Fundamentals of Body CT, 4e

382 Pages·2014·47.64 MB·English

by  W. Richard Webb

FUNDAMENTALS
OF BODY CT
Fourth Edition
W. Richard Webb, MD
Chief, Thoracic Imaging
Professor Emeritus of Radiology and Biomedical Imaging
Emeritus Member, Haile Debas Academy of Medical Educators
University of California, San Francisco
San Francisco, California
William E. Brant, MD, FACR
Professor Emeritus
Department of Radiology and Medical Imaging
University of Virginia Health System
Charlottesville, Virginia
Nancy M. Major, MD
Musculoskeletal Radiologist
Professor of Radiology
Stony Brook University Hospital
Stony Brook, New York
Mainline Diagnostic Imaging
Bryn Mawr, Pennsylvania

1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
FUNDAMENTALS OF BODY CT, Fourth Edition ISBN: 978-0-323-22146-7
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Library of Congress Cataloging-in-Publication Data
Webb, W. Richard (Wayne Richard), 1945- author.
Fundamentals of body CT / W. Richard Webb, William E. Brant, Nancy M. Major. -- Fourth edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-323-22146-7 (paperback : alk. paper)
I. Brant, William E., author. II. Major, Nancy M., author. III. Title.
[DNLM: 1. Tomography, X-Ray Computed. WN 206]
RC78.7.T6
616.07’572--dc23 2014012926
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Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1

To Jack and Cole, my grandsons.
They understand the value of fundamentals.
W.R.W.
To my wife and true companion, Barbara.
In memory of my daughter Rachel.
To our children and their spouses and our ten
grandchildren: Evan, Finley, Sophia, Katie, Josie,
Danielle, Dylan, Grayson, Amelia, and Noah.
W.E.B.
To Kenneth…it was meant to be….
N.M.M.

P
reface
Despite the fact that we concentrate on the lung cancer screening, CT pulmonary embolism
“ fundamentals” in this book, the fundamentals diagnosis, CT enterography, CT enteroclysis,
keep changing along with advances in CT tech- CT colonography, and optimizing CT tech-
niques and our improved understanding of vari- niques in musculoskeletal diagnosis.
ous diseases. This new edition gives us the chance New topics, discussions of new diseases (too
to update important topics and add new material, numerous to mention here), and new images have
including a number of new, high-quality images. been added to all chapters, including updated
That is what we have attempted to do, without descriptions and illustrations of normal anatomy
significantly increasing the size of the book or and incidental findings. Disease classifications,
making it less accessible as a teaching tool. including those for pulmonary adenocarcinoma,
The half-dozen or so years since the third edi- diffuse lung diseases, and pancreatic lesions, have
tion was published have seen continued advances been updated where appropriate.
in helical CT techniques. In this edition, we We hope you enjoy and profit from our efforts.
review the various spiral/helical CT protocols
currently used in clinical practice for the diagno- W. Richard Webb
sis of chest, abdominal, and musculoskeletal
William E. Brant
abnormalities. We have expanded discussions of
Nancy M. Major
high-resolution CT, lung nodule assessment and
vii

P f e
reface to the irst dition
Instead of writing a text intended to record every- intended to provide more than the best CT texts
thing that is known about body CT or even on the market do, but rather less, with a different
everything that we know about body CT, we have emphasis, and in a more manageable package.
attempted to write one that teaches how to per- Each of us has written a different part of this
form and read body CT scans. In doing this, we book, obviously depending on our areas of
have tried to limit ourselves to discussing what is expertise. Since each of us teaches in a slightly
key to understanding body CT from a practical different way, each of the three sections of the
clinical standpoint—the key anatomy, the key book—the thorax, the abdomen, and the muscu-
concepts, the key diseases, and the key controver- loskeletal system—is somewhat different in
sies. We have done this at the risk of leaving a few approach. We hope that by preserving our indi-
things out, but it isn’t necessary to read about vidual styles we have made the book more inter-
everything when you are first learning a subject. esting to read, and for us, it certainly made this
In other words, Fundamentals of Body CT is not book easier to write.
ix