Neuroradiology In Clinical Practice

This quick reference guide for medical students and residents presents over sixty clinical case studies of major neurological conditions and their associated neuroimaging characteristics. A primer on the fundamental physics which underlie neuroimaging techniques is also provided. The content is organized by pathology type and the structure of every topic is similar to help the reader develop his or her thinking process in a stepwise fashion and to provide a rational approach to imaging interpretation. Neuroradiology in Clinical Practice is aimed at medical students and residents doing their rotations in neurology, internal medicine, emergency medicine, and family medicine, but will also be useful for allied health professionals, nurse practitioners, physician assistants and other primary medical care providers.

This book provides a concise overview of emerging technologies in the field of modern neuroimaging. Fundamental principles of the main imaging modalities are described as well as advanced imaging techniqes including diffusion weighted imaging, perfusion imaging, arterial spin labeling, diffusion tensor imaging, intravoxel incoherent motion, MR spectroscopy, functional MRI, and artificial intelligence. The physical concepts underlying each imaging technique are carefully and clearly explained in a way suited to a medical audience without prior technical knowledge. In addition, the clinical applications of the various techniques are described with the aid of illustrative clinical examples. Helpful background information is also presented on the core principles of MRI and the evolution of neuroimaging, and important references to current medical research are highlighted. The book will meet the needs of a range of non-technological professionals with an interest in advanced neuroimaging, including radiology researchers and clinicians in the fields of neurology, neurosurgery, and psychiatry.

FOUR STARS from Doody's Star Ratings™ Highly recommended -- Pediatric Endocrinology Reviews This is a very useful book, particularly for junior residents on their first rotation in neuroradiology or pediatric radiology. The discussion of all imaging modalities, including ultrasound, is very well done. This is a must-have for all residency libraries. -- Doody's Book Review (Score: 95) Written in the concise and engaging style of leading neuroradiologist Dr. Asim Choudhri, Pediatric Neuroradiology is a highly practical reference focusing on the most common, serious, and challenging conditions seen in the specialty. This book offers concise guidelines on very complex topics related to the areas of pediatric neuroradiology in which it is crucial that radiologists make correct diagnoses. Key Features: Focuses on the practical, clinical needs of neuroradiologists and pediatric radiologists, as well as all radiologists, neurosurgeons, and neurologists who care for children Sections dedicated to the brain, head and neck, and spine More than 780 high-quality radiographs, MRIs, and CT scans clarify the information presented in the book Three appendices containing information on protocolling and interpreting/reporting studies aid correct interpretation of the studies A quick reference guide enables clinicians to determine the optimal approach to imaging evaluation of neurological symptoms and conditions in children Pediatric Neuroradiology is a key reference that residents and practitioners in the specialty will frequently consult to guide them in the diagnosis and treatment planning of children suffering from neurologic disorders.

Functional Neuroradiology: Principles and Clinical Applications, is a follow-up to Faro and Mohamed’s groundbreaking work, Functional (BOLD)MRI: Basic Principles and Clinical Applications. This new 49 chapter textbook is comprehensive and offers a complete introduction to the state-of-the-art functional imaging in Neuroradiology, including the physical principles and clinical applications of Diffusion, Perfusion, Permeability, MR spectroscopy, Positron Emission Tomography, BOLD fMRI and Diffusion Tensor Imaging. With chapters written by internationally distinguished neuroradiologists, neurologists, psychiatrists, cognitive neuroscientists, and physicists, Functional Neuroradiology is divided into 9 major sections, including: Physical principles of all key functional techniques, Lesion characterization using Diffusion, Perfusion, Permeability, MR spectroscopy, and Positron Emission Tomography, an overview of BOLD fMRI physical principles and key concepts, including scanning methodologies, experimental research design, data analysis, and functional connectivity, Eloquent Cortex and White matter localization using BOLD fMRI and Diffusion Tensor Imaging, Clinical applications of BOLD fMRI in Neurosurgery, Neurology, Psychiatry, Neuropsychology, and Neuropharmacology, Multi-modality functional Neuroradiology, Beyond Proton Imaging, Functional spine and CSF imaging, a full-color Neuroanatomical Brain atlas of eloquent cortex and key white matter tracts and BOLD fMRI paradigms. By offering readers a complete overview of functional imaging modalities and techniques currently used in patient diagnosis and management, as well as emerging technology, Functional Neuroradiology is a vital information source for physicians and cognitive neuroscientists involved in daily practice and research.

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

The explosion in imaging technology has presented clinicians with an overwhelming number of diagnostic options. Given today's financial constraints, the ability and confidence to order and correlate the findings of these studies is essential. This extensively illustrated book is designed as a comprehensive, clinically oriented reference on the latest imaging techniques utilized in the diagnosis of neurological disease. It provides a solid understanding of the available techniques and an improved ability to order the appropriate tests and interpret the findings. The authors analyze the most common neurological problems as well as some less common disorders. In addition, they discuss the differential diagnostic imaging problems. Covered are both pediatric and adult diseases of the brain and spine. Ketonen (radiologist) and Berg (neurologist) have distilled current knowledge into 100 clinically focused practice points, organized in neurological sub-specialties, such as movement disorders, epilepsy, tumors, vascular diseases and others. The illustrations are produced by state-of-the-art technology. Combining neurology and neuroradiology, the volume is written in a clear, concise style and features numerous clinical examples and over 220 top-quality radiographs (plain film, MRI, CT, etc.) of normal anatomy and common imaging findings. The text provides a clear understanding of the available imaging techniques, and allows the neurologist to select the most appropriate and cost-effective technique and interpret the findings in a knowledgeable manner. This is the fifth and final volume in the 100 Maxims in Neurology series, and, like its predecessors, it is aimed at the practicing neurologist and the neurologist in training. Its emphasis is on clinical practice; this is not a book for the specialist in neuroradiology.

Editor Hersh Chandarana, MD and authors review Advanced MR Imaging in Clinical Practice. Articles will include: Current Status of Diffusion Weighted Imaging; Current Status of Perfusion Weighted Imaging; Non-gadolinium Enhanced MR Angiography; Pearls and Pitfalls of 3 T imaging; Implementing MR Neurography in Clinical Practice; Imaging around Hardware and Metal; Recent Advances in T1- and T2-Weighted Imaging of the Abdomen and Pelvis; Recent Advances in Neuro and Spine Imaging; Advances in MR Hardware and Software, and more!

This book is intended as an introduction to neuroradiology and aims to provide the reader with a comprehensive overview of this highly specialized radiological subspecialty. One hundred illustrated cases from clinical practice are presented in a standard way. Each case is supported by representative images and is divided into three parts: a brief summary of the patient’s medical history, a discussion of the disease, and a description of the most characteristic imaging features of the disorder. The focus is not only on common neuroradiological entities such as stroke and acute head trauma but also on less frequent disorders that the practitioner should recognize. Learning Neuroimaging: 100 Essential Cases is an ideal resource for neuroradiology and radiology residents, neurology residents, neurosurgery residents, nurses, radiology technicians, and medical students.