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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5782_Библиотеки_им_академика_М_И_Перельмана.pdf
CHAPTER 9 Renal Scanning Protocol 189
Anterior
Posterior
Anterior
Posterior
vena cava
Right Kidney • Axial Images
Transverse Plane • Transabdominal Anterior Approach
9. Axial image of the right kidney SUPERIOR POLE.
Right
Sinus
Superior
pole
Cortex
Liver
Medullary pyramids
Labeled: RT KID TRV SUP POLE
10. Axial image of the right kidney MID PORTION to include the
hilum with anterior to posterior measurement.
Right
Midportion
Liver
Left
Inferior
vena cava
Left
Inferior
Cortex
Labeled: RT KID TRV MID
Renal vein
Sinus
190 PART III Abdominal Scanning Protocols
Anterior
Posterior
Left
Sinus
Bowel
11. Same image as number 10 without calipers.
Labeled: RT KID TRV MID
12. Axial image of the right kidney INFERIOR POLE.
Cortex
Right
Inferior
pole
Quadratus
lumborum
muscle
Labeled: RT KID TRV INF POLE
Liver
Psoas
muscle
Inferior
vena cava
CHAPTER 9 Renal Scanning Protocol 191
Medial
r
Medullary
Left Kidney • Longitudinal Images
Coronal Plane • Left Lateral Approach
1. Image of the left kidney LONG AXIS with superior to inferior
measurement.
LT
RT
Labeled: LT KID COR LONG AXIS
2. Same image as number 1 without calipers.
Superior
Spleen
Diaphragm
Superior
pole
Lateral
pyramids
Inferior
Inferio
pole
Cortex
Sinus
Midportion
Labeled: LT KID COR LONG AXIS
192 PART III Abdominal Scanning Protocols
Lateral
Medial
r
r
3. Image of the left kidney LONG AXIS with superior to inferior
measurement.
LT
RT
Superior
Pleural
space
Diaphragm
Spleen
Superior
pole
Medullary
pyramids
Inferio
Inferio
pole
Cortex
Sinus
Midportion
Labeled: LT KID COR LONG AXIS
4. Same image as number 3 without calipers.
Labeled: LT KID COR LONG AXIS
NOTE: In many cases superior and/or inferior pole definition is
sacrificed to achieve the long axis. If so, take those images here and
label accordingly.
NOTE: One of the long axis images or, if applicable, the superior pole
image must include part of the spleen for parenchyma comparison.
CHAPTER 9 Renal Scanning Protocol 193
Lateral
Medial
e
Lateral
Medial
r
5. Longitudinal image of the left kidney SUPERIOR POLE.
LT
RT
Superior
Spleen
Cortex
Sinus
Inferior
Psoas
muscl
Diaphragm
Labeled: LT KID COR SUP POLE
6. Longitudinal image of the left kidney INFERIOR POLE.
LT
RT
Superior
Cortex
Aorta
Superior
pole
Bowel
Inferior
Inferio
pole
Sinus
Aorta
Labeled: LT KID COR INF POLE
194 PART III Abdominal Scanning Protocols
Lateral
Medial
r
Lateral
Medial
r
7. Longitudinal image of the left kidney JUST ANTERIOR TO THE
LONG AXIS.
LT
Cortex
RT
Superior
Sinus
Anterior
portion
Inferio
Labeled: LT KID COR ANT
8. Longitudinal image of the left kidney JUST POSTERIOR TO
THE LONG AXIS.
LT
RT
Superior
Posterior
portion
Inferio
Cortex
Labeled: LT KID COR POST
Sinus
CHAPTER 9 Renal Scanning Protocol 195
Lateral
Medial
Lateral
Medial
r
Left Kidney • Axial Images
Transverse Plane • Left Lateral Approach
9. Axial image of the left kidney SUPERIOR POLE.
LT
Cortex
RT
Anterior
Labeled: LT KID LT TRV SUP POLE
10. Axial image of the left kidney MID PORTION to include the
hilum with anterior to posterior measurement.
LT
Cortex
RT
Anterior
Superior
pole
Posterior
Sinus
Midportion
Posterio
Sinus
Labeled: LT KID LT TRV MID
Renal
vasculature
196 PART III Abdominal Scanning Protocols
Lateral
Medial
r
Medullary
11. Same image as number 10 without calipers.
Labeled: LT KID LT TRV MID
12. Axial image of the left kidney INFERIOR POLE.
LT
RT
Anterior
pyramids
Inferior
pole
Posterio
Cortex
Sinus
Labeled: LT KID LT TRV INF POLE
CHAPTER 9 Renal Scanning Protocol 197
r
Anterior
Posterior
Left
Anterior
Posterior
Required Images When the Kidneys are Part of Another Study
Right Kidney • Longitudinal Images
Sagittal Plane • Transabdominal Anterior Approach
1. Image of the right kidney LONG AXIS.
Superior
Cortex
Inferior
pole
Liver
Inferio
Sinus
Diaphragm
Labeled: RT KID SAG LONG AXIS
NOTE: Take additional images of the superior and/or inferior poles if
they are not clearly defined in the long axis image and label accordingly.
Right Kidney • Axial Image
Transverse Plane • Transabdominal Anterior Approach
2. Axial image of the right kidney MID PORTION to include the
hilum.
Liver
Midportion
Superior pole
IVC
Right
Midportion
Labeled: RT KID TRV MID
Sinus
Cortex
Right
renal vein
198 PART III Abdominal Scanning Protocols
r
Medial
Medullary
Lateral
Medial
Medullary
Left Kidney • Longitudinal Image(s)
Coronal Plane • Left Lateral Approach
3. Image of the left kidney LONG AXIS.
LT
Lateral
pyramids
RT
Superior
Spleen
Superior
pole
Midportion
Inferio
Inferior
pole
Cortex
Sinus
Labeled: LT KID COR LONG AXIS
NOTE: Take additional images of the superior and/or inferior poles if
they are not clearly defined in the long axis image and label accordingly.
Left Kidney • Axial Image
Transverse Plane • Left Lateral Approach
4. Axial image of the left kidney MID PORTION to include the
hilum.
LT
RT
Midportion
Anterior
pyramids
Sinus
Cortex
Posterior
Renal
vasculature
Labeled: LT KID LT TRV MID