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This book will enable practicing physicians and trainees to learn, in a clinically relevant and intellectually stimulating way, guidelines for appropriate ordering of imaging exams. The new edition provides more than 460 clinical case scenarios, organized into subspecialty modules (breast, cardiac, thoracic, gastrointestinal, urologic, women's, pediatric, vascular, musculoskeletal, and neurologic imaging). Each scenario is presented as a quiz in which the reader is invited to select the best option from various imaging modalities. All choices are given ratings of appropriateness and is consistent with the American College of Radiology (ACR) Appropriateness Criteria. Furthermore, a brief solution to each case is included. Finally, over 500 radiologic images are included each associated with a clinical case to illustrate the diagnostic capabilities of the imaging exam. This second edition incorporates new content and revisions to remain consistent with the updated ACR Appropriateness Criteria since the original publication in 2012. It will be an ideal tool both for self-study and for quantitative evaluation of students' knowledge.

 

Choosing the Correct Radiologic Test: Case-Based Teaching Files

1.      Introduction

1.1.   ACR Appropriateness Criteria

1.2.   Imaging Modalities

1.2.1.     X-ray and Fluoroscopy

1.2.2.     Ultrasound

1.2.3.     Computed Tomography

1.2.4.     Magnetic Resonance Imaging

1.2.5.     Nuclear Medicine Scan

1.2.6.     Interventional Procedures

2.      Breast Imaging

 

2.1.Breast Cancer Screening

2.2.Breast Pain

2.3.Symptomatic Male Breast

2.4.Palpable Breast Mass

2.5.Stage I Breast Carcinoma Staging

 

3.      Cardiac Imaging

3.1.         Acute Chest Pain - Suspected Aortic Dissection

3.2.         Acute

Chest Pain - Suspected Pulmonary Embolism

3.3.         Acute Nonspecific Chest Pain - Low Probability of Coronary Artery Disease

3.4.         Asymptomatic Patient at Risk for Coronary Artery Disease

3.5.         Chest Pain Suggestive of Acute Coronary Syndrome

3.6.         Chronic Chest Pain - Low to Intermediate Probability of Coronary Artery Disease

3.7.         Suspected Infective Endocarditis

3.8.         Transcatheter Aortic Valve Replacement Planning

4.      Thoracic Imaging

4.1.   Blunt Chest Trauma

4.2.   Rib Fractures

4.3.   Hemoptysis

4.4.   Acute Respiratory Illness in Immunocompetent Pat

ients

4.5.   Acute Respiratory Illness in Immunocompromised Patients

4.6.   Chronic Dyspnea

4.7.   Possible Tuberculosis

4.8.   Occupational Lung Diseases

4.9.   Solitary Pulmonary Nodule

4.10.        Routine Chest Radiography

4.11.        Bronchogenic Carcinoma Staging

4.12.        Pulmonary Metastases Screening

 

 

5.      Gastrointestinal Imaging

5.1.   Blunt Abdominal Trauma

5.2.   Right Upper Quadrant Pain

5.3.   Right Lower Quadrant Pain --- Suspected Appendicitis

5.4.   Left Lower Quadrant Pain --- Suspected Diverticulitis

5.5.   Acute Abdominal Pain and Fever or Suspected Abdominal Abscess

5.6.   Su

spected Small Bowel Obstruction

5.7.   Jaundice

5.8.   Acute Pancreatitis

5.9.   Dysphagia

5.10.        Crohn Disease

5.11.        Liver Lesion Characterization

5.12.        Colorectal Cancer Screening

5.13.        Colorectal Cancer Staging

 

 

6.      Urologic Imaging

6.1.   Renal Trauma

6.2.   Suspected Lower Urinary Tract Trauma

6.3.   Acute Onset Flank Pain with Suspicion of Stone Disease

6.4.   Acute Pyelonephritis

6.5.   Acute Onset Scrotal Pain

6.6.   Hematuria

6.7.   Hematospermia

6.8.   Recurrent Lower Urinary Tract Infections in Women

6.9. &n

bsp; Suspicion of Benign Prostatic Hyperplasia

6.10.        Renal Failure

6.11.        Renal Transplant Dysfunction

6.12.        Renovascular Hypertension

6.13.        Incidentally Discovered Adrenal Mass

6.14.        Indeterminate Renal Mass

6.15.        Prostate Cancer Detection, Staging and Surveillance

6.16.        Renal Cell Carcinoma Staging

6.17.        Invasive Bladder Cancer Staging

6.18.        Testicular Malignancy Staging

 

7.      Women's Imaging

 

7.1.   Abnormal Vaginal Bleeding

7.2.   First Trimes

ter Bleeding

7.3.   Acute Pelvic Pain in the Reproductive Age Group

7.4.   Clinically Suspected Adnexal Mass

7.5.   Infertility

7.6.   Pelvic Floor Dysfunction

7.7.   Ovarian Cancer Screening

7.8.   Ovarian Cancer Pretreatment Imaging and Followup

7.9.   Endometrial Cancer of the Uterus

7.10.        Invasive Cancer of the Cervix Staging

 

 

8.      Vascular Imaging

8.1.   Suspected Abdominal Aortic Aneurysm

8.2.   Nontraumatic Thoracic Aortic Disease

8.3.   Abdominal Aortic Aneurysm Treatment

8.4.   Nonvariceal Upper Gastrointestinal Bleeding

8.5.   Mesenteric Ischemia

8.6.   Sudden Onset of Cold, Painful Leg

8.7.   Claudication Assessmen

t for Revascularization

8.8.   Lower-Extremity Arterial Bypass Surgery Followup

8.9.   Recurrent Symptoms Following Lower Extremity Angioplasty

8.10.        Suspected Upper Extremity Deep Vein Thrombosis

8.11.        Suspected Lower Extremity Deep Vein Thrombosis

 

9.      Pediatric Imaging

9.1.   Suspected Physical Abuse

9.2.   Head Trauma

9.3.   Headache

9.4.   Orbits, vision and visual loss

9.5.   Sinusitis

9.6.   Seizures

9.7.   Fever

9.8.   Vomiting in Infants

9.9.   Right Lower Quadrant Pain

9.10.      Crohn Disease

9.11.      Hematuria

9.12. Urinary Tract Infection

9.13.        Suspected Spine Trauma

9.14.        Back Pain

9.15.        Developmental Dysplasia of the Hip

9.16.        Limping Child

10.  Musculoskeletal Imaging

10.1.                   Suspected Spine Trauma

10.1.1. NEXUS Criteria

10.1.2. Canadian C-Spine Rules

10.1.3. High Risk Criteria

10.2.                   Chronic Back Pain

10.3.     &

nbsp;             Osteoporosis and Bone Mineral Density

10.4.                   Stress or Insufficiency Fracture

10.5.                   Suspected Osteomyelitis in Patients with Diabetes Mellitus

10.6.                   Acute Hand and Wrist Trauma

10.7.                   Acute Hip Pain with Suspected Fracture

10.8.                   Acute Knee Trauma

10.9.              

     Acute Ankle Trauma

10.9.1. Ottawa Ankle Rules

10.10.               Imaging After Total Hip Arthroplasty

10.11.               Imaging After Total Knee Arthroplasty

10.12.               Soft Tissue Masses

10.13.               Followup of Musculoskeletal Tumors

10.14.               Metastases to Bone

 

11.  Neurologic Imaging

 

11.1.                   Head Trauma

11.1.1. Glasgow Coma Scale

11.1.2. New Orleans Criteria

11.1.3. Canadian CT Head Rule

11.1.4. National Emergency X-Ray Utilization Study

11.2.                   Headache

11.3.                   Cerebrovascular Disease

11.4.                   Focal Neurologic Deficit

11.5.                   Seizures and Epilepsy

11.6.                   Dementia and Movement Disorders

11.7.                   Ataxia

11.8.        Orbits, Vision and Visual Loss

11.9.                   Hearing Loss and Vertigo

11.10.               Sinonasal Disease

11.11.               Myelopathy

11.12.               Chronic Neck Pain

11.13.               Low Back Pain