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Since the publication of the third edition of Pediatric Sonography in 2002, important technologic advances continue to be made in ultrasonography.
We have seen innovations in software and technology, such as harmonic imaging, contrast agents, and 3D imaging, which have contributed to an increased utilization of ultrasonography as a diagnostic tool. These changes have also impacted clinical practice by improving our understanding of the role of ultrasonography in the evaluation of disease processes in children. In addition, compared with computed tomography and magnetic resonance imaging, ultrasonography is a more costeffective imaging test for investigating many pediatric problems. Particularly important is the fact that ultrasonography is noninvasive and does not use ionizing radiation, making a compelling case for even more widespread use of this modality in the pediatric population. Given these facts, there is a need for an updated text for radiologists to use in practice or training. The goal of the fourth edition of Pediatric Sonography is again to provide a comprehensive text on the clinical applications of sonography in a pediatric population. Virtually all chapters have been extensively revised with new illustrations and images added. To reflect the evolving clinical applications of sonography, there is a new chapter on breast sonography.
Top radiologists who are recognized authorities in sonography again have been recruited to share their expertise in special areas. This book is intended primarily for practicing radiologists, radiology residents and fellows, and sonographers. Other physicians, such as pediatricians and surgeons, also can derive useful information about the clinical indications and relative value of sonography in the pediatric patient. As in the first three editions, the first two chapters of this edition present a detailed review of ultrasound physics and the artifacts and pitfalls that are encountered in practice. The remainder of the book is divided into chapters covering thirteen anatomic areas: head, neck, chest, breast, liver, biliary tract and gallbladder, spleen and peritoneum, gastrointestinal tract, kidneys, retroperitoneum, female and male pelvis, and musculoskeletal system. Each chapter includes practical sonographic techniques, normal sonographic anatomy, and abnormal sonographic findings specific for that organ system. Instruction also is provided on how to avoid technical and interpretative errors. Additionally, the use of sonography and alternative imaging studies for solving common clinical problems is discussed. The final chapter describes the role of sonography in guiding aspiration, biopsy, and drainage procedures. It is my sincere hope that readers will find this work to be a cornerstone of pediatric imaging and one that they will use frequently in their daily practices. I have strived to produce a text that is readable and offers guidance for radiologists and sonographers on the appropriate use of sonography in children.
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