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Imaging diagnostico pp 231–254Cite as

Ecografia

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Riassunto

L’ecografia è la metodica di imaging maggiormente utilizzata e più rapidamente cresciuta. Il suo successo è basato su specifici vantaggi rispetto ad altre modalità:

  • Non ci sono rischi né controindicazioni legate al suo uso.

  • La risoluzione spaziale delle immagini ottenute con ultrasuoni ad elevata frequenza è maggiore rispetto a quella di altre modalità come la TC e la RM; tale caratteristica è particolarmente evidente quando sono esaminate strutture superficiali.

  • Le qualità dinamiche degli ultrasuoni sono uniche, permettono un’osservazione in tempo reale dei movimenti di muscoli e tendini, pulsatilità e peristalsi. Possono essere apprezzati gli effetti di compressione, della manovra di Valsalva e della gravità.

  • L’effetto Doppier puó essere usato per ottenere misurazioni quantitative della velocità del sangue e per delineare le mappe di flusso.

  • Gli ecografimoderni sono piccoli e permettono di ottenere immagini di alta qualità. Ecografi portatili possono essere utilizzati in unità di terapia intensiva, sale operatorie, unità di emergenza.

  • Gli ultrasuoni sono ampiamente usati per guidare biopsie e procedure interventistiche.

  • L’esame ecografico permette di comunicare direttamente con il paziente e le informazioni che riferisce come, ad esempio, l’area di massima dolorabilità, sono estremamente importanti per un esame mirato.

  • L’ecografia è relativamente poco costosa, soprattutto se messa a confronto con TC e RM.

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Authors and Affiliations

  1. Ultrasound Unit Radiology Department, Reina Sofia University Hospital, Cordoba, Spain

    Pedro Segui

  2. CT and MR Unit Radiology Department, Reina Sofia University Hospital, Cordoba, Spain

    Simona Espejo

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  1. Pedro Segui
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  2. Simona Espejo
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Editors and Affiliations

  1. Interventional Radiology and MR Units, Reina Sofia University Hospital, 14005, Cordoba, Spain

    Ramon Ribes MD, PhD

  2. MR Unit, Clinica Las Nieves Sercosa, 23007, Jaen, Spain

    Antonio Luna MD (Chief) (Chief)

  3. Department of Radiology Sant Pau Hospital, Autonomous University, 08025, Barcelona, Spain

    Pablo R. Ros MD, MPH (Chairman, Professor) (Chairman, Professor)

  4. Department of Radiology Harvard Medical School, Brigham & Women’s Hospital, 75 Francis St., Boston, MA, 02115, USA

    Pablo R. Ros MD, MPH (Chairman, Professor) (Chairman, Professor)

  5. Dipartimento di Scienze Radiologiche, Sapienza Università di Roma, Roma

    Carlo Catalano

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Segui, P., Espejo, S. (2009). Ecografia. In: Ribes, R., Luna, A., Ros, P.R., Catalano, C. (eds) Imaging diagnostico. Springer, Milano. https://doi.org/10.1007/978-88-470-1510-4_10

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