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    Indication and Requests for Radiological Examination

    Indication and Requests for Radiological Examination
    Radiology Expert
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    Ultrasound 

    Ultrasound (US) uses sound waves to create harmless dynamic images (see Ultrasound Technique). It is quick, non-invasive, and nearly always available. US is especially useful for imaging soft tissue and is effective for assessing the abdomen, breast tissue, the scrotum, the neck or the skeletal/musculoskeletal system. It is a dynamic form of imaging where, for example, peristalsis of the intestines, mobility of a structure (e.g. a stone in the gallbladder or inguinal hernia) and compressibility of a structure (e.g. appendix, gallbladder, or veins in the upper or lower extremities) can be seen. See figure 4.

    Further benefit comes from the direct contact between the radiologist and the patient. The patient can better indicate the location of the pain and the radiologist can observe pain with pressure from the US probe. There is also the possibility for US-guided injections (e.g. with bursitis) or US-guided biopsies to be performed (e.g. with a suspected liver lesion).

    Ultrasound; inguinal hernia
    Figure 4. Inguinal hernia (US performed during Valsalva maneuver followed by compression with the probe).

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    Literature: sources and author

    Text

    drs. A. van der Plas (MSK radiologist Maastricht UMC+)

    With special thanks to:
    Dr. J.C. Korving (Abdominal Radiologist at Reinier de Graaf Hospital, Delft)
     

    Illustrations

    drs. A. van der Plas (MSK radiologist Maastricht UMC+)


    Sources:

    • B. Block. Abdominal Ultrasound: Step by Step (2004).
    • W.D. Middleton et al. The Requisites – Ultrasound (2004).
    • M. Prokop; Spiral and Multislice Computed Tomography of the body (2003)
    • C. Westbrook et al; MRI in Practice. 2011

    30/05/2019 

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