Full Description
For most areas of medical ultrasound, textbooks that provide physicians with detailed, practical information are readily available. Unfortunately, for the field of ultrasound mammography, such texts are few in number, in comparison to the num ber available for other fields of medical ultrasound. This textbook by Drs. Hack eHler, Duda, and Lauth fills this gap by presenting a clear overview of the usefulness and limitations of ultrasound mammography. Information based on clinical experiences with various types of automated and real-time instrumentation is presented in a manner that allows physicians to make their own judgments regarding the diagnostic capabilities of ultrasound mammogra phy. It also provides specific information on techniques required to obtain useful diagnostic data. Examples of the many possible image variations of specific breast pathologies are presented. The advantages of recent real-time systems, when used with a stand-off, are clearly outlined. The authors do not belabor the philosophical dilemma of which sys tem, an automated or a real-time, is best suited for ultrasound mammography. They simply present the information they have gained in their use of both of these systems and indicate that, in the future, a combination of automated and real-time would be the most valuable for the physician.
Contents
1 Basic Technical and Methodologie Aspects of Breast Sonography.- Fundamentals of the Examination Technique.- Anatomic Structures and Their Sonographic Correlates.- Glandular Tissue.- Focal Lesions.- 2 Benign Diseases.- Duct Ectasia.- Simple Cysts.- Cysts with Internal Echoes.- Mastitis.- Rare Benign Breast Tumors.- Lipoma and Fat Necrosis.- Granular Cell Tumors.- Fibroadenomas.- Diffuse Benign Breast Diseases.- Fibrocystic Diseases.- Sclerosing Adenosis and Fibrosclerosis.- 3 Malignant Diseases.- Breast Carcinoma.- Metastasis of Breast Carcinoma.- 4 Other Lesions.- Effects of Iatrogenic Measures on Breast Sonograms.- Hematomas.- Scar and Tissue Defects.- Mammoplastic Procedures.- Mastectomy and Radiation to the Breast.- Gynecomastia.- 5 The Place of Sonography in Breast Diagnosis.- Sonography Versus Palpation.- Sonography Versus Thermography.- Sonography Versus X-Ray Mammography.- Microcalcifications.- Screening.- Sonographic Guidance of Needle Aspirations and Biopsies.- Sonography Versus Pathohistology.- 6 Evolution and Status of Breast Sonography: Instrumentation and User Requirements.- 7 The Complementary Role of Blood Flow Assessment to Ultrasonic Imaging.- Vasculature of the Breast.- Neovascularization.- Assessment of Vascularity.- Integration of Flow Assessment with Imaging.- Clinical Evaluation.- Results.- Discussion.- Conclusions.
