Multislice CT

The introduction of multidetector spiral CT into clinical practice is without any doubt one of the most important technical developments in the field of computed tomography in general, and spiral CT in particular, in recent years. Indeed, multislice CT technology, based on the spiral CT technique invented by W. Kalender almost 20 years ago, has opened immense and totally new perspectives for better utilisation of contrast medium during the examination, for optimal multiplanar reconstruction and for increased patient throughput. The potential applications, more specifically in the area of CT angiography of the brain and the heart and vessels, are most interesting and definitely contribute to better patient care as well as to more effi­ cient utilisation of equipment. These exciting new clinical applications explain the keen desire of radiologists and other clinicians to hear and learn more about the first results obtained with this new equipment in daily clinical practice. This book will satisfy their needs. Professor Maximilian F. Reiser was among the first to install multidetector CT in his department in Munich and to gain experience with this new radiological tool. He was also able to organise a very successful and well attended international meeting on this hot topic as early as z 2000 in Starnberg, Germany. Front Matter....Pages i-x Front Matter....Pages 1-1 Multislice Scanning with the Somatom Volume Zoom: An Optimized Design for Volume Scanning....Pages 3-7 Multidetector CT: What to Do with All the Data?....Pages 9-12 Visualization of Large Image Data Volumes Using PACS and Advanced Postprocessing Methods....Pages 13-19 Front Matter....Pages 21-21 Multi-detector CT of the Kidneys....Pages 23-34 Biphasic Contrast-Enhanced Multislice Helical CT of the Liver....Pages 35-38 Multislice CT in the Diagnosis of Pancreatic Tumors....Pages 39-48 Front Matter....Pages 49-49 New Developments in Imaging the Small Bowel with Multislice Computed Tomography and Negative Contrast Medium....Pages 51-60 Multislice CT in the Evaluation of Colorectal Cancer....Pages 61-68 Multislice Spiral CT in Preoperative Staging of Rectal Carcinoma....Pages 69-76 CT Colonography (Virtual Colonoscopy) with Multidetector Computed Tomography — Preliminary Results....Pages 77-82 Front Matter....Pages 83-83 Temporal Bone Imaging with Multislice CT....Pages 85-92 Staging of Laryngeal Cancer Using Multislice CT....Pages 93-97 Morphologic and Functional Assessment of Head and Neck Tumors with Multislice CT....Pages 99-105 Front Matter....Pages 107-107 Usefulness of Isotropic Volumetric Data in Neuroradiological Diagnosis....Pages 109-117 Front Matter....Pages 119-119 Technical Aspects and Applications of Fast Multislice Cardiac CT....Pages 121-130 Cardiac MDCT Using the Multisector Reconstruction Algorithm — ECG-Gated Retrospective Reconstruction....Pages 131-138 Assessment of Coronary Atherosclerosis in MD-CT....Pages 139-144 Front Matter....Pages 145-145 Multislice CT in the Detection of Pulmonary Embolism....Pages 147-154 Primary Chest Film Reading on Coronal and Sagittal MPRs....Pages 155-164 Front Matter....Pages 165-165 Role of Real-Time CT (CT Fluoroscopy) in Multislice Helical Scanning....Pages 167-172 Front Matter....Pages 173-173 CT Angiography of the Aorta and Its Major Branches with Use of MDCT....Pages 175-185 CT Portography by Multidetector Helical CT....Pages 187-196 Multislice Helical CT in Acute Disease of the Aorta....Pages 197-200 Back Matter....Pages 201-210 This book provides a detailed overview of state-of-the-art multislice CT, an exciting new technique recently introduced into clinical practice. An initial section acquaints the reader with technical developments and concepts, and their implications for routine protocols and research. Thereafter the focus is principally on the diagnostic applications of multislice CT in each of the most important anatomical regions. Examinations of the abdomen, neck, brain, blood vessels, chest, and musculoskeletal system are individually described and illustrated, due attention being paid to the special scanner settings necessary in each case. There are also sections on cardiac applications of multislice CT, an entirely new area of research, and interventional CT. In each chapter, the authors present the most recent research in the field and discuss its impact on clinical imaging and patient handling. This comprehensive book will be an invaluable asset to radiologists at all levels, and will be essential for all who are considering upgrading an existing CT scanner This third revised edition provides a comprehensive update on the newest developments and trends in the application of this exciting technique. Following an initial section on the most significant technical aspects and issues, detailed information is provided on a wide range of diagnostic applications. Imaging of the head and neck, the cardiovascular system, and the lungs is covered in depth, and a further section considers the application of multislice CT in a variety of tumors. Radiation exposure, CT angiography, dual-energy imaging, and interventions all receive close attention, and a final chapter examines the role of multislice CT in trauma management. Numerous highly experienced and well-known authors have contributed chapters from various perspectives, highlighting the possibilities offered by the most modern multidetector CT systems. This book will be particularly useful for general users of CT systems who wish to upgrade not only their machines but also their knowledge.