Fundamentals in Oncologic Ultrasound : Sonographic Imaging and Intervention in the Cancer Patient

This essential volume provides detailed information on all key aspects of tumor imaging with diverse sonographic techniques. In the first part, the reader will find aspects on the main issues in clinical oncology, including screening, detection, characterization and staging of malignant neoplasms, assessment of response to treatment, and follow-up. Then, the examination technique and the main findings of all ultrasound modalities (gray-scale ultrasound, spectral Doppler, color-Doppler, power-Doppler, and contrast-enhanced ultrasound) are described, with special reference to clues and pitfalls in the process of diagnosis. Subsequently all clinical scenarios where ultrasound plays a major role are described in detail. The last part of the book depicts the main US-guided, diagnostic and therapeutic modalities. Radiologists and non-radiologists performing ultrasound studies will find the book useful in their clinical practice. Cover......Page p0001.djvu Foreword......Page p0005.djvu Preface......Page p0007.djvu Contents......Page p0009.djvu Contributors......Page p0011.djvu Abbreviations......Page p0012.djvu 1.1 Advantages of Ultrasound in Oncology......Page p0015.djvu 1.2 Limitations of Ultrasound in Oncology......Page p0016.djvu 1.3 Ultrasound and Cancer Screening......Page p0019.djvu 1.4 Ultrasound and Neoangiogenesis......Page p0024.djvu 1.5 Cancer Staging......Page p0027.djvu 1.6 Ultrasound and Response to Treatment......Page p0029.djvu 1.7 Ultrasound, Follow-up and Recurrence......Page p0033.djvu 1.8 Gray-Scale Ultrasound: Examination Technique......Page p0034.djvu 1.9 Gray-Scale Ultrasound: ImagingCharacteristics......Page p0044.djvu 1.10 Spectral Doppler: Examination Technique and Imaging Characteristics......Page p0051.djvu 1.11 Color Doppler and Power Doppler: Examination Technique......Page p0053.djvu 1.12 Color Doppler and Power Doppler: Imaging Characteristics......Page p0056.djvu 1.13 Contrast-Enhanced Ultrasound: Examination Technique......Page p0060.djvu 1.14 Contrast-Enhanced Ultrasound: Imaging Characteristics......Page p0062.djvu References......Page p0068.djvu 2.1 Skin Tumors......Page p0073.djvu 2.2 Superficial Lymphadenopathy......Page p0082.djvu 2.3 Palpable Superficial Masses......Page p0093.djvu 2.4 Soft-Tissue Sarcomas......Page p0117.djvu References......Page p0123.djvu 3.1 Neck Masses......Page p0127.djvu 3.2 Salivary Tumors......Page p0137.djvu 3.3 Thyroid Nodules......Page p0142.djvu 3.4 Staging and Follow-up of Thyroid Cancer......Page p0150.djvu References 143References......Page p0157.djvu 4.1 Breast Nodules......Page p0159.djvu 4.2 Locally Advanced Breast Cancer......Page p0180.djvu 4.3 Lymph Node Metastasis......Page p0182.djvu 4.4 Locoregional Recurrence of Breast Cancer......Page p0187.djvu References......Page p0191.djvu 5.1 Abdominal Masses......Page p0194.djvu 5.2 Focal Lesions in Patients without Chronic Liver Disease......Page p0203.djvu 5.3 Focal Lesions in Patients with Chronic Liver Disease......Page p0226.djvu 5.4 Gallbladder Wall Lesions......Page p0235.djvu 5.5 Malignant Obstructive Jaundice......Page p0241.djvu 5.6 Pancreatic Tumors......Page p0245.djvu 5.7 Focal Splenic Lesions......Page p0254.djvu 5.8 Abdominal Lymphadenopathies......Page p0261.djvu 5.9 Peritoneal Carcinomatosis......Page p0267.djvu 5.10 Gastrointestinal Tract Tumors......Page p0271.djvu References......Page p0279.djvu 6.1 Adrenal Masses......Page p0283.djvu 6.2 Small Renal Tumors......Page p0288.djvu 6.3 Renal Masses......Page p0294.djvu 6.4 Atypical Renal Cysts......Page p0304.djvu 6.5 Ovarian Masses......Page p0306.djvu 6.6 Endometrial Thickening......Page p0316.djvu 6.7 Bladder Wall Lesions......Page p0322.djvu 6.8 Prostate Nodules......Page p0327.djvu 6.9 Testicular Tumors......Page p0332.djvu References......Page p0340.djvu 7.1 US Guidance for Interventional Procedures......Page p0343.djvu 7.2 Needle Aspiration – Superficial Structures......Page p0348.djvu 7.3 Needle Aspiration – Internal Structures......Page p0351.djvu 7.4 Core Biopsy – Superficial Structures......Page p0353.djvu 7.5 Core Biopsy – Internal Structures......Page p0355.djvu 7.6 Vacuum-Assisted Biopsy......Page p0357.djvu 7.7 Placement of Presurgical Markers......Page p0358.djvu 7.8 Drainages......Page p0359.djvu 7.9 Percutaneous Ethanol Injection......Page p0365.djvu 7.10 Radiofrequency Ablation and other Ablation Therapies......Page p0367.djvu 7.11 Assessment of Liver Lesions Treated with Ablation Therapies......Page p0372.djvu References......Page p0378.djvu Subject Index......Page p0381.djvu It is a remarkable observation that human creativity can be fostered by spectacular scenery, itself usually the result of tectonic activity which raises mountains of beauty but carries the sting of earthquakes and eruptions. Think of Silicon Valley in Ca- fornia or of the Tokyo-Kyoto corridor in Eastern Japan. Another is the glorious Amalfi coast around Naples, where the authors of this new textbook work in the shadow of Mount Vesuvius. Is it the beauty that inspires or the tension of knowing that one’s life may be shattered at any moment if a volcanic or tectonic disaster strikes? Whatever the explanation, these authors’ passion for their subject shines through and their work carries not only their enthusiasm but also a rare beauty in its construction/format, for it is a joy to hold and behold with its beautiful all-colour printing and abundant illustrations of excellent quality, mainly, of course, ultrasound images but also corresponding CT scans and numerous elegant diagrams. But, is there a need for a textbook on ultrasound in oncology? Doesn’t everyone accept that CT or PET/CT (and sometimes MR) have nailed the problem of oncologic imaging? Well, while CT is undoubtedly the core imaging technique for the det- tion, staging, treatment planning and follow-up of tumours, there remain many app- cations for modern ultrasound, as readers of this textbook will be persuaded. This book aims at providing a strong foundation on tumors and cancer imaging for the resident and the expert performing ultrasound studies. At the same time, also referring oncologists and surgical oncologists that wish to become more expert in tumor imaging with ultrasound will develop a better understanding of the appropriate use of ultrasound investigations, i.e., when this diagnostic procedure is a valid alternative to other (more expensive) imaging modalities.