By Julia R. Fielding, Douglas L. Brown, Amy S. Thurmond
Gynecologic Imaging, a identify within the professional Radiology sequence, via Drs. Julia R. Fielding, Douglas Brown, and Amy Thurmond, presents the complex insights you must take advantage of powerful use of the newest gynecologic imaging ways and to thoroughly interpret the findings for even your hardest situations. Its evidence-based, guideline-driven strategy completely covers common and variation anatomy, pelvic discomfort, irregular bleeding, infertility, first-trimester being pregnant problems, post-partum problems, characterization of the adnexal mass, gynecologic melanoma, and plenty of different severe subject matters. Combining an image-rich, easy-to-use layout with the larger intensity that skilled practitioners want, it presents richly illustrated, complex suggestions that can assist you conquer the total variety of diagnostic, healing, and interventional demanding situations in gynecologic imaging. on-line entry at www.expertconsult.com permits you to swiftly look for photographs and fast find the solutions to any questions.
- Get all you want to learn about the newest developments and themes in gynecologic imaging, together with basic and version anatomy, pelvic soreness, irregular bleeding, infertility, first-trimester being pregnant problems, post-partum problems, characterization of the adnexal mass, and gynecologic cancer.
- Recognize the attribute presentation of every disorder through any modality and comprehend the scientific implications of your findings.
- Consult with the simplest. the world over revered radiologist Dr. Julia Fielding leads a workforce of complete experts who offer you today’s such a lot accountable solutions on each subject in gynecologic imaging.
- Identify pathology extra simply with 1300 specific photos of either radiographic photos and state of the art modalities-MR, CT, US, and interventional procedures.
- Find info speedy and simply because of a constant, hugely templated, and abundantly illustrated bankruptcy format.
Access the absolutely searchable textual content on-line at www.expertconsult.com, in addition to downloadable images.
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Extra info for Gynecologic Imaging
The speculum is then removed carefully to avoid dislodging the catheter. 5 mm * 1 3 4 n FIGURE 1-17â•… Three endometrial polyps on tomographic imaging of the coronal section on three-dimensional ultrasound during sonohysterography in a 33-year-old woman with heavy menometrorrhagia. CHAPTER 1 l The Normal Pelvis on Ultrasound Imaging and Anatomic Correlations 19 SAG nâ•‡ FIGURE 1-18â•… Normal sonohysterography sagittal section in a 46-year-old woman with menometrorrhagia. difficulty passing the catheter through the cervical os.
The transvaginal probe is covered with two layers of condoms or other protective material as a precaution for rupture. US gel on the tip of the transducer and on the outside of the cover facilitate acoustic coupling with the transducer and vaginal wall. Air between the cover and the transducer should be avoided. Saline or water can be used as a lubricant if the US examination is being performed for infertility workup and in particular if a sperm insemination is planned after the examination to avoid the potential adverse effects on sperm motility with some types of lubricants.
10 We have also found that unlike a tumor or ovarian cyst, a chronic hydrosalpinx is often easily compressible with the vaginal transducer. Occasionally a peritoneal CHAPTER 2 l Pitfalls in Gynecologic Ultrasound 29 n FIGURE 2-13â•… Pyosalpinx. Transvaginal ultrasound image reveals a thick-walled dilated fallopian tube containing a fluid/debris level of purulent material related to pelvic inflammatory disease. Note the “cogwheel sign” of the thickened endosalpingeal folds (arrow). inclusion cyst may have an appearance similar to a hydrosalpinx.