By Uwe Fischer, Friedemann Baum
Dx-Direct is a sequence of 11 Thieme books masking the most subspecialties in radiology. It contains all of the circumstances you're probably to determine on your regular operating day as a radiologist. for every or disorder you can find the data you wish -- with simply the best point of detail.Dx-Direct will get to the point:- Definitions, Epidemiology, Etiology, and Imaging indicators- commonplace Presentation, therapies, direction and diagnosis- Differential prognosis, counsel and Pitfalls, and Key References...all mixed with high quality diagnostic photos. even if you're a resident or a trainee, getting ready for board examinations or simply searching for a wonderfully prepared reference: Dx-Direct is the high-yield selection for you!The sequence covers the total spectrum of radiology subspecialties together with: - mind- Gastrointestinal- Cardiac- Breast- Urogenital- Spinal- Head and Neck- Musculoskeletal- Pediatric- Thoracic- Vascular
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Extra info for Breast imaging ( DX-Direct )
Pre-fire documentation. d MR mammography-guided vacuum biopsy. post-procedural documentation. 29 Conclusion Vacuum biopsy is the standard method for minimally invasive acquisition of histologic samples in the diagnostic workup of suspicious mammographic (especially microcalcifications) and MR mammographic breast lesions • Vacuum biopsy is rarely indicated for ultrasound-guided biopsies. In special cases the minimally invasive extirpation of a papilloma (benign lesion with increased risk of malignant transformation) by means of vacuum biopsy may be considered.
Perform post-procedural mammogram in craniocaudal and mediolaterai planes. ~ MR mammography-guided biopsy Visualize contrast-enhancing lesion. Use marker to determine appropriate bi- opsy plane and position of lesion. Measure depth of lesion in acquired image. Local anesthesia and a nick incision. Insert 8-11 G needle. Fire needle to fully extended position. Rotate biopsy notch for acquisition of each tissue cylinder. Acquisition of 20 histologic samples is recommended. Undertake post-procedural MR mammography, if necessary with contrast.
Mamrnasonographie. MR Mammographie. 2nd ed. Stutt- gart: Thieme: 2006 37 Diagnostic Criteria in Ultrasonography Shape OObd lobular Round Oval Irregular •• Orientation Parallel to Perpendicular skin line to skin line MargIns Well-defined III-defined None Posterior acoustic changes Enhancement Shadowing • Duct changes • Disruption or displaced Cooper ligaments • Edema • Architectural distortion • Skin thickening • Skin retraction Caldflcatlons Internal echoes • Macrocalcifkations Anechoic • Microcalcifications • Microcalcifications Hypoechoic Special cases • Clustered microcalcifications Isoechoic Complex inside a mass • Complicated cyst • Cutaneous or subcutaneous lesion • Foreign matter • lymph node-intramammary • lymph node-aXillary Vascularization • Detectable/not detectable Hyperechoic Fig.