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By Masatoshi Kudo MD, PhD (auth.)

ISBN-10: 4431659048

ISBN-13: 9784431659044

ISBN-10: 4431659064

ISBN-13: 9784431659068

Combining harmonic expertise and an ultrasound distinction agent, harmonic imaging now performs an essential function within the analysis and remedy of hepatic tumors. distinction harmonic imaging is principally priceless in instances of hepatocellular carcinoma (HCC), the prevalence of which has risen dramatically in Europe, North the United States, and Asia in recent times. Harmonic imaging is bringing approximately progressive adjustments within the analysis and remedy of HCC, and this publication presents the main up to date details and guidance for powerful use of this better process. Generously illustrated with photos and diagrams, with accompanying textual content via a number one specialist within the box, this acclaimed publication is a beneficial state of the art source for clinicians and researchers in radiology and inner drugs, together with hepatology and gastroenterology.

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Diagn Imaging 1995; AU7-AUIO 2. Graubner T, Lazenby J, Nock LF. et al: The dctection of slow flow by non-linear ultrasound imaging of contrast agents using harmon ic imaging and a new phase inversion technique in vitro. Radiology 1997; 205:418 3. Kamiyama N, Moriyasu F, Mine Y, GOIO Y: Analysis of flash echo from contrast agent for desi gning optimal ultrasound diagnostic systems. Ultrasound Med Biol 1998; 25:411-420 4. Shi WT, Forsberg F, Hall AL, et al: Subharmonie imaging with microbubble contrast agents: initial results.

Table 6- 1 broadly summarizes the differences between contrast agents. Water-solub le contrast agents are rega rded as free -pass or through-pass type contrast agents. They can free ly pass through the thinnest capillaries in the body. It is known that watersoluble contrast agents leak into the extravasc ular interstitium during the delayed phase, which may result in the false-positive diagnosis of fibrotic changes . However, the dynamic behavior during the 2-3 min from early to late phase is genera lly described as free pass.

Intraarterial contrast-enhanced US can c1early demonstrate this character istic feature , ow ing to the capabilities of to- 3 The vasc ularity of dysplastic nodu le (DN) is characterized most markedly by the fact that arterial vascularity is lower than that in the surrounding cirrhotic nodul es, whereas the portal blood suppl y is similar to that in the surrounding liver tissues. DN is thus depicted as hypovascular on intraarterial contras tenhanced US, and CT AP detects portal blood inflow in this hypova scular nodule (Fig.

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Contrast Harmonic Imaging in the Diagnosis and Treatment of Hepatic Tumors by Masatoshi Kudo MD, PhD (auth.)


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