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MDCT Protocols - Whole Body and Emergencies (Paperback, 2012)
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MDCT Protocols - Whole Body and Emergencies (Paperback, 2012)
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Multidetector-row computed tomography (MDCT) has become a
fundamental imaging technique for the study of many anatomical
districts in different clinical situations, as it provides a fast,
reliable, and accurate simultaneous evaluation of different organs,
including parenchyma, hollow viscera, vessels, and bony structures.
It has also equipped the radiologist with the ability to explore
areas that in the last decade were largely ignored by CT,
especially the coronary arteries and the colon, and to limit
invasive diagnostic tests (e.g., catheter angiography) to those
cases in which interventional procedures are required. The
examination quality and the consequent diagnostic accuracy of MDCT
are the results of an optimized study technique, which nonetheless
needs to be adapted to the particular clinical situation of the
patient, while bearing in mind the radiation exposure. Another
fundamental parameter in the optimization of MDCT is the protocol
for the intravenous injection of iodinated contrast material; in
these studies, multiple variables, some modifiable by the operator
and others patient-dependent, must be considered based on the aims
of maximizing arterial and venous enhancements whilst minimizing
the dose of iodine injected, saving money, and increasing patient
safety. Through the presentation of cases addressing different
anatomical regions and various clinical indications, including
emergency and neuro-imaging, this volume seeks to provide the
general radiologist and trainee specialist with a guide to the main
study protocols to be implemented in order to optimize examination
quality and, consequently, facilitate the diagnostic process.
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