Liver Ultrasound

An up-to-date discussion of modern liver ultrasound techniques, combining hepatological and radiological perspectives into one stand-alone resource.

In Liver Ultrasound: From Basics to Advanced Applications, a team of distinguished experts delivers an in-depth textbook on how to perform liver ultrasound and interpret common and uncommon clinical findings. The authors also walk readers through the nuances of ultrasonic and parametric features, from both a radiological and hepatological perspective, in differentiating the multitude of liver conditions. They also discuss clinical evaluations and how to use more advanced and currently evolving techniques.

Readers will experience well-illustrated and clear ultrasound images while also getting access to a complimentary website that features numerous videos which integrate the book’s modern and multidisciplinary approach. The book also includes:

• A thorough introduction to the basics of ultrasound, as well as ultrasound scanners and knobology
• Comprehensive explanations on how to perform a liver ultrasound, including routine practicalities, discussions of normal liver anatomy, normal variants and advanced Doppler techniques
• Practical discussions of focal liver lesions, including their characterization and detection and how contrast enhanced ultrasound plays a pivotal role
• A clinical overview on the use of point of care ultrasound in liver disease as well as the use of ultrasound in liver related infectious diseases, biliary disorders and pediatric liver disease
• An extensive overview on the use of ultrasound and specific findings in liver transplantation
• The role of ultrasound in chronic liver disease, vascular liver diseases and interventional procedures, as well as discussions on advancing technologies namely shearwave elastography, attenuation imaging and fusion

Perfect for all who perform liver sonography namely, hepatologists, radiologists, internal and emergency medicine physicians and sonographers. Liver Ultrasound: From Basics to Advanced Applications will also benefit trainees from all these specialties.

List of Contributors v

Forewords vii

Preface ix

About the Companion Website x

1 Getting Started: Ultrasound Physics and Image Formation 1
Sevan Harput, Xiaowei Zhou, and Meng-Xing Tang

2 Knobology and Terminology 23
Adrian K.P. Lim

3 Normal Liver Anatomy: How to Perform a Liver Ultrasound Scan 27
Adrian K.P. Lim, Ivica Grgurevic, and Matteo Rosselli

4 An Introduction to Contrast-Enhanced Ultrasound 53
Adrian K.P. Lim, Chris J. Harvey, and Matteo Rosselli

5 Focal Liver Lesions – Characterisation and Detection 58
Chris J. Harvey, Adrian K.P. Lim, and Matteo Rosselli

6 Ultrasound of the Biliary System 83
Matteo Rosselli, Maija Radzina, and Adrian K.P. Lim

7 Tropical Infections of the Liver 108
Tom Heller, Michaëla A.M. Huson, and Francesca Tamarozzi

8 Ultrasound in Chronic Liver Disease 124
Matteo Rosselli, Davide Roccarina, and Ivica Grgurevic

9.1 Shear Wave Elastography for Liver Disease: Part 1 156
Giovanna Ferraioli

9.2 Shear Wave Elastography for Liver Disease: Part 2 165
Matteo Rosselli, Ioan Sporea, and Giovanna Ferraioli

10 Liver Ultrasound in the Paediatric Population 191
Andreas Panayiotou, Maria E. Sellars, and Annamaria Deganello

11 Ultrasound in Vascular Liver Diseases 209
M. Ángeles García-Criado and Annalisa Berzigotti

12 Point-of-Care Ultrasound in Liver Disease 225
Matteo Rosselli and Robert de Knegt

13 Liver Transplantation 256
Thomas Puttick and Paul S. Sidhu

14 Ultrasound in Hepatobiliary Intervention 266
Neeral R. Patel, James P.F. Burn, and Ali Alsafi

15 Advancing Ultrasound Technologies 279
Adrian K.P. Lim, James P.F. Burn, and Caroline Ewertsen

Index 286

Adrian K.P. Lim, MD, FRCP, FRCR is a Professor and Consultant Radiologist at Imperial College London and Healthcare NHS Trust, and Chief of Ultrasound at Charing Cross Hospital, London.

Matteo Rosselli, MD, PhD, FRCP is a Consultant Physician in Internal Medicine at San Giuseppe Hospital in Italy and an Honorary Associate Professor at the Institute for Liver and Digestive Health, University College London, Royal Free Hospital, London.

An up-to-date discussion of modern liver ultrasound techniques, combining hepatological and radiological perspectives into one stand-alone resource.

In Liver Ultrasound: From Basics to Advanced Applications, a team of distinguished experts delivers an in-depth textbook on how to perform liver ultrasound and interpret common and uncommon clinical findings. The authors also walk readers through the nuances of ultrasonic and parametric features, from both a radiological and hepatological perspective, in differentiating the multitude of liver conditions. They also discuss clinical evaluations and how to use more advanced and currently evolving techniques.

Readers will experience well-illustrated and clear ultrasound images while also getting access to a complimentary website that features numerous videos which integrate the book’s modern and multidisciplinary approach. The book also includes:

• A thorough introduction to the basics of ultrasound, as well as ultrasound scanners and knobology
• Comprehensive explanations on how to perform a liver ultrasound, including routine practicalities, discussions of normal liver anatomy, normal variants and advanced Doppler techniques
• Practical discussions of focal liver lesions, including their characterization and detection and how contrast enhanced ultrasound plays a pivotal role
• A clinical overview on the use of point of care ultrasound in liver disease as well as the use of ultrasound in liver related infectious diseases, biliary disorders and pediatric liver disease
• An extensive overview on the use of ultrasound and specific findings in liver transplantation
• The role of ultrasound in chronic liver disease, vascular liver diseases and interventional procedures, as well as discussions on advancing technologies namely shearwave elastography, attenuation imaging and fusion

Perfect for all who perform liver sonography namely, hepatologists, radiologists, internal and emergency medicine physicians and sonographers. Liver Ultrasound: From Basics to Advanced Applications will also benefit trainees from all these specialties.SG