Applications and limitations of diagnostic imaging
Summary :
Table of Contents
- Introduction
- Radiographic techniques
- Ultrasound
- Computed tomography
- Magenetic resonance imaging
- Nuclear imaging and positron emission tomography
- Angiography and interventional radiology
- Principles of ordering imaging tests
- Expenses of imaging procedures
- Screening
- Imaging approach to selected common clinical problems
- Shortness of breath
- Solitary pulmonary nodule
- Acute renal failure
- Hematuria with flank pain
- Staging of oncologic dieseases
- Adrenal gland
- Digital image storage and teleradiology
- Conclusions
- Bibliography
Abstract
The traditional evaluation of the patient includes the history and physical examination and a well-planned set of diagnostic tests, often including imaging. Dramatic advances in imaging not only supplement the physical examination, but also now may begin to substitute for part of it. Medical imaging provides an approach for dividing patients into patients who have an acute compared with a chronic medical problem and patients who have an anatomic compared with a "biochemical" illness. These determinations are crucial for prompt and effective medical and surgical therapy. A key issue for clinicians is determining the appropriate role for imaging in a patient. Ultrasonography is highly accurate for the diagnosis of cholelithiasis, but it is less clear how to decide when a patient with right upper quadrant pain needs ultrasonography, computed tomography (CT), an upper gastrointestinal radiographic series , endoscopy , or no imaging study whatsoever. Optimum choices among the armamentarium of tests guide efficient and cost-effective care.
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