Ultrasonography of the Pancreas
Ultrasonography (US) has long been considered an important diagnostic imaging modality for investigation of the
pancreas despite certain significant and well-known limitations. Indeed, in many countries US represents the first step
in the diagnostic algorithm for pancreatic pathologies. Recent years have witnessed major advances in conventional,
harmonic, and Doppler imaging.
New technologies, softwares, and techniques, such as volumetric imaging, enhancement quantification, and fusion
imaging, are increasing the diagnostic capabilities of US. The injection of microbubble contrast agents allows better
tissue characterization with definitive differentiation between solid and cystic lesions. Contrast-enhanced US improves
the characterization of pancreatic tumors, assists in local and liver staging, and can offer savings in both time and
money. Acoustic radiation force impulse (ARFI) imaging is a promising new US method to test, without manual
compression, the mechanical strain properties of deep tissues. Furthermore, the applications and indications for
interventional, endoscopic, and intraoperative US have undergone significant improvement and refinement.
This book provides a complete overview of all these technological developments and their impact on the assessment of
pancreatic pathologies. Percutaneous, endoscopic, and intraoperative US of the pancreas are discussed in detail, with
precise description of findings and with informative imaging (CT and MRI) and pathologic correlations.
Table fo Contents
1. Ultrasound Imaging -
2. Transabdominal Ultrasonography of the Pancreas -
3. Endoscopic Ultrasonography of the Pancreas -
4. Percutaneous Ultrasound Guided Interventional Procedures in Pancreatic Diseases -
5. Intraoperative Ultrasonography of the Pancreas -
6. Pancreatic Anatomy, Variants and Pseudolesions of the Pancreas -
7. Pancreatitis and Pseudocysts -
8. Solid Pancreatic Tumors -
9. Cystic Pancreatic Tumors -
10. Rare Pancreatic Tumors -
11. Imaging Correlation -
12. Pancreatic Lesions: Pathologic Correlations -
13. Clinical and Imaging Scenarios -
14. Flowcharts in Pancreatic Diseases