Radiologia Emergency Radiology 2007, medycyna, radiologia
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Borut Marincek · Robert F. Dondelinger (Eds.)
EMERGENCY RADIOLOGY – Imaging and Intervention
Borut Marincek · Robert F. Dondelinger
(Eds.)
F. Vanhoenacker
P. M. Parizel J. Gielen (Coeditors)
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EMERGENCY RADIOLOGY –
Imaging and Intervention
With 483 Figures, 25 in Color and 49 Tables
123
Prof. Dr. Borut Marincek
Institute of Diagnostic Radiology
University Hospital Zurich
Rämistrasse 100
8091 Zurich
Switzerland
Prof. Dr. Robert F. Dondelinger
Department of Medical Imaging
University Hospital Sart Tilman
Domaine Universitaire du Sart Tilman B 35
4000 Liège
Belgium
Library of Congress Control Number: 2006933176
ISBN-10 3-540-26227-X Springer Berlin Heidelberg New York
ISBN-13 978-3-540-26227-5 Springer Berlin Heidelberg New York
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Preface
Why write a book on emergency radiology? In many coun-
tries, hospital emergency departments have become a
major part of the healthcare safety net. In the last decade
economically-driven structural changes in health care
delivery have caused a dramatic increase in emergency
department visits. In response to capacity and staffing
pressures, hospitals are developing and implementing a
variety of strategies designed to improve patient flow and
reduce overcrowding in the emergency department.
Several factors are considered critical for success, such as
having the right multidisciplinary teams in place and opti-
mizing the use of imaging tests. For a critical care physi-
cian it is paramount to obtain the images quickly and for
them to be interpreted accurately.
To accomplish this, the emergency radiology division
should be located adjacent to or within the emergency
department. High quality emergency radiology services
combine state-of-the art equipment and unsurpassable
expertise available 24 hours a day. The demands for radiol-
ogists with specific knowledge in diagnostic and interven-
tional emergency radiology is continuously increasing.
The emergency radiology services should be equipped
with sophisticated imaging (especially Multidetector
Computed Tomography, MDCT) and information tech-
nologies (Picture Archiving and Communication System,
PACS). The rapid development of MDCT technology has
dramatically changed CT applications. In many imaging
centers the volume of MDCT scans is growing at least 10 %
annually while the number of radiographic studies
decline. There is an increasing trend towards the use of
MDCT to evaluate traumatic injuries and non-traumatic
emergencies. The use of workstations for reporting and for
further image reconstruction becomes standard practice.
On the occasion of the European Congress of Radiology
(ECR) 2003 and 2004 a Categorical Course on “Emergency
Radiology” has been organized to assess current develop-
ments and concepts in this rapidly growing field.
Numerous radiologists, all outstanding and international-
ly renowned experts in their field, have made superb con-
tributions in an ECR syllabus. These authors have now
made a second effort and updated their contributions for
this book. The chapters in the book mirror the topics pre-
sented in the ECR course, encompassing imaging ap-
proaches as well as interventional aspects. A separate sec-
tion is devoted to pediatric emergencies.
We would like to express our thanks and appreciation to all
contributers for their excellent written material. This com-
prehensive work would not have been accomplished with-
out their enthusiasm.
We hope this book will be a “Go-To” reference to general
radiologists who have to deal with traumatic and non-
traumatic emergencies. Similarly, it should serve as refer-
ence for emergency medicine physicians. Finally, radiology
residents should find this book useful when covering the
emergency department.
Zurich
Borut Marincek
Liège
Robert F. Dondelinger
Foreword
As emergency medicine continues to evolve as a formal
clinical discipline, the need for emergency radiology to be
integrated in its four essential fields of action, including
clinical practice, a defined body of knowledge, a rigorous
training program, and an active research environment are
of primary importance.
Radiological diagnosis and management presently play
an instrumental role in providing the highest standards of
care in the acutely ill or multitrauma patient who enters the
emergency department, and it is imperative that radiolo-
gists and other clinicians be well aware and adequately in-
formed of the actual trends and concepts, as well as the lat-
est advances, in this rapidly growing field.
The book provides unique and authentic descriptions
of the role of imaging and intervention in practically all
facets of traumatic and non-traumatic, as well as acute and
life-threatening, conditions of modern medicine.
The book is divided into seven sections. Following in-
troductory in-depth coverage of the present use of 3D
imaging in the dedicated emergency room and the role of
imaging in the management of polytrauma patients, the
book describes in great detail imaging and intervention of
all common, and less common, traumatic and non-trau-
matic neurological, thoracic, abdominal, gastrointestinal,
pelvic, musculoskeletal, vascular, and pediatric emergen-
cies.
The editors, Borut Marincek and Robert Dondelinger, are
internationally renowned authorities with unparalled clin-
ical experience in emergency radiology. In addition to
writing their own contributions to several individual chap-
ters, they have been very successful in involving a number
of leading specialists in the field, from both Europe and the
United States, who convey a breadth and depth of experi-
ence and insight, and enrich our understanding and capa-
bilities of imaging and intervention in emergency medi-
cine.
I congratulate the editors and all the distinguished con-
tributors to this comprehensively written and superbly il-
lustrated volume, most sincerely, for their outstanding
work. I am confident that this excellent book will meet with
success among specialists in all disciplines involved in
emergency medicine, and will serve as the main reference
source in the field.
Nick C. Gourtsoyiannis, MD, PhD, FRCR (Hon)
Heraklion, 22 May 2006
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