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YOU’VE JUST PURCHASED MORE THAN A TEXTBOOK! Evolve Student Resources for Kelley’s: Sectional Anatomy for Imaging Professionals, Fourth Edition, include the following: • Image Collection An image collection with approximately 1000 images. Activate the complete learning experience that comes with each textbook purchase by registering at http://evolve.elsevier.com/Kelley/sectionalanatomy/ REGISTER TODAY! You can now purchase Elsevier products on Evolve! Go to evolve.elsevier.com/html/shop-promo.html to search and browse for products. 2015v1.0 S E C T I O N A L A N A T O M Y For Imaging Professionals F O U R T H E D I T I O N LORRIE L. KELLEY, MS, RT(R)(MR)(CT) Associate Professor Emeritus Boise State University Boise, Idaho CONNIE M. PETERSEN, MS, RT(R)(CT), MS, LPC Former Adjunct Instructor, Radiologic Sciences Program Boise State University Boise, Idaho 3251 Riverport Lane St. Louis, Missouri 63043 SECTIONAL ANATOMY FOR IMAGING PROFESSIONALS, FOURTH EDITION ISBN: 978-0-323-41487-6 Copyright © 2018, Elsevier Inc. All Rights Reserved. Previous editions copyrighted 2013, 2007, 1997 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 and further information about the Pub- lisher’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 Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or con- tributors 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. Library of Congress Cataloging-in-Publication Data Names: Kelley, Lorrie L., author. | Petersen, Connie M., author. Title: Sectional anatomy for imaging professionals / Lorrie L. Kelley, Connie M. Petersen. Description: Fourth edition. | St. Louis, Missouri : Elsevier, [2018] | Identifiers: LCCN 2017056253 (print) | LCCN 2017056842 (ebook) | ISBN 9780323595377 (Ebook) | ISBN 9780323414876 (pbk. : alk. paper) Subjects: | MESH: Anatomy | Magnetic Resonance Imaging | Tomography | Atlases Classification: LCC QM25 (ebook) | LCC QM25 (print) | NLM QS 17 | DDC 612.0022/3—dc23 LC record available at https://lccn.loc.gov/2017056253 Executive Content Strategist: Sonya Seigafuse Content Development Manager: Lisa Newton Senior Content Development Specialist: Danielle M. Frazier Publishing Services Manager: Deepthi Unni Senior Project Manager: Manchu Mohan Design Direction: Brian Salisbury Printed in the United States of America Last digit is the print number: 9 8 7 6 5 4 3 2 1 Til James, Min beste venn og evig ledsager. Jeg smil hver dag på grunn av deg. Your strength sustains me, your love elevates me, and your faith inspires me. To my greatest treasures: Kristina, Matt, Jennifer, John, Michael, Natalie, Angela, Blair and Jamers, Daniel, Dean, Maren, Evelyn, McKenzie, Jakob, Anders, Alyssa, Margalit, and Porter Your laughter brings me joy, your enthusiasm for learning is contagious, and your support and love for each other is the grandest example of selfless service. Thanks for reminding me to dream. To my parents, Bill and Darhl Buchanan, for sharing your wisdom and encouragement in ways that strengthen and inspire me. To Connie, for your perseverance in collaborating with me through four editions while keeping your sense of humor. And to the many medical professionals who elevate their professions by serving with humility, compassion, and a reverence for life. LLK Thank you to my family and friends whose guidance, love, and support carried me through my most trying times. I dedicate this book to: My family, Mom, Dad, Brayden, Trinity, Grant, Scott, Kendra, Colton, and Jayden, who are my greatest blessings and who deeply enrich my life with laughter, joy, support, and true love. When I need you most, you never fail to show up with a hug, smile, or words of encouragement. Thank you for your understanding as I focused much of my time working on this fourth edition. You are my heart and soul and I love you dearly. To Lorrie, my friend and colleague for whom I have the utmost admiration. What a true pleasure it has been to work with you all these years. You truly kept me motivated and even when I was most frustrated, you somehow made me laugh. You are amazing. To my colleagues for their gifts of support and wisdom. And to my clients and a group of extraordinary young women who amaze me with their bravery and strength as they strive for greater wellness in their lives. You are truly special. And to the medical professionals who utilize this book in their pursuit of knowledge to improve patient care and advance the field of radiologic sciences. CMP Reviewers Lisa Fanning, MEd, RT(R)(CT) Kathy Kienstra, MAT, RT(R)(T) Kenneth A. Roszel, MS, RT(R) Chair Associate Professor Program Director School of Medical Imaging Program Director, Radiation Therapy Radiology & Therapeutics Program Geisinger Medical Center Massachusetts College of Pharmacy Doisy College of Health Sciences Danville, PA and Health Saint Louis University Sciences University St. Louis, MO Boston, MA Rebecca Farmer, MSRS, RT(R)(M) Associate Professor of Allied Health and Radiologic Science School of Allied Health Northwestern State University Shreveport, LA iv Preface This text was written to address the needs of today’s identifying the desired anatomy during actual clinical practicing health professional. As technology in diagnos- examinations. The narrative accompanying these images tic imaging advances, so does the need to competently clearly and concisely describes the location and function recognize and identify cross-sectional anatomy. Our goal of the anatomy in a format easily understood by health was to create a clear, concise text that would demon- professionals. The text is divided into chapters by strate in an easy-to-use yet comprehensive format the anatomic regions. Each chapter of the text contains an anatomy the health professional is required to under- outline that provides an overview of the chapter’s con- stand to optimize patient care. The text was purposely tents, pathology boxes that briefly describe common designed to be used both as a clinical reference manual pathologies related to the anatomy being presented, and as an instructional text, either in a formal classroom tables designed to organize and summarize the anatomy environment or as a self-instructional volume. contained in the chapter, and reference illustrations that Included are close to 1000 high-quality MR and CT provide the correct orientation for ease of locating the images for every feasible plane of anatomy most com- anatomy of interest. monly imaged. An additional 350 anatomic maps and line drawings related to the MR and CT images add to ANCILLARIES the learner’s understanding of the anatomy being stud- ied. In addition, pathology boxes describe common pa- A Workbook and an Evolve site complement the text. thologies related to the anatomy presented, assisting the When used together, these additional tools create a reader in making connections between the images in the virtual learning system/reference resource. text and common pathologies that will be encountered Workbook: The Workbook provides practice oppor- in clinical practice. Updated tables are used to summa- tunities for the user to identify specific anatomy. The rize and organize key information in each chapter. For Workbook includes learning objectives that focus on the example, tables that summarize muscle group informa- key elements of each chapter, a variety of practice items tion include points of origin and insertion, as well as to test the reader’s knowledge of key concepts, labeling functions, for the muscle structures pertinent to the im- exercises to test the reader’s knowledge of the anatomy, ages the reader is studying. case studies to provide relevance for clinical applica- tions, and answers to exercises. Student Resources on Evolve: An image collection NEW TO THIS EDITION with approximately 1000 images. • Updated content to reflect the latest ARRT and ASRT Instructor Resources on Evolve: These resources include curriculum guidelines a test bank with approximately 500 questions and an • Expanded images in the lymphatic system image collection with approximately 1000 images. • Second color added to the design to make difficult content easier to digest Lorrie L. Kelley Connie M. Petersen CONTENT AND ORGANIZATION The images include identification of vital anatomic structures to assist the health professional in locating and v This page intentionally left blank Acknowledgments Many provided encouragement and direction as the all of the new CT images for the third edition. And compilation of this text commenced. Danielle Frazier St. Alphonsus Regional Medical Center for providing and Manchu Mohan had the tiresome duty of encourag- the CT images. ing us to meet deadlines, which they did with grace and • Mary Pullin from Philips Medical Systems for providing patience. Sonya Seigafuse had the daunting task of stra- some beautiful MR images. tegically pulling it all together. We are indebted to them • Dave Arnold and St. Luke’s Regional Medical Center, for their editorial assistance in seeing this project through as well as Kevin Bean and Intermountain Medical completion. We wish to extend our gratitude to everyone Imaging, for providing the majority of the MR who thought the first, second, and third editions had images. value and to those who took the time to provide con- We owe a debt of gratitude to Marie Dean who pro- structive criticism and suggestions for further improve- vided numerous new illustrations and revised many old ments and increased accuracy. And to the many students, drawings creating more accuracy and consistency in the peers, and colleagues for providing feedback so that we visual presentation of the artwork throughout the text. could see the text from many different perspectives. The following individuals and institutions deserve Lorrie L. Kelley special acknowledgment: Connie M. Petersen • Chris Hayden for his tremendous patience, knowledge, and time invested in helping us find and create vii This page intentionally left blank