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The aim of this work was not an exhaustive review of all pediatric
echo graphic problems but a presentation of our daily experience
with ultrasonography in pediatric practice. Several teams of
pediatric radiologists from France and Belgium have combined their
experiences to produce a practical book. The different authors have
been chosen for their specific experience and their special area of
work. The different chapters express therefore personal opinions.
Unresolved questions are posed and ultrasonographic examinations
are used in the diagnosis of different diseases, while the
discoveries and ideas of the individual authors are described. Some
fields are not included, such as echocardiography. Gabriel Kalifa
Contents Chapter 1. Antenatal Diagnosis by Ultrasonography . . . .
. . . . . . . . . . 1 . . . Introduction ...... . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2
Ultrasonography of a Normal Pregnancy ...................... 1 2.1
Timing of Successive Examinations. . . . . . . . . . . . . . . . .
. . . . . . 1 2.2 Normal Fetal Anatomy. . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . 3 2.2.1 Central Nervous System
.......................... 3 2.2.2
Chest........................................... 3 2.2.3
Abdomen....................................... 3 2.2.4 Skeletal
System . . . . . . . . . . . . . . . . . . . . . . . . 3 . . . . .
. . . . .
Owing to the anatomic complexity of the neck and the diver sity of
pathologic entities affecting it, the cervical region has long been
of great semiological interest. Physical examination is an easy
means of evaluating the size and origin of a solitary cervical
mass, yet valid interpretation can prove difficult when the normal
morphology of the neck has been altered; excellent examples are
patients with extensive fibrosis or scarring secondary to previous
irradiation or surgery. Like wise, physical examination cannot
assess the relations of a pathologic process to adjacent structures
- e. g., invasion can not be distinguished from simple displacement
-and it is un suitable for monitoring therapeutic efficacy, such as
the re sponse of metastatic nodes to medical management. Between
physical examination, which remains fundamental, and exploratory
surgical procedures, which are often the only means of obtaining
indispensable anatomic proof for diagno sis, lie a number of recent
imaging techniques including com puted tomography and magnetic
resonance imaging using surface coils that provide invaluable
information for the in vestigation of cervical pathologies.
Real-time ultrasonogra phy occupies a privileged position because
of its noninvasive ness, rapidity, and reliability, especially when
performed by a specially trained examiner."
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