benefits inherent in post-therapy surveillance imaging.