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Cover Art for Contrast Harmonic Imaging in the Diagnosis and Treatment of Hepatic Tumors
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Contrast Harmonic Imaging in the Diagnosis and Treatment of Hepatic Tumors
Edition: 1st
Author(s): Kudo, Masatoshi
ISBN10:  443100002X
ISBN13:  9784431000020
Format:  Hardcover
Pub. Date:  5/1/2003
Publisher(s): Springer Verlag

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Table of Contents
Foreword v
Preface xiv
List of Contributors
xxv
Intraarterial Contrast-Enhanced Ultrasonography Is the Final Goal of Intravenous Contrast-Enhanced Ultrasonography
1(3)
Types of Contrast-Enhanced Ultrasonography
1(1)
Intraarterial Contrast-Enhanced US
1(2)
Principles
1(1)
Update of Intraarterial Contrast-Enhanced US
2(1)
Observation Tips for Intraarterial Contrast-Enhanced US
2(1)
Vascular Patterns on Intraarterial Contrast-Enhanced US
2(1)
Indications for Intraarterial Contrast-Enhanced US
3(1)
Intraarterial Contrast-Enhanced US Is the Final Goal of (or the Gold Standard for) Intravenous Contrast-Enhanced US
3(1)
Vascularity and Hemodynamics of Liver Tumors as Seen with Intraarterial Contrast-Enhanced Ultrasonography
4(8)
Hepatocellular Carcinoma
4(3)
Metastatic Liver Cancer
7(1)
Dysplastic Nodule or Adenomatous Hyperplasia
7(1)
Well-differentiated HCC Containing a Moderately Differentiated Focus (Nodule in Nodule)
8(1)
Focal Nodular Hyperplasia
9(1)
Hemangioma
9(3)
Intranodular Hemodynamic Transition Associated with Dedifferentiation of Hepatocellular Carcinoma
12(2)
Hepatocellular Carcinoma and the Role of Blood Flow Imaging in Clinical Practice
14(1)
Properties of Levovist
15(4)
Overview of Levovist: A Diagnostic Ultrasonic Contrast Agent
15(1)
Granules
15(1)
Microbubbles
15(1)
Method of Preparation
16(1)
Side Effects of Levovist
16(3)
Comparative Pharmacokinetic Behavior of Levovist with Water-Soluble Contrast Agents
19(3)
Levovist Versus Water-Soluble Contrast Agents
19(1)
Pharmacokinetic Behavior of Levovist
20(1)
Time Phases of Levovist Contrast-Enhanced US
20(2)
Various Contrast-Enhanced Imaging Modes After Administration of Levovist
22(4)
Contrast-Enhanced Doppler Imaging
22(1)
Color Flash Imaging
22(1)
Harmonic Power Doppler Imaging
23(1)
Harmonic Gray-Scale Imaging
23(1)
Digital Subtraction Harmonic B-Mode Imaging
24(1)
Phase (Pulse) Inversion Harmonics
25(1)
Coded Harmonic Angio Mode
25(1)
Glossary of Harmonic Imaging Terms
26(3)
Principles of Harmonic Imaging
29(2)
Harmonic Power Doppler and Other New Techniques on ALOKA ProSound Series
31(38)
Principles of Harmonic Power Doppler
31(1)
Principles and Features of ALOKA ProSound Series (SSD-5500 and SSD-6500)
32(6)
Principles of Extended Pure Harmonic Detection
32(5)
Features of ALOKA ProSound Series
37(1)
Application Method and Main Point for ALOKA ProSound SSD-5500
38(1)
Imaging Mode
38(1)
Setting Conditions
38(1)
Contrast Agent
38(1)
Main Point
38(1)
Application Method and Main Point for ALOKA Prosound SSD-6500
39(1)
Imaging Mode
39(1)
Setting Conditions
39(1)
Contrast Agent
39(1)
Main Point
39(1)
Clinical Cases of Using the Harmonic Power Flow Function on ALOKA ProSound SSD-5500
40(14)
Hepatocellular carcinoma: Difference of the stain degree based on different intermittent intervals
40(1)
Harmonic Power Flow image of a giant hepatic tumor
41(2)
A case of hypervascular hepatocellular carcinoma (HCC)
43(1)
A case of hypovascular HCC
44(1)
HCC: Clear visualization of central necrosis by Harmonic Power Flow
45(1)
Harmonic Power Flow image of a deeply located HCC
46(2)
Harmonic Power Flow image of HCC recurrence and necrosis
48(1)
Local recurrence of HCC
49(1)
Focal nodular hyperplasia: Spoke-wheel pattern of blood supply and dense stain of the nodule
50(2)
Subtraction harmonic image of small HCC nodules
52(1)
Evaluation of treatment response after TAE combined with RFA
53(1)
Clinical Cases of Using CHE on ALOKA ProSound SSD-6500
54(13)
Large HCC: Typical HCC findings shown by CHE mode
54(1)
CHE images of small HCC
55(2)
CHE images of metastatic liver cancer
57(1)
HCC after transcatheter arterial infusion treatment
58(2)
Nodule-in-nodule type HCC: Clearly observed by CHE mode
60(1)
HCC post-RFA: Evaluation of treatment response
61(2)
CHE images of small HCC
63(1)
Typical findings on CHE of HCC
64(2)
CHE images of HCC
66(1)
Summary
67(2)
Contrast Imaging (Toshiba PowerVision 8000 and Aplio)
69(52)
Nonlinear Phenomenon of Microbubbles in an Ultrasonic Contrast Agent
69(1)
Contrast Imaging Using PowerVison (Principles and Features)
70(1)
Flash Echo Imaging
70(1)
Flash Color Imaging
71(1)
Dynamic Flow
71(1)
Techniques and Crucial Points for the Use of PowerVision
71(2)
Visualization of Perfusion Image
72(1)
Visualization of Vessel Image
73(1)
Application Method and Main Point for Toshiba PowerVision 8000
73(1)
Imaging Mode
73(1)
Setting Conditions
73(1)
Contrast Agent
73(1)
Main Point
73(1)
Clinical Cases of Harmonic Imaging by Using Toshiba PowerVision 8000
73(32)
Remarkable difference in vascularity due to different degrees of differentiation
75(1)
Harmonic power Doppler images of a 2.5-cm HCC in S6
76(1)
Visualization of HCC by using digital subtraction B-mode
77(1)
Harmonic B-mode image of a small HCC
78(1)
A dynamic study of harmonic power Doppler in a small HCC (gradual increment of intermittent transmission interval)
79(3)
A dynamic study of harmonic power Doppler (fixed intermittent transmission interval)
82(2)
A dynamic study of harmonic power Doppler (gradual increment of intermittent transmission interval)
84(2)
A dynamic study of harmonic power Doppler (gradual increment of intermittent transmission interval)
86(1)
Harmonic power Doppler image of a recurrent nodule after treatment with transcatheter arterial embolization (TAE)
87(1)
A case of HCC with central necrosis
88(2)
Visualization of blood flow in the local recurrent area after treatment
90(1)
Evaluation of blood flow in the nodule after treatment
91(2)
Evaluation of treatment response after percutaneous ethanol injection (PEI) therapy
93(2)
A case of HCC with complete response after RFA
95(2)
A case of HCC with complete response after RFA
97(1)
A case of HCC with complete response after Lipiodol TAE (LpTAE) and RFA
98(1)
A case of HCC with complete response after LpTAE and RFA
99(1)
A case of HCC with complete response after LpTAE and RFA
100(1)
A case of HCC with complete response after RFA
101(1)
Harmonic power Doppler image of hemangioma
102(1)
Harmonic image of metastatic liver cancer
103(1)
Harmonic image of focal nodular hyperplasia
104(1)
Application Method and Main Point for Toshiba Aplio
105(2)
Imaging Mode
105(1)
Setting Conditions
105(1)
Contrast Agent
105(1)
Main Point
105(1)
Summary of Advanced Dynamic Flow and Pulse Subtraction Imaging
106(1)
Clinical Cases of Harmonic Imaging by Using Toshiba Aplio
107(9)
ADF and PS images of HCC
107(2)
ADF and PS images of metastatic liver cancer
109(2)
A case of typical hepatic hemangioma
111(2)
A case of adenomatous hyperplasia
113(2)
A case of recurrent HCC after RFA treatment
115(1)
A case of small HCC
116(3)
Summary
119(2)
Pulse Inversion Harmonic Imaging (ATL HDI 5000)
121(7)
Principles
121(1)
Features of ATL HDI 5000
122(3)
Features of PIH
123(1)
Power Pulse Inversion
123(1)
Quantification Application
124(1)
Application Method and Main Point for ATL HDI 5000
125(1)
Imaging Mode
125(1)
Setting Conditions
125(1)
Contrast Agent
125(1)
Main Point
125(1)
Clinical Cases Using Pulse Inversion Harmonics on the ATL HDI 5000
125(3)
HCC
126(1)
Far advanced huge HCC
127(1)
Agent Detection Imaging (ADI) (Acuson Sequoia 512)
128(17)
Principles
128(3)
The Basics of ADI
128(2)
Equalization of Sound Pressure
130(1)
Conclusion
131(1)
Application Method and Main Point for Acuson Sequoia 512
131(1)
Imaging Mode
131(1)
Setting Conditions
132(1)
Contrast Agent
132(1)
Main Point
132(1)
Clinical Cases of ADI Using Acuson Sequoia 512
132(13)
Hepatocellular carcinoma (HCC) with portal vein tumor thrombus (PVTT) after radiofrequency ablation (RFA) treatment
132(2)
A case of HCC with complete response after RFA
134(1)
A case of HCC
135(1)
HCC with PVTT
136(2)
A case of typical HCC
138(2)
A case of HCC
140(2)
A case of recurrent cholangiocellular carcinoma after RFA
142(1)
Recurrent HCC after transcatheter arterial embolization (TAE)
143(2)
Coded Harmonic Angio (GE LOGIQ 700 EXPERT Series)
145(35)
Principles of Coded Harmonic Angio
145(1)
Characteristics of the GE LOGIQ 700 EXPERT, LOGIQ 7 and LOGIQ 9 Series
146(2)
B-Flow
147(1)
Pulsatile Flow Detection
147(1)
Application Method and Main Point for GE LOGIQ 700 EXPERT (CHA)
148(1)
Imaging Mode
148(1)
Setting Conditions
148(1)
Contrast Agent
148(1)
Main Point
148(1)
Clinical Cases of Harmonic Images Using CHA
148(31)
Typical image of hepatocellular carcinoma (HCC)
149(1)
Depiction of tumor vascularity in a small HCC
150(1)
Evaluation of treatment response after radiofrequency ablation (RFA) for HCC: CHA images of case 2 after one RFA treatment
151(1)
Evaluation of the safety margin after retreatment: CHA images after additional RFA was given to the same case
152(1)
HCC in the caudate lobe
153(1)
Untreated HCC in the left liver lobe
154(1)
CHA images of a small HCC
155(2)
Evaluating treatment response after Lipiodol transcatheter arterial embolization (LpTAE)
157(1)
Evaluating treatment response after additional RFA: Complete response
158(1)
Comparison of CHA and intraarterial contrast-enhanced US in a typical HCC
159(2)
Evaluating treatment response after LpTAE and RFA treatment: Complete response case
161(1)
CHA image of a typical HCC
162(1)
Evaluation of blood flow after Lipiodol transcatheter arterial infusion chemotherapy (LpTAI): Incomplete response
163(1)
Evaluation of blood flow after additional RFA treatment
164(1)
CHA image of a small, deeply located HCC
165(1)
Evaluating treatment response after RFA
166(1)
A CHA image of a small HCC
167(1)
Difference in detectability in relation to the distance from body surface
168(1)
CHA image of a small HCC
169(2)
Depiction of the vascularity of HCC
171(1)
Depiction of typical HCC vascularity
172(1)
Weeping-willow-like vascularity in HCC
173(2)
CHA image after RFA treatment
175(1)
CHA image of a small HCC
176(1)
Vascularity of a typical HCC
177(1)
A case of a typical HCC
178(1)
Conclusions about CHA
179(1)
Differential Diagnosis of Various Hepatic Tumors by Harmonic Imaging
180(36)
Key Points in Differentiation
180(1)
Cases
180(36)
Vascularity of a giant HCC
181(1)
Typical images of HCC
182(1)
Typical HCC
183(1)
Typical HCC
184(1)
Harmonic imaging of a dysplastic nodule (adenomatous hyperplasia)
185(1)
Harmonic imaging of a dysplastic nodule (adenomatous hyperplasia)
186(2)
Harmonic image of a nodule with portal blood inflow (borderline lesion)
188(1)
Harmonic imaging of a nodule-in-nodule type HCC
189(1)
Typical harmonic image of a cavernous hemangioma
190(1)
Typical cavernous hemangioma
191(1)
Spotty pooling of typical hemangioma
192(1)
Harmonic image of cavernous hemangioma (cotton-wool appearance)
193(2)
Harmonic image of capillary hemangioma
195(2)
Harmonic image of a typical hemangioma
197(2)
Hemangioma showing atypical hemodynamics
199(1)
Depiction of a small metastatic lesion
200(1)
Breast cancer with liver metastasis
201(1)
Metastatic liver cancer
202(2)
Involvement of preexisting blood vessels in metastatic liver cancer
204(1)
A CHA image of typical metastatic liver cancer
205(1)
A case of metastatic liver cancer with hypervascularity
206(2)
CHA image of cholangiocellular carcinoma
208(2)
Harmonic image of a small cholangiocellular carcinoma
210(1)
Harmonic image of focal nodular hyperplasia
211(1)
Typical harmonic image of focal nodular hyperplasia
212(2)
Angiomyolipoma with depiction of drainage blood flow
214(2)
The Roles of Contrast-Enhanced Harmonic Imaging in Treating Hepatocellular Carcinoma
216(27)
Application to Treatment
216(1)
Assessment of Treatment Response
216(1)
Recognition of Local Recurrence
217(1)
Localization of Residual Tumor
218(1)
Real-time Needle Insertion Guidance by US for Further Treatment
218(1)
Cases
218(25)
Judgment of treatment response after RFA
219(1)
Typical CHA image of HCC before treatment
220(2)
Harmonic imaging of the same case after LpTAE treatment
222(1)
CHA image after LpTAE and RFA treatment: Incomplete response
223(1)
Harmonic imaging of local recurrence after treatment
224(1)
Harmonic imaging of a complete response to additional RFA treatment
225(1)
Complete response after LpTAE and RFA treatment
226(1)
Complete response after one-time RFA treatment
227(1)
Judgment of treatment response after RFA
228(2)
Assessment of treatment response after TAE on HCC
230(2)
Assessment of the treatment response of transcatheter arterial infusion (TAI) on HCC
232(1)
Assessment of the treatment response of RFA
233(1)
Harmonic imaging of local recurrence
234(1)
Recurrence in a peripheral region after TAE treatment
235(1)
Depiction of residual tumor after LpTAE treatment: A different result from CT
236(1)
Depiction of residual tumor after TAE treatment
237(1)
Evaluation after additional RFA
238(1)
Tumor residue after TAE treatment
239(1)
Harmonic imaging of local recurrence after PMCT treatment
240(1)
Local treatment under the guidance of harmonic imaging
241(1)
Additional RFA treatment under the guidance of harmonic imaging: Complete response
242(1)
Postvascular Phase Sweep Scan Using Liver-Specific Imaging
243(3)
Sweep scan of metastatic liver cancer
243(3)
The Role of Contrast-Enhanced Ultrasonography in the Diagnosis and Treatment of Hepatic Tumors (Summary)
246(2)
Application of Contrast-Enhanced Harmonic Imaging in Biliary and Pancreatic Tumors
248(3)
The Usefulness of Intraarterial Contrast-Enhanced US
248(1)
Application of Harmonic Imaging in Biliary and Pancreatic Tumors
248(3)
A case of a pancreatic islet cell tumor
249(2)
Update and Direction of Ultrasonic Contrast Agents
251(3)
Subject Index 254

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