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9  Abdominal Vascular Scanning

371

 

 

10\ Hepatic Vein

10.1\ Oblique Scanning of the

Hepatic Veins in the Subcostal

Region

MHV

 

 

 

 

 

 

 

 

 

 

LL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LHV

 

 

 

 

 

 

 

 

 

 

 

 

RHV

 

 

 

 

 

 

 

 

 

 

IVC

 

 

 

 

 

 

 

 

 

 

RL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dia

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fig. 9.35  Oblique scan of the three hepatic veins

372

Z. Xu et al.

 

 

10.1.1\ Scanning Method

The patient should be fasted for 8–12 h, and should be in a supine position. The probe is placed transversely at the subxyphoid level, scanning slightly obliquely to the right posterior. The patient should be in full and suspended inspiration to made the liver move down.

10.1.2\ Section Structure

Oblique views of the liver, hepatic veins, and IVC; diaphragmatic top area of the liver near the second porta hepatis.

10.1.3\ Measurement Method and Normal Value

To measure the diameters of the three hepatic veins, the measurements should be done at a distance of 1–2 cm from the IVC. The normal values are: left hepatic vein diameter 0.5–0.9 cm, mid-

dle hepatic venous diameter 0.5–0.9 cm, and right hepatic vein diameter 0.4–0.9 cm.

10.1.4\ Clinical Application Value

(1) Observing the area near the second porta hepatis and the area near the diaphragmatic top of the liver. (2) Determining if there is dilation, narrowing, or the presence of emboli in the IVC or hepatic veins. (3) The middle hepatic vein is a boundary between the right hepatic lobe and left hepatic lobe; the left hepatic vein is a boundary mark between the left internal lobe and left external lobe; the right hepatic vein is a boundary mark between the right anterior lobe and right posterior lobe.

10.1.5\ Notice

The hepatic veins can enter the IVC directly, or two branches can merge into one, which then enters the IVC.

Fig. 9.36  Blood flow spectrum of the hepatic veins

Urinary and Male Reproductive

10

System Scanning

Sheng He, Xiankun Li, and Jian Liu

Abstract

The objective of this chapter is to teach the readers to learn to operate scanning of the urinary and male reproductive system organs and recognize the image figures. The contents contain the scanning method, section structures, measuring method, and normal and clinical application value of the kidney, bladder, prostate, testis, epididymis, scrotum, spermatic cord, and spermatic vein. Transversely, longitudinal scanning methods are introduced. Every organ section is shown and described by the section structures. One of the most characteristic in this atlas is the clinical application value which introduces the details of what diseases can be diagnosed by this section.

Abbreviations

LK\

Left kidney

 

 

 

 

PST\

Prostate

 

BL\

Bladder

RK\

Right kidney

 

Ep\

Epididymis

Sc\

Scrotum

 

K\

Kidney

SC\

Spermatic cord

 

 

 

 

SV\

Seminal vesicle

 

 

 

 

SV\

Spermatic vein

 

S. He (*)

 

Tes\

Testis

 

Department of Ultrasound, The Navy General

 

Hospital, 6# Fu Cheng Street, Beijing Haidian,

TRUS\

Transrectal ultrasound

 

People’s Republic of China

 

 

 

e-mail: hesheng2008292@sina.com

 

 

 

XK. Li

 

 

 

 

 

Department of Ultrasound, Chinese PLA General

 

 

 

Hospital, 28, Fuxing Road, Beijing Haidian,

 

 

 

People’s Republic of China

 

 

 

J. Liu

 

 

 

 

 

Department of Ultrasound, The First Affiliated

 

 

 

Hospital of Chinese PLA General Hospital,

 

 

 

Road 51 Fucheng, Haidian District Beijing,

 

 

 

People’s Republic of China

 

 

 

e-mail: liujian_304@126.com

 

 

 

© Springer Nature Singapore Pte Ltd. and People’s Military Medical Press 2018

373

M. Zhang (ed.), Atlas of Human Body Ultrasound Scanning,

 

 

 

https://doi.org/10.1007/978-981-10-5834-9_10