A stimulating guide to the appropriate choice of radiologic exam in more than 400 clinical scenarios in all medical subspecialties
Based on the American College of Radiology’s Appropriateness Criteria Interactive quiz format
Correlative images of pathologies illustrating the diagnostic power of the best exam in each scenario Ideal tool for self-study and evaluation of students’ knowledge
This book will enable practicing physicians and trainees to learn, in a clinically relevant and intellectually stimulating way, guidelines for appropriate ordering of imaging exams. The new edition provides more than 460 clinical case scenarios, organized into subspecialty modules (breast, cardiac, thoracic, gastrointestinal, urologic, women's, pediatric, vascular, musculoskeletal, and neurologic imaging). Each scenario is presented as a quiz in which the reader is invited to select the best option from various imaging modalities. All choices are given ratings of appropriateness and is consistent with the American College of Radiology (ACR) Appropriateness Criteria. Furthermore, a brief solution to each case is included. Finally, over 500 radiologic images are included each associated with a clinical case to illustrate the diagnostic capabilities of the imaging exam. This second edition incorporates new content and revisions to remain consistent with the updated ACR Appropriateness Criteria since the original publication in 2012. It will be an ideal tool both for self-study and for quantitative evaluation of students’ knowledge.
Author(s): Gary X. Wang, Mark A. Anderson, Lauren Uzdienski, Susanna I. Lee
Edition: 2
Publisher: Springer
Year: 2021
Language: English
Tags: Medical Imaging; Radiology
Preface
Contents
1: Introduction
1.1 ACR Appropriateness Criteria
1.2 Imaging Modalities
1.2.1 X-ray and Fluoroscopy
1.2.2 Ultrasound
1.2.3 Computed Tomography
1.2.4 Magnetic Resonance Imaging
1.2.5 Nuclear Medicine Scan
1.2.6 Interventional Procedures
Bibliography
2: Breast Imaging
2.1 Palpable Breast Lump
2.2 Breast Pain
2.3 Nipple Discharge
2.4 Symptomatic Male Breast
2.5 Imaging During Pregnancy and Lactation
2.6 Breast Implant Evaluation
3: Cardiac Imaging
3.1 Acute Chest Pain
3.2 Chronic Chest Pain
3.3 Coronary Artery Disease
3.4 Infective Endocarditis
3.5 Nonischemic Myocardial Disease
3.6 Pulmonary Embolism
3.7 Shortness of Breath
4: Thoracic Imaging
4.1 Blunt Chest Trauma
4.2 Rib Fractures
4.3 Hemoptysis
4.4 Acute Respiratory Illness in an Immunocompetent Patient
4.5 Acute Respiratory Illness in an Immunocompromised Patient
4.6 Chronic Dyspnea, Suspected Pulmonary Origin
4.7 Possible Tuberculosis
4.8 Occupational Lung Disease
4.9 Routine Chest Radiography
4.10 Solitary Pulmonary Nodule
4.11 Bronchogenic Carcinoma Staging
5: Gastrointestinal Imaging
5.1 Blunt Abdominal Trauma
5.2 Right Upper Quadrant Pain
5.3 Right Lower Quadrant Pain: Suspected Appendicitis
5.4 Left Lower Quadrant Pain: Suspected Diverticulitis
5.5 Acute Abdominal Pain and Fever or Suspected Abdominal Abscess
5.6 Suspected Small Bowel Obstruction
5.7 Jaundice
5.8 Acute Pancreatitis
5.9 Dysphagia
5.10 Crohn’s Disease
5.11 Liver Lesion Characterization
5.12 Colorectal Cancer Screening
5.13 Colorectal Cancer Staging
6: Urologic Imaging
6.1 Renal Trauma
6.2 Lower Urinary Tract Trauma
6.3 Acute Onset Flank Pain or Suspected Urolithiasis
6.4 Acute Pyelonephritis
6.5 Acute Onset Scrotal Pain
6.6 Hematuria
6.7 Hematospermia
6.8 Recurrent Lower Urinary Tract Infections in Women
6.9 Benign Prostatic Hyperplasia
6.10 Renal Failure
6.11 Renal Transplant Dysfunction
6.12 Renovascular Hypertension
6.13 Incidentally Discovered Adrenal Mass
6.14 Indeterminate Renal Mass
6.15 Prostate Cancer Detection, Staging, and Surveillance
6.15.1 American Joint Committee on Cancer (AJCC) Prostate Cancer Staging
6.15.2 Prostate Cancer Risk Stratification
6.16 Renal Cell Carcinoma Staging
6.17 Invasive Bladder Cancer Staging
6.18 Testicular Cancer Staging
Bibliography
7: Women’s Imaging
7.1 Abnormal Vaginal Bleeding
7.2 First-Trimester Bleeding
7.3 Acute Pelvic Pain in the Reproductive Age Group
7.4 Clinically Suspected Adnexal Mass
7.5 Infertility
7.6 Pelvic Floor Dysfunction
7.7 Ovarian Cancer Screening
7.8 Ovarian Cancer Pretreatment Imaging and Follow-Up
7.9 Endometrial Cancer of the Uterus
7.10 Staging of Invasive Cancer of the Cervix
8: Pediatric Imaging
8.1 Head Trauma in a Child
8.1.1 Glasgow Coma Scale (GCS)
8.1.2 Pediatric Emergency Care Network (PECARN) Clinical Criteria for Minor Head Trauma
8.2 Seizures
8.3 Headache
8.4 Sinusitis
8.5 Pneumonia in the Immunocompetent Child
8.6 Vomiting in Infants
8.7 Suspected Appendicitis
8.8 Urinary Tract Infection
8.9 Hematuria
8.10 Developmental Dysplasia of the Hip
8.11 Acutely Limping Child Up to Age 5
8.12 Suspected Physical Abuse
Bibliography
9: Vascular Imaging
9.1 Penetrating Neck Injury
9.2 Suspected Pulmonary Arteriovenous Malformation
9.3 Thoracic Aortic Aneurysm
9.4 Pulsatile Abdominal Mass
9.5 Mesenteric Ischemia
9.6 Suspected Upper Extremity Deep Vein Thrombosis
9.7 Suspected Lower Extremity Deep Vein Thrombosis
9.8 Sudden Onset of Cold, Painful Leg
9.9 Vascular Claudication
10: Musculoskeletal Imaging
10.1 Suspected Spine Trauma
10.1.1 NEXUS Criteria
10.1.2 Canadian C-Spine Rules (CCR)
10.2 Traumatic Shoulder Pain
10.3 Acute Hand and Wrist Trauma
10.4 Acute Hip Pain, Suspected Fracture
10.5 Acute Trauma to the Knee
10.6 Acute Trauma to the Ankle
10.6.1 Ottawa Ankle Rules
10.7 Acute Trauma to the Foot
10.8 Stress (Fatigue or Insufficiency) Fracture
10.9 Osteoporosis and Bone Mineral Density
10.10 Atraumatic Shoulder Pain
10.11 Chronic Elbow Pain
10.12 Chronic Wrist Pain
10.13 Chronic Hip Pain
10.14 Chronic Knee Pain
10.15 Chronic Ankle Pain
10.16 Chronic Foot Pain
10.17 Chronic Back Pain: Suspected Sacroiliitis/Spondyloarthropathy
10.18 Chronic Extremity Joint Pain: Suspected Inflammatory Arthritis
10.19 Osteonecrosis of the Hip
10.20 Suspected Foot Osteomyelitis in Patients with Diabetes Mellitus
10.21 Suspected Osteomyelitis, Septic Arthritis, or Soft Tissue Infection (Excluding Spine and Diabetic Foot)
10.22 Soft Tissue Masses
10.23 Primary Bone Tumors
10.24 Imaging After Shoulder Arthroplasty
10.25 Imaging After Total Hip Arthroplasty
10.26 Imaging After Total Knee Arthroplasty
Bibliography
11: Neurologic Imaging
11.1 Head Trauma
11.1.1 Glasgow Coma Scale (GCS)
11.1.2 New Orleans Criteria (NOC)
11.1.3 Canadian CT Head Rule (CCHR)
11.1.4 National Emergency X-Radiography Utilization Study (NEXUS-II)
11.2 Cerebrovascular Disease
11.3 Acute Mental Status Change, Delirium, and New-Onset Psychosis
11.4 Seizures and Epilepsy
11.5 Headache
11.6 Dementia
11.7 Movement Disorders and Neurodegenerative Diseases
11.8 Ataxia
11.9 Orbits, Vision, and Visual Loss
11.10 Hearing Loss and Vertigo
11.11 Tinnitus
11.12 Sinonasal Disease
11.13 Thyroid Disease
11.14 Neck Mass and Adenopathy
11.15 Low Back Pain
Bibliography
