Rapid developments in the imaging of hepatobiliary and pancreatic disease constantly change the diagnostic and therapeutic approach in this field. The increasing variety of imaging modalities in the developed world has greatly helped clinicians in the management of patients. However, the wealth of modalities and the detailed information which can be obtained are not always in the interest of the patient and are increasingly a subject of major concern dueto the cost involved. This book will help SHOs, surgeons, radiologists and other specialists involved in the adequate selection of imaging modalities for the most commonly presenting clinical problems. It will provide advice on the relative value of alternative modalities in resolving a specific clinical problem, together with an indication of the related risks.
Introduction: Dilemmas in the Selection of Imaging Techniques. Part I - the Clinical Problems and Questions. Parenchymal Liver Disease. Space Occupying Lesions of the Liver. Portal Hypertension. Gallstone Disease and Cholecystectomy: The Role of Imaging. Proximal Hilar Obstruction / Cholangio Ca,Gall Bladder Ca. Distal CBD (Malignancy). Primary Sclerosing. Space Occupying Lesions of the Pancreas. Imaging After Hepatobiliary Pancreatic Surgery. Imaging Before and After Liver Transplantation. Acute and Chronic Pancreatitis. Part II - the Techniques. Color Doppler Sonography of the Liver. Perioperative Ultrasonography. Ultrasound Endoscopy. Contrast Agents. Ultrasonography and Duplex Scanning. Computer Tomography. Magnetic Resonance Imaging. Role of 3-Dimensional Imaging in the Surgical Management of Hepatic Tumours. Percutaneous Transhepatic Cholangiography and Biliary Drainage for Obstructive Jaundice. Magnetic Resonance Cholangiopancreatography. Direct Cholangiography and Pancreatography. Direct Cholangiography - Cholangioscopy. Angiography - Diagnostic Angiography. Angiography - Embolization. Angiography - Transjugular Intrahepatic Shunting. Scintigraphy. Laparoscopy Ultrasound. Part III - Miscellaneous. Cytology and Histology. Transjugular Liver Biopsy . Antibiotic Prophylaxis. Endoprostheses. Crystals in Bile. The Future of Imaging.