Measurements in Radiology Vineet Wadhwa
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1MEASUREMENTS IN RADIOLOGY: Made Easy®2
3MEASUREMENTS IN RADIOLOGY: Made Easy®
Vineet Wadhwa MBBS DMRD OSGH (Singapore) FRHS FAGE FWSIM (USA) MIRIA MECR Radiologist, Delhi State Cancer Institute Dilshad Garden, Delhi, India Premier Institute of Delhi Government for Oncology Formerly Registrar, Department of Radiodiagnosis St Stephen's Hospital, Tis Hazari, New Delhi, India Email: wadhwa39@yahoo.co.in ForewordsKishore V Hegde Anuradha Sural Umesh K
4Published by
Jaypee Brothers Medical Publishers (P) Ltd
Corporate Office
4838/24, Ansari Road, Daryaganj, New Delhi 110 002, India
Phone: +91-11-43574357, Fax: +91-11-43574314
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Measurements in Radiology Made Easy®
© 2011, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2014
9789350252642
Typeset at JPBMP typesetting unit
Printed at
5Dedicated to
Shri Morari Bapu
and
My grandparents
Late Shri Hakim Jamman Dass Wadhwa
and Late Smt Chandni Bai Wadhwa
6
7Foreword
It gives me great sense of pride in writing foreword for this book and congratulate my student Dr Vineet Wadhwa on this first of its kind compilation in radiology.
In this book, he has compiled a comprehensive list of measurements covering all the systems from central nervous system (CNS) to ENT including embryological criteria. This book will be handy not only in times of uncertainty in aiding diagnosis but also as a rapid reckoner. The accurate measurements have also been updated from the latest journals, keeping abreast of the latest developments. The detailed listing makes it useful also for differential diagnosis.
I wish him greater success in all his future endeavors. He is also the author of another famous book on clinical methods. I am sure this book on measurements will be popular and supporting not only among radiologists but also among all our colleagues of medicine.
Wishing him all the success…
Kishore V Hegde
Professor and Head
Department of Radiology
Narayana Medical College
Nellore, Andhra Pradesh
India
8
9Foreword
I consider it a privilege to contribute a foreword to this book which is the product of Dr Vineet's hard work. It presents well-organized various measurements used in radiology, data which every radiologist should know. Normal measurements with differential diagnosis of altered measurements are also mentioned.
Presented in an easy-to-carry pocket book size, with simple language and diagrams, the book is a storehouse of useful information, with separate chapters on age determination, Hounsfield unit values and staging of various pathologies.
I feel it will be a useful book, not only for radiology residents but also for practitioners.
I congratulate him on his laudable effort.
Anuradha Sural
Consultant Radiologist
Department of Radiodiagnosis
St Stephen's Hospital, New Delhi
India
10
11Foreword
It gives me immense pleasure to give foreword for my student Dr Vineet Wadhwa whom I know since his post-graduation days.
Radiology is the fastest advancing branch of medical sciences. It plays an important role in diagnosis of various pathologies. This book is an excellent compilation of various measurements used in radiology, arranged in systematic way. It also has separate chapters on age determination, rules in radiology, MR spectroscopy, Hounsfield unit values, which are very useful for our daily practice.
It has come out well, accept my congratulations…
Umesh K
Professor and Head
Sri Devaraj Urs Medical College
Kolar, Karnataka
India
12
13Preface
Radiology though being restricted to only analyzing images, carries a greater depth to it in encompassing all the forms and fields of medicine from embryology, pathology to treatment and its response. The importance of radiology in the present set-up is very high and no patient work-up is complete without a radiological investigation.
Quantitative and qualitative perspectives have always been the two sides of a coin in radiology. Both have been synergistic to each other in not only identifying the lesion, characterizing it but also in guiding effective planning of management, its execution and follow-up. The role of measurements so plays a more integral part at all these levels. Measurements also provide a distinct sense of accuracy and specificity in aiding diagnosis.
The experience of taking various measurements in radiology during my postgraduate days made me realize the need for handbook in simple, concise, tabular and diagrammatic format to facilitate the easy and fast reporting of various cases by radiologists.
Data contained in this book is compiled from various standard radiology textbooks (refer Bibliography), journals and Internet over the years since my postgraduate days, this will be companion to standard textbooks. I sincerely hope that this book will help all the radiologists in their day-to-day practice.
I have taken utmost care in preparing the book To err is human, so critical appraisal of the book and suggestions for further improvements from radiologists are welcome.
Vineet Wadhwa
14
15Acknowledgments
I am thankful to almighty God for his blessings, divine presence and masterly guidance which helps me to fulfill all goals. I am grateful to my family for their love, understanding, dedication, sacrifice, guidance and encouragement during all spheres of life. My parents Dr SP Wadhwa, Smt Santosh Wadhwa, my brother Dr Puneet, my sister-in-law Dr Shivani, my niece Aanya, my fiancée Dr Lalita, my in-laws Dr MD Naidu, Dr Suseela Naidu.
My sincere thanks to all my teachers in college and special thanks to Dr Umesh K (Professor and Head, Sri Devaraj Urs Medical College, Kolar, Karnataka, India), Professor Patabi Raman V, Professor Poornima Hegde, Dr Vinay NVP, Dr Anil Saklecha, Dr Navin M, Dr Sudhindra, Dr Bashir, Dr Ashwathnarayana.
Also thanks to Dr Nitin Parkhe, Dr Anuradha Sural, Dr Elshieba Patras, Dr Chauhan (St Stephen's Hospital, Delhi), Dr Grover (Director, Delhi State Cancer Institute).
My heartful thanks to Dr YS Deepak, Dr Vikas Kumar Sharma, Dr Timanna, Dr Jaiger, Dr Abhishek Khurana for supporting, encouraging and giving valuable suggestions during the course of the book.
I am also thankful to Dr Deepak Pahwa, Dr Hanu Tej, Dr Labh Chand Jain, Dr Apar Jindal, Dr Tarun Bali, Dr Ashish Pandey, Dr Vishal Batra, Dr Sankalan Saha, Dr Sameer Sethi, Dr Prashant Gupta, Dr Sandeep Ahuja, Dr Suresha, Dr Suresh Babu, Dr Praveen Jain, Dr Prateek Joshi, Dr Akshay Patel, Dr Ashwin Kumar, Dr Manjunath Abbigeri, Dr Wisal, Dr Shadab, Dr Gautam Jain, Dr Abhishek 16Fredrick, Dr Sameer Upadhyay, Dr Sahil, Dr Farhan Aijaz, Dr Ankur Gupta, Dr Ankush, Dr Atul, Dr Deepak Mangla, Dr Abhishek Jaiswal, Dr Kanchan, Dr Yasrab Khan, Dr Yanya (Delhi State Cancer Institute), Dr Rajesh Pahwa, Dr Parvez, Dr KK Mishra, Dr Vivek, Dr Gaurav Mehta, Dr Ayan, Dr Atik Ahmed, Dr Harsha, Dr Nikhil Goyal, Dr Vinod Reddy, Dr Sriram V, Mahipal Chaudhary, Himanshu Gandhi, Ashish Gandhi, Vikas Kathuria, Paras Ahuja.
I am grateful to Dr Umesh K, Dr Anuradha Sural and Dr Kishore V Hegde for their valuable forewords; last but not least M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi for accepting my work for publication.