Handbook On Neurovascular Ultrasound

Neurovascular ultrasound increases the reliability of assessing occlusive cerebrovascular disease, including the detection of instable carotid plaques, the delineation of cerebral perfusion and therapeutic options such as ultrasound-enhanced sonothrombolysis. Written by international experts, this publication provides the reader with the present knowledge and future research directions of diagnostic and therapeutic neurovascular ultrasound. The first chapters deal with physical and technical principles of ultrasound, arterial wall imaging, endothelial function testing and modern assessment of atherosclerotic obstruction of the carotid and vertebro-basilar systems. Subsequently, typical ultrasound findings in cervical artery dissection, dural fistula, glomus tumor and vasculitis are reported. The book concludes with the description of diagnostic and therapeutic transcranial ultrasound and clinical applications of transcranial Doppler monitoring as well as the presentation of future developments. Neurologists, angiologists and radiologists will find a valuable source of up-to-date information on this fascinating, essentially non-invasive technique, which allows real-time assessment of the human cerebral vessels.

The use of neurovascular ultrasound is of increasing importance in neurological practice, both for radiologists and increasingly by neurologists themselves. Written by the world’s most renowned expert, this book explains ultrasound examination of a stroke patient scanning protocols interpretation of the results Case examples (with a standard template presentation correlating presentation to waveform output) reinforce the book's practical nature. Illustrated with photos of the tests, explanations, and with actual waveforms, images, and result interpretation, and enhanced with 'pearls' and 'avoiding pitfalls' features, it is a practical reference for those learning ultrasound as well as those using ultrasound in their practices.

This book provides a comprehensive and concise, review of the fundamental concepts and clinical indications for Transcranial Doppler (TCD) imaging. An overview of the physics of ultrasonography as it pertains to TCD is presented, as well as neuroanatomy and cerebrovascular physiology in healthy and diseased states. Recommended protocols for neuroimaging are reviewed and serves as a guide for existing neurovascular laboratories and medical systems seeking to develop laboratories that are in need of a guide to establish their own protocols. The most common, relevant and challenging clinical conditions where TCD is incorporated to assist with patient management are discussed. In addition, chapters provide a framework for building a neurovascular laboratory, including necessary equipment, steps to obtain national accreditation by accrediting bodies, and reimbursement procedures for tests performed. The book concludes with “clinical pearls” and “tricks of the trade”, which serve as a commentary to guide physicians and neurosonologists on best-practices for TCD acquisition and interpretation.

Transcranial Doppler (TCD) ultrasound, first introduced more than a decade ago, has steadily evolved into a dynamic, reliable, reproducible, and practical diagnostic tool. Clinical neuroscientists have found TCD to be an indispensable technique in the management of many types of patients. This book is designed to provide basic instruction in the perfor mance and interpretation of transcranial Doppler ultrasonography for technologists, nurses, and physicians. The information included in the text is critical for the development of a strong knowledge base. It is not intended to be all inclusive, and the TCD novice is likely to use it as the platform upon which to build his/her experience in the application of TCD. This book is organized as a step-guided approach for the performance of TCD, and it includes specific guidelines for interpretation of the TCD save forms. We hope that the reader finds it useful during what we think is the most difficult phase of this technique-the learning curve. John P. McCartney, R.V.T. Kathleen M. Thomas-Lukes, R.N., M.N.

Neurosonology is non-invasive, portable, and has excellent temporal resolution, making it a valuable and increasingly popular tool for the diagnosis and monitoring of neurological conditions when compared to other imaging techniques. This guide looks beyond the use of neurovascular ultrasound in stroke to encompass a wide range of other neurological diseases and emergencies. It offers a practical approach to the examination of patients, interpretation of ultrasound studies, and the application of neurosonology to the development of management and treatment strategies. Each chapter incorporates a thorough and clear procedural methodology alongside scanning tips for trainees; this step-by-step approach is further enhanced by example images and focused diagnostic questions. Authored and edited by international experts, this practical manual of neurosonology is an invaluable resource for neurologists, neurosurgeons, intensivists, radiologists, and ultrasonographers.

Focused content, an easy-to-read writing style, and abundant illustrations make Introduction to Vascular Ultrasonography the definitive reference on arterial and venous ultrasound. Trusted by radiologists, interventional radiologists, vascular and interventional fellows, residents, and sonographers through six outstanding editions, the revised 7th Edition covers all aspects of ultrasound vascular diagnosis, including peripheral veins and arteries, carotid and vertebral arteries, abdominal vessels, and transcranial Doppler. Step-by-step explanations, all highly illustrated, walk you through the full spectrum of ultrasound sonography practice, including all that’s new in this quickly evolving field. Organizes sections with quick reference in mind: clinical rationale, anatomy, examination technique, findings, and interpretation. Includes 2,100 clinical ultrasound images and anatomic line drawings, including over 1,000 in full color. Features new coverage of noninvasive image-guided procedures, robotic embolization, laser therapy, new Doppler ultrasound and color images, and guidance on promoting patient relationships. Takes a clear, readable, and practical approach to interventions and underlying rationales for a variety of complex IR principles, such as the physics of Doppler ultrasound and hemodynamics of blood flow. Contains extensive tables, charts, and graphs that clearly explain examination protocols, normal values, diagnostic parameters, and ultrasound findings.

Now in its fourth edition, Vascular Ultrasound offers a compact yet comprehensive practical guide for anyone working in the field of vascular sonography. The book is written by expert practitioners as an easily accessible reference, providing key information suited to sonographers in their day-to-day practice. It covers essential vascular investigations undertaken by ultrasound departments and vascular laboratories in more detail than general ultrasound textbooks, but without overwhelming sonographers with highly complex information that may not be relevant to them. Here you will find essential information including the principle of ultrasound physics to enable accurate assessment of the peripheral circulation and blood flow, the use of the main scanner functions and controls, the main disorders of the arterial and venous circulation system with appropriate treatment and management, and techniques for the diagnosis and grading of disease. Practical and focused, with clear explanations. Step-by-step guide to scanning and obtaining optimal images. Extensive diagrams and figures to demonstrate key information with practical examples. Appendices and quick reference tables. Small and compact – easy to carry to studies, teaching sessions and clinics. Accompanying DVD includes cine loops of ultrasound scans in normal and diseased vessels and of optimum scans to show potential pitfalls and common mistakes.Four new chapters and two new contributors, both clinical lecturers in vascular ultrasound.New chapter on treatment techniques of particular interest to vascular surgeons who increasingly are required to learn basic scanning skills. Sections on ultrasound instrumentation updated to cover new developments in equipment such as broadband colour imaging.Current practices in all the vascular ultrasound applications covered are reviewed and updated.