医学影像学英文课件：Clinical diagnosis of Ultrasound.ppt

* Ultrasound is the study of first choice for abnormalities of the biliary system. Patients who present with the relatively common complaint of right upper quadrant pain usually udergo an ultrasound examination first. CT may be helpful in cases with difficult or unusual anatomy, for detecting masses, or in determine the extent of diseases already diagnosed, but CT is less sensitive than ultrasound in detectiong gallstones. * * * * * * Pancreas diseases Pancreas lies posterior to the stomach. The patient should fast more than 8 hours. Head, neck, body and tail Normal ultrasound anatomy Normal pancreas The head 2.0-3.0cm The neck 1.5-2.5cm The body 2.0-3.0cm The tail 1.0-2.0cm The echo intensity of the pancreas is usually slightly less than that of surrounding soft tissues and slightly greater than that of the liver. Normal pancreas liver Swelling-diffusely enlargement The borders may be somewhat indistinct but smooth. Hypoecho. Fluid around the pancreas. Acute pancreatitis Pancreatic tumors-adenocarcinoma Localized mass. Echo pattern: less dense than the pancreas or liver. Short of color doppler flow image. Position size shape border echo texture CDFI liver liver Enlargement of CBD or pancreatic duct. liver liver Enlargement of CBD or pancreatic duct. Contrast Enhanced Ultrasound (CEUS) Revolution: Grey scale CDFI CEUS Phosphatide SF6 SF6 SF6 SF6 Intravenous SonoVue contrast agent injection. SF6 SF6 SF6 SF6 SF6 SF6 SF6 SF6 SF6 SF6 SF6 Contrast Enhanced Ultrasound of HCC Enhance on the arterial phase (hyperecho) and then return to hypoecho on the venous phase. Ultrasound Guided Biopsy Fine needle biopsy--Thyroid biopsy--LN Review questions: Hello, everyone. This is Dr Li from Department of Ultrasound. Here is my E-mail address, please feel free to contact me if you have any questions. * Everybody has taken ultrasound examination when you with your mum.I p