By Helga Fritsch MD (auth.), Bernd Hamm MD, Rosemarie Forstner MD PD (eds.)
MRI and CT exquisitely depict the anatomy of the feminine pelvis and supply attention-grabbing diagnostic probabilities in ladies with pelvic issues. This quantity offers a entire account of using those cross-sectional imaging ideas to spot and signify developmental anomalies and purchased illnesses of the feminine genital tract. either benign and malignant illnesses are thought of extensive, and certain cognizance can also be paid to common anatomical findings and editions. extra person chapters concentrate on the sufferer with pelvic discomfort and using MRI for pelvimetry while pregnant and the evaluate of fertility. all through, emphasis is put on the latest diagnostic and technical advances, and the textual content is complemented via many exact and informative illustrations. the entire authors are stated specialists in diagnostic imaging of the feminine pelvis, and the amount will turn out a useful reduction to every person with an curiosity during this field.
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Additional info for MRI and CT of the Female Pelvis
B Axial section of the same specimen (a) at a level with the vaginal hiatus. 2. c The sagittal plane pointing out the ventral anorectal wall (arrowheads) and the different muscle layers including the longitudinal muscle cells (asterisks). eas, external anal sphincter carried out. With the help of these techniques, the infralevatoric viscera, the soft tissues and the puborectalis can be viewed and deﬁned. For a long time there has been no doubt about the existence of the ﬁbrous components of this region.
In patients in whom the chest should be included in the scan for staging of cancer, it is recommended to perform a spiral chest scan prior to imaging of the liver. The preferred scan direction for the chest is from bottom to top; in this way the upper portions of the chest, which are least impaired by inadvertent respiratory motion, are scanned last. For the chest, a start delay of 30 s is recommended. 2 16-Slice to 64-Slice CT A 16-slice scanner reduces the overall scan time to less than 15 s even when very thin slices are used.
Iodinated solutions spread evenly through the bowel and, unlike barium sulfate, do not tend to ﬂocculate. Large lumps of barium can become so radiodense that artifacts result and mural processes are obscured. ● In some patients, the use of barium sulfate causes circular thickening of the bowel wall – mainly in distal small bowel segments – which closely resembles the appearance of enteritis and can be misinterpreted. This effect may be attributable to edematous swelling of the mucosa due to the hydrophilic nature of the barium sulfate suspension.