Emergency Radiology Of The Head And Spine

This book provides an up-to-date, systematic review of all facets of emergency radiology in patients with head and spine injuries. The aim is to equip readers with a detailed knowledge of the various radiological patterns that may be encountered, thereby facilitating prompt diagnosis under circumstances in which time is of crucial importance. The indications, value, and results of the various emergency imaging modalities, including interventional radiology, are described and illustrated in the full range of traumatic and nontraumatic head and spine emergencies. In addition, basic management principles and technological aspects are fully explained, and protocols tailored to the mechanism of injury are presented. Emergency Radiology of the Head and Spine will be of value to neuroradiologists, interventional neuroradiologists, neurosurgeons, emergency radiologists, emergency physicians, radiology residents, radiology technicians, and all physicians and surgeons who work in emergency care.

In the emergency and trauma setting, accurate and consistent interpretation of imaging studies are critical to the care of acutely ill and injured patients. This book offers a comprehensive review of acute pathologies commonly encountered in the emergency room as diagnosed by radiologic imaging. It is organized by anatomical sections that present the primary ER imaging areas of the acute abdomen, pelvis, thorax, neck, head, brain and spine, and osseous structures. For each section, the common diagnoses are concisely described and are accompanied by relevant clinical facts and key teaching points that emphasize the importance of radiologic interpretation in clinical patient management. The role of modalities such as plain radiography, computed tomography, ultrasound, magnetic resonance imaging, and nuclear medicine imaging in managing emergency conditions is highlighted. The Second Edition is thoroughly updated and includes over 400 images and multiple choice questions in each chapter. Emphasizing the core concepts in emergency radiology, this book is a valuable resource for radiologists, residents, and fellows.

This reference work provides a comprehensive and modern approach to the imaging of numerous non-traumatic and traumatic emergency conditions affecting the human body. It reviews the latest imaging techniques, related clinical literature, and appropriateness criteria/guidelines, while also discussing current controversies in the imaging of acutely ill patients. The first chapters outline an evidence-based approach to imaging interpretation for patients with acute non-traumatic and traumatic conditions, explain the role of Artificial Intelligence in emergency radiology, and offer guidance on when to consult an interventional radiologist in vascular as well as non-vascular emergencies. The next chapters describe specific applications of Ultrasound, Magnetic Resonance Imaging, radiography, Multi-Detector Computed Tomography (MDCT), and Dual-Energy Computed Tomography for the imaging of common and less common acute brain, spine, thoracic, abdominal, pelvic and musculoskeletal conditions, including the unique challenges of imaging pregnant, bariatric and pediatric patients. Written by a group of leading North American and European Emergency and Trauma Radiology experts, this book will be of value to emergency and general radiologists, to emergency department physicians and related personnel, to obstetricians and gynecologists, to general and trauma surgeons, as well as trainees in all of these specialties.

Effectively and confidently interpret even the most challenging radiographic study A Doody's Core Title! "...should be a part of every emergency medicine resident's personal library. In addition to residents, I would highly recommend this book to medical students, midlevel providers and any other physician who is interested in improving their ability to interpret radiographic studies necessary to diagnose common emergency medicine patient complaints."--Annals of Emergency Medicine 4 STAR DOODY'S REVIEW! "The purpose is to help improve the reader's skills in ordering and interpreting radiographs. The focus is on conventional radiographs, as well as noncontrast head CT. For emergency physicians this is a vital skill, which can greatly aid in making difficult diagnoses. The book is well written and thorough in addressing how to read radiographs, as well as covering easy to miss findings. The numerous pictures and radiographs are invaluable in demonstrating the author's teaching points and in engaging the reader in the clinical cases....This well written book will be extremely useful for practicing emergency physicians. The clinical cases are interesting and help challenge the reader to improve their skills at evaluating radiographs more thoroughly."--Doody's Review Service Emergency Radiology: Case Studies is a one-of-a-kind text specifically designed to help you fine-tune your emergency radiographic interpretation and problem-solving skills. Illustrated with hundreds of high-resolution images, this reference covers the full range of clinical problems in which radiographic studies play a key role. Dr. David Schwartz, a leading educator, takes you step-by-step through the radiographic analysis of medical, surgical, and traumatic disorders, giving you an unparalleled review of the use and interpretation of radiographic studies in emergency diagnosis. Features 55 cases studies that highlight challenging areas in emergency diagnosis, including imaging studies with subtle, equivocal, or potentially misleading findings Detailed coverage of the broad spectrum of disorders for which radiographs are utilized in emergency practice Coverage of chest and abdominal radiology, the extremities, cervical spine and facial radiology, and head CT Cohesive template for each chapter, beginning with a case presentation, followed by a comprehensive discussion of the disorder under consideration Sections begin with an overview of the pertinent radiographic technique, anatomy, and method of radiographic interpretation Diagnosis-accelerating radiographs, ultrasound images, CT scans, and MR images Invaluable “pearls and pitfalls” of radiographic interpretation

A concise, thorough work for learning and reference in emergency neuroradiology, comprising over 150 cases and nearly 800 high-quality images.

Encouraged by the success of the Italian editions, the Authors have decided to publish an English version taking into account the latest technical and methodological advances and the consequent new acquisitions in clinical practice. The contribution of Professor R. Jinkins has been essential to carry out both these tasks. The resulting work is an up-to-date technical tool that preserves its original aim of contributing to the training of those radiologists who work in emergency departments. We hope that this revised and extended English version will have the same success as the pre- ous Italian editions, thereby confirming the validity of our initiative. The work of all the friends and colleagues who have contributed to the making of this book is gratefully acknowledged. Tommaso Scarabino Ugo Salvolini CONTENTS I. CEREBROVASCULAR EMERGENCIES 1. 1 Clinical and diagnostic summary Neuroradiological protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Haemorrhagic stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Ischaemic stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 1. 2 CT in ischaemia Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Semeiotics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Particular forms of infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Differential diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 1. 3 CT in intraparenchymal haemorrhage Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 The role of CT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Semeiotics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Particular forms of IPH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 1. 4 CT use in subarachnoid haemorrhage Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Semeiotics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Postsurgical follow-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 1. 5 MRI in ischaemia Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Semeiotics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Possible uses of clinical MR in the diagnosis of emergency ischaemia after the hyperacute phase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

This issue of Radiologic Clinics of North America focuses on Trauma and Emergency Radiology and is edited by Dr. Stephan W. Anderson. Articles will include: Stroke imaging; Imaging of bowel obstruction and ischemia; Abdominopelvic emergencies: Application of MRI; Damage control laparotomy; Imaging of blunt bowel and mesenteric injury; Imaging of soft tissue neck trauma: larynx, esophagus, and vessels; Imaging of cardiac trauma; Imaging of spine trauma; Imaging of brain trauma; Imaging of cardiovascular thoracic emergencies: Acute aortic syndrome, coronary computed tomoangiography, and pulmonary embolism; Easily missed extremity fractures in children; and more!

Get the essential tools you need to make an accurate diagnosis in the emergency department! Part of the popular Requisites series, Emergency Radiology: The Requisites delivers the conceptual, factual, and interpretive information you need for effective clinical practice in emergency radiology, as well certification and recertification review. Master core knowledge the easy and affordable way with clear, concise text enhanced by at-a-glance illustrations, boxes, and tables - all revised and enhanced with digital content to bring you up to date with today's state of the art knowledge. Presents emergent findings and differential diagnosis tables so that important content is identified clearly within the text. Divides the contents of the book into two sections - trauma and non-trauma - to mirror the way you practice. Organizes the material in structured, consistent chapter layouts for efficient and effective review. Provides clinical material on radiology procedures that define your role in managing a patient with an emergent condition. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. Prepare for written exams or clinical practice with critical information on CTA in the ED on coronary, aorta, brain, and visceral arteries, plus new protocols for trauma and non-traumatic injuries. Stay up to date on what's new in the field with thoroughly revised content and new, high-quality images obtained with today's best technology. Get optimal results from today's most often-used approaches, including the increase in routine use of "panscan" for trauma patients. Gain a practical, visual understanding of emergency radiology thanks to more than 900 multi-modality images and easy access to the eBook version. Study and review in the most efficient way, with structured, consistent chapter layouts for time-saving and effective exam preparation.