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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5820_Библиотеки_им_академика_М_И_Перельмана.pdf
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Image Protocols for Limited Sonographic Studies of the Abdomen n 230
Gallbladder • Axial Images
16. Axial image of the gallbladder fundus.
Labeled: GB TRV FUNDUS
17. Axial image of the gallbladder body.
Labeled: SAG CHD
18. Axial image of the gallbladder neck.
Labeled: GB TRV NECK
Image Protocols for Limited Sonographic Studies of the Abdomen n 231
Biliary Tract • Longitudinal Images
SCANNING TIP: Biliary tract images may be magnified to aid interpretation.
SCANNING TIP: The CHD image may be omitted if the CHD was visualized on the gallbladder long axis image.
SCANNING TIP: Biliary tract images may be taken in the second patient position if they were better visualized there during the survey.
PART III
Image Protocols for Limited Sonographic Studies of the Abdomen n 232
19. Longitudinal image of the CHD.
Labeled: SAG CHD
20. Longitudinal image of the common bile duct
with anterior to posterior measurement at the widest margins of the lumen.
Labeled: SAG CBD
21. Same image as number 20 without measure­ment calipers.
Labeled: SAG CBD
Image Protocols for Limited Sonographic Studies of the Abdomen n 233
Gallbladder and Biliary Tract • Second Position
Gallbladder • Longitudinal Image
SCANNING TIP: Biliary tract images may be magnified to aid interpretation.
SCANNING TIP: The CHD image may be omitted if the CHD was visualized on the gallbladder long axis image.
SCANNING TIP: Biliary tract images may be taken in the second patient position if they were better visualized there during the survey.
PART III
Image Protocols for Limited Sonographic Studies of the Abdomen n 234
22. Long axis image of the gallbladder.
Labeled: GB SAG LONG AXIS
Gallbladder • Axial Image
23. Axial image of the gallbladder fundus.
Labeled: GB TRV FUNDUS
Pancreas • Longitudinal Images
24. Long axis image of the pancreas to include as much head, uncinate, neck, body, tail, and pancreatic duct as possible.
Labeled: PANC TRV LONG AXIS
Image Protocols for Limited Sonographic Studies of the Abdomen n 235
25. Longitudinal image of the pancreas head to include the uncinate process and common bile duct (if bile filled).
PART III
Labeled: PANC TRV HEAD
Image Protocols for Limited Sonographic Studies of the Abdomen n 236
Pancreas • Axial Image
26. Axial image of the pancreas head to include the common bile duct (if bile filled).
SCANNING TIP: In some cases, a portion or all of the pancreas cannot be visualized because of overlying bowel gas and the patient cannot be given fluids to displace the gas. When this occurs, and every effort has been made to image the pancreas, take the required images in the desig­nated areas and add “AREA” to the labeling.
Labeled: PANC SAG HEAD

Pancreas Study With Limited Abdomen

Liver • Longitudinal Images
1. Longitudinal image of the left lobe of the liver to include the inferior margin and the aorta.
Labeled: LIVER SAG LT LOBE
Image Protocols for Limited Sonographic Studies of the Abdomen n 237
2. Longitudinal image of the left lobe of the liver to include the diaphragm and caudate lobe.
PART III
Labeled: LIVER SAG LT LOBE
Image Protocols for Limited Sonographic Studies of the Abdomen n 238
3. Longitudinal image of the right lobe of the liver to include the IVC where it passes through the liver.
Labeled: LIVER SAG RT LOBE
4. Longitudinal image of the right lobe of the liver to include the main lobar fissure, gallbladder, and portal vein.
Labeled: LIVER SAG RT LOBE
5. Longitudinal image of the right lobe of the liver to include part of the right kidney for parenchyma comparison.
6. Longitudinal image of the right lobe of the liver to include the dome and adjacent pleural space.
PART III
Labeled: LIVER SAG RT LOBE
Image Protocols for Limited Sonographic Studies of the Abdomen n 239
Labeled: LIVER SAG RT LOBE