Transcription
Textbook ofGastrointestinalRadiology
Textbook ofGastrointestinalRadiologyFourth EditionRichard M. Gore, MDChief of Gastrointestinal RadiologyNorthShore University HealthSystemEvanston, IllinoisProfessor of RadiologyPritzker School of Medicine at the University of ChicagoChicago, IllinoisMarc S. Levine, MDChief of Gastrointestinal RadiologyHospital of the University of PennsylvaniaProfessor of Radiology and Advisory DeanPerelman School of Medicine at the University of PennsylvaniaPhiladelphia, Pennsylvania
1600 John F. Kennedy Blvd.Ste 1800Philadelphia, PA 19103-2899TEXTBOOK OF GASTROINTESTINAL RADIOLOGY, 4TH EDITION Volume 1 Part No. 9996090353Volume 2 Part No. 9996090299ISBN: 978-1-4557-5117-4Copyright 2015, 2008, 2000, 1994 by Saunders, an imprint of Elsevier Inc.All rights reserved. No part of this publication may be reproduced or transmitted in any form or by anymeans, electronic or mechanical, including photocopying, recording, or any information storage and retrievalsystem, without permission in writing from the publisher. Details on how to seek permission, furtherinformation about the Publisher’s permissions policies and our arrangements with organizations such as theCopyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.This book and the individual contributions contained in it are protected under copyright by the Publisher(other than as may be noted herein).NoticesKnowledge and best practice in this field are constantly changing. As new research and experience broadenour understanding, changes in research methods, professional practices, or medical treatment may becomenecessary.Practitioners and researchers must always rely on their own experience and knowledge in evaluating andusing any information, methods, compounds, or experiments described herein. In using such informationor methods they should be mindful of their own safety and the safety of others, including parties forwhom they have a professional responsibility.With respect to any drug or pharmaceutical products identified, readers are advised to check the mostcurrent information provided (i) on procedures featured or (ii) by the manufacturer of each product to beadministered, to verify the recommended dose or formula, the method and duration of administration,and contraindications. It is the responsibility of practitioners, relying on their own experience andknowledge of their patients, to make diagnoses, to determine dosages and the best treatment for eachindividual patient, and to take all appropriate safety precautions.To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assumeany liability for any injury and/or damage to persons or property as a matter of products liability,negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideascontained in the material herein.Library of Congress Cataloging-in-Publication DataTextbook of gastrointestinal radiology / [edited by] Richard M. Gore, Marc S. Levine. — Fourth edition.p. ; cm.Gastrointestinal radiologyIncludes bibliographical references and index.ISBN 978-1-4557-5117-4 (hardcover, 2 v. set : alk. paper)I. Gore, Richard M., editor. II. Levine, Marc S., editor. III. Title: Gastrointestinal radiology.[DNLM: 1. Gastrointestinal Diseases—diagnosis. 2. Gastrointestinal Diseases—radiography.3. Digestive System—pathology. WI 141]RC804.R6616.3′407572—dc232014034661Content Strategist: Helene CaprariContent Development Specialist: Joanie MilnesPublishing Services Manager: Patricia TannianSenior Project Manager: Claire KramerDesign Direction: XiaoPei ChenPrinted in the United StatesLast digit is the print number: 987 654 321
To Margaret and our children,Diana, Elizabeth, and GeorgeRICHARD M. GORETo Deborah, my beautiful and amazing wifeand better half for 37 years and counting MARC S. LEVINE
CONTRIBUTORSJalil Afnan, MD, MRCSDennis M. Balfe, MDRadiologistDepartment of RadiologyLahey Clinic Hospital and Medical CenterBurlington, MassachusettsAssistant Professor of RadiologyTufts UniversitySchool of MedicineBoston, MassachusettsProfessor of RadiologyWashington University School of MedicineSt. Louis, MissouriJeffrey A. Alexander, MDAssociate Professor of MedicineMayo Clinic School of MedicineRochester, MinnesotaLauren F. Alexander, MDEmil J. Balthazar, MDProfessor EmeritusDepartment of RadiologyNew York University School of MedicineAttending ConsultantDepartment of RadiologyBellevue HospitalNew York, New YorkStuart A. Barnard, MA, MB, BS, MRCS, FRCRAssistant Professor of Abdominal ImagingDepartment of Radiology and Imaging SciencesEmory UniversityAtlanta, GeorgiaRadiologistDepartment of RadiologyMiddlemore HospitalCounties Manukau HealthAuckland, New ZealandSurabhi Bajpai, MBBS, DMRDAhmed Ba-Ssalamah, MDResearch FellowDepartment of RadiologyDivision of Abdominal Imaging and InterventionMassachusetts General HospitalBoston, MassachusettsMedical University of ViennaDepartment of Biomedical Imaging and Image-GuidedTherapyVienna, AustriaMark E. Baker, MDAssistant Professor of RadiologyDepartment of RadiologyDivision of Abdominal ImagingNew York University School of MedicineAssistant Professor of RadiologyDepartment of RadiologyDivision of Abdominal ImagingNew York University Langone Medical CenterNew York, New YorkProfessor of RadiologyCleveland Clinic Lerner College of MedicineCase Western Reserve UniversityImaging InstituteCleveland ClinicStaff RadiologistImaging Institute, Digestive Disease Institute, Cancer InstituteCleveland ClinicCleveland, OhioStephen R. Baker, MD, MPHILProfessor and ChairmanDepartment of RadiologyRutgers New Jersey Medical SchoolChiefDepartment of RadiologyThe University HospitalNewark, New JerseyAparna Balachandran, MDAssociate ProfessorDiagnostic ImagingThe University of Texas MD Anderson Cancer CenterHouston, TexasviGenevieve L. Bennett, MDSenta Berggruen, MDDepartment of RadiologyNorthwestern Memorial HospitalChicago, IllinoisJonathan W. Berlin, MDClinical Professor of RadiologyDepartment of Diagnostic RadiologyNorthShore University HealthSystemEvanston, IllinoisGeorge S. Bissett III, MDProfessor of Radiology and PediatricsVice-ChairmanDepartment of RadiologyDuke University School of MedicineDurham, North Carolina
ContributorsviiRoi M. Bittane, MDLaura R. Carucci, MDRadiology ResidentDepartment of RadiologyWinthrop University HospitalMineola, New YorkProfessor of RadiologyDirector of Computed Tomography and Magnetic ResonanceImagingAbdominal Imaging SectionDepartment of RadiologyVirginia Commonwealth University Medical CenterRichmond, VirginiaMichael A. Blake, MB, MRCPI, FRCR, FFR(RCSI)Associate Professor of RadiologyHarvard Medical SchoolFellowship DirectorDivision of Abdominal ImagingMassachusetts General HospitalBoston, MassachusettsWei-Chou Chang, MDDepartment of RadiologyUniversity of CaliforniaSan Francisco, CaliforniaPeyman Borghei, MDRaj R. Chinnappan, MDClinical Assistant Professor of RadiologyUniversity of California at IrvineChief of Interventional RadiologyVA HospitalLong Beach, CaliforniaClinical AssistantAbdominal and Interventional RadiologyHarvard Medical SchoolMassachusetts General HospitalBoston, MassachusettsKevin P. Boyd, DOByung Ihn Choi, MDAssistant Professor of RadiologyChildren’s Hospital of WisconsinMedical College of WisconsinMilwaukee, WisconsinProfessor of RadiologyDepartment of RadiologySeoul National University College of MedicineSeoul National University HospitalSeoul, Republic of KoreaWarren M. Brandwein, MDFellowBody and Musculoskeletal Imaging SectionDepartment of RadiologyNorthwestern UniversityChicago, IllinoisPeter L. Cooperberg, OBC, MDCM, FRCP(C),FACR, FFR(RCSI)honDavid H. Bruining, MDAbraham H. Dachman, MDAssociate Professor of MedicineMayo ClinicRochester, MinnesotaProfessor of RadiologyDirector, Fellowship ProgramsDepartment of RadiologyThe University of Chicago Medical CenterChicago, IllinoisJames L. Buck, MDProfessorDepartment of Diagnostic RadiologyUniversity of Kentucky College of MedicineLexington, KentuckyCarina L. Butler, MDAssistant ProfessorDepartment of Diagnostic RadiologyUniversity of Kentucky College of MedicineUniversity of Kentucky Chandler Medical CenterLexington, KentuckySelim R. Butros, MDFellow in Abdominal Imaging and InterventionalRadiologyDepartment of RadiologyMassachusetts General HospitalBoston, MassachusettsProfessor Emeritus of RadiologyUniversity of British ColumbiaVancouver, British Columbia, CanadaAlexander Ding, MD, MSDepartment of RadiologyDivision of Abdominal Imaging and InterventionHarvard Medical SchoolMassachusetts General HospitalBoston, MassachusettsCarolyn K. Donaldson, MD, RPVIAssistant Professor of RadiologyUniversity of ChicagoNorthShore University HealthSystemEvanston, IllinoisRonald L. Eisenberg, MD, JDProfessorDepartment of RadiologyHarvard Medical SchoolRadiologistBeth Israel Deaconess Medical CenterBoston, Massachusetts
viiiContributorsSukru Mehmet Erturk, MD, PhDAnn S. Fulcher, MDAssociate Professor of RadiologyAttending RadiologistAdministrative DirectorSisli Etfal Training and Research HospitalDepartment of RadiologyIstanbul, TurkeyProfessor and ChairmanDepartment of RadiologyVirginia Commonwealth University Medical CenterRichmond, VirginiaThomas A. Farrell, MB, FRCR, MBASection Head, Interventional RadiologyNorthShore University Health SystemClinical Assistant ProfessorUniversity of Chicago Pritzker School of MedicineChicago, IllinoisKate A. Feinstein, MD, FACRProfessor of Radiology and SurgeryDepartment of RadiologyUniversity of Chicago Pritzker School of MedicineChicago, IllinoisSandra K. Fernbach, MDProfessor of Radiology (Retired)University of Chicago Pritzker School of MedicineChicago, IllinoisHector Ferral, MDSenior Clinical EducatorDepartment of RadiologySection of Interventional RadiologyNorthShore University HealthSystemEvanston, IllinoisFlorian J. Fintelmann, MD, FRCPCClinical Assistant in RadiologyDepartment of RadiologyMassachusetts General HospitalBoston, MassachusettsElliot K. Fishman, MD, FACRProfessor of RadiologyDepartments of Oncology and SurgeryJohns Hopkins HospitalBaltimore, MarylandJoel G. Fletcher, MDProfessor of RadiologyMayo ClinicRochester, MinnesotaKathryn J. Fowler, MDAssistant ProfessorDirector of Body Magnetic Resonance ImagingDepartment of RadiologyWashington UniversitySt. Louis, MissouriAletta A. Frazier, MDDepartment of Diagnostic Radiology and NuclearMedicineUniversity of Maryland School of MedicineBaltimore, MarylandHelena Gabriel, MDAssociate Professor of RadiologyDepartment of RadiologyNorthwestern UniversityChicago, IllinoisAna Maria Gaca, MDClinical AssociateDepartment of RadiologyDuke University Medical CenterDurham, North CarolinaKirema Garcia-Reyes, MDDepartment of RadiologyDuke University Medical CenterDurham, North CarolinaGabriela Gayer, MDClinical ProfessorDepartment of RadiologyStanford Medical CenterStanford, CaliforniaDepartment of Nuclear MedicineSheba Medical CenterRamat Gan, IsraelGary G. Ghahremani, MD, FACRClinical Professor of RadiologyUniversity of California Medical CenterSan Diego, CaliforniaEmeritus Professor of RadiologyNorthwestern UniversityChicago, IllinoisSeth N. Glick, MDClinical Professor of RadiologyUniversity of PennsylvaniaPenn Presbyterian Medical ImagingPhiladelphia, PennsylvaniaMargaret D. Gore, MDClinical Assistant Professor of RadiologyDepartment of Diagnostic RadiologyNorthShore University HealthSystemEvanston, IllinoisRichard M. Gore, MDChief of Gastrointestinal RadiologyNorthShore University HealthSystemEvanston, IllinoisProfessor of RadiologyPritzker School of Medicine at the University of ChicagoChicago, Illinois
ContributorsSofia Gourtsoyianni, MD, PhDFrederick L. Hoff, MDConsultant RadiologistGuy’s and St Thomas’ National Health ServiceFoundation TrustLondon, United KingdomAssociate ProfessorDepartment of RadiologyNorthwestern Univeristy Feinberg School of MedicineChicago, IllinoisNicholas C. Gourtsoyiannis, MDCaroline L. Hollingsworth, MD, MPHProfessorDepartment of RadiologyUniversity of Crete Medical SchoolChairmanDepartment of RadiologyUniversity Hospital of HeraklionHeraklion, Crete, GreeceAssistant ProfessorDepartment of RadiologyDivision of Pediatric RadiologyDuke University School of MedicineDurham, North CarolinaJared R. Green, MDAssistant ProfessorDepartment of Medical ImagingAnn & Robert H. Lurie Children’s Hospital of ChicagoChicago, IllinoisGianfranco Gualdi, MDProfessor of RadiologyDirector of DEA Radiology DepartmentSapienza UniversityRome, ItalyRajan T. Gupta, MDAssistant Professor of RadiologyDirector of the Abdominal Imaging Fellowship ProgramDepartment of RadiologyDuke University Medical CenterDurham, North CarolinaKaren M. Horton, MDProfessorRussell H. Morgan Department of Radiology andRadiological ScienceJohns Hopkins Medical InstitutionsBaltimore, MarylandSteven Y. Huang, MDAssistant ProfessorDepartment of Interventional RadiologyThe University of Texas MD Anderson Cancer CenterHouston, TexasJames E. Huprich, MDEmeritus Associate Professor of RadiologyMayo Clinic RochesterRochester, MinnesotaAleksandar M. Ivanovic, MDBody Imaging FellowNorthwestern Memorial HospitalHudson, OhioAssistant ProfessorCenter for Radiology and Magnetic ResonanceImagingClinical Center of SerbiaFaculty of MedicineBelgrade, SerbiaRobert A. Halvorsen, MDJill E. Jacobs, MDProfessor of RadiologyMedical College of Virginia HospitalsVirginia Commonwealth UniversityRichmond, VirginiaProfessor of RadiologyNew York School of MedicineNew York, New YorkNancy A. Hammond, MDProfessor of Clincal Radiology (Retired)Albert Einstein College of MedicineNew York, New YorkRavi Guttikonda, MDAssociate Professor of RadiologyDirector of the School of UltrasoundNorthwestern UniversityChicago, IllinoisMukesh G. Harisinghani, MDProfessor of RadiologyHarvard Medical SchoolMassachusetts General HospitalBoston, MassachusettsSandeep S. Hedgire, MDDivision of Abdominal Imaging and InterventionMassachusetts General HospitalBoston, MassachusettsBruce R. Javors, MDBronwyn Jones, MB, BS, FRACP, FRCRProfessor of RadiologyJohns Hopkins University School of MedicineBaltimore, MarylandNaveen Kalra, MDProfessor of RadiologyPostgraduate Institute of Medical Education andResearchChandigarh, Indiaix
xContributorsAvinash Kambadakone, MD, FRCRNaveen Kulkarni, MDAssistant ProfessorDepartment of RadiologyHarvard Medical SchoolMassachusetts General HospitalBoston, MassachusettsDepartment of RadiologyHarvard Medical SchoolMassachusetts General HospitalBoston, MassachusettsMariam M. Kappil, MD, BS, DABRProfessorDepartment of Radiology and Imaging SciencesIndiana University School of MedicineIndianapolis, IndianaPediatric RadiologistAnn & Robert H. Lurie Children’s Hospital of ChicagoChicago, IllinoisAna L. Keppke, MDJohn C. Lappas, MD, FACR†Igor Laufer, MDRadiologistKettering Network Radiologists, Inc.Kettering, OhioProfessor of RadiologyPerelman School of Medicine at the University of PennsylvaniaPhiladelphia, PennsylvaniaDavid H. Kim, MD, FACRFred T. Lee, Jr, MDProfessor of RadiologyVice-Chair of EducationResidency Program DirectorUniversity of Wisconsin School of Medicine and Public HealthSection of Abdominal ImagingMadison, WisconsinRobert Turrell Professor of Imaging ScienceDepartment of RadiologyUniversity of Wisconsin School of Medicine and PublicHealthMadison, WisconsinStanley Taeson Kim, MDAssociate ProfessorDepartment of RadiologySeoul National UniversitySeoul National University HospitalSeoul, Republic of South KoreaInstructorDepartment of RadiologyNorthwestern University Feinberg School of MedicineInterventional RadiologistDepartment of RadiologyNorthwestern Memorial HospitalInterventional RadiologistDepartment of Medical ImagingChildren’s Memorial HospitalChicago, IllinoisDouglas R. Kitchin, MDClinical InstructorDepartment of RadiologyUniversity of WisconsinMadison, WisconsinMichael L. Kochman, MDWilmott Family Professor of MedicineVice-Chair of Medicine for Clinical Services Center forEndoscopic Innovation Research and TrainingUniversity of PennsylvaniaPhiladelphia, PennslyvaniaDow-Mu Koh, MD, MBBS, FRCRConsultant Radiologist in Functional ImagingDepartment of RadiologyRoyal Marsden HospitalSurrey, United KingdomJ. Satheesh Krishna, MDJeong Min Lee, MDMarc S. Levine, MDChief of Gastrointestinal RadiologyHospital of the University of PennsylvaniaProfessor of Radiology and Advisory DeanPerelman School of Medicine at the University ofPennsylvaniaPhiladelphia, PennsylvaniaAngela D. Levy, MDProfessor of RadiologyDepartment of RadiologyMedstar Georgetown University HospitalWashington, District of ColumbiaJennifer E. Lim-Dunham, MDAssociate ProfessorDepartments of Radiology and PediatricsLoyola University Medical CenterStritch School of MedicineMaywood, IllinoisMark D. Little, MDAssistant ProfessorDepartment of RadiologyUniversity of AlabamaBirmingham, AlabamaPostgraduate Institute of Medical Education and ResearchChandigarh, India†Deceased.
ContributorsRussell N. Low, MDChristine O. Menias, MDMedical DirectorSharp and Children’s MRI CenterSharp Memorial HospitalSan Diego, CaliforniaProfessor of RadiologyMayo Clinic College of MedicineScottsdale, ArizonaDean D. T. Maglinte, MDRadiologistAbdominal ImagingRiverside Radiology and Interventional AssociatesColumbus, OhioDistinguished ProfessorDepartment of Radiology and Imaging SciencesIndiana University School of MedicineIndianapolis, IndianaAbdullah Mahmutoglu, MDAttending RadiologistDepartment of RadiologySisli Etfal Training and Research HospitalIstanbul, TurkeyMaria A. Manning, MDAssistant Professor of Diagnostic RadiologyUniversity of Maryland School of MedicineSection Chief of Gastrointestinal RadiologyAmerican Institute of Radiologic PathologyBaltimore, MarylandCharles S. Marn, MDProfessor of Radiology and GastroenterologyChair of the Quality Assurance CommitteeDepartment of RadiologyMedical College of WisconsinMilwaukee, WisconsinGabriele Masselli, MD, PhDConsultant RadiologistAssociate Professor in Radiology and Nuclear MedicineDepartment of RadiologySapienza UniversityRome, ItalyShaunagh McDermott, MB, BCh, BAODepartment of Abdominal ImagingMassachusetts General HospitalBoston, MassachusettsAlec J. Megibow, MD, MPH, FACRProfessor of RadiologyNew York University Langone Medical CenterNew York, New YorkUday K. Mehta, MDAssistant Professor of RadiologyDepartment of RadiologyNorthShore University HealthSystemEvanston, IllinoisVincent M. Mellnick, MDAssistant Professor of RadiologyMallinckrodt Institute of RadiologyWashington University School of MedicineSt. Louis, MissouriJoseph Meranda, MDJames M. Messmer, MD, MEd, FACRProfessor Emeritus of RadiologyVirginia Commonwealth University School of MedicineRichmond, VirginiaArthur B. Meyers, MDAssistant Professor of RadiologyChildren’s Hospital of WisconsinMedical College of WisconsinMilwaukee, WisconsinMorton A. Meyers, MD, FACR, FACGDistinguished ProfessorDepartment of Radiology and Internal MedicineStony Brook School of MedicineStony Brook, New YorkFrank H. Miller, MDProfessor of RadiologyNorthwestern Univeristy Feinberg School of MedicineChief of Body Imaging Section and Fellowship ProgramChief of Gastrointestinal RadiologyMedical Director of Magnetic Resonance ImagingNorthwestern Memorial HospitalChicago, IllinoisTara Morgan, MDAssistant ProfessorDepartment of Radiology and Biomedical ImagingUniversity of CaliforniaSan Francisco, CaliforniaKoenraad J. Mortele, MDAssociate Professor of RadiologyHarvard Medical SchoolDirector of the Division of Clinical MagneticResonance ImagingStaff RadiologistDepartment of RadiologyBeth Israel Deaconess Medical CenterBoston, MassachusettsPeter R. Mueller, MDProfessor of RadiologyMassachusetts General HospitalBoston, MassachusettsBrian P. Mullan, MDAssistant Professor of RadiologyDepartment of RadiologyMayo ClinicRochester, Minnesotaxi
xiiContributorsVamsi Narra, MD, FACR, FRCRMikin V. Patel, MD, MBAProfessor of RadiologyChief of Abdominal Imaging SectionChief of RadiologyBarnes-Jewish West County HospitalWashington UniversitySt. Louis, MissouriDepartment of RadiologyUniversity of Chicago Pritzker School of MedicineChicago, IllinoisAlbert A. Nemcek, Jr, MDProfessorDepartment of RadiologyNorthwestern University Feinberg School of MedicineStaff Interventional RadiologistNorthwestern Memorial HospitalChicago, IllinoisGeraldine Mogavero Newmark, MDPritesh Patel, MDAssistant Professor of RadiologyUniversity of ChicagoChicago, IllinoisErik K. Paulson, MDProfessor of RadiologyChairmanDepartment of RadiologyDuke University School of MedicineDurham, North CarolinaVice ChairmanOutpatient ImagingDepartment of RadiologyNorthShore University HealthSystemEvanston, IllinoisChristine M. Peterson, MDJennifer L. Nicholas, MD, MHA, MAProfessor of RadiologyChief of Gastrointestinal ImagingUniversity of Wisconsin School of Medicine and PublicHealthMadison, WisconsinPediatric RadiologistMedical ImagingAnn & Robert H. Lurie Children’s HospitalAssistant ProfessorDepartment of RadiologyNorthwestern University Feinberg School of MedicineChicago, IllinoisPaul Nikolaidis, MDAssociate Professor of RadiologyNorthwestern UniversityChicago, IllinoisDavid J. Ott, MDProfessor EmeritusDepartment of RadiologyWake Forest University Medical CenterWinston-Salem, North CarolinaJoseph Owen, MDDepartment of RadiologyWashington University School of MedicineSt. Louis, MissouriOrhan S. Ozkan, MDProfessor of RadiologyDepartment of RadiologyUniversity of Wisconsin School of Medicine and Public HealthMadison, WisconsinNickolas Papanikolaou, PhDAffiliated ResearcherDepartment of Magnetic Resonance ImagingHuddinge HospitalKarolinska InstituteStockholm, SwedenAssociate Professor of RadiologyMilton S. Hershey Penn State Medical CenterHershey, PennsylvaniaPerry J. Pickhardt, MDAliya Qayyum, MBBS, MRCP, FRCRProfessor of RadiologySection Chief of Abdominal ImagingThe University of Texas MD Anderson Cancer CenterHouston, TexasDavid N. Rabin, MDAssistant Professor of RadiologyUniversity of Chicago Pritzker School of MedicineNorthShore University HealthSystemEvanston, IllinoisSiva P. Raman, MDAssistant ProfessorDepartment of RadiologyJohns Hopkins UniversityBaltimore, MarylandPeter M. Rodgers, MB, BS, FRCRConsultant RadiologistLeicester Royal InfirmaryUniversity Hospitals of Leicester National Health Service TrustLeicester, United KingdomPablo R. Ros, MD, MPH, PhDRadiologist-in-ChiefUniversity Hospitals Health SystemTheodore J. Castle UniversityProfessor and ChairmanDepartment of RadiologyProfessor of PathologyCase Western Reserve UniversityUniversity Hospitals Case Medical CenterCleveland, Ohio
ContributorsStephen E. Rubesin, MDFrancis J. Scholz, MDProfessor of RadiologyDepartment of RadiologyHospital of the University of PennsylvaniaPhiladelphia, PennsylvaniaRadiologistDepartment of RadiologyLahey Clinic Hospital and Medical CenterBurlington, MassachusettsProfessor of RadiologyTufts University School of MedicineBoston, MassachusettsTara Sagebiel, MDAssistant ProfessorDepartment of Diagnostic RadiologyThe University of Texas MD Anderson Cancer CenterHouston, TexasDushyant V. Sahani, MDDirector of Computed TomographyAssistant RadiologistDepartment of RadiologyMassachusetts General HospitalAssociate Professor of RadiologyDepartment of RadiologyHarvard Medical SchoolBoston, MassachusettsSanjay Saini, MDProfessor of RadiologyHarvard Medical SchoolVice-Chair for FinanceMassachusetts General HospitalBoston, MassachusettsMartha Cotsen Saker, MDDepartment of Medical ImagingAnn & Robert H. Lurie Children’s Hospital of ChicagoDepartment of Medical ImagingShriners Hospitals for ChildrenChicago, IllinoisRiad Salem, MDAssociate ProfessorDepartment of RadiologyDivision of Interventional RadiologyNorthwestern UniversityChicago, IllinoisKumar Sandrasegaran, MDAssociate ProfessorDepartment of RadiologyIndiana University School of MedicineIndianapolis, IndianaRupan Sanyal, MDAssistant ProfessorDepartment of RadiologyUniversity of Alabama at BirminghamBirmingham, AlabamaChristopher D. Scheirey, MDRadiologistDepartment of RadiologyLahey Clinic Hospital and Medical CenterBurlington, MassachusettsAssistant Professor of RadiologyTufts University School of MedicineBoston, MassachusettsAdeel R. Seyal, MDDepartment of RadiologyNorthwestern University Feinberg School of MedicineChicago, IllinoisMartin J. Shelly, MB, BCh, BAO, MRCSI,FFRRCSIConsultant RadiologistCavan Monaghan HospitalRoyal College of Surgeons in Ireland Healthcare GroupCounty Westmeath, IrelandLinda C. Sherbahn, MD, MS, BAClinical Assistant Professor of RadiologyNorthShore University HealthSystemEvanston, IllinoisAli Shirkhoda, MD, FACRClinical Professor of RadiologyUniversity of California at IrvineAttending RadiologistVeterans Affairs HospitalLong Beach, CaliforniaAna Catarina Silva, MDRadiology AssistantDepartment of RadiologyUnidade Local de Saúde de MatosinhosPorto, PortugalPaul M. Silverman, MDDepartment of RadiologyDivision of Diagnostic ImagingThe University of Texas MD Anderson Cancer CenterHouston, TexasStuart G. Silverman, MDProfessorDepartment of RadiologyHarvard Medical SchoolDirector, Abdominal Imaging and InterventionDirector, CT ScanDirector, Cross-Sectional Imaging ServiceDepartment of RadiologyBrigham and Women’s HospitalBoston, Massachussettsxiii
xivContributorsRobert I. Silvers, MDDarshit J. Thakrar, MD, DNB, DABRClinical Assistant ProfessorDepartment of RadiologySection Chief of Body ImagingNorthShore University Health SystemAssistant Professor of RadiologyUniversity of Chicago Pritzker School of MedicineChicago, IllinoisAttending RadiologistAnn & Robert H. Lurie Children’s Hospital of ChicagoChicago, IllinoisAjay K. Singh, MDAssociate DirectorDivision of Emergency RadiologyMassachusetts General HospitalBoston, MassachusettsJovitas Skucas, MDProfessor EmeritusDepartment of Imaging SciencesUniversity of Rochester Medical CenterRochester, New YorkGail S. Smith, MDClinical Assistant ProfessorDepartment of Diagnostic RadiologyNorthShore University HealthSystemEvanston, IllinoisSat Somers, MB, ChB (Sheffield), FRCPC,FFRRCSI(Hon.), FACRProfessorDepartment of RadiologyMcMaster UniversityHamilton, Ontario, CanadaAnthony W. Stanson, MDProfessor Emeritus of RadiologyMayo Clinic College of MedicineDepartment of RadiologyMayo ClinicRochester, MinnesotaAllison L. Summers, MDDepartment of RadiologyNorthwestern Memorial HospitalChicago, IllinoisRichard A. Szucs, MDChairman of RadiologyBon Secours St. Mary’s HospitalRichmond, VirginiaMark Talamonti, MDProfessor and ChairmanDepartment of SurgeryNorthShore University HealthSystemEvanston, IllinoisAndrew J. Taylor, MDProfessorDepartment of RadiologyUniversity of MinnesotaMinneapolis, MinnesotaKiran H. Thakrar, MDClinical Assistant ProfessorDepartment of Diagnostic RadiologyNorthShore University HealthSystemEvanston, IllinoisYee Liang Thian, MBBS, FRCRConsultantDepartment of Diagnostic ImagingNational University HospitalSingaporeRuedi F. Thoeni, MDProfessor of RadiologyChief of Abdominal ImagingSan Francisco General HospitalDepartment of Radiology and Biomedical ImagingUniversity of CaliforniaSan Francisco, CaliforniaStephen Thomas, MDAssistant Professor of RadiologyUniversity of ChicagoChicago, IllinoisWilliam Moreau Thompson, MD, BAProfessor and Vice ChairDepartment of RadiologyUniversity of New MexicoAlbuquerque, New MexicoTemel Tirkes, MDAssistant Professor of RadiologyDivision of Diagnostic RadiologyUniversity of Indiana School of MedicineIndianapolis, IndianaMary Ann Turner, MDProfessor and Vice-ChairDepartment of RadiologyDirector and Chief of Gastrointestinal RadiologyVirginia Commonwealth University Medical CenterRichmond, VirginiaJennifer W. Uyeda, MDClinical AssistantAbdominal and Interventional RadiologyHarvard Medical SchoolMassachusetts General HospitalBoston, MassachusettsFauzia Q. Vandermeer, MDAssistant Professor of Diagnostic RadiologyDepartment of Diagnostic Radiology and NuclearMedicineUniversity of Maryland School of MedicineBaltimore, Maryland
ContributorsRobert L. Vogelzang, MDCecil G. Wood III, MDProfessor of RadiologyNorthwestern Feinberg School of MedicineChicago, IllinoisClinical lnstructorDepartment of RadiologyNorthwestern University Feinberg School of MedicineChicago, IllinoisPatrick M. Vos, MD, FRCPCClinical Associate ProfessorDepartment of RadiologyUniversity of British ColumbiaVancouver, British Columbia, CanadaNatasha Wehrli, MDAssistant Professor of RadiologyWeill-Cornell Imaging at New York Presbyterian HospitalNew York, New YorkMichael A. Woods, MDAssistant Professor of RadiologyDepartment of RadiologyUniversity of Wisconsin School of Medicine and PublicHealthMadison, WisconsinVahid Yaghmai, MD, MSClinical Assistant Professor of RadiologyNorthShore University HealthSystemUniversity of Chicago Pritzker School of MedicineEvanston, IllinoisProfessorDepartment of RadiologyNorthwestern University Feinberg School of MedicineMedical Director of Computed Tomography ImagingDepartment of RadiologyNorthwestern Memorial HospitalChicago, IllinoisEllen L. Wolf, MDBenjamin M. Yeh, MDProfessor of Clinical RadiologyDepartment of RadiologyAlbert Einstein College of MedicineMontefiore Medical CenterBronx, New YorkProfessor of RadiologyRadiology and Biomedical ImagingUniversity of CaliforniaSan Francisco, CaliforniaDaniel R. Wenzke, MDJade J. Wong-You-Cheong, MD, MBChB(Hons)ProfessorDepartment of Diagnostic Radiology and Nuclear MedicineUniversity of Maryland School of MedicineBaltimore, Marylandxv
VIDEO CONTENTS38 Computed Tomography EnterographyVideo 38-1: Enterography Demonstrating Both Jejunal andIleal Crohn’s Enteric Inflammation53 Computed Tomography ColonographyVideo 53-1: CTC InterpretationVideo 53-2: 2D Detection PitfallVideo 53-3: 2D Detection PitfallVideo 53-4: 3D Detection PitfallVideo 53-5: Characterization Pitfallxxii
SECTIONIGeneral RadiologicPrinciples
1Imaging Contrast Agentsand PharmacoradiologyJOVITAS SKUCASCHAPTER OUTLINE
1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899 TEXTBOOK
