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Using contrast enhanced sonography improves diagnosis of liver and spleen injuries
October 02, 2006
Contrast-enhanced sonography shows liver and spleen injuries better than non-contrast enhanced sonography, according to a study conducted at the University of California, Davis School of Medicine department of radiology in Sacramento, CA. This study included 22 liver, spleen or renal injuries. Contrast-enhanced sonography depicted 20 (91%) of the 22 injuries while non-contrast-enhanced sonography revealed 11 (50%).
"The main focus of sonography for patients with blunt abdominal trauma is to detect free fluid," said John McGahan, MD, lead author of the study. Free fluid is non-clotted blood within the peritoneal cavity. "However, there could be an organ injury without free fluid and the injury could be missed," he said. "Contrast-enhanced sonography allows the radiologist to see free fluid as well as the injury itself," he said.
On a scale ranging from 0, being non-visualization, to 3, being high visualization, the average grade went from 0.67 to 2.33 for spleen injuries and from 1.0 to 2.2 for liver injuries when comparing contrast-enhanced sonography to non-contrast-enhance sonography, said Dr. McGahan.
"We are very happy with the results and can say that the use of contrast-enhanced sonography is accurate for depicting solid organ injuries," said Dr. McGahan.
American Roentgen Ray Society
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Sonography: Introduction to Normal Structure and Function
by Reva Arnez Curry PhD RT(R) RDMS FSDMS (Author), Betty Bates Tempkin BA RT(R) RDMS (Author)
This text offers the student a firm grounding in normal anatomy and physiology from an ultrasound perspective. After covering anatomy and physiology in the first half of each chapter, it then presents a wealth of ultrasound images to increase the reader's comfort with normal anatomy as it appears during scanning. Most images are accompanied by labeled drawings with detailed legends that explain what the reader is supposed to notice on the ultrasound scans. Instructor resources are available; please contact your Elsevier sales representative for details. * Detailed, labeled line drawings accompany most sonograms to provide reinforcement of what the student should notice on the scan. * 1,200 images spread over 528 pages ensure students gain a thorough, visual understanding of...
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Clinical Sonography: A Practical Guide (Clinical Sonography: A Practical Guide (Sanders))
by Roger C Sanders (Author), Tom C Winter (Author)
Considered by many to be the most relied-upon, practical text of its kind, Clinical Sonography: A Practical Guide is appreciated for its clear, concise writing, consistent format, and problem-based organization. This text cuts through complicated material to deliver the clearest and most comprehensive guide to sonography, leading students from the basics of imaging and positioning to more advanced clinical tips on instrumentation and report making. The Fourth Edition includes over 800 new black-and-white images and 48 full-color images. New chapters cover ankle problems, malpractice, laboratory accreditation, and ergonomics. Chapters on artifacts, interventional techniques, and shoulder sonography have been extensively revised.
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Exercises in Sonography: Introduction to Normal Structure and Function
by Reva Arnez Curry PhD RT(R) RDMS FSDMS (Author), Betty Bates Tempkin BA RT(R) RDMS (Author)
The Curry/Tempkin text and workbook package offers the student a firm grounding in normal anatomy and physiology from an ultrasound perspective. This workbook supports and completes the text by providing an excellent introduction to sonography and by preparing students for the pathology they will encounter in other textbooks later in their programs. Instructor resources are available; please contact your Elsevier sales representative for details. * Standardized chapter format makes it easy for students to find information. * Detailed line drawings that correspond to text drawings and sonograms are provided for labeling practice and to assist in learning each scan's important structures.
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Mosby's Comprehensive Review for General Sonography Examinations
by Susanna Ovel RDMS RVT RT(R) (Author)
Be confident that you can answer any and all questions on your registry exams correctly when you prepare with this complete review. Mosby's Comprehensive Review for General Sonography Examinations provides study resources for all three main exams required for general ultrasound practice: physics, abdomen, and ob/gyn. Each chapter is arranged in table and outline format with 50 review questions at the end of the chapter and a mock exam at the end of each section. Access additional mock exams for each subject area on the companion CD or Evolve site. These exams give you experience with timed test taking in an electronic environment that simulates the actual registry exam experience. With this realistic preview of the exam environment and solid review of the material, you'll be prepared to...
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Essentials of Sonography and Patient Care
by Marveen Craig RDMS (Author)
Providing a solid foundation in sonography, this book is designed to help students succeed in both the classroom and in practice. It promotes study by defining important terminology, by providing a historical overview of ultrasound technology, and by describing the sonographer's role on the medical team - adding study techniques, note taking, effective listening, and test-taking strategies. For the clinical environment, the book covers topics such as taking a patient's vital signs, safety considerations, body mechanics, patient transfer, infection control, and emergency procedures. This book also prepares students for the transition into practice, covering expectations in various clinical settings, continuing education, sonography specialties, administrative roles, and career...
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Peripheral Vascular Sonography A Practical Guide
by Lippincott Williams & Wilkins
Peripheral Vascular Sonography A Practical Guide : Peripheral Vascular Sonography A Practical Guide Pub Date: February 2004 Product Type: Print Author/s: Joseph F Polak MD Now in its revised, updated Second Edition, this volume is a thorough, practical guide to the use of Doppler sonography in evaluating peripheral vascular disease. Dr. Polak describes techniques for optimizing image acquisition and provides the clinical and pathophysiologic information necessary for accurate image interpretation. This edition features over 600 new illustrations, including 197 full-color images throughout the book.Chapters cover neck arteries, venous thrombosis, chronic venous thrombosis and venous insufficiency, peripheral arterial disease, and imaging after operative and...
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Ultrasonography of Pleural Effusion
An introduction to ultrasonography of pleural effusion for physicians performing pleural space drainage procedures. This volume may be used as a freestanding educational resource or as part of a training program offered through the publisher.
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Sonographies
Dites 33 (Primary Contributor)
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Pocket Guide to Sonography
by Regina Swearengin AAS BS RDMS (Author)
This compact resource offers ready access to information on exam preparation, equipment selection, clinical history, lab findings, etiology, and sonographic appearance for a wide variety of disorders. Based on the presenting symptoms, the reader is guided to the proper sections of the pocket guide to find information on disorders likely to cause the symptom. Each disorder section covers the most common causes of the disorder, related abnormal lab values, and sonographic appearance. Following these instructions, the sonographer can provide the physician with everything needed to make an accurate diagnosis, so the patient does not have to be called back for additional scanning.
Convenient pocket-size format is easy to carry in lab coat pocket and organized with tabs to facilitate...
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Ob/Gyn Sonography: An Illustrated Review
by Marie DeLange (Author), MD Glenn A. Rouse (Author)
Certain to become a primary review for registry candidates, OB/GYN Sonography: An Illustrated Review is designed to have several purposes: > A topic-by-topic review for the ARDMS specialty exam in ob/gyn sonography. > A concise text for those in training or cross-training. > A clinical reference for practicing sonographers. > A resource for interpreting physicians. > A convenient and inexpensive means of earning continuing medical education (CME) credit. First and foremost, OB/GYN Sonography: An Illustrated Review is an efficient and powerful means of preparing for the national registry examinations in obstetrical and gynecological sonography. It precisely follows and covers the ARDMS exam outline, succinctly and systematically explaining and illustrating each exam topic...
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