Byung Ihn Choi Editor Radiology Illustrated Hepatobiliary and Pancreatic Radiology 123 Radiology Illustrated For further volumes: http://www.springer.com/series/11755 Byung Ihn Choi Editor Radiology Illustrated: Hepatobiliary and Pancreatic Radiology Editor Byung Ihn Choi Department of Radiology Seoul National University Hospital Seoul Republic of Korea ISSN 2196-114X eISSN 2196-1158 ISBN 978-3-642-35824-1 ISBN 978-3-642-35825-8 (eBook) DOI 10.1007/978-3-642-35825-8 Springer Heidelberg New York Dordrecht London Library of Congress Control Number: 2013956429 © Springer-Verlag Berlin Heidelberg 2014 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. T he use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) Pref ace In imaging diagnosis, each case is usually made based on an individual radiologist’s memories of past cases with similar imaging features. Sometimes, one may fi nd a variety of imaging fi ndings for a single disease, while, in other cases, different disease entities have similar i maging features. As I had once been a trainee in radiology myself, I am fully aware of their diffi culties in dealing with the traditional multi-author textbooks with drawn-out texts and numerous references. This issue came up during a brief conversation with Dr. Seung Hyup Kim—a uroradiology expert and my intimate colleague at Seoul National University—several years ago, and Dr. Kim’s sharing of his own experience of writing a new type of textbook provoked me to write this book. H ere, I aim to present a comprehensive textbook of abdominal radiology that would serve as a “visible reference” rather than reading reference for radiology trainees and practicing physicians. The book is designed as a clear, practical, visible guide to the imaging-based diagnosis of abdominal diseases. This volume, the fi rst of two, is devoted to diseases of the liver, biliary tree, gallbladder, pancreas, and spleen and covers congenital disorders, vascular diseases, benign and malignant tumors, and infl ammatory conditions. Cases of liver transplan- tation and evaluation of the therapeutic response of hepatocellular carcinoma, trauma, and posttreatment complications are also addressed in the volume. T he book presents approximately 563 cases with 2,122 carefully selected and categorized illustrations along with key text messages and tables that will help the reader to easily recall the relevant images as an aid to differential diagnosis. At the end of each text message, key points are summarized to facilitate rapid review and learning. Additionally, brief descriptions of each clinical problem are provided, followed by both common and uncommon case studies that illustrate the role of different imaging modalities—such as ultrasound, radiography, CT, and MRI. I believe that this well-illustrated text will provide useful and handy visual guides for radiologists and physicians who interpret diagnostic images of the abdomen in their busy everyday practice. Seoul Byung Ihn Choi December, 2013 v Acknowledgements Producing a text such as this always calls for a collective work of many people—including radiologists, gastroenterologists, hepatologists, pathologists, and surgeons in their collection of data and illustrations. It would have been impossible for me to fi nish this book without the dedication and efforts of radiology colleagues at my university hospital. Dr. Jung Hoon Kim’s coordinating contribution for perplexing constellation of abdominal cases with diverse imag- ing fi ndings was outstanding. Dr. Jeong Min Lee, my abdominal section chief and one of the top academic radiologists in the world, and Dr. Joon Koo Han, my career-long colleague and renowned educator, contributed dozens of cases that are all beautifully searched, written, and illustrated. I am proud to have them as coeditors of this book. Without their time, effort, coop- eration, and expertise, I could not have been able to assemble these numerous interesting and beautiful cases of abdominal diseases. Working on this book also reminded me of my two mentors. Dr. Man Chung Han, professor Emeritus of Radiology at my university, guided me through the entire track of professional and academic radiology with an enthusiastic encouragement, wisdom, and foresight for the future. The year I spent in San Francisco with Dr. Alexander Margulis in the mid-1980s was a turning point in my career as a gastrointestinal radiologist. In those years, Dr. Margulis’s Textbook of Gastrointestinal Radiology was a bible in the fi eld of gastrointestinal radiology. His collabora- tive style in working with his clinical counterparts strongly infl uenced my career path and work ethics. In addition, I wish to thank to the great team at S pringer for their knowledge of the interna- tional world of medicine and their keen insight into the publishing industry which facilitate to distribute the contents of the book to global readers. L astly, this book would not have been possible without the understanding, strong support, and love of my family including my dearest parents, wife, daughter, and son. Seoul Byung Ihn Choi December, 2013 vii Acknowled gement The authors deeply thank Yoon Kyeong Choi for her assistance with illustrations. ix
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