Imaging in Urology PDF
Preview Imaging in Urology
ii Mitchell Tublin, MD Professor and Vice Chair of Radiology Chief, Abdominal Imaging Section University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania Joel B. Nelson, MD Frederic N. Schwentker Professor and Chairman Department of Urology University of Pittsburgh School of Medicine Chief Clinical Officer, Health Services Division, UPMC Pittsburgh, Pennsylvania Amir A. Borhani, MD Matthew T. Heller, MD, FSAR Assistant Professor of Radiology Associate Professor of Radiology Abdominal Imaging Section Abdominal Imaging Section University of Pittsburgh School of Medicine Director, Radiology Residency Program Pittsburgh, Pennsylvania University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania Alessandro Furlan, MD Judy Squires, MD Assistant Professor of Radiology Abdominal Imaging Section Assistant Professor of Radiology University of Pittsburgh School of Medicine Director, Pediatric Ultrasound Pittsburgh, Pennsylvania Children’s Hospital of Pittsburgh University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania iii 1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899 IMAGING IN UROLOGY ISBN: 978-0-323-54809-0 Copyright © 2018 by Elsevier. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/ permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Publisher Cataloging-in-Publication Data Names: Tublin, Mitchell E. | Nelson, Joel B. Title: Imaging in urology / [edited by] Mitchell Tublin and Joel B. Nelson. Description: First edition. | Salt Lake City, UT : Elsevier, Inc., [2018] | Includes bibliographical references and index. Identifiers: ISBN 978-0-323-54809-0 Subjects: LCSH: Urinary organs--Radiography--Handbooks, manuals, etc. | Urology--Handbooks, manuals, etc. | MESH: Urologic Diseases--diagnostic imaging--Atlases. | Urology--methods-- Atlases. | Radiography--Atlases. Classification: LCC RC874.I43 2018 | NLM WJ 141 | DDC 616.607572--dc23 International Standard Book Number: 978-0-323-54809-0 Cover Designer: Tom M. Olson, BA Printed in Canada by Friesens, Altona, Manitoba, Canada Last digit is the print number: 9 8 7 6 5 4 3 2 1 iv Dedications To the home front: My wife, Mary, and our sons, Daniel, Josh, and Andrew. Your support and love make everything possible and meaningful. MT To Liz, my wonderful wife. JBN v Contributing Authors Hank Baskin, MD Steven J. Kraus, MD Pediatric Imaging Section Chief Division Chief of Fluoroscopy Primary Children’s Hospital Cincinnati Children’s Hospital Medical Center Intermountain Healthcare Associate Professor Adjunct Associate Professor of Radiology Clinical Radiology and Pediatrics University of Utah School of Medicine University of Cincinnati College of Medicine Salt Lake City, Utah Cincinnati, Ohio David Bauer, MD Katherine E. Maturen, MD, MS Missoula Radiology Associate Professor Missoula, Montana Abdominal Radiology Fellowship Director University of Michigan Hospitals Shweta Bhatt, MD Ann Arbor, Michigan Associate Professor Department of Imaging Sciences Christine O. Menias, MD University of Rochester Medical Center Professor of Radiology Rochester, New York Mayo Clinic School of Medicine Scottsdale, Arizona Todd M. Blodgett, MD Adjunct Professor of Radiology Foundation Radiology Group Washington University School of Medicine Pittsburgh, Pennsylvania St. Louis, Missouri Amit B. Desai, MD A.Carlson Merrow, Jr., MD, FAAP Radiology Resident Corning Benton Chair for Radiology Education Department of Imaging Sciences Cincinnati Children’s Hospital Medical Center University of Rochester Medical Center Associate Professor of Clinical Radiology Rochester, New York University of Cincinnati College of Medicine Cincinnati, Ohio Michael P. Federle, MD, FACR Sara M. O’Hara, MD, FAAP Professor and Associate Chair for Education Department of Radiology Division Chief of Ultrasound Stanford University School of Medicine Cincinnati Children’s Hospital Medical Center Stanford, California Professor of Clinical Radiology and Pediatrics University of Cincinnati College of Medicine Marta Heilbrun, MD, MS Cincinnati, Ohio Associate Professor of Radiology and Body Imaging Gloria M. Salazar, MD University of Utah School of Medicine Salt Lake City, Utah Assistant Radiologist Division of Vascular Imaging and Intervention R.Brooke Jeffrey, MD Massachusetts General Hospital Instructor in Radiology Professor and Vice Chairman Harvard Medical School Department of Radiology Boston, Massachusetts Stanford University School of Medicine Stanford, California Akram M. Shaaban, MBBCh Vineet Krishan Khanna, MD Professor of Radiology Department of Radiology and Imaging Sciences Radiology Resident University of Utah School of Medicine Department of Radiology Salt Lake City, Utah University of Pittsburgh Medical Center Pittsburgh, Pennsylvania vi Ethan A. Smith, MD T.Gregory Walker, MD, FSIR Clinical Assistant Professor of Radiology Interventional Radiology Integrated Residency C.S. Mott Children’s Hospital Program Director University of Michigan Health System Interventional Radiology Fellowship Program Director Ann Arbor, Michigan Massachusetts General Hospital Division of Interventional Radiology Ashraf Thabet, MD Assistant Professor of Radiology Instructor in Radiology Harvard Medical School Harvard Medical School Boston, Massachusetts Division of Interventional Radiology Massachusetts General Hospital Paula J. Woodward, MD Boston, Massachusetts Professor of Radiology David G. Bragg, MD and Marcia R. Bragg Presidential Alexander J. Towbin, MD Endowed Chair in Oncologic Imaging Associate Chief of Radiology Adjunct Professor of Obstetrics and Gynecology Clinical Operations and Informatics University of Utah School of Medicine Neil D. Johnson Chair of Radiology Informatics Salt Lake City, Utah Cincinnati Children’s Hospital Medical Center Associate Professor Karl Yaeger, MD Clinical Radiology and Pediatrics Women’s Imaging Fellow University of Cincinnati College of Medicine Department of Radiology Cincinnati, Ohio Magee Women’s Hospital of UPMC Pittsburgh, Pennsylvania vii viii Preface My colleagues and I within the abdominal imaging section at the University of Pittsburgh take pride in our partnerships with referring clinical services. Imaging is an integral part of all clinical pathways, and a shared vision and leveraged expertise benefits physicians and, most importantly, patients. The partnership between radiology and urology is a great example of professional synergy . I’ve known Joel Nelson, the Urology Chair and Chief Clinical Officer of the UPMC Health Service Division, for my entire career at UPMC. Joel is the quintessential academic urologist and US healthcare thought leader . He has the optimism of an academic, the skepticism of an administrator, and the vision of an enterprise leader. Joel immediately embraced the opportunity to partner with our group to compile a state-of-the-art imaging compendium for urologists. He loved the idea of an imaging text friendly to urologists, written in conjunction with (and for) urologists. We were both struck by how important excellent imaging is for state- of-the-art urological care, how a background in imaging has become a critical component in urology training programs, and how, despite these prerequisites, there was no go-to, reader-friendly imaging resource for urologists. We believe that this textbook fills that void. Introduction chapters set the framework: Genitourinary anatomy and basic imaging precepts relevant for urologists are described. The entire spectrum of urological conditions is then covered in bulleted, image-rich chapters. Key facts of each diagnosis are listed, but the real take-home points are driven home in hundreds of classic illustrative annotated images/figures and corresponding legends. Radiology trainees learn best by picking up pearls and experience while looking at images at the “view box”; we think that present-day urologists interested in imaging will do the same with this textbook. We have many people to thank for helping to produce this book. The abdominal imaging faculty at the University of Pittsburgh are the best of the best, and we learn from them always. Our coauthors, Drs . Borhani, Furlan, Heller, and Squires, are the heart and soul of the Elsevier GU team, and they make it all possible. Dr. Jathin Bandari, our urology taskmaster, kept us in line and offered perspective on what was truly important for his colleagues. Finally, the entire staff at Elsevier deserves a shout-out for facilitating this project, and more importantly, for articulating a collaborative imaging vision relevant for all current practitioners. Mitchell Tublin, MD Professor and Vice Chair of Radiology Chief, Abdominal Imaging Section University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania ix
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