Few fields of medicine have witnessed such impressive progress as the diagnosis and treatment of liver tumors. Advances in imaging technology, the development of novel contrast agents, and the introduction of optimized scanning protocols have greatly facilitated the non-invasive detection and characterization of focal liver lesions. Furthermore, image-guided techniques for percutaneous tumor ablation have become an accepted alternative treatment for patients with inoperable liver cancer. This book provides a comprehensive and up-to-date overview of the role of diagnostic and interventional radiology in respect of liver tumors. The volume moves from background sections on methodology and segmental liver anatomy to the main sections on the diagnosis of benign and malignant liver lesions. An integrated approach, focused on the correlation of ultrasound, CT, and MR imaging findings, is presented. Finally, a full section describes the principles, methods, and results of percutaneous tumor ablation techniques.
Spis treści
Technique and Methodology in Liver Imaging.- Ultrasound and Contrast Ultrasound.- Computed Tomography.- Magnetic Resonance.- Liver Anatomy.- Segmental Anatomy of the Liver.- Imaging Landmarks for Segmental Lesion Localization.- Benign Liver Lesions.- Clinico-Pathological Classification.- Cysts and Cystic-Like Lesions.- Liver Hemangioma.- Focal Nodular Hyperplasia.- Hepatocellular Adenoma.- Pseudo-Lesions of the Liver.- Primary Malignancies in Cirrhotic Liver.- Clinico-Pathological Features of Hepatocellular Carcinoma.- Diagnosis and Staging of Hepatocellular Carcinoma.- Primary Malignancies in Non-Cirrhotic Liver.- Clinico-Pathological Classification.- Hepatocellular and Fibrolamellar Carcinoma.- Cholangiocellular Carcinoma.- Other Primary Malignant Tumors.- Hepatic Metastases.- Sonography of Liver Metastases.- Imaging Features of Hepatic Metastases: CT and MR.- Diagnostic and Staging Work-Up.- Image-Guided Tumor Ablation.- Radiofrequency Ablation: Principles and Techniques.- Imaging Guidance, Monitoring, and Follow-Up.- Percutaneous Ablation of Hepatocellular Carcinoma.- Percutaneous Ablation of Hepatic Metastases.- Laser-Induced Thermotherapy.- Multimodality Treatment of Hepatic Metastases.- Tumor Ablation: Interventional Management of Complications.
O autorze
Technique and Methodology in Liver Imaging
1 Ultrasound and Contrast Ultrasound
D.O. Cosgrove2 Computed Tomography
A. Laghi, I. Sansoni, M. Celestre, P. Paolantonio, and R. Passariello3 Magnetic Resonance
C. Bartolozzi , C. Della Pina, D. Cioni, L. Crocetti, E. Batini, and R. Lencioni
Liver Anatomy 4 Segmental Anatomy of the Liver P. Majno, P. Loubeyre, G. Mentha, P. Morel, C.D. Becker, and J. Fasel
5 Imaging Landmarks for Segmental Lesion Localization L. Crocetti, C. Della Pina, E. Rocchi, S. Montagnani, J. Lera, and C. Bartolozzi
Benign Liver Lesions 6 Clinico-Pathological Classification
F. Piscaglia, A. D’Errico, S. Leoni, A. Venturi, and L. Bolondi
7 Cysts and Cystic-Like Lesions
C. Del Frate , R. Pozzi-Mucelli, G. Brancatellli, K. Mortelè, C. Zuiani,
and M. Bazzocchi
8 Liver Hemangioma
V. Vilgrain and G. Brancatelli
9 Focal Nodular Hyperplasia
A. Filippone, R. Basilico, F. Di Fabio, and L. Bonomo
10 Hepatocellular Adenoma
L. Grazioli, M.P. Bondioni, and G. Brancatelli
11 Pseudo-Lesions of the Liver F. Caseiro-Alves, A. Ferreira, and D. Mathieu
Primary Malignancies in Cirrhotic Liver12 Clinico-Pathological Features of Hepatocellular Carcinoma M. Colombo and G. Ronchi 13 Diagnosis and Staging of Hepatocellular Carcinoma D. Cioni, R. Lencioni, J. Lera, A. Conti, E. Batini, and C. Bartolozzi
Primary Malignancies in Non-Cirrhotic Liver
14 Clinico-Pathological Classification
C. Della Pina, E. Rocchi, A. Conti, S. Montagnani, and L. Crocetti
15 Hepatocellular and Fibrolamellar Carcinoma
G. Brancatelli, M.P., Federle, V. Vilgrain, L. Grazioli, M. Midiri, and R. Lagalla
16 Cholangiocellular Carcinoma
S. Terraz and C.D. Becker
17 Other Primary Malignant Tumors R.M. Hammerstingl, W.V. Scharz, and T.J. Vogl
Hepatic Metastases
18 Sonography of Liver Metastases
T. Albrecht
19 Imaging Features of Hepatic Metastases: CT and MR
C. Kulinna and W. Schima
20 Diagnostic and Staging Work-Up T. Helmberger
Image-Guided Tumor Ablation21 Radiofrequency Ablation: Principles and Techniques
R. Lencioni, D. Cioni, J. Lera, E. Rocchi, C. Della Pina, and L. Crocetti
22 Imaging Guidance, Monitoring, and Follow-Up A.R. Gillams
23 Percutaneous Ablation of Hepatocellular Carcinoma
R. Lencioni, L. Crocetti, D. Cioni, E. Batini, C. Della Pina, and C. Bartolozzi
24 Percutaneous Ablation of Hepatic Metastases
J.A. Goode, T. Sabharwal., and A. Adam
25 Laser-Induced Thermotherapy
T.J. Vogl, K. Eichler, T. Lehnert, R. Straub, and M. Mack
26 Multimodality Treatment of Hepatic Metastases
K.-H. Link, V. Apell, K. Tischbirek, M. Holtappels, K. Zayed, T.A. Sagban, M. Mörschel, T.F. Weigel, K.M. Josten, R. Thimm, and L. Staib
27 Tumor Ablation: Interventional Management of Complications
R.S. Arellano, D.A. Gervais, and P.R. Mueller
Subject Index
List of Contributor
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