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Wilbur L. Smith - Radiology 101: The Basics & Fundamentals of Imaging

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Radiology 101 is a popular introduction to radiologic anatomy, the imaging manifestations of common disease processes, and what imaging studies to use when. The first section addresses basic principles of the various imaging modalities, while the second section deals with imaging of body regions plus, contains a chapter on nuclear imaging. Each chapter starts with a brief outline and ends with key points. Great depictions of normal anatomy and common pathology help guide those seeking a basic understanding of radiology especially interns and radiology residents, and non-radiology professionals desiring a concise overview of the field, such as nurse practitioners, physician assistants and primary-care physicians. Emphasis is placed on plain-film imaging with CT, MRI & Ultrasound included. Plus, there are numerous tables for typical symptoms, causes and differential diagnosis of common diseases and disorders. New for this edition: - Book is 4-color for first time with new anatomic variants added to each chapter - Inside cover lists common acronyms and treatment of acute contrast media reactions - Discussion of biopsy of thyroid nodules (procedure commonly ordered by primary-care providers) - Expanded nuclear imaging section to include basics of PET/CT - New chapters on radiation protection/dose reduction and medical decision-making

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RADIOLOGY 101
The Basics and Fundamentals of Imaging
FOURTH EDITION
RADIOLOGY 101
The Basics and Fundamentals of Imaging
FOURTH EDITION
EDITORS
Wilbur L. Smith, MD
Professor and Chair
Diagnostic Radiology
Wayne State University School of Medicine
Academic Radiology (3L8)
Detroit Receiving Hospital
Detroit, Michigan
Thomas A. Farrell, MB, FRCR, MBA
Section Head, Interventional Radiology
NorthShore University HealthSystem
Clinical Assistant Professor of Radiology
Department of Radiology
The University of Chicago Pritzker School of Medicine
Evanston, Illinois

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2014 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business
Two Commerce Square
2001 Market Street
Philadelphia, PA 19103 USA
LWW.com

Third edition 2010 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business
Second edition @ 2005 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business
First edition @ 1999 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business

All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright.

Printed in China

Library of Congress Cataloging-in-Publication Data
Radiology 101 : basics and fundamentals of imaging / editors, Wilbur L.
Smith, Thomas A. Farrell. Fourth edition.

p. ; cm.

Radiology one o one
Radiology one hundred one
Radiology one hundred and one
Basics and fundamentals of imaging
Includes bibliographical references and index.
ISBN 978-1-4511-4457-4 (alk. paper)

I. Smith, Wilbur L., editor of compilation. II. Farrell, Thomas A. (Clinical assistant professor of radiology), editor of compilation. III. Title: Radiology one o one. IV. Title: Radiology one hundred one. V. Title: Radiology one hundred and one. VI. Title: Basics and fundamentals of imaging.

[DNLM: 1. Diagnostic Imaging. 2. Radiology. WN 180]
RC78
616.0754dc23

2013025390

Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of the information in a particular situation remains the professional responsibility of the practitioner.

The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug.

Some drugs and medical devices presented in the publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.

To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 223-2320. International customers should call (301) 223-2300.

Visit Lippincott Williams & Wilkins on the Internet: at LWW.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6 pm, EST.

10 9 8 7 6 5 4 3 2 1

A teacher affects eternity; he can never tell where his influence stops.

Henry Adams (American Philosopher)

Almost 25 years ago a jovial roguish man with a dry wit decided to devote the rest of his professional career to teaching students the art of radiology. Coming from a practice in the Midwest he decided to join the faculty at the University of Iowa to have some fun. His fun resulted in innumerable publications, grants, and teaching awards both national and university wide. His recognition of the need to spread his lighthearted and practical philosophy of learning led to the first three editions of this book. At the outset, Bill Erkonen was a practical man and insisted the book be written to let the reader have fun. The book has always been published in soft cover intentionally aiming to keep the costs low, within the budget of students. Bill is now fully retired and age is taking its toll but his spirit lives on in those he teaches and inspires today. This book is dedicated to his ongoing joy in teaching.

Wilbur Smith

Contributing Authors

Carol A. Boles, MD

Associate Professor of Radiology

Department of Diagnostic Radiology

Wake Forest Baptist Medical Center

Winston-Salem, North Carolina

William E. Erkonen, MD

Associate Professor Emeritus of radiology

Department of Radiology

The University of Iowa

Iowa City, Iowa

Laurie L. Fajardo, MD, MBA, FACR

Clinical Assistant Professor of Radiology

Department of Radiology

The University of Chicago

NorthShore University HealthSystem

Evanston, Illinois

Thomas A. Farrell, MB, FRCR, MBA

Section Head, Interventional Radiology

NorthShore University HealthSystem

Clinical Assistant Professor of Radiology

Department of Radiology

The University of Chicago Pritzker School of Medicine

Evanston, Illinois

David M. Kuehn, MD

Associate Professor

Department of Radiology

The University of Iowa

Iowa City, Iowa

Vincent A. Magnotta, PhD

Associate Professor

Department of Radiology

The University of Iowa

Iowa City, Iowa

T. Shawn Sato, MD

Senior Radiology Resident

The University of Iowa

Iowa City, Iowa

Yutaka Sato, MD, FACR

Professor

Department of Radiology

The University of Iowa

Iowa City, Iowa

Ethan A. Smith, MD

Clinical Assistant Professor

Section of Pediatric Radiology

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