Atlas of endoscopic ultrasonography - download pdf or read online

By Frank G Gress; et al

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Obturatorius internus with the foramen obturatorium. 2) depending on the examination technique used (criteria: radial or linear probes, diameter of the probe, transducer frequency, tissue harmonic imaging, focus zone). 1 Levator ani muscle with the puborectal part (PR) in between markers (a). The more distant parts of this muscles often show a more inhomogenous and hypoechoic appearance (Hypo) (b). 2 Normal sphincter values. This is highly dependent on age, sex, and probe diameter, since the measured thickness depends on the probes used as an increasing probe diameter will lead to a thinning of the surrounding structures.

The use of neoadjuvant therapy with subsequent surgery is becoming increasingly popular. T4 disease is usually unresectable with no surgical opportunity for cure. Lastly, EUS in combination with PET–CT has been shown to 42 result in more accurate staging with improved survival and reduction in the number of unnecessary operations (down from 44% to 21%). Technique The endosonographer must be familiar with the patient’s history (specifically the presence and degree of dysphagia) and the impact of EUS findings on management.

The cut section of the visualized bile duct is in the region of the common bile duct or the common hepatic duct. 5). The common hepatic artery can also be visualized coursing in between the bile duct and the portal vein towards the left of the bile duct. From this view the inward impacted position of the tip of the transducer is maintained. By rotating the transducer in a counterclockwise manner the bile duct is followed towards the hilum into the liver and the bifurcation at the porta hepatis can be visualized.

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