Table Of ContentMDCT and 3D Workstations
Scott A. Lipson, MD
Associate Director of Imaging, Long Beach
Memorial Medical Center, Long Beach, California
MDCT and 3D Workstations
A Practical How-To Guide and
Teaching File
With 101 Figures in 379 Parts, 175 in Full Color
Scott A. Lipson, MD
Associate Director of Imaging
Long Beach Memorial Medical Center
Long Beach, CA90806
Library of Congress Control Number: 2005924372
ISBN 10: 0-387-25679-2
ISBN 13: 978-0387-25679-5
Printed on acid-free paper.
© 2006 Springer Science+Business Media, Inc.
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To Nancy and Shelly and the memory of my
father, Sheldon, who has been a constant
source of inspiration throughout my life
Preface
Multidetector CT (MDCT) is much more than an incremental improve-
ment over the previous technology. When compared with computed
tomography (CT) imaging performed just 4 or 5 years ago, it is essen-
tially a new modality. MDCT has significantly changed how I practice
radiology and has reinvigorated my love for imaging. The images pro-
duced are not only clinically diagnostic, but they have an aesthetic
beauty that is both accessible and enticing to radiologists, clinicians,
and even patients.
The purpose of writing this book is twofold. The first section brings
together into one source all the practical information needed to suc-
cessfully set up a MDCT practice, operate the scanners and 3D work-
stations, manage workflow, and consistently produce high-quality
diagnostic images.
The second section is a teaching file of volumetric cases. This is not
intended to be a comprehensive collection of teaching material, but
rather a showcase for the varied capabilities of current scanners and
workstations. Each case is selected to demonstrate how the technology
can improve the process of making a clinical diagnosis and then effec-
tively relaying this information to other physicians in a format that is
easy to understand.
I hope that readers of this book will not only get a better under-
standing of MDCT and 3D workstations, but also a better appreciation
of the art of radiology expressed by the images.
Scott A. Lipson, MD
vii
Acknowledgments
I owe a debt of gratitude to Chris Gordon and her team of excellent CT
technologists at Long Beach Memorial Medical Center. Without their
hard work, dedication, and friendship, this book would not have been
possible. I want to acknowledge the invaluable contribution of Dr. John
Renner, the director of radiology at Long Beach Memorial. It was his
vision that enabled Long Beach Memorial to be one of the very first
hospitals in the United States to own and operate a 16-detector multi-
detector CT (MDCT). I also thank the administration at Long Beach,
particularly Richard Decarlo and Terry Ashby for their support of this
project. I am also indebted to my friends and collaborators from
Toshiba America Medical Systems: Mike MacLeod, Bryan Westerman,
Doug Ryan, and Jeff Hall, and from Vital Images, Vikas Narula. They
have assisted and supported me over the years and have all con-
tributed their expertise to this book in different ways. Finally, I would
like to thank the following radiologists who contributed images or case
discussions used in this book: Dr. Ruben Sebben, Dr. Hirofumi Anno,
Dr. Albert de Roos, Dr. Stanley Laucks, Jr., and Dr. Alisa Watanabe.
ix
Contents
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Part I How-to Guide to MDCT and
3D Workstations
Chapter 1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Chapter 2 MDCT Data Acquisition . . . . . . . . . . . . . . . . . . . . 5
Chapter 3 Delivery of Contrast Media for MDCT . . . . . . . . . 22
Chapter 4 Image Reconstruction and Review . . . . . . . . . . . . 30
Chapter 5 3D Workstations: Basic Principles and Pitfalls . . . 41
Chapter 6 Guide to Clinical Workstation Use . . . . . . . . . . . . 64
Chapter 7 Efficient CT Workflow . . . . . . . . . . . . . . . . . . . . . . 83
Part II Volumetric Imaging Teaching File
Chapter 8 Vascular Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Chapter 9 Pediatric Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Chapter 10 Trauma Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Chapter 11 Body Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
xi
xii Contents
Chapter 12 Cardiac Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
Chapter 13 Orthopedic Imaging . . . . . . . . . . . . . . . . . . . . . . . . 238
Chapter 14 Neuroimaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
Appendix Sample CT Protocols . . . . . . . . . . . . . . . . . . . . . . . . 291
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311
Part I
How-to Guide to MDCT and
3D Workstations
