This comprehensive guide to MRI of the pregnant patient presenting with fetal or maternal diseases provides a practical, hands-on approach to the use of state-of-the-art MRI techniques and the optimization of sequences. It analyzes data obtained from maternal and fetal MRI examinations, reviews fast imaging techniques, details pitfalls related to fetal MRI and assesses methods for improving image resolution. Fetal pathological conditions and methods of prenatal MRI diagnosis are discussed according to organ system and the literature is reviewed. Interpretation of findings and potential artifacts are thoroughly considered with the aid of numerous high-quality illustrations. The book will be a detailed resource for radiologists, obstetricians, neonatologists and geneticists, as well as any other practitioner who wishes to gain an in-depth understanding of fetal and maternal MRI. In addition, it will serve as a reference source for technicians, researchers and students, as well as for any specialist who is planning to set up a fetal and maternal MRI service.

This is the most comprehensive book to be written on the subject of fetal MRI. It provides a practical hands-on approach to the use of state-of-the-art MRI techniques and the optimization of sequences. Fetal pathological conditions and methods of prenatal MRI diagnosis are discussed by organ system, and the available literature is reviewed. Interpretation of findings and potential artifacts are thoroughly considered with the aid of numerous high-quality illustrations. In addition, the implications of fetal MRI are explored from the medico-legal and ethical points of view. This book will serve as a detailed resource for radiologists, obstetricians, neonatologists, geneticists, and any practitioner wanting to gain an in-depth understanding of fetal MRI technology and applications. In addition, it will provide a reference source for technologists, researchers, students, and those who are implementing a fetal MRI service in their own facility.

This is an update of the in-depth reference textbook of the same title designed as a comprehensive resource on neuroimaging of diseases of the pediatric central nervous system. The structure of the book has been extensively improved, and its contents further expanded. While still aiming at a complete coverage of diseases involving the brain, the head and neck and the spine, the chapters have been extensively rewritten so as to focus on more specific disease categories, with the aim of improving their readability and increasing their usefulness as a reference in the everyday clinical practice. The illustrations have been updated to reflect the latest techniques and findings. As in the previous work, an introductory chapter on embryology is available and the latest advances in prenatal imaging are also discussed. Detailed information is provided on imaging of the full range of diseases, including some that receive very limited attention elsewhere. This new, improved Pediatric Neuroradiology will continue to be an ideal source of information for neuroradiologists, radiologists, neurosurgeons, neurologists and pediatricians, as well as a useful teaching text for residents and fellows in training. A rich analytic index is included to ensure that the book will serve as an easily usable tool in everyday clinical practice.

Addresses the challenges of managing critically ill obstetric patients, with chapters authored by intensivists/anesthesiologists and obstetricians/maternal-fetal medicine specialists.

Abnormal placental adhesive disorders are associated to massive hemorrhage and high maternal morbidity and mortality. The main risk factor for abnormal invasive placentation is the repeated cesarean, although other factors were identified. There are specific techniques to provide a high confidence diagnosis. However, precise skills must be acquired to recognize detailed diagnostic signs, to avoid common technical mistakes, and also to know when, how and why it is necessary to use each of them. Presurgical study provides diagnosis, extension and compromise of neighboring structures such as the bladder or the parametrium. Knowledge of placental invasion extension is needed to plan any resective surgery such as hysterectomy or one-step conservative surgery. Due to the fact that topography of the invaded area has direct relation with the specific arterial pedicles, a map of the invasion is required to know which type of proximal vascular control can be more effective. Leaving the placenta in situ seems to be the best option when resources or a skilled team are not available, but it requires intensive postoperative controls to detect infection, bleeding or coagulation disorders. Hysterectomy can be an easy solution for non-experimented operators; however, it is usually a very complicated procedure with demonstrated morbidity and mortality due to hemodynamic and hemostatic problems. This book gathers the latest knowledge in relation with the etiology, diagnosis, treatment and also the authors personal experience in more than 500 cases. All aspects of this condition have been analyzed to provide an accurate management, which includes vascular control, urology, anesthesia and hemodynamic management among others.

This syllabus provides a wide overview of the latest developments in diagnostic work and intervention in diseases of the abdomen and pelvis. In addition to conventional diagnostic radiology, special procedures such as US, CT, MRI, nuclear medicine and interventional techniques are discussed.

Respiratory diseases affect a large proportion of the population and can cause complications when associated with pregnancy. Pregnancy induces profound anatomical and functional physiological changes in the mother, and subjects the mother to pregnancy-specific respiratory conditions. Reviewing respiratory conditions both specific and non-specific to pregnancy, the book also addresses related issues such as smoking and mechanical ventilation. Basic concepts for the obstetrician are covered, including patient history, physiology and initial examinations. Topics such as physiological changes during pregnancy and placental gas exchange are discussed for the non-obstetrician. Guidance is practical, covering antenatal and post-partum care, as well as management in the delivery suite. An essential guide to respiratory diseases in pregnancy, this book is indispensable to both obstetricians and non-obstetric physicians managing pregnant patients.

In recent years, Fetal MR has grown continually in importance, and the brain has become the main focus of investigation. However, we lack established standards and a good knowledge of the normal MR appearance. To fill this gap is the purpose of the first part of this book, which is an MR atlas of the cerebral development of the fetus. The second part is dedicated to cerebral pathologies. It includes, for each condition, a summary of the fundamental data, the imaging findings (US and MR) in correlation with neurofetopathology and/or postnatal imaging, and a brief perspective of the prognosis.

Intravoxel incoherent motion (IVIM) refers to translational movements which within a given voxel and during the measurement time present a distribution of speeds in orientation and/or amplitude. The concept was introduced in 1986 together with the foundation of diffusion MRI because it had been realized that flow of blood in capillaries (perfusion) would mimic a diffusion process and impact diffusion MRI measurements. IVIM-based perfusion MRI, which does not require injection of any tracer or contrast agent, has been first investigated in the brain, but is now experiencing a remarkable revival for applications throughout the body, especially for oncologic applications, from diagnosis to treatment monitoring. This book addresses a number of highly topical aspects of the field from leading authorities, introducing the concepts behind IVIM MRI, outlining related methodological issues, and summarizing its current usage and potential for clinical applications. It also presents future research directions, both in terms of methodological development and clinical application fields, extending to new, non-perfusion applications of IVIM MRI, such as virtual MR elastography.

Written by the world's preeminent authorities on diagnostic ultrasound, the Second Edition of this bestseller guides readers through the use of ultrasound to detect and identify birth defects--including heart malformations, kidney obstructions, intestinal blockages, lung abnormalities, and more. The book offers up-to-date advice on what to look for, given a certain risk or clinical history, and how to perform and interpret the ultrasound examination. More than 1,600 images--including full-color throughout--provide a true-to-life view of ultrasound findings. Each anomaly is discussed in an easy-to-follow format that covers characteristic features...pathogenesis and etiology...differential diagnosis...prognosis...and management. This edition includes brief tables of teratogens and information on genetic markers.