Fundamentals of Skeletal Radiology by Abraham H. Dachman

By Abraham H. Dachman

Virtual colonoscopy is a quickly constructing procedure that grants to be more secure, more cost effective, and not more intrusive than traditional diagnostic assessments for colon melanoma. regardless of the eye that digital colonoscopy is receiving between doctors, many lack an knowing of the fundamentals of this state-of-the-art technique. popular radiologist Dr. Abraham Dachman and a extraordinary team of overseas participants have ready a basics booklet that fills this void. This useful guide totally explains the necessities of this state of the art strategy to radiologists, gastroenterologists, radiology citizens, and technologists. Key issues contain tips to practice and interpret a digital colonoscopic exam, accuracy, and radiation dose. Illustrations toughen significant innovations. the sensible layout and present content material of this consultant make it a leader between CT colonography introductory texts.

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Este es un ejemplo de reemplazamiento cortical y no de destruccion cortical, 10 que puede inducir a confusion si se emplea la destruccion cortical como un criterio de malignidad en el diagnostico diferencial. Observese que la zona de transici6n es estrecha, como cabe esperar en una lesion benigna de este tipo. El sarcoma de Ewing es una lesion eXlrcmadamenle maligna y con frecucncia tiene su eje mayor a 10 largo de la diafisis de un hucso largo. Y al reves, l11uchos defectos corticales fibrosos creecn de fom18 circular y son tot81mente benignos.

Ocurren fundamentalmente pacientes par encima de los 40 3Ilos. Un eminente radi610 6seo me dijo en una ocasion que si un patologo proporc naba un diagnostico de condrosarcoma en un nino, ha que cambiar de patologo. Aunque es infrecuente, en algun ocasiones los condrosarcomas ocurren en ninos; nonn mente se trata de degeneraciones malignas de osteoco dromas (Fig. 3-17), pero no neeesariamente. Reservo diagn6stico de condrosarcoma para pacientes mayores de ailos, a menos que tcngan un encondroma II osteocondrom doloroso 0 can aspeclO destructivo.

Gran fibroma no osificante. Gran lesion litica expansiva, bien definida, descubierta en un paciente de 16 arios y qu se biopsi6 porque habia crecido a 10 largo de varios ailos. Result6 s un fibroma no osificante. Esta poco justificada la biopsia, aunque e mas grande que la mayoria de los fibromas no osificantes. Como los tumores de celulas gigantes, los QOA so tam bien bastante controvertidos. Aparentemente hay do tipos de QOA: primario y secundario. El tipo secundari aparece junto con otra lesion 0 a partir de un traumatismo mientras que un QOA primario no tiene causa conocida n se asocia con otras lesiones.

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