Table Of Contentii
Mitchell Tublin, MD
Professor and Vice Chair of Radiology
Chief, Abdominal Imaging Section
University of Pittsburgh School of Medicine
Pittsburgh, Pennsylvania
Joel B. Nelson, MD
Frederic N. Schwentker Professor and Chairman
Department of Urology
University of Pittsburgh School of Medicine
Chief Clinical Officer, Health Services Division, UPMC
Pittsburgh, Pennsylvania
Amir A. Borhani, MD Matthew T. Heller, MD, FSAR
Assistant Professor of Radiology Associate Professor of Radiology
Abdominal Imaging Section Abdominal Imaging Section
University of Pittsburgh School of Medicine Director, Radiology Residency Program
Pittsburgh, Pennsylvania University of Pittsburgh School of Medicine
Pittsburgh, Pennsylvania
Alessandro Furlan, MD
Judy Squires, MD
Assistant Professor of Radiology
Abdominal Imaging Section Assistant Professor of Radiology
University of Pittsburgh School of Medicine Director, Pediatric Ultrasound
Pittsburgh, Pennsylvania Children’s Hospital of Pittsburgh
University of Pittsburgh School of Medicine
Pittsburgh, Pennsylvania
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IMAGING IN UROLOGY ISBN: 978-0-323-54809-0
Copyright © 2018 by Elsevier. All rights reserved.
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Notices
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Publisher Cataloging-in-Publication Data
Names: Tublin, Mitchell E. | Nelson, Joel B.
Title: Imaging in urology / [edited by] Mitchell Tublin and Joel B. Nelson.
Description: First edition. | Salt Lake City, UT : Elsevier, Inc., [2018] | Includes
bibliographical references and index.
Identifiers: ISBN 978-0-323-54809-0
Subjects: LCSH: Urinary organs--Radiography--Handbooks, manuals, etc. | Urology--Handbooks,
manuals, etc. | MESH: Urologic Diseases--diagnostic imaging--Atlases. | Urology--methods--
Atlases. | Radiography--Atlases.
Classification: LCC RC874.I43 2018 | NLM WJ 141 | DDC 616.607572--dc23
International Standard Book Number: 978-0-323-54809-0
Cover Designer: Tom M. Olson, BA
Printed in Canada by Friesens, Altona, Manitoba, Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
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Dedications
To the home front: My wife, Mary,
and our sons, Daniel, Josh, and Andrew. Your support and love
make everything possible and meaningful.
MT
To Liz, my wonderful wife.
JBN
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Contributing Authors
Hank Baskin, MD Steven J. Kraus, MD
Pediatric Imaging Section Chief Division Chief of Fluoroscopy
Primary Children’s Hospital Cincinnati Children’s Hospital Medical Center
Intermountain Healthcare Associate Professor
Adjunct Associate Professor of Radiology Clinical Radiology and Pediatrics
University of Utah School of Medicine University of Cincinnati College of Medicine
Salt Lake City, Utah Cincinnati, Ohio
David Bauer, MD Katherine E. Maturen, MD, MS
Missoula Radiology Associate Professor
Missoula, Montana Abdominal Radiology Fellowship Director
University of Michigan Hospitals
Shweta Bhatt, MD Ann Arbor, Michigan
Associate Professor
Department of Imaging Sciences Christine O. Menias, MD
University of Rochester Medical Center Professor of Radiology
Rochester, New York Mayo Clinic School of Medicine
Scottsdale, Arizona
Todd M. Blodgett, MD Adjunct Professor of Radiology
Foundation Radiology Group Washington University School of Medicine
Pittsburgh, Pennsylvania St. Louis, Missouri
Amit B. Desai, MD A.Carlson Merrow, Jr., MD, FAAP
Radiology Resident Corning Benton Chair for Radiology Education
Department of Imaging Sciences Cincinnati Children’s Hospital Medical Center
University of Rochester Medical Center Associate Professor of Clinical Radiology
Rochester, New York University of Cincinnati College of Medicine
Cincinnati, Ohio
Michael P. Federle, MD, FACR
Sara M. O’Hara, MD, FAAP
Professor and Associate Chair for Education
Department of Radiology Division Chief of Ultrasound
Stanford University School of Medicine Cincinnati Children’s Hospital Medical Center
Stanford, California Professor of Clinical Radiology and Pediatrics
University of Cincinnati College of Medicine
Marta Heilbrun, MD, MS Cincinnati, Ohio
Associate Professor of Radiology and Body Imaging
Gloria M. Salazar, MD
University of Utah School of Medicine
Salt Lake City, Utah Assistant Radiologist
Division of Vascular Imaging and Intervention
R.Brooke Jeffrey, MD Massachusetts General Hospital
Instructor in Radiology
Professor and Vice Chairman
Harvard Medical School
Department of Radiology
Boston, Massachusetts
Stanford University School of Medicine
Stanford, California
Akram M. Shaaban, MBBCh
Vineet Krishan Khanna, MD Professor of Radiology
Department of Radiology and Imaging Sciences
Radiology Resident
University of Utah School of Medicine
Department of Radiology
Salt Lake City, Utah
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania
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Ethan A. Smith, MD T.Gregory Walker, MD, FSIR
Clinical Assistant Professor of Radiology Interventional Radiology Integrated Residency
C.S. Mott Children’s Hospital Program Director
University of Michigan Health System Interventional Radiology Fellowship Program Director
Ann Arbor, Michigan Massachusetts General Hospital
Division of Interventional Radiology
Ashraf Thabet, MD Assistant Professor of Radiology
Instructor in Radiology Harvard Medical School
Harvard Medical School Boston, Massachusetts
Division of Interventional Radiology
Massachusetts General Hospital Paula J. Woodward, MD
Boston, Massachusetts Professor of Radiology
David G. Bragg, MD and Marcia R. Bragg Presidential
Alexander J. Towbin, MD Endowed Chair in Oncologic Imaging
Associate Chief of Radiology Adjunct Professor of Obstetrics and Gynecology
Clinical Operations and Informatics University of Utah School of Medicine
Neil D. Johnson Chair of Radiology Informatics Salt Lake City, Utah
Cincinnati Children’s Hospital Medical Center
Associate Professor Karl Yaeger, MD
Clinical Radiology and Pediatrics Women’s Imaging Fellow
University of Cincinnati College of Medicine Department of Radiology
Cincinnati, Ohio Magee Women’s Hospital of UPMC
Pittsburgh, Pennsylvania
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Preface
My colleagues and I within the abdominal imaging section at the University of Pittsburgh take pride in
our partnerships with referring clinical services. Imaging is an integral part of all clinical pathways, and a
shared vision and leveraged expertise benefits physicians and, most importantly, patients. The partnership
between radiology and urology is a great example of professional synergy .
I’ve known Joel Nelson, the Urology Chair and Chief Clinical Officer of the UPMC Health Service Division, for
my entire career at UPMC. Joel is the quintessential academic urologist and US healthcare thought leader .
He has the optimism of an academic, the skepticism of an administrator, and the vision of an enterprise
leader. Joel immediately embraced the opportunity to partner with our group to compile a state-of-the-art
imaging compendium for urologists. He loved the idea of an imaging text friendly to urologists, written in
conjunction with (and for) urologists. We were both struck by how important excellent imaging is for state-
of-the-art urological care, how a background in imaging has become a critical component in urology training
programs, and how, despite these prerequisites, there was no go-to, reader-friendly imaging resource for
urologists. We believe that this textbook fills that void.
Introduction chapters set the framework: Genitourinary anatomy and basic imaging precepts relevant for
urologists are described. The entire spectrum of urological conditions is then covered in bulleted, image-rich
chapters. Key facts of each diagnosis are listed, but the real take-home points are driven home in hundreds
of classic illustrative annotated images/figures and corresponding legends. Radiology trainees learn best
by picking up pearls and experience while looking at images at the “view box”; we think that present-day
urologists interested in imaging will do the same with this textbook.
We have many people to thank for helping to produce this book. The abdominal imaging faculty at the
University of Pittsburgh are the best of the best, and we learn from them always. Our coauthors, Drs .
Borhani, Furlan, Heller, and Squires, are the heart and soul of the Elsevier GU team, and they make it all
possible. Dr. Jathin Bandari, our urology taskmaster, kept us in line and offered perspective on what was
truly important for his colleagues. Finally, the entire staff at Elsevier deserves a shout-out for facilitating
this project, and more importantly, for articulating a collaborative imaging vision relevant for all current
practitioners.
Mitchell Tublin, MD
Professor and Vice Chair of Radiology
Chief, Abdominal Imaging Section
University of Pittsburgh School of Medicine
Pittsburgh, Pennsylvania
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