By Uwe Fischer, Friedemann Baum
Dx-Direct is a chain of 11 Thieme books overlaying the most subspecialties in radiology. It contains the entire situations you're probably to determine on your usual operating day as a radiologist. for every or illness you will discover the knowledge you wish -- with simply the fitting point of detail.Dx-Direct will get to the point:- Definitions, Epidemiology, Etiology, and Imaging indicators- usual Presentation, therapies, path and analysis- Differential analysis, information and Pitfalls, and Key References...all mixed with high quality diagnostic pictures. no matter if you're a resident or a trainee, getting ready for board examinations or simply trying to find a perfectly equipped reference: Dx-Direct is the high-yield selection for you!The sequence covers the entire spectrum of radiology subspecialties together with: - mind- Gastrointestinal- Cardiac- Breast- Urogenital- Spinal- Head and Neck- Musculoskeletal- Pediatric- Thoracic- Vascular
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Additional resources for Breast imaging ( DX-Direct )
Mammographic documentation of wire position in the craniocaudal and mediolateral projections. • MR Mammography-guided technique - Visualization - of contrast-enhancing lesion in appropriate plane. Use external marker to determine plane and position of lesion. Measure depth of lesion in acquired image. Insert 20 G localization needle. Penetrate through and 1 cm past the lesion. 13o-g Preoperative hookwire localization. o a Ultrasound guided. Wire penetrates ~ and protrudes 1 em past the lesion.
Insert 8-11 G needle parallel to the long axis of the transducer. Real-time visual monitoring of needle progress to prefire position • Fire needle into lesion • Document needle position in two planes. Rotate biopsy notch for acquisition of each tissue specimen. Acquisi- tion of 20 histologic samples is recommended. Perform post-procedural ultrasound with documentation ofbiopsied area. ~ Stereotactic biopsy Preferred method is the diagnostic workup of microcalcifications • Full imaging workup in craniocaudal and mediolateral planes is required prior to carrying out procedure.
Spot compression view is recommended. g.. postoperative scar shows no enhancement. carcinoma shows strong enhancement) • Most often one sees no space-occupying lesion ("nonmass") • No specific changes in T2-weighted image. Clinical Aspects ............................................................................................ ~ 'JYpical presentation Depending on etiology. either no pathologic finding (frequent) or palpable mass (rare). ~ Treatment options A postoperative scar requires no further diagnostic or therapeutic measures.