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viiiContributorsOlga R. Brook, MDAssistant ProfessorHarvard Medical SchoolAssociate Director of CTDepartment of RadiologyBeth Israel Deaconess Medical CenterBoston, MassachusettsUnited StatesDouglas Brown, MDProfessor of RadiologyDepartment of RadiologyMayo Clinic College of Medicine and ScienceRochester, MinnesotaUnited StatesDorothy Bulas, MDProfessor of Pediatrics and RadiologyGeorge Washington University Medical CenterPediatric RadiologistChildren’s National Health SystemsWashington DCUnited StatesPeter N. Burns, PhDProfessor and ChairmanDepartment of Medical BiophysicsUniversity of TorontoSenior Scientist, Imaging ResearchSunnybrook Research InstituteToronto, OntarioCanadaVito Cantisani, MD, PhDDepartment of Radiologic, Oncologic and Pathologic SciencesPoliclinic Umberto ISapienza UniversityRomeItalyIlse Castro-Aragon, MDAssistant Professor of RadiologyBoston University School of MedicineSection Head, Pediatric RadiologyBoston Medical CenterBoston, MassachusettsUnited StatesJ. William Charboneau, MDEmeritus Professor of RadiologyDepartment of RadiologyMayo ClinicRochester, MinnesotaUnited StatesHumaira Chaudhry, MDSection Chief, Abdominal ImagingAssistant ProfessorDepartment of RadiologyRutgers-New Jersey Medical SchoolNewark, NJUnited StatesTanya Punita Chawla, MBBS, FRCR, MRCP, FRCPCAssistant Professor and Staf RadiologistJoint Department of Medical ImagingUniversity of TorontoToronto, OntarioCanadaChristina Marie Chingkoe, MDDepartment of RadiologyBeth Israel Deaconess Medical CenterBoston, MassachusettsUnited StatesDavid Chitayat, MDProfessorDepartment of Pediatrics, Obstetrics and Gynecology,Molecular Genetics and Laboratory Medicine andPathobiologyMedical Directorhe MSc program in Genetic Counselling, Department ofMolecular GeneticsUniversity of TorontoHeadhe Prenatal Diagnosis and Medical Genetics ProgramMount Sinai HospitalStafPediatrics, Division of Clinical and Metabolic GeneticsHospital for SickkidsToronto, OntarioCanadaPeter L. Cooperberg, OBC, MDCM, FRCP(C), FACRProfessor EmeritusDepartment of RadiologyUniversity of British ColumbiaVancouver, British ColumbiaCanadaLori A. Deitte, MD, FACRVice Chair of Education and ProfessorDepartment of Radiology and Radiological SciencesVanderbilt UniversityNashville, TennesseeUnited States
ContributorsixPeter M. Doubilet, MD, PhDProfessor of RadiologyHarvard Medical SchoolSenior Vice ChairDepartment of RadiologyBrigham and Women’s HospitalBoston, MassachusettsUnited StatesJulia A. Drose, RDMS, RDCS, RVTAssociate ProfessorDepartment of RadiologyUniversity of Colorado HospitalAurora, ColoradoUnited StatesAlexia Eglof, MDDiagnostic Imaging and RadiologyChildren’s National Health SystemsWashington DCUnited StatesJudy A. Estrof, MDInstructorBoston University School of MedicineDepartment of RadiologyBoston Children’s HospitalBoston, MassachusettsUnited StatesKatherine W. Fong, MBBS, FRCPCAssociate ProfessorMedical Imaging and Obstetrics and GynecologyUniversity of TorontoCo-director, Centre of Excellence in Obstetric UltrasoundMount Sinai HospitalToronto, OntarioCanadaJ. Brian Fowlkes, PhDProfessorDepartment of RadiologyUniversity of MichiganAnn Arbor, MichiganUnited StatesMary C. Frates, MDAssociate Professor of RadiologyDepartment of RadiologyHarvard Medical SchoolBrigham and Women’s HospitalBoston, MassachusettsUnited StatesHournaz Ghandehari, MD, FRCPCDepartment of Medical ImagingAbdominal DivisionUniversity of TorontoSunnybrook Health Sciences CentreToronto, OntarioCanadaPhyllis Glanc, MDCMAssociate ProfessorUniversity of TorontoDepartment Medical Imaging, Obstetric & GynecologySunnybrook Health Sciences CentreToronto, OntarioCanadaS. Bruce Greenberg, MDProfessor of Radiology and PediatricsDepartment of RadiologyUniversity of Arkansas for Medical SciencesLittle Rock, ArkansasUnited StatesLeslie E. Grissom, MDClinical Professor of Radiology and PediatricsDepartment of RadiologySidney Kimmel Medical College at homas JefersonUniversityPhiladelphia, PennsylvaniaAttending RadiologistDepartment of Medical ImagingNemours Alfred I. duPont Hospital for ChildrenWilmington, DelawareUnited StatesAnthony E. Hanbidge, MB, BCh, FRCPCAssociate ProfessorDepartment of Medical ImagingUniversity of TorontoSite Director, Abdominal ImagingToronto Western HospitalJoint Department of Medical ImagingUniversity Health Network, Mount Sinai Hospital andWomen’s College HospitalToronto, OntarioCanadaH. heodore Harcke, MD, FACR, FAIUMSidney Kimmel Medical College at homas JefersonUniversityChairman, EmeritusDepartment of Medical ImagingNemours/A I duPont Hospital for ChildrenWilmington, DelawareUnited States
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viiiContributorsOlga R. Brook, MDAs
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xContributorsChristy K. Holland, Ph
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xiiContributorsRupa Radhakrishnan,
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xxiiContentsVOLUME IIPART IV Obstet
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xxivVideo ContentsVideo 12.8 Angiog
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xxviVideo ContentsVideo 26.20 High-
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xxviiiVideo Contents42 Fetal Measur
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2 PART I Physicsphysics. he amplitu
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4 PART I Physics× ms×FIG. 1.4 Ult
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6 PART I Physicsθ 1 = 20°Tissue A
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8 PART I Physicssignature. Broad-ba
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10 PART I PhysicsFIG. 1.13 B-Mode I
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12 PART I PhysicsIn these transduce
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14 PART I PhysicsFIG. 1.17 Tissue H
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16 PART I PhysicsKey Points of Ultr
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18 PART I PhysicsA - Normal liverv
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20 PART I PhysicsFIG. 1.27 Reverber
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22 PART I Physics-0 dBUncorrected-0
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24 PART I Physicsθ = 0°cos θ = 1
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26 PART I PhysicsABFIG. 1.38 Color
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28 PART I PhysicsChanges in Doppler
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30 PART I PhysicsABFIG. 1.44 Wall F
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32 PART I PhysicsABCDFIG. 1.46 Alia
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CHAPTER2Biologic Effects and Safety
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36 PART I PhysicsPressurePulse repe
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38 PART I PhysicsUltrasound imaging
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40 PART I Physicsacoustic power and
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42 PART I PhysicsFIG. 2.6 Acoustic
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44 PART I PhysicsThe AIUM Statement
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46 PART I Physics1. Current ultraso
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48 PART I PhysicsEPIDEMIOLOGYWith a
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50 PART I Physicscontrols whether t
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52 PART I Physics70. Hwang JH, Tu J
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54 PART I PhysicsA B 5 μmFIG. 3.1
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56 PART I Physicsstudies with Levov
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58 PART I Physicsabdominal organs.
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60 PART I PhysicsHarmonic B-Mode Im
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62 PART I PhysicsFIG. 3.9 Contrast-
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64 PART I Physicsdramatic manifesta
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66 PART I Physics5 µmFIG. 3.15 Fra
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68 PART I Physicsplatelet lysis), n
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70 PART I PhysicsEnhancement1 2 3 4
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72 PART I Physics46. Hamilton MF, B
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PART TWO: Abdominal and Pelvic Sono
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76 PART II Abdominal and Pelvic Son
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100 PART II Abdominal and Pelvic So
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ABFIG. 5.20 Microabscesses in Two P
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ABFIG. 6.32 Distal Cholangiocarcino
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CHAPTER7The PancreasThomas Winter a
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CHAPTER8The Gastrointestinal TractS
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ABFIG. 8.16 Lymphadenopathy in Two
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A B CD E FG H IFIG. 8.23 Inlammator
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FIG. 8.56 Gastrointestinal Stromal
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CHAPTER9The Kidney and Urinary Trac
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Remnant ofpronephrosMesonephrosBMes
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CHAPTER11The Adrenal GlandsChristin
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CHAPTER12The RetroperitoneumRaymond
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CHAPTER13Dynamic Ultrasound of Hern
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CHAPTER14The PeritoneumAnthony E. H
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CHAPTER15The UterusDouglas Brown an
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CHAPTER16The AdnexaRochelle Filker
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692 PART III Small Parts, Carotid A
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CHAPTER20The Parathyroid GlandsBonn
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*** *FIG. 21.8 Terminal Ductolobula
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CHAPTER22The ScrotumDaniel Sommers
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CHAPTER23Overview of Musculoskeleta
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CHAPTER25Musculoskeletal Interventi
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ABCDFIG. 25.15 Biceps Tendon Sheath
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CHAPTER27Peripheral VesselsMark E.
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ABFIG. 27.29 Chronic Deep Venous Th
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1000 PART III Small Parts, Carotid
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e2APPENDIXUltrasound Artifacts: A V
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FIG. A.18 Comet-Tail Artifact. On c
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e12APPENDIXUltrasound Artifacts: A
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I-2 IndexAcetabulumdescription of,
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I-4 IndexAnemiafetal, hydrops from,
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I-6 IndexAttenuationcoeicient, 36of
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I-8 IndexBlood low. See also Cerebr
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I-10 IndexBreast(s) (Continued)thic
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I-12 IndexCat-scratch disease, pedi
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I-14 IndexChorion laeve, 1465-1466C
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I-16 IndexContrast agents (Continue
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I-18 IndexCyst(s) (Continued) Cyst(
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I-20 IndexDoppler ultrasound (Conti
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I-22 IndexEndocardial cushion(s), 1
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I-24 IndexFibroma(s) (Continued)par
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Page 1144 and 1145: I-58 Indexhrombosis (Continued)of s
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Page 1148 and 1149: I-62 IndexUrinary tract, pediatric
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Page 1155 and 1156: DIAGNOSTICULTRASOUND
Page 1157 and 1158: DIAGNOSTICULTRASOUND5TH EDITIONCARO
Page 1159 and 1160: ABOUT THE EDITORSCarol M. Rumack, M
Page 1161: ContributorsviiCONTRIBUTORSJacques
Page 1165 and 1166: ContributorsxiAna P. Lourenco, MDAs
Page 1167 and 1168: ContributorsxiiiWendy hurston, MDAs
Page 1169 and 1170: In memory of my parents, Drs. Ruth
Page 1171 and 1172: PrefacexviiPREFACEhe ith edition of
Page 1173 and 1174: AcknowledgmentsxixACKNOWLEDGMENTSWe
Page 1175 and 1176: ContentsxxiCONTENTSVOLUME IPART I P
Page 1177 and 1178: Video ContentsxxiiiVIDEO CONTENTS4
Page 1179 and 1180: Video Contentsxxv19 The Thyroid Gla
Page 1181 and 1182: Video Contentsxxvii33 The Fetal Fac
Page 1183 and 1184: Video Contentsxxix52 The Pediatric
Page 1185 and 1186: DIAGNOSTICULTRASOUND
Page 1187 and 1188: PART FOUR: Obstetric and Fetal Sono
Page 1189 and 1190: CHAPTER 28 Overview of Obstetric Im
Page 1195 and 1196: ABCDFIG. 28.9 Second-Trimester Biom
Page 1207 and 1208: CHAPTER 29 Bioeffects and Safety of
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CHAPTER 29 Bioeffects and Safety of
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CHAPTER 30 The First Trimester 1049
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CHAPTER 31 Chromosomal Abnormalitie
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ABCDFIG. 31.12 Sonographic Findings
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CHAPTER32Multifetal PregnancyMary C
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CHAPTER 32 Multifetal Pregnancy 111
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ABFIG. 32.5 Sonographic Findings Se
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CHAPTER33The Fetal Face and NeckAna
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CHAPTER 33 The Fetal Face and Neck
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ABCDFIG. 33.13 Hypertelorism With E
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ABCDFIG. 33.16 Dacryocystocele. (A)
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ABCDEFFIG. 33.24 Unilateral Complet
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CHAPTER 34 The Fetal Brain 1167impo
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CHAPTER 34 The Fetal Brain 1169cmAB
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CingulatePOCalcarineAB21 wkCD25 wkI
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CHAPTER 34 The Fetal Brain 1173FIG.
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CHAPTER 34 The Fetal Brain 1175LTAR
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CHAPTER 34 The Fetal Brain 1177CC12
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CHAPTER 34 The Fetal Brain 1179SPEC
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CHAPTER 34 The Fetal Brain 1181ABCD
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CHAPTER 34 The Fetal Brain 1183asym
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CHAPTER 34 The Fetal Brain 1185FIG.
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CHAPTER 34 The Fetal Brain 1187Cere
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CHAPTER 34 The Fetal Brain 1189loba
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CHAPTER 34 The Fetal Brain 1191ABCF
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CHAPTER 34 The Fetal Brain 1193ABCF
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CHAPTER 34 The Fetal Brain 1195spor
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ABCCCDEFFIG. 34.24 Type 2 Lissencep
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CHAPTER 34 The Fetal Brain 1199ABFI
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CHAPTER 34 The Fetal Brain 120120 w
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CHAPTER 34 The Fetal Brain 1203Ultr
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CHAPTER 34 The Fetal Brain 1205ABCD
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VSSABHHPHCDEFFIG. 34.35 Intracrania
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CHAPTER 34 The Fetal Brain 1209VABC
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CHAPTER 34 The Fetal Brain 1211Huma
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CHAPTER 34 The Fetal Brain 1213121.
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CHAPTER 34 The Fetal Brain 1215221.
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CHAPTER 35 The Fetal Spine 1217ABCF
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CHAPTER 35 The Fetal Spine 1219L1S3
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CHAPTER 35 The Fetal Spine 1221FTFT
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CHAPTER 35 The Fetal Spine 1223FIG.
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CHAPTER 35 The Fetal Spine 1225TABL
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CHAPTER 35 The Fetal Spine 1227Feta
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CHAPTER 35 The Fetal Spine 1229MMAB
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ABCDEFFIG. 35.15 Skin-Covered Myelo
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CHAPTER 35 The Fetal Spine 1233diic
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CHAPTER 35 The Fetal Spine 1235CCSC
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CHAPTER 35 The Fetal Spine 1237chon
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CHAPTER 35 The Fetal Spine 1239BSCT
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CHAPTER 35 The Fetal Spine 124162.
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CHAPTER36The Fetal ChestDorothy Bul
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CHAPTER 36 The Fetal Chest 1245seco
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CHAPTER 36 The Fetal Chest 1247TABL
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CHAPTER 36 The Fetal Chest 1249Left
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CHAPTER 36 The Fetal Chest 12511ABC
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CHAPTER 36 The Fetal Chest 1253ABCF
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CHAPTER 36 The Fetal Chest 1255cent
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CHAPTER 36 The Fetal Chest 1257Left
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CHAPTER 36 The Fetal Chest 1259ABCD
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CHAPTER 36 The Fetal Chest 1261RTLT
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CHAPTER 36 The Fetal Chest 1263ARig
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CHAPTER 36 The Fetal Chest 12659. B
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CHAPTER 36 The Fetal Chest 1267107.
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CHAPTER 36 The Fetal Chest 1269204.
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CHAPTER 37 The Fetal Heart 1271TABL
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CHAPTER 37 The Fetal Heart 1273TABL
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CHAPTER 37 The Fetal Heart 1275Plac
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CHAPTER 37 The Fetal Heart 1277ADop
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CHAPTER 37 The Fetal Heart 1279LVRV
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CHAPTER 37 The Fetal Heart 1281RARV
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CHAPTER 37 The Fetal Heart 1283RARV
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CHAPTER 37 The Fetal Heart 1285Norm
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CHAPTER 37 The Fetal Heart 1287RVLV
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CHAPTER 37 The Fetal Heart 1289RVTA
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CHAPTER 37 The Fetal Heart 1291LVRA
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CHAPTER 37 The Fetal Heart 1293Aspl
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CHAPTER 37 The Fetal Heart 1295PLVL
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CHAPTER 37 The Fetal Heart 1297HR-L
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CHAPTER 37 The Fetal Heart 129951.
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CHAPTER 38 The Fetal Gastrointestin
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UrogenitalsinusMesonephrosMesonephr
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CHAPTER 39 The Fetal Urogenital Tra
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CHAPTER 40 The Fetal Musculoskeleta
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CHAPTER 41 Fetal Hydrops 1413ABFIG.
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ABCDFIG. 41.2 Ascites. (A) Fluid ou
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CHAPTER 41 Fetal Hydrops 1417A B CD
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CHAPTER 41 Fetal Hydrops 1423later
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CHAPTER 41 Fetal Hydrops 1427CHABCH
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CHAPTER 41 Fetal Hydrops 1429Monoch
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CHAPTER 41 Fetal Hydrops 1431feedin
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CHAPTER 41 Fetal Hydrops 1433TABLE
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CHAPTER 41 Fetal Hydrops 1435sampli
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CHAPTER 41 Fetal Hydrops 1437Predel
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CHAPTER 41 Fetal Hydrops 143973. Ma
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CHAPTER 41 Fetal Hydrops 1441169. I
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CHAPTER42Fetal Measurements: Normal
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CHAPTER 42 Fetal Measurements 1445F
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CHAPTER 42 Fetal Measurements 1447T
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CHAPTER 42 Fetal Measurements 1451p
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CHAPTER 42 Fetal Measurements 1453d
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CHAPTER 42 Fetal Measurements 1455A
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CHAPTER 42 Fetal Measurements 1459A
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CHAPTER 42 Fetal Measurements 14618
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CHAPTER 42 Fetal Measurements 14631
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CHAPTER43Sonographic Evaluation oft
Page 1639 and 1640:
CHAPTER 43 Sonographic Evaluation o
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CHAPTER44Cervical Ultrasound and Pr
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CHAPTER 44 Cervical Ultrasound and
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PART FIVE: Pediatric SonographyCHAP
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CHAPTER 45 Neonatal and Infant Brai
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CHAPTER46Duplex Sonography of the N
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CHAPTER 46 Duplex Sonography of the
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CHAPTER47Doppler Sonography of the
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CHAPTER 47 Doppler Sonography of th
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CHAPTER 48 The Pediatric Head and N
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CHAPTER 49 The Pediatric Spinal Can
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RA B CDEFGFIG. 49.27 Neuroblastoma
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CHAPTER50The Pediatric ChestChetan
Page 1875 and 1876:
CHAPTER 50 The Pediatric Chest 1703
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CHAPTER 51 The Pediatric Liver and
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ABCFIG. 51.39 Hepatosplenomegaly. W
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CHAPTER52The Pediatric Urinary Trac
Page 1949 and 1950:
CHAPTER 52 The Pediatric Urinary Tr
Page 1951 and 1952:
TABLE 52.4 Mean Total Renal Volumes
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CHAPTER53The Pediatric Gastrointest
Page 2007 and 2008:
CHAPTER 53 The Pediatric Gastrointe
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CHAPTER 54 Pediatric Pelvic Sonogra
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CHAPTER 55 The Pediatric Hip and Ot
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ABCDFIG. 55.13 Normal and Dislocate
Page 2111 and 2112:
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Page 2115 and 2116:
CHAPTER 56 Pediatric Interventional
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ABCFIG. 56.15 Access for Drainage o
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APPENDIXUltrasound Artifacts: A Vir
Page 2143 and 2144:
APPENDIX Ultrasound Artifacts: A Vi
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IndexAAA anastomoses. See Arterial/
Page 2181 and 2182:
Index I-3Adnexa (Continued)transvag
Page 2183 and 2184:
Index I-5Arrays, transducer, 11-12A
Page 2185 and 2186:
Index I-7Bioefects (Continued) Biop
Page 2187 and 2188:
Index I-9Brain, neonatal/infant (Co
Page 2189 and 2190:
Index I-11Carcinoma(s) (Continued)
Page 2191 and 2192:
Index I-13Cervix (Continued)for sym
Page 2193 and 2194:
Index I-15Color Doppler ultrasound
Page 2195 and 2196:
Index I-17Cystic artery, 194promine
Page 2197 and 2198:
Index I-19Diabetes mellituschronic
Page 2199 and 2200:
Index I-21Echinococcal disease (Con
Page 2201 and 2202:
Index I-23Exudate ascites, 506-507E
Page 2203 and 2204:
Index I-25Gallbladder (Continued)ad
Page 2205 and 2206:
Index I-27Gyriabnormalities of, in
Page 2207 and 2208:
Index I-29Hernia(s). See also Diaph
Page 2209 and 2210:
Index I-31Hyperechoic tissue, in br
Page 2211 and 2212:
Index I-33Internal jugular vein (IJ
Page 2213 and 2214:
Index I-35Kidneys, pediatric (Conti
Page 2215 and 2216:
Index I-37Liver transplantation (Co
Page 2217 and 2218:
Index I-39Mesentery, small bowel, 5
Page 2219 and 2220:
Index I-41Nasal bone, fetal (Contin
Page 2221 and 2222:
Index I-43Orbits, fetal (Continued)
Page 2223 and 2224:
Index I-45Patau syndrome. See Triso
Page 2225 and 2226:
Index I-47Pleural efusionsfetal, 12
Page 2227 and 2228:
Index I-49Prostate (Continued)thera
Page 2229 and 2230:
Index I-51Renal transplantation (Co
Page 2231 and 2232:
Index I-53Shunt(s) (Continued) Skel
Page 2233 and 2234:
Index I-55Splenic vein (Continued)t
Page 2235 and 2236:
Index I-57Testis(es) (Continued)cys
Page 2237 and 2238:
Index I-59Transcranial Doppler (TCD
Page 2239 and 2240:
Index I-61Umbilical cord, 1481-1487
Page 2241 and 2242:
Index I-63Vein of Galen (Continued)
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