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CONTENTS
Principles and techniques
Techniques based on X-rays
The production and nature of X-rays 13
Interactions of X-rays with matter 15
Conventional imaging with X-rays 18
Digital radiography 21
Computed X-ray tomography 22
X-ray contrast enhancing media 25
Techniques based on nuclear magnetic resonance
Principles of MR-scanning 28
MR-imaging modes and pulse sequences 38
Techniques based on ultrasound reflection
The production and nature of ultrasound 41
Interactions of ultrasound with tissues 43
Ultrasound imaging modes 44
The Doppler effect and Doppler imaging 46
Techniques based on radioisotope emissions
Scintigraphy 47
Single photon emission computed tomography
(SPELT) and positron emission tomography
(PET) 49
Principles of nomenclature and positioning 50
Upper limb
Shoulder and arm
Shoulder, a-p X-ray 55
Shoulder, axial X-ray 55
Clavicle, a-p X-ray 56
Scapula, oblique X-ray 56
Shoulder and arm, a-p X-ray, child one year 56
Shoulder and arm, a-p-X-ray, child 5 years 57
Shoulder and arm, 99m Tc-MDP, scintigraphy, child
12 years 57
Shoulder, axial CT 58
Shoulder, coronal MR 58
Shoulder, axial MR 59
Arm, upper third, axial MR 60
Arm, middle, axial MR 60
Elbow
Elbow, axial CT 61
Elbow, a-p X-ray 62
Elbow, lateral X-ray 62
Elbow, coronal MR 63
Elbow, humeroradial joint, sagittal MR 63
Forearm
Forearm, supinated, middle, axial CT 66
Forearm, pronated, middle, axial MR 66
Wrist and hand
Wrist, dorso-volar X-ray 67 Wrist, lateral X-ray 67
Wrist and hand, axial CT-series 68-71
Metacarpus and fingers, axial CT 71
Wrist, coronal MR 72 Wrist, carpal tunnel, coronal
MR 72
Hand, a-p X-ray 73
Skeletal age of hand 73
Hand development, male 74-77
Hand development, female 78-81
Hand, senescent, dorso-volar X-ray 82
Hand, dorso-volar, 99m Tc-DMP, scintigraphy, child
12 years 82
Arteries and veins
Shoulder, a-p X-ray, arteriography (digital
subtraction) 83
Forearm, ap X-ray, arteriography 83
Hand, dorso-volar X-ray, arteriography 84
Shoulder, a-p X-ray, phlebography 85
Lower limb
Pelvis
Pelvis, female, a-p X-ray, tilted 88
Pelvis, male, a-p X-ray, tilted 88
Sacro-iliac joints, axial CT (bone settings) 89
Pelvis, 99m Tc-MDP scintigraphy 89
Hip and thigh
Hip, a-p X-ray 90
Hip, Lauenstein, X-ray 90
Pelvis, a-p X-ray, child 3 months 91
Pelvis, X-ray, child 7 years 91
Hip, axial CT 92
Hip, sagittal MR 93
Hip, child, 3 months, coronal US 93
Thigh, axial MR 94-95
Knee
Knee, a-p X-ray 96
Knee, flexed, lateral X-ray 96
Knee, half flexed, tilted X-ray ("intercondylar notch
projection") 97
Knee, flexed, axial X-ray 97
Patella variation (2% ), a-p X-ray 97
Knee, flexed, lateral Xray, old age 98
Knee, child 11 years, lateral X-ray 98
Knee and leg, newborn, a-p X-ray 99
Knee, 99m Tc -MDP a-p scintigraphy, child 12
years 99
Knee, coronal MR 103
Knee, sagittal MR 104-105
Knee, medial meniscus, X-ray, arthrography,
rotational sequence 105
Leg
Leg, a-p X-ray 106
Leg, child 6 years, a-p X-ray 107
Leg, a-p X-ray, child 1 year 108
Leg, 99- Tc-MDP, scintigraphy, child 12 years 108
Leg, middle, axial MR 109
Leg, lower fourth, axial MR 109
Ankle and foot
Ankle, a-p X-ray 110
Ankle, lateral X-ray 110
Foot, dorso-plantar X-ray 111
Foot, lateral X-ray 112
Foot, oblique X-ray 112
Foot, oblique X-ray, child 3 months 113
Foot, dorso-plantar X-ray, child 5 years 113
Ankle and foot, sagittal MR 114
Ankle, coronal MR 114
Ankle, axial MR 115
Tarsus, axial MR 115
Metatarsus, cross section MR 116
Foot, 99m Tc-MDP, scintigraphy, child 14 years 116
Arteries and veins
Iliac and femoral arteries, a-p X-ray, arteriography
117
Popliteal artery, lateral X-ray, arteriography 117
Deep veins of lower limb, slightly rotated, a-p X-ray
118
Deep veins of leg, a-p X-ray, rotational series 119
Lymphatics
Lymphatics of lower limb, a-p X-ray, lymphography
120
Spine
Cervical spine
Cervical spine, a-p X-ray 122
Atlas and axis, a-p X-ray, through open mouth 122
Cervical spine, lateral X-ray 123
Cervical spine, oblique X-ray 123
Atlas and axis, axial CT 124
Atlas and axis, coronal CT 124
Cervical spine, axial CT 125
Cervical spine, lateral X-ray, myelography 126
Cervical spine, oblique X-ray, myelography 126
Cervical spine, median MR 127
Cervical spine, para-median MR 127
Thoracic spine
Thoracic spine, a-p X-ray 128
Thoracic spine, lateral X-ray 129
Thoracic spine, axial CT 130
Lumbar spine
Lumbar spine, a-p X-ray 131
Lumbar spine, lateral X-ray 132
Lumbar spine, oblique X-ray 133
Sacrum, lateral X-ray 133
Lumbar spine, axial CT 134-135
Lumbar spine, L5/S1, tilted axial MR 136-137
Lumbar spine, a-p X-ray, myelography 138
Lumbar spine, lateral X-ray, myelography 138
Thoracic spine, axial CT, myelography 139
Lumbar spine, axial CT, myelography 139
Lumbar spine, median MR 140
Lumbar spine, para-median MR 140
Thoracolumbar spine, lateral X-ray, newborn 141
Thoracolumbar spine, lateral X-ray, child 12 years
141
Thoracolumbar spine, lateral X-ray, old age 142
Head
Skull
Skull, a-p X-ray 144
Skull, lateral X-ray 144
Skull, X-ray, Towne's projection 145
Skull, lateral X-ray, old age 145
Skull, a-p, tilted X-ray, child 5 months 146
Skull, lateral X-ray, child 5 months 146
Skull, lateral and posterior view, 99m MDP,
scintigraphy 147
Base of skull, axial CT 147
Head, coronal CT-series 148-153
Ear
Axial CT-series 154-158
Orbita
Lacrimal ducts, a-p X-ray, dacryography 159
Orbita, sagittal CT 159
Paranasal sinuses
Paranasal sinuses, a-p X-ray 160
Paranasal sinuses, a-p, tilted X-ray 160
Paranasal sinuses, lateral X-ray 161
Maxillary sinus, coronal CT (bone settings) 161
Paranasal sinuses, coronal CTseries 162-165
Temporomandibular joint
Temporomandibular joint, oblique X-ray,
transmaxillary 166
Temporomandibular joint, oblique X-ray 166
Temporomandibular joint, lateral X-ray, tomography
167
Temporomandibular joint, coronal CT (bone
settings) 167
Teeth
Teeth, adult, rotational panoramic X-ray 168
Teeth, child 5 years, rotational panoramic X-ray 169
Teeth, full mouth survey, X-ray 170
Tooth, first premolar, X-ray 170
Salivary glands
Parotid gland, oblique X-ray, sialography 171
Submandibular gland, lateral X-ray, sialography 171
Arteries
Carotid arteries, lateral X-ray, arteriography 172
Carotid arteries, lateral X-ray, digital subtraction
arteriography 172
Brain
Brain, axial CT-series 174-182
Brain, axial MR-series 183-203
Brain, coronal MR-series 204-232
Brain, sagittal MR-series 233-243
Arteries and veins
Cerebral arteries, MR angiography, circle of Willis
244-247
Internal carotid artery, a-p X-ray, arteriography 248
Cerebral veins, a-p X-ray 248
Internal carotid artery, lateral X-ray, arteriography
249
Cerebral veins, lateral X-ray 249
Vertebral artery, a-p X-ray, arteriography 250
Cerebral veins, a-p X-ray 250
Vertebral artery, lateral X-ray, arteriography 251
Cerebral veins, lateral X-ray 251
Brain, child, CT angiography 252
Brain, child, CT angiography 253
Newborn
Brain, newborn, US 254-257
Neck
Larynx
Larynx, a-p X-ray 260
Larynx, lateral X-ray 260
Pharynx
Pharynx, a-p X-ray, barium swallow 261
Pharynx, lateral X-ray, barium swallow 261
Axial CT-series
Neck, axial CT-series 263-270
Thyroid gland
Thyrocervical trunk, X-ray, arteriography 270
Thyroid gland, transverse section, US 271
Thyroid gland, anterior view, scintigraphy 271
Thorax
Thoracic cage
Sternum, oblique X-ray 274
Thoracic cage, a-p X-ray 274
Thorax, 99m Tc-MDP, scintigraphy 275
Lungs
Thorax, a-p X-ray, child 1 month 275
Thorax, p-a X-ray, deep inspiration 276
Lungs, 133 Xe inhalation, scintigraphy 276
Thorax, lateral X-ray 277
Thorax of old age, lateral X-ray 277
Axial CT-series
Thorax, axial CT-series, bone, soft tissue and lung
278-310
Heart and great vessels
Heart, axial MR 311
Heart, coronal MR 312
Aortic arch and great arteries, a-p X-ray (slightly
oblique), aortography 313
Aortic arch and great arteries, oblique X-ray,
aortography 313
Heart, a-p, cardiac cineangiography, child 314
Heart, lateral, cardiac cineangiography, child 315
Pulmonary arteries, a-p X-ray, arteriography 316
Pulmonary arteries, lateral X-ray, arteriography 316
Left ventricle, lateral X-rays, cardiac angiography
317
Left coronary artery, arteriography 318
Right coronary artery, arteriography 319
Mitral and aortic valve, parasternal, long axis
section, US 320
Right and left ventricle, parasternal, short axis
sections, US 321
Mitral valve, parasternal, short axis section, US 322
Aortic valve, parasternal, short axis section, US 322
Cardiac four chambers, probe over apex, US 322
Oesophagus
Oesophagus, a-p X-ray, barium swallow 323
Oesophagus, lateral X-ray, barium swallow 323
Breast
Breast, young, oblique X-ray, mammography 324
Breast, middle-age, oblique X-ray, mammography
324
Breast, senescent, oblique X-ray, mammography 325
Breast, lateral X-ray, ductography 325
Thoracic duct
Thoracic duct, a-p X-ray lymphography 326
Abdomen
Abdomen, a-p X-ray, erect 329
Axial CT-series
Abdomen, axial CT=series 330-341
Male pelvis, axial CT 342-345
Female pelvis, axial CT-series 346-350
Stomach
Stomach and duodenum, oblique X-ray, barium
meal, double contrast 351
Stomach and duodenum, lateral X-ray, barium meal,
double contrast 351
Small intestine
Duodenum, a-p X-ray, barium meal, double contrast
352
Jejunum and ileum, a-p X-ray, barium meal 352
Colon and rectum
Colon, a-p X-ray, barium enema, single contrast 353
Colon, a-p X-ray, double contrast 353
Rectum, a-p X-ray, double contrast 354
Rectum, lateral X-ray, double contrast 354
Liver and pancreas
Biliary tract, a-p X-ray, endoscopic retrograde
cholangio-pancreatography (ERCP) 355
Biliary tract, 99m Tc-HIDA, scintigraphy, anterior
view 355
Gall bladder, subcostal sagittal section, US 356
Liver, subcostal, tilted transverse section, US 356
Liver, subcostal sagittal section, US 356
Upper abdomen, transverse section, US 357
Upper abdomen, vertical section, US 357
Upper abdomen, transverse section, US 357
Pancreatic ducts, a-p X-ray, endoscopic retrograde
pancreatography 358
Upper abdomen with pancreas, axial MR 358
Spleen
Spleen and liver, a-p X-ray, spleno-portography 359
Spleen, intercostal sagittal section, US 359
Arteries and veins
Abdominal aorta, sagittal section, US 360
Abdominal aorta, a-p X-ray, aortography 360
Coeliac trunk, a-p X-ray, arteriography 361
Portal vein, a-p X-ray, venous phase of eoeliac
arteriography 361
Superior mesenteric artery, a-p X-ray, arteriography
362
Inferior mesenteric artery, a-p X-ray, arteriography
362
Coeliac trunk and superior mesenteric artery,
variation (15 % ), a-p Xray, arteriography 363
Superior mesenteric vein, a-p X-ray, transhepatic
phlebography 364
Inferior caval vein, a-p X-ray, phlebography 364
Lymphatics
Lumbar lymph system, a-p X-ray, lymphography,
first day 365
Lumbar lymph nodes, a-p X-ray, lymphography,
second day 365
Lumbar lymph nodes, lateral X-ray, lymphography
(second day), and intravenous urography 366
Lumbar lymph nodes, axial CT, after lymphography
and peroral contrast 366
Urogenital system
Kidney
Urinary tract, a-p X-ray, i.v. urography 368
Renal artery, a-p X-ray, artenography 368
Kidneys, axial CT, after intravenous and peroral
contrast 369
Kidneys, coronal MR, T1 weighted recording 369
Kidney, oblique section, US 370
Kidney, longitudinal section, US 370
Kidneys, 99m Tc-hippuran, scintigraphy
(renography), posterior view 370
Urinary bladder and urethra
Urinary bladder, male, a-p, tilted X-ray, i.v.
urography 371
Urinary bladder, female, a-p, tilted X-ray, i.v.
urography 371
Urethra, male, oblique X-ray, urethrography 372
Urethra, female, lateral X-ray,
kolpo-cysto-urethrography, micturating 372
Male genital organs
Male pelvis, median MR 373
Male pelvis, axial MR 373
Male pelvis, coronal MR 374
Penis and scrotum, coronal MR 374
Penis, a-p X-ray, cavernosography 375
Penis, lateral X-ray, cavernosography 375
Prostate, tilted transverse section, US 376
Testes, cross section, US 376
Penis, cross section, US 376
Female genital organs/embryo
Uterus, a-p X-ray, hysterosalpingography (HSG) 377
Female pelvis, median MR 377
Uterus and ovaries, transverse section, US 378
Uterus, longitudinal section, US 378
Embryon, 5 weeks gestational age, transvaginal US
378
Embryon, 7 weeks gestational age, transvaginal US
379
Embryon, 7 weeks gestational age, transvaginal US
379
Embryon, 8 weeks gestational age, transvaginal US
379
Embryon, 8 weeks gestational age, transvaginal US
380
Fetus
Fetus, 12 weeks gestational age, transabdominal US
380
Fetus, 12 weeks gestational age, transvaginal US 380
Fetus, 12 weeks gestational age, transvaginal US 381
Fetus, 12 weeks gestational age, transvaginal US 381
Placenta, 12 weeks gestational age, transabdominal
US 381
Fetus, 18 weeks gestational age, transabdominal US
382
Fetus, 18 weeks gestational age, transabdominal US
382
Fetus, 18 weeks gestational age, transabdominal US
382
Fetus, 20 weeks gestational age, transabdominal US
383
Fetus, 18 weeks, CRL = 140 mm, stillborn, a-p X-ray
383
Fetus, 18 weeks, CRL = 140 mm, stillborn, lateral
X-ray 384
Dictionary 387
Index 393
