Focal Liver Lesions

This open access book deals with imaging of the abdomen and pelvis, an area that has seen considerable advances over the past several years, driven by clinical as well as technological developments. The respective chapters, written by internationally respected experts in their fields, focus on imaging diagnosis and interventional therapies in abdominal and pelvic disease; they cover all relevant imaging modalities, including magnetic resonance imaging, computed tomography, and positron emission tomography. As such, the book offers a comprehensive review of the state of the art in imaging of the abdomen and pelvis. It will be of interest to general radiologists, radiology residents, interventional radiologists, and clinicians from other specialties who want to update their knowledge in this area.

Few fields of medicine have witnessed such impressive progress as the diagnosis and treatment of liver tumors. Advances in imaging technology, the development of novel contrast agents, and the introduction of optimized scanning protocols have greatly facilitated the non-invasive detection and characterization of focal liver lesions. Furthermore, image-guided techniques for percutaneous tumor ablation have become an accepted alternative treatment for patients with inoperable liver cancer. This book provides a comprehensive and up-to-date overview of the role of diagnostic and interventional radiology in respect of liver tumors. The volume moves from background sections on methodology and segmental liver anatomy to the main sections on the diagnosis of benign and malignant liver lesions. An integrated approach, focused on the correlation of ultrasound, CT, and MR imaging findings, is presented. Finally, a full section describes the principles, methods, and results of percutaneous tumor ablation techniques.

This book offers an image-based, comprehensive quick reference guide that will assist in the interpretation of contrast-enhanced ultrasound (CEUS) examinations of the liver in daily practice. It describes and depicts typical and atypical behavior of both common and less frequently observed focal liver lesions. For each type of lesion, the findings on pre- and post-contrast images are presented and key characteristics are highlighted. Individual chapters also focus on the assessment of response to locoregional and systemic treatment and the impact of European guidelines on CEUS. The Atlas of Contrast-Enhanced Sonography of Focal Liver Lesions will serve as an invaluable hands-on tool for practitioners who need to diagnose liver lesions using CEUS in the major clinical settings: oncology patients, cirrhotic patients, and patients with incidental focal liver lesions.

This text evaluates the role of imaging modalities, with their advantages and disadvantages, and describes the radiological features of common focal liver lesions. A list of unusual focal lesions is included. Problem oriented, economical and patient friendly approaches are presented.

The first book to cover the groundbreaking development and clinical applications of Magnetic Resonance Elastography, this book is essential for all practitioners interested in this revolutionary diagnostic modality. The book is divided into three sections. The first covers the history of MRE. The second covers technique and clinical applications of MRE in the liver with respect to fibrosis, liver masses, and other diseases. Case descriptions are presented to give the reader a hands-on approach. The final section presents the techniques, sequence and preliminary results of applications in other areas of the body including muscle, brain, lung, heart, and breast.

Featuring 137 carefully selected cases, this atlas covers virtually every aspect of clinical cross-sectional imaging of the liver, gallbladder, biliary system and pancreas. For the vast majority of the cases, both CT and MR images are included to demonstrate the different features of each lesion. Furthermore, both typical and atypical pathologies are included to facilitate the differential diagnosis in daily clinical practice. Concise yet comprehensive,this atlas includes not only imaging features of the lesions but also the related pathologic and clinical data. It is therefore useful both as a quick guide for practicing radiologists and as a brief textbook for radiologists in training.

This text provides a comprehensive and state-of-the-art overview of the evaluation and management of liver mass lesions. Major topics covered include epidemiology, the use of different imaging modalities in the differential diagnosis of liver lesions, the use of biomarkers and immunohistochemical stains for diagnosis, and treatment of the different types of liver masses. These include hepatocellular adenoma and hepatocellular carcinoma, fibrolamellar carcinoma, cholangiocarcinoma, hemangioma, focal nodular hyperplasia, liver masses in adult patients with congenital heart disease, and other infectious, inflammatory, and cystic lesions of the liver. The volume presents highly practical case presentations of typical patients seen in a clinical hepatobiliary practice. Written by experts from multiple disciplines, Evaluation and Management of Liver Masses is a valuable resource for clinicians and professionals who manage patients with these conditions.

Diagnosis of benign liver tumors is experiencing exponential growth, mainly owing to the diffusion of more accurate imaging techniques. This monograph examines the epidemiology, histopathology and genetics of these tumors and provides a systematic overview of their evolution and differential diagnosis. Care is taken to document surgical indications accurately, with a view to assisting in the avoidance of useless interventions. Open, laparoscopic and robotic surgical techniques are described and illustrated, emphasizing the optimization of intra- and postoperative management in order to avoid potential complications and degeneration. In these chapters, attention is drawn to the ways in which the surgical management of benign liver tumors differs from that of malignant tumors. The book concludes by examining the role of interventional radiology in patients with benign liver tumors.

"MDCT: From Protocols to Practice" tackles contemporary and topical issues in MDCT technology and applications. As an updated edition of MDCT: A Practical Approach, this volume offers new content as well as revised chapters from the previous volume. New chapters discuss important topics such as imaging of children and obese subjects, the use of contrast medium in pregnant women, coronary MDCT angiography, and PET/CT in abdominal and pelvic malignancies. Furthermore an Appendix with over 50 updated MDCT scanning protocols completes this publication. The book emphasizes the practical aspects of MDCT, making it an invaluable source of information for radiologists, residents, medical physicists, and radiology technologists in everyday clinical practice.