This book reviews the basics of pulmonary functional imaging using new CT and MR techniques and describes the clinical applications of these techniques in detail. The intention is to equip readers with a full understanding of pulmonary functional imaging that will allow optimal application of all relevant techniques in the assessment of a variety of diseases, including COPD, asthma, cystic fibrosis, pulmonary thromboembolism, pulmonary hypertension, lung cancer and pulmonary nodule. Pulmonary functional imaging has been promoted as a research and diagnostic tool that has the capability to overcome the limitations of morphological assessments as well as functional evaluation based on traditional nuclear medicine studies. The recent advances in CT and MRI and in medical image processing and analysis have given further impetus to pulmonary functional imaging and provide the basis for future expansion of its use in clinical applications. In documenting the utility of state-of-the-art pulmonary functional imaging in diagnostic radiology and pulmonary medicine, this book will be of high value for chest radiologists, pulmonologists, pulmonary surgeons, and radiation technologists.

During the past decade significant developments have been achieved in the field of magnetic resonance imaging (MRI), enabling MRI to enter the clinical arena of chest imaging. Standard protocols can now be implemented on up-to-date scanners, allowing MRI to be used as a first-line imaging modality for various lung diseases, including cystic fibrosis, pulmonary hypertension and even lung cancer. The diagnostic benefits stem from the ability of MRI to visualize changes in lung structure while simultaneously imaging different aspects of lung function, such as perfusion, respiratory motion, ventilation and gas exchange. On this basis, novel quantitative surrogates for lung function can be obtained. This book provides a comprehensive overview of how to use MRI for imaging of lung disease. Special emphasis is placed on benign diseases requiring regular monitoring, given that it is patients with these diseases who derive the greatest benefit from the avoidance of ionizing radiation.

Part of the highly regarded Specialty Imaging series, this fully updated second edition by Drs. Santiago Martínez-Jiménez, Melissa L. Rosado-de-Christenson, and Brett W. Carter, reflects the many recent changes in HRCT diagnostic interpretation. An easy-to-read bulleted format and state of the art imaging examples guide you step-by-step through every aspect of thin-section CT and HRCT in the evaluation of patients with suspected lung disease. This book is an ideal resource for radiologists who need an easily accessible tool to help them understand the indications, strengths, and limitations of HRCT in their practice. - Superb illustrations with comprehensive captions display both typical and variant findings on HRCT scans - Introductory sections are specifically designed to lead the general radiologist to differential diagnoses from specific imaging findings, pathologic patterns, or from the disease/pathology itself - Time-saving bulleted format distills essential information for fast and easy comprehension - Updated content includes changes in HRCT interpretation and novel disease processes such as DIPNECH, new classification of idiopathic interstitial pneumonias, airway-centered interstitial fibrosis, light-chain deposition disease, and interstitial pneumonia with autoimmune features (IPAF) - Fully revised throughout with new references, images, and histopathologic correlations

A panel of recognized authorities comprehensively review the medical, surgical, and pathophysiologic issues relevant to lung volume reduction surgery for emphysema. Topics range from the open technique and video-assisted thoracoscopic approaches to LVRS, to anesthetic management, to perioperative and nursing care of the patient. The experts also detail the selection of candidates for LVRS, the clinical results and clinical trials in LVRS, and the effects of LVRS on survival rates.

Computed Tomography of the Lung: A Pattern Approach aims to enable the reader to recognize and understand the CT signs of lung diseases and diseases with pulmonary involvement as a sound basis for diagnosis. After an introductory chapter, basic anatomy and its relevance to the interpretation of CT appearances is discussed. Advice is then provided on how to approach a CT scan of the lungs, and the different distribution and appearance patterns of disease are described. Subsequent chapters focus on the nature of these patterns, identify which diseases give rise to them, and explain how to differentiate between the diseases. The concluding chapter presents a large number of typical and less typical cases that will help the reader to practice application of the knowledge gained from the earlier chapters. Since the first edition, the book has been adapted and updated, with the inclusion of many new figures and case studies.

Written by a pioneer in critical care ultrasound, this book discusses the basic technique and “signatures” of lung ultrasound and explains its main clinical applications. The tools and clinical uses of the BLUE protocol, which allows diagnosis of most cases of acute respiratory failure, are first described in detail. Careful attention is then devoted to protocols derived from the BLUE protocol – the FALLS protocol for diagnosis and management of acute circulatory failure, the Pink protocol for use in ARDS, and the SESAME protocol for use in cardiac arrest – and to the LUCI-FLR program, a means of answering clinical questions while reducing radiation exposure. Finally, the book discusses all the possible settings in which lung ultrasound can be used, discipline by discipline and condition by condition. Lung Ultrasound in the Critically Ill comprehensively explains how ultrasound can become the stethoscope of modern medicine. It is a superb complement to the author’s previous book, Whole Body Ultrasonography in the Critically Ill.

Spectral, Photon Counting Computed Tomography is a comprehensive cover of the latest developments in the most prevalent imaging modality (x-ray computed tomography (CT)) in its latest incarnation: Spectral, Dual-Energy, and Photon Counting CT. Disadvantages of the conventional single-energy technique used by CT technology are that different materials cannot be distinguished and that the noise is larger. To address these problems, a novel spectral CT concept has been proposed. Spectral Dual-Energy CT (DE-CT) acquires two sets of spectral data, and Spectral Photon Counting CT (PC-CT) detects energy of x-ray photons to reveal additional material information of objects by using novel energy-sensitive, photon-counting detectors. The K-edge imaging may be a gateway for functional or molecular CT. The book covers detectors and electronics, image reconstruction methods, image quality assessments, a simulation tool, nanoparticle contrast agents, and clinical applications for spectral CT.