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Sirpa Falk
MCR EMEA BL US
December 29, 2011
Routine exams
Abdomen, Small parts, Msk & Vascular
2
Introduction to Ultrasound
Abdominal Imaging - Anatomy
• The abdominal exam generally includes the examination of the fo...
3
Philips C5-1
• C5-1 / C9-4
– Wide far-field of view
– Wider near field than
phased
– Supports multiple
modalities
• S5-1...
4
Introduction to Ultrasound
Abdominal Imaging - Anatomy
• Liver
– Located inferior to the
right 7th and 11th ribs
– Chang...
5
6
7
• Diffuse liver disease
–Cirrhosis (a condition in which the liver becomes
scarred and fibrous, thus reducing its abilit...
8
Introduction to Ultrasound
Abdominal Imaging - Anatomy
• Liver transplant evaluations
9
• Liver Disease:
– Benign and malignant
neoplasms
– Metastatic disease
– Liver abscess
Introduction to Ultrasound
Abdomi...
10
Liver: Normal and abnormal blood flow.
• Portal Veins
– Shows a monophasic flow pattern
– Flows continuously in to the ...
11
• Liver Vasculature
– Hepatic veins
– Hepatic artery
– Portal Vein
Portal
Vein
Introduction to Ultrasound
Abdominal Ima...
13
• Gallbladder and Bile Ducts
– Most common reason for
gallbladder disease is
gallstones
– Gallstones are solid stones
f...
15
16
17
18
• Kidneys
Introduction to Ultrasound
Abdominal Imaging - Anatomy
Long axis or sagittal view
19
Transverse view
Introduction to Ultrasound
Abdominal Imaging - Anatomy
• Kidneys
20
21
22
Philips HD11 XE Ultrasound System
23
24
Introduction to Ultrasound
Abdominal Imaging - Anatomy
• Pancreas
– Pancreatitis
– Pancreatic
carcinoma
– Pseudocysts
25
27
Spleen: Physiology
• Large mass of lymphatic tissue
• Not essential for life
• Filters
– Blood
– From Antibodies
• Brea...
28
29
30
31
CHa
Spa
Ca
32
Introduction to Ultrasound
Small Parts Overview
• Imaging of:
– breasts, thyroid and testicles
• Performed to:
– Assess...
33
Introduction to Ultrasound
Small Parts Overview - Thyroid Scanning
Demonstration
34
Introduction to Ultrasound
Small Parts Overview
• Which transducer?
• linear transducer
• Why?
– High frequency
– Incre...
35
Introduction to Ultrasound
Small Parts Overview – Thyroid Anatomy
36
An ultrasound of the thyroid is typically used to help diagnose:
・a lump in the thyroid (Goiter, benign or malignant ma...
37
38
39
40
41
42
43
44
Ilium
Osseous Acetabular
Ischium
Triradiate
Cartilage
Echogenic Labrum
45
First
Second
Third
46
Philips HD11 XE Ultrasound System
47
Introduction to Ultrasound
Vascular Overview
• Provides imaging of the body's veins and arteries.
• Useful in evaluatin...
48
Introduction to Ultrasound
Vascular Overview -Anatomy
49
50
Introduction to Ultrasound
Vascular Overview – Carotid
• Carotid Artery
52
• Carotid Arteries:
– Assess patients with stroke, dizziness
– Flow patterns in the vessels (shape, speed & direction)
...
53
Introduction to Ultrasound
Vascular Overview – Carotid
Philips L9-3 (work-horse
vascular transducer)
Which Transducer?
...
54
55
56
57
58
59
• Which Transducer?
– Sector transducer (S5-1 or similar)
• Why?
– Good access to scanning windows available
– Good fre...
60
Transtemporal
Window
Transoccipital/
Suboccipital
Window
Transorbital
Window
Introduction to Ultrasound
Vascular Overvi...
61
Introduction to Ultrasound
Vascular Overview - TCD
Global Training and Education Internal and Confidential30
Trans-cran...
62
• What are we looking for?
– Flow patterns in the
vessels
– Shape, speed and
direction of flow
– Assessing patients wit...
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Abdo, smp, msk, vasc routine exams anatomy

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Transcript of "Abdo, smp, msk, vasc routine exams anatomy "

  1. 1. Sirpa Falk MCR EMEA BL US December 29, 2011 Routine exams Abdomen, Small parts, Msk & Vascular
  2. 2. 2 Introduction to Ultrasound Abdominal Imaging - Anatomy • The abdominal exam generally includes the examination of the following: – Liver – Gallbladder – Right and Left Kidneys – Spleen – Pancreas – Aorta – IVC (inferior vena cava)
  3. 3. 3 Philips C5-1 • C5-1 / C9-4 – Wide far-field of view – Wider near field than phased – Supports multiple modalities • S5-1 – When greater penetration is needed Philips C9-4 Introduction to Ultrasound Abdominal Imaging – Transducers Philips S5-1
  4. 4. 4 Introduction to Ultrasound Abdominal Imaging - Anatomy • Liver – Located inferior to the right 7th and 11th ribs – Changes position with inspiration Right Lobe Left Lobe
  5. 5. 5
  6. 6. 6
  7. 7. 7 • Diffuse liver disease –Cirrhosis (a condition in which the liver becomes scarred and fibrous, thus reducing its ability to function –Fatty Liver disease –In the United States, chronic alcoholism and hepatitis C are the most common causes. Introduction to Ultrasound Abdominal Imaging - Anatomy
  8. 8. 8 Introduction to Ultrasound Abdominal Imaging - Anatomy • Liver transplant evaluations
  9. 9. 9 • Liver Disease: – Benign and malignant neoplasms – Metastatic disease – Liver abscess Introduction to Ultrasound Abdominal Imaging - Anatomy
  10. 10. 10 Liver: Normal and abnormal blood flow. • Portal Veins – Shows a monophasic flow pattern – Flows continuously in to the liver – Direction of flow is termed hepatopedal – With traditional color flow orientation, it should be encoded red • Hepatic vein – Traditional color flow orientation is encoded blue • Hepatic artery – Might be mistaken for the CBD
  11. 11. 11 • Liver Vasculature – Hepatic veins – Hepatic artery – Portal Vein Portal Vein Introduction to Ultrasound Abdominal Imaging - Anatomy
  12. 12. 13 • Gallbladder and Bile Ducts – Most common reason for gallbladder disease is gallstones – Gallstones are solid stones formed in the gall bladder from cholesterol and bile salts Introduction to Ultrasound Abdominal Imaging - Anatomy
  13. 13. 15
  14. 14. 16
  15. 15. 17
  16. 16. 18 • Kidneys Introduction to Ultrasound Abdominal Imaging - Anatomy Long axis or sagittal view
  17. 17. 19 Transverse view Introduction to Ultrasound Abdominal Imaging - Anatomy • Kidneys
  18. 18. 20
  19. 19. 21
  20. 20. 22 Philips HD11 XE Ultrasound System
  21. 21. 23
  22. 22. 24 Introduction to Ultrasound Abdominal Imaging - Anatomy • Pancreas – Pancreatitis – Pancreatic carcinoma – Pseudocysts
  23. 23. 25
  24. 24. 27 Spleen: Physiology • Large mass of lymphatic tissue • Not essential for life • Filters – Blood – From Antibodies • Breakdown hemoglobin • Reservoir for blood • Blood formation for fetuses and severe anemia.
  25. 25. 28
  26. 26. 29
  27. 27. 30
  28. 28. 31 CHa Spa Ca
  29. 29. 32 Introduction to Ultrasound Small Parts Overview • Imaging of: – breasts, thyroid and testicles • Performed to: – Assess lumps or other abnormalities – Guide interventional procedures • Use linear transducer – High frequency – Increased resolution Philips L12-5
  30. 30. 33 Introduction to Ultrasound Small Parts Overview - Thyroid Scanning Demonstration
  31. 31. 34 Introduction to Ultrasound Small Parts Overview • Which transducer? • linear transducer • Why? – High frequency – Increased resolution
  32. 32. 35 Introduction to Ultrasound Small Parts Overview – Thyroid Anatomy
  33. 33. 36 An ultrasound of the thyroid is typically used to help diagnose: ・a lump in the thyroid (Goiter, benign or malignant mass/nodule ) ・a thyroid that is not functioning properly Introduction to Ultrasound Small Parts Overview – Thyroid Imaging
  34. 34. 37
  35. 35. 38
  36. 36. 39
  37. 37. 40
  38. 38. 41
  39. 39. 42
  40. 40. 43
  41. 41. 44 Ilium Osseous Acetabular Ischium Triradiate Cartilage Echogenic Labrum
  42. 42. 45 First Second Third
  43. 43. 46 Philips HD11 XE Ultrasound System
  44. 44. 47 Introduction to Ultrasound Vascular Overview • Provides imaging of the body's veins and arteries. • Useful in evaluating the body's circulatory system • Vascular ultrasound is performed to: – assess blood flow to organs and tissues – identify blockages (stenosis) and other abnormalities like blood clots, plaque or emboli – determine whether a patient is a good candidate for a procedure such as angioplasty
  45. 45. 48 Introduction to Ultrasound Vascular Overview -Anatomy
  46. 46. 49
  47. 47. 50 Introduction to Ultrasound Vascular Overview – Carotid • Carotid Artery
  48. 48. 52 • Carotid Arteries: – Assess patients with stroke, dizziness – Flow patterns in the vessels (shape, speed & direction) – Blood clot, dissection, narrowing of vessels, plaque – Assess intima-media vessel layer thickness, an indicator of cardiovascular disease Introduction to Ultrasound Vascular Overview - Carotid
  49. 49. 53 Introduction to Ultrasound Vascular Overview – Carotid Philips L9-3 (work-horse vascular transducer) Which Transducer? Linear transducer (L9-3, L11-3 or similar) Why? High Frequency Better detail resolution Linear beam ideal for imaging tubes
  50. 50. 54
  51. 51. 55
  52. 52. 56
  53. 53. 57
  54. 54. 58
  55. 55. 59 • Which Transducer? – Sector transducer (S5-1 or similar) • Why? – Good access to scanning windows available – Good frequency range for penetration Introduction to Ultrasound Vascular Overview - TCD
  56. 56. 60 Transtemporal Window Transoccipital/ Suboccipital Window Transorbital Window Introduction to Ultrasound Vascular Overview – TCD windows
  57. 57. 61 Introduction to Ultrasound Vascular Overview - TCD Global Training and Education Internal and Confidential30 Trans-cranial Artery Anatomy MCA ACA VERTEBRAL BASILAR PCA PCoA ACoA
  58. 58. 62 • What are we looking for? – Flow patterns in the vessels – Shape, speed and direction of flow – Assessing patients with strokes and cerebral bleeding Introduction to Ultrasound Vascular Overview - TCD
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