Scribd Logo
Upload

Welcome to Scribd!

  • MANUAL Radioimagistica Medicala Radiofizica Si Tehnica

    Uploaded by

    rezonanta2
    4 views149 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    4 views149 pages

    MANUAL Radioimagistica Medicala Radiofizica Si Tehnica

    Uploaded by

    rezonanta2

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 149
    ANA-MAGDALENA CONSTANTIN BRATU ZAHARIA, RADIOIMAGISTICA MEDICALA RADIOFIZICA si TEHNICA AUTORI ‘Ana-Magdalena Bratu Constantin Zaharia Danisia Haba Bogdan V. Popa lula A. Salcianu Adrian P. Purcérea Silvia Sovaila ‘Monica Popiel Victorita Stefanescu Costin A. Minoiu Av coabort: eons UNIERSTARA CAROL OAV ucunn, 236 'SBN: 978-973-708-901-4 Deseret CIP Bibel Naaale «Roni BRATU, ANA-MAGDALENA | ogame medals /Am Moga Bas, | Consein Zahara « Buco: Editar Universtart Cae Dei 2016 | Conn bogie |SBN9TE97S- 708.9014 | zahur, Coosanin | sisass ‘seria Conia Najinl al Crd Seis avant Spo (eNsoy, vv, 1123 062006 s coiomiate x presente Dass Ne 22019 « Cosa Nin Coleg Medco din Roni, pind sbiea ssn de ~ rai de ica od comin, pe bam cin Se evalua cv de presi poten a ‘slo «cir noma eased «ej mel onto pcan ‘tio W earl de serine «fie de o lnc de sabe medicals, Clea Metcor in Romiin aceite (etm) EDITURA UNIVERSITARA CAROL, DAVILA” BUCUREST es ama de EMC Cornins ocr : a reps Stas : opto FORMAREA IMAGINI RADIOLOGICE u “An lls Brat 1. age ie ae ih - is Dela. Conta, NOTIUNL DE RADIOPROTECTE eee Citar Sv Sts Conta v,SUBSTANTELE DB CONTRAST. as fra hapilne ran Pata = 1 Gent 12 Sabu cot indi conven ra 13. Suan coe an omngecompeah 3 desman ont ote » IV Mets oper gconbeae sider ieee pox-siinsree ten de rt a a 16 Smunce de cnt tee sara ea 1 Sus const nessa ac GB. “ {VB Ros mtn nannies near nr tao. ‘ opto V,APARATUL DE RADJOLOGIE CONVENTIONAL o Zaria ro Mop Bre ‘1. Component de aoe o ee eo : fener a : Ava Men Bras si lee Se IL. No deri tomcat competi n YE Anat moa cpu in 2 ‘Caio VI. MAGISTICK PRON REZONANT MAGNETICA. “1 “An taeda Yn. Nein wt oa 8 YI Apunan de ecm gnc aS Yi. baie EMG Via, Coninie Spit 1, NOTIUNI DE RADIOUOGIE INTERVENTIONAL VASCUTARA Sieougemue 19 Po i opi “ K.. Generaliay bared ie 90 1X2 Ralls lin pil gle IX Tetnca ands onic. IS. wl apne pc : =o 16, Contasndicaile yenerale ale anglograi oo Es 100, Se peean sonatas, © oceans : : See ics a rgesiore 2. Raogti rnd pro 5 Rag ra incense) : “41, Radiogafla penta yun ec. 12. tnc era pena pi sd. £44 tase Sener oclp-agai) 145 Ranga eps poems (temper nga, Se) - 15. nea emia as ial 48 tn corp ral po ara sore 49: nie de praises ea ‘1. tde psi {11 loss aaa : 4112 er obi a ana = 111 cen ps anal de a X22 Beamer compe nonograil si X33 Examen neonate ‘Capel XL. EXPLORAREA RADIO-IMAGISTICK A COLOANEL VERTEBRALE. "in Maples Brau C Zaria X11. ADIOANATOMIA COLOANEL VERTEBRALE XID. TEHNICI DE EXFLORARE A COLOANET VERTEBRALE ‘X12 poe rile come. = "Rdg el ain = 7 Ratipt oonel ene cee pol 2.2. colon ere ers 2 Radiat oleae cee cn del 3 Radon ceria ace 4 Reign ema once s "CL Rega sone rice de rl - 122 Reig obese de S ‘Ragen cena nob. = "Rapti clerl ose pn 52 Ragin! oir {6 Raingear ee “Rag ogmens etl ae conin l— £62 Reiogna gen venta a. 2XL22. amen comptenomopte lca’ vale 2X13. Eamon pn esa ng stave. (Capital XI. EXPLORAREA RADIO:MAGISTICA A TORACELUL A Maple Bran € Zahara XILL RADIOANATOMIA TORACELU. ILD TENMII De EXPLORARE A TORAGEL 1121. Explorar cove | Radiopate ea 1 Rap re fio on wr 12 Radopaa ster Spo 2. Raigad 2 Rado rc oa ii eos) 22 Raion orc ne oh = 3. ple logit lami ad ints 5: Riga pulmo de ic pose end 312 Radiognta palma de ft lc srs pore 313. Racita palm cing sta one, indsbi det 24 Rig aia ol 25 Raia ane nde cle. 3.6 Roopa uncon a ds cca ne 57. Rada ino de iden ane por, 1122. Bane eampuoromipatc soa XUL23. Emel rin scant ‘Capt XI. EXPLORAREA RADIOIMAGISTICA A APARATULAIDIGESTIV Aa Mopdlena Brat AP. Paces XIII, RADIOANATOMIA APARATULUT DIGESTV en 1. Neji de anatomic aot ta cg. 12:Non de nents logit andre on ‘lL TEHNICLDE EXPLORARE A AFARATULU DIGEST XIIZ1 Exponent "buns gut atta 12 Rags ta ln tia "Rabat iil pel in notion de prof — a ry rs 6 1B 8 2. ane gl cn 6 ial pon fomerape sa 1S 22 Tie pon ume eta i 2) Tene plo forceps rm dato 34 Tees plo facepiece le 1° 25. takes elo Reape seni pw Gago) 150 un23: smn comparing pant ga " XIL23 Boren pene acid Bae Cai IV XLORAREA RADIOMIAGISTICA A a NepdtneB €aara i eS Va. lege come s |. Radiografia reno-vezicala simpla (RRVS). i 139 LE Unwbatrenet i 15 chip net oe pono : ‘ 15 capa soe pl iss Vs: Decegata mesomn tata The 1 eget mee ec te 2 Log ianena (. ea Crs Se ‘e 2 toulemeanile chon cane a fe +3. Examen rsdiologic al aparatui genital... 5 =18. A025 bomen pean apc a oe ‘6 ‘opt XV. EXPLORAREA RADIO-DMAGISTICK A MEMBRLLU SUPERIOR... 167 na Maple Brat C Zar 1X2. TENMICIDE EXPLORARE A CENTURISCAPULARE St MEMBRULUI SUPERIOR UBER m1 1XV2, pln ali conven : mt Radi copa 17 Ti Radogad epi pie de 0 12 Radngad copii pola OAD. va 2. Raion le i TT: Riga lave ner nine poset 72 3. Raognfia asi! sap anee. me 21, Raogatin aes selene de i ned wso- steno eee 32 Raton wie pit pn 42. Rtg eral pf cups cata 18 S faogain aac M6 SL Rape rei cml de i 16 52. Rapti reli em Se ri 17 5. Rader lene 1m (6 Raion on sta 8 “1 Raiogaa cantar sh iia ca 12, Ragra ear ab oo ry 7.Radiopaia rae pus 9 "LE Radhpm arcu pm de 9 172 Rapala pri 180 13. Rati clo ua emg iat 74 Radi sea de (pa ito) iat 1.5 Ration soil prt ees ddr exes male sunt dtl ness cai ans vie soir de pace une proces elope penis o fe atin poids eis webu st fle Insets de menfunen special» meds Crdonaer supe exsens! net eveomale sun, Fenlle clrora Ui $3 efecunt Nineresomi,femele oo Renae pina saw secu oi eee care su sub Seiinsrre connate de an de eontacepve oles px considera & fu tne Se va aves fst fm vedo: fal ch uae contracepelo au ‘usect near sets sca. Paseo v fate expt, verbal nse, (lick ste nc, gneve precizn dara ine! mens Assn vice’ sic de sarin, cu eval cinch $f de Inbox, consist at de mul ordonator de edu practi cones a fetes roses ratilogi. Exits ovci ise cu pve Io possi ste de paid, rina de paceat metic edo cl praca, impure obligatory uo Consul de pei a mofo d specilitate obtarc-ginecologie snares ‘pine macale pit a clan, fa situa are pain ef ipo dn prsin pee ws eon saci ir expneen ete ava ese, efectar3 proce rail {eh cu hanes oc ise splimentae de rte Grou abdomen ae) oct sarcion confi i een tebuie vestgatd su tat pe pacar sii se eeomand una dine umtarl 3 procodraleoative oi evo alge ‘se, confor specie ects ex: ')tllaea unormstode de diagnose orate, cum arf lssonngrafa rezone rugoetic 1) amine cami sau tune pak dopa mage, ach acess Crone se consider crept din punt de vedere cin, puns tn lng sg beet! pens nad, ) in cal care in exe Intern exami 24 Uatamsnui nu este Consider a acopail din anc e vedere medial, procedu railoges Serva efetan ew decrnimin priv doza de rai I vel tn ‘ent sito dora lane aatya esd fast de examine! Trunet gach ee leant rosin dup. In proces Ii dave de ofetumre 9 une! proce aooge, rise obi tora nor ze ar de ere eb ie primo ‘Se comand, de pincipi, amore rice expunel medial ori louzate gravida len piel 15 spt de sack. In situs de urgent, tn cre viata feel su »produsaal de concep cote tn poricoexpuneren medical Ia radia oalzante cu scopdlagnetic ext Iratamenttebul sfectoath. ‘Se recom continues tourer pamelor thc de expunere pense estimate uot posbelor escapees Pein aes dei coete xe necer cooprarc gravid fn cobnc de rato tobe exte ae cate sb senor picts ‘st rcuir expunei pet 3 aupa bligati sceeta de «info ‘sont media de radolgeaspr unl pb si Pete ene expt profs! saci nian, wi in prod dest ins spi prevere a. 63 dia Ont pests Comisi Naor pe [Cooma Atvisilo Nceure 173203, cu modifi complet tia. Pes poss iver sau de agai cu rag X cre pid ‘punt abdomen afar su apes insta ince examina = sie yu ont anda educeen Goze a ive fs pot og pin 8) redoceres muir de mari 1) selecae poet: ©) mires inpul de Nuresope a inns, 1) crams colar cuneate afi erin ‘Se econ folosie unui pace! val aes npn ert de ‘amin rile ale abdomen, care 38 asset doz de adie tinea ‘uli ese et de ous posi de bf, Expuneren meicalt to radlogin pelatrsi inpune coi spsile rwivind evecare exer pratielradinoge. vaminaca radiologic a copa uobie st wh invade pcaaiie atomic, poopie, biohimie sl iaklogis fer pont cae arp de vit sideosbie decle lana 1 Anatomie 2) propor erporle ries forma oraneor ©) dezotare steel 2 a el mieten npc Paoogie Pole peice iste (oi congealed odes cu nso coil abu) 3. Biochinie 8) coo total de ape orp (couse 90%, adult) 1) as aspen ros ©)meabtismal det al medior de contrast | Feolgie 2) atest mi mare ou nfs ~80-120 de resin) rm cardia ma mae (aowetaet = 160200 de epiti/nn) ©) igs apie. 2 De asemence ore practic raining adres copii bu ti coot seit radia ionizare a op este aie et dl 1 cal copilo, juss optimiza, esl dud princi de ba ne alopesi, ebui apne cv oxigen mr. A elo expunere medial ova feos fr josicateadseras, Nu se va fees ne o investigate ‘ntslogict ata ind se pot obj ele rere poate meta de gan, ara inplica un ema epeos coi fs aot sens medi! ononator ee olga pele nsis pein bolt tote lformaileoecesme ties expunen solicit. El va coda ‘esp, saivai expunei, dar si slementle clnice patcuae pent jsiiar ‘apart, sum peal lor expert mele paste anevo. rise expnre medias va efcuat dost dup ober coasingimint sexs a apart dee epi COptinzaren prcedui ingistioe preupune intracjunee ¢ wel spot: calito Sngnoxicd x agin, da ded pientl i slegee cai ee ‘aerate pei efectuare experi eal. etry orice examina radiologic aeathcopilut ebule preva wn ehipament standard din eaucue plumb pear eranarn otal de comp ate ‘medias apropos a emp de dagnesti ‘Pose esr de 6-80 KV, recess maxind de 30-40% dors gonace se objne pin ectanue ex sue plumb ecivalent 025m plan, pzinat ‘mugen. cipal de irs, Pooonaen paint webie st sigue pe ct posi exes poser din asec de itr. In gem, posklonares povientt va 6 preci indifeeat det acest coopers sua Pei sug cpl vor ula ipoaiive de mobilize, ‘suc plea core, vor gaat pacity emg ‘seioll poute erat coeet, elma iia dimensmle cmp sit 200 dente diagnostic {St pol pase ses opal * portent jor de it pica for auras pai ‘Pesoaele ci uk volun fects practi raloice Ia copi se span restr previ in Ona instru sina fae al ree ‘lca Comiit Nationale penta Cote Avior Nera, 2857972002 Responsblts dori wii sae eu patrols corepnct- tou, mace adcevae elective de poet aloe gt diapoive autos se imoblizare pein paetal pein, previa in reel eglenesti,revne ‘ull de toi, ln com co peveste relementirie spectce refertoare a expunerea| ‘medialé«persoanlor I radi onzante fn earl expertiaclor medio legate ‘vom fie nite pei de fae 3 menu de pocedut radiologic legal Conform reglementisir apeiice se defines ea ocean radioloice sel lepnle experi media radi nian in seopal expetzlor ede ‘egal sue solic nor guar cus finde medial cla. (vice expunre medial radi inane cre ara Sop final 0 experioa -molioegald se just individual eu respecte enter previzte in Onin nou siti ait al preeinell Cams Naovale entre Cont Actvtiilor Nuclewe nr 1732003, co mole gi competi urate, confor ior treble exist o soir srl dn pre wl ndonso, "Expueten mia a rai ionizane a une pesoane a sles noe sigur feta far eterna indica cies consider eesti Sint excepae: supine defen aie de droga 9h ae, pei care ‘benef net fa de porana expt i ee rizr in ase! de sta eee nes ai pnp cee cx pil ere (rice sept a nck exper medial In radia oie avd ca Scop Sea experi medio egal ete jen ama fn umitoarle sti ‘aia radiografior exe nessa pons um diagno de ceudiae radiogrfile av aa clmente de sigannié cae sk peri iesiicwes sca een efetnexpunreaneioar ld se contest guetta ior fsa terior ‘ind exe osc evalua evolu temporal a uoorIeiun taunaie {in scopul eles wei contests rice expuner medial Is aati Sonzane, cecal in cal proseduor neil, mpane fecares el putin a wns radoei, care se costinle ca scum medina Capitol 1V SUBSTANTELE DE CONTRAST “Ana Magdalene Bram AP Parcs 1, Genera const repens iteana de fanegrie fate repunt vein. Game de cont et dif ats rege cen ma Inch (acs) 9 eae cok ma Cochis exstete pe fill alos fa srctum compli erence exist pate denial findaneanle: gsm pasion spn gol Tncrvei ranges ec etl sprit Bo i enfin en preciaie pe flmul radoge, fa scbinb examine Tati pert evidejeren una ngae i tt poles mor eosin 3 ‘rate score ea ua cota natal esr dino "Aes coist poate ft eu chi teat nd el exis pin nteraeil sesselor brane coma aia "Ase seed ott sep sop eres ses une mode no ‘in vires wor suture sus vie iS sire sr sa rene mnt einai vedere dori um ingot oe. Trstue cojint ful ch subsample de coxa at sunt produse imedkamentnte fa sons! sit acai dsoree au produ ist em fit Taper le webu eunoscte pete rcorandare ilar rn cot de ‘Grave cate poste expos blo 98 fe apeciat ene ce poate fob Frunua acne amin proporeal tril cre] comport. Sane de coat ut consid ements san compos eto ges eae eri Ge eto examinate 4 cain in spat via sm ‘rv extrem mu gro sein “Sopa orespuntoa ncaa taco de contrast aoopase ¢reapreh jot fn cul substan de ons rampart sou sous. Subnanle de commas rudoopase put f tliat «i scopal opi stremrioe vascular gimp a erste neni eracelar ere presat ‘aseulaiaie prope, pocu9a modieisar paoogice 22 Substanee de conte zat a rainlagaconvenionala Substance de conus uae railoge pot termina un coemst ey tgindsuctre itere, eo conta po, dete apa cul tbe a nisl star pe ete oetaminam ne poate rea un dla conta prin foci clo dou! menos ane. Subsanjcle de contrat ce detemint ua contast eps In radologia conven sun repezeite de cr sau ali ue, de exemple cron 0 fue inne Uliana sbanflr de contrat cpt ae 0p “competarencojnaspaon dja exit lw ga ar “apres morflope! une nit viru (pertonet, ec) “nies anor src cole Imiofe Ineumnaasi,1vopbeuno peritncte) aceasta a actin dora intr se rears un contest nega spi ita de soc cu desi ewe (eoticaertal, ala ee) - moto ts nfs abandons dt cu apeiia ‘worl CT, IRM, ade in vedere rl crest de paris enboilrgzsase Subsanfle de onan mod caret radio meal sur cle ‘ne reizcch tn ona oi, Aces wt repent Ge doula ago fi aumessbsane tariate i bsanendte, Amel bean as us mun ate tune deterninkodo absorb reset arzelor X yi af reiaara oops ‘returnees, Subsanfele 6 const ce wlrart bars nt substan insoluble gl se sfiieus so femme ne sr inolble dest de tai, Sal de Ran te ‘nell in po mile cu pvr vari le tl est ae mom tie mare fuse ese ell moose digestive. Atel el consi sibs de const de cla pests erator este ablomale. Find insolabl, rin Ssrstcal dine lel de tario a8 se raizea o suspense. Admiisarea ‘bene de contract bari se relzert doar pero pe i, roll Hind cela da opcifaumence digestive Ansan pe o stan arate te wilt per rele uu ‘examen en-ptro-dderal sob # un examen de nein mie nimple ‘rit ete fost pen examinures itn oe examen cre por don ste de gore. Tote ase pur de examine sunt examene Muorscpiss, Cima deelazte cic rig ence de puto Nico sustna {conn anit se smiistenainravenns Subwajele de cont fariste ws cag conindcai de adninismre umber siti in carl uid ns Stale digetive sau @petfrilor peta en ces sai exit acl de prune cava ptocal Daca sta le brsetetnt pent eons wn carl eis ns cla itesinate, pena 8 slit de bara rei Stermini formares Ge ogame, ete pot agar o lie Subsajle de contrat ot sant bette idoslbi, incl stile ‘n cond de depotare deca lo et neces ft exper Ia ei). ‘Substanjle de cont ote ie donne expr “ator mene decal digestive “pets mene digestive ct conindepio salt dears, ‘Act tip deste de contrat ant wilt penta opti: * wuelo siaguoe(aneriograte, Debogae) ca sibsaoja de cont ete nina nave se easel cil bilare (slang enterorads x tevopral) ind subtna de centennial bile, ~ lor exert ui (uti nvensest artcopelopatie reogradt su psetnt, reroprafi, copra) cd substan decorates ania ‘erento, edt pin ecient win, ‘cial rabiin(milogrt) end subst de contrat et dina lat pein jee call aia, arial (atrograti),cind substan de coors ete init direct ‘in inact ints acute, ru igen tia de contrat xe ins per os san rin tm, “islet, nd sabetana decorate adn ct pri inet a svt acl sto, eo Adminsrares de ssbtnie de comast fate ete contundeats tn ce cnt sic eesti adver nace ‘vane In dbs cont eo eran care realizar oul nical ‘ube dgesti ear cupid el pin dot cape anome prima este iiss te ubtari decoctat bari, me denise de ac. Acs ip de caine ola pen sl bu viulzar ero mii ea nivel digest 1a, Sobstense de contrast ate omografacompeterznt Tn tamogratiacomputerzats se wiles dor sibtn de cote ioe, ‘ajc insavasculo a susan de contstine va prod: = opacfiee valor mar (np veeuarvil in Fane de debi de inject concent reds), ™ uma de pee capilscoepcacinsios (imp pucacinste) “i al elie dn ean np exert). Ago de commas iodji mv depigese 2 mod normal bares bematoenetalet. mine soto de cotati fice pe cal ronal (Gitar loner), empald jumtieesede60.120 in, doe entliinat proinatiy 7% da ub. ners seri abu ni reaborge. Reduces Sa glomerular ae det coosecnt eliminate const soda gf pe sec ila, cura). De not cn preaene cotta id in ‘erin biel pate pute dup injeare Ia incr cu inte el oral, [io avn seria paolgil Subst de cont de au inept pe sa gn 1950 ns ca spas strlor moaonerice de aid benzoic Wade. Aces. prime bene nt monomer ine eu cumolaiate iat ae acum ene de 38 Care ct ool lar, cen ox determin aparece cee {iso adverse (oie saflacce i Hemodianic) la neta inves. [a ai "70 a apt pin monomer noon, represen’ subir de centr ae mu oie in Sli, elirnd in pod: patil chin ch (43, ebuindese asl seule de rent advere, Ostoaitenaesr subst fete de prximstiv doubt ma mare dct eh ple sill. esa ‘suri de mid oot oe, seal nice dimeric, ‘Unoare gene de substan de ootat date spar sre stil aor ‘0 gi amume subajsle de const dimerce nonlone, acusea avd 0 cxmoltiate rac ela ose ple! S00 mm un rapt cpr himich att de 6. Ava piacipal al hte de cons dimeie nor joie est ler out bul injctare nicl, eweetren sori pci esvanajle ssi cle de bsg decors ut pel de os rea sia go viseatate ce cet pe mur ce send esas, od njsires eval maki, a ales pet debit mar, Chie in cee cond in uke iri rents a necareaiavavascua a subsanelorhipremelae, ‘soiriates pacientes ind pict. ‘Ast dia punt de vee al osmolarii msajle de contrast ioe Sti rubetne cu osmolaiat mae ‘btn ca omnolrate mit, “tahtnj aooemole. Subwanjele do contrast nn once cu osnoaist mic Sau zoosmolre mb fete adverse pti sur bis ler pies Desi ese een st alegem conus cite ae cele mai pine eft scundrepoin reli ex mnt mare secre a pict, ceri de lege i coed ajo cast no-one, conse slate mies ttt zcstoa {naz cota pot pare rent averse stants de cous od. Acesen parma rcvet I injects inven corgra eu cen ares tts ‘lay rare avd even aes sever sub 1% din ttl ijn, 14 Real adverse apt contrast indate 1a sdmiistaren intravascular de subsaote de up mecaisml de nine ress adver la satan de const ose ot cls “ea istic reac chomotoies. Reale iioinerazce sunt reac anal ae ps ip, ot ndopentene de dora concent contrast, nplih mecenienele de paler. Rear dep chemorxie: epnd de dc - epi de acti filo le te substan (oi, rs coins, pert lets, cpa de clare ccs, cont dso), Thor ma even I psi eo insane de organ, maifestindo-se ext feet forma eto (0 st tsi, mai feat wis, reoilradver a adn embed coast ie ntovsclar ne cn ene nes ia: Reale bers ante neni de momen asl, gt imei tive. Cele cli Indl ora ain, neni save Resi minore ine: pe vari etm, eile, uric modes nt nem ich Gspr pone ot ce terme inject "eevens st mare pe susan hprosmaae (15%). Reseed inc: “simpioneereciorminre cu ntensiat mai are hips ‘ronhopasa par in 1-2 care eject ca subst hiperosnlae esi amen cede deel iss prompt. Race rave a tenia fil ih bo! armen care eda: sons “pire sain em ring dem pues, i crtice fstp carrito, “Tere pete sul persasine eto 02-0,06% “Toute steer a0 eee de aproxinatv $ or mi mh a xz feos ule de cont eb osmolarie east say noosa, moty pire ‘rewire mer de conta cu esis jou este pete losis ‘bsanflor de cota ierenalie weit cu roflace cu cote Reacie nooeele ave mv ani de egls ws cape tH ke, pave, der abdominal, pre i vast Fiopstlogia eestor rai se iaconget cae Real ven la nivel renal st deserise clase cu tem do noi cite sitmantl de cons et defini rept redoeren feet rea, find ‘Speinch prin eet reais ox 25% sau 48 yoo] le pots par in ‘tle dap amiistre navel 2 unl substan de cota, irk ‘deisie ueologaltenave, ‘inci este pip organ arya cin acinar setae de one tat ot, noestenfnd lint a propote de 9% pe acest ae, ures ‘Sell plate a jute doa 2 oe 75% dp ore de aniston faves. la ps, pen rsbsorta api itt elomersar Sn propor de 9% concer tri semi! ona nie de 50100 Ge sa mare dct plasms. “An lspoiei x aerarea fon role,clminwes const ida ce povlngté eu roe coneomiten a chiming exto-seale pin ase Scsdote we al bes. Acumen la nivel veil bir a contrast eda nga ts oblignoi o afte afl el, acest spect ind prezet fil pasion ew inte el eral fees seundae care pot ape in ume admins de subtle contest nna ot lain pier hemodinamiee ~ detzeinindcretre presi ip artele monte, ceveen volimust saaga tol si = dehitli adi ‘inane eine prifiiesplonare; eae unaflctlde = ermine de irra de hist, bach, ‘hoctvares ster complements ma ext rate de ip niente ete eardige cre cons In Sie fee 9 » east ‘stcard, rosie comerians fect renal sui renal ths “het asupra lobuleor rp iiizar mich de areata; fet anupen congela fet naga ese esupre endotelilalyaseular- dctconinind fenomene ilamatort a formar de wo IVS, Mote de prevenre i combatere a Iaeldenelor $1 acientlor post saiministrare a sobtanfelo de contrast Petr ase rte Fel Ge pare a zescilr adverse a iniraea de sso de conan iodteinsevsclar bobo In primal rid sb fe eoosca acide Hse ple st nesses factor dere mu grata cb acente ‘oc alersmo apa sino de substan d conta oar. ei a ipo ctr de cus su: 1 Re renal insien rnd, ttmect concomientc# meticamente nvinlamno etree. Pent 9 pues caoscta sre foi rena gi ei a proven rc sprit rear aves est olgatria cn Divi st se Drevin lint de efactaren tes tami eae prespuneijestrea de conrt Fda aloe eo treatin 2. Rise anafilactold = sim, atecadente doses adverse la ijotra de coast, prov a6 aecdene slice mediaetcse sa alimewar Dine slimeie se canna eh nl coin Sd, jae lea la uch poate Contin de niitrar de cons stave ike eardlovseular sien cada, ipertcsune atrial mlz canoes Rind sec subancloe de const Sate asap ssl cadon “LAN factor ders bet milom megs, bps. Paci ee cae pip aspirator avere de tip onal sn cx railor advene in aires, antecedents de ast, bonho- sein, egies top, serine catace, did, bo hensnogice (ele Cell anemia poliemie, lamar}, oou mia, pace foarte ya, oi rene Bocas 2, AINS) (© moat de preveie a rcilr adverse ete idewtcte scstorfictr sieviaen eo de sured ont perso ste eomsnabi lan in ast cud posite si adver hal de cont cool jst, eons wast sobenle hperosmalare peselath do adinistacs de mctpodniglon pe on oe 2 or in de inject Preven flor adverse fice ra espectacular gl ncn de eainare core: nec roi: “explicate deta « procs pinto eanth matin de 15 mig cop; ilar de bse cones dit ipo ioosolre re bop, penance postenaninare, x nue aii risutce de pri use logic 100 ra reed cu 4 ore sat de odni- rine cos fost cine 28 de ore dup injects ete comands ior fear renal omen (abt) nl de tar senibila io roc ttl subg conju sau ocr, ais nt ttl nate wa Io vedere cl pot pode 0 “Sia i a inion ce substan de contra intanascar pot ope ci adver avi; spurl ext ct se poate fae sul pon parent et Sansa dest de oat oda reo ncn mis ua cr eon lee net n tmp veri ernest nel venoms, premedcae corso asta 1 timp injoctrtsubsnch de conta lode eebule x4 ie amie sumo parame: enpratia digest inspira stridor indict ede bringin, “ ismee xpi nda brenbosps sgumentclor cao hie). eh aetna ‘oie, plore (etic vaso-vaga): spt catanat tia oem ails “CGruune arterial) AY tshicrda inc oe abt su clas ear ecard indi yo vagal “rancor adver astra de sobs de cont io avers nee de vite aes, a deren de gravis cl rebut cramp, ple iui 58 be Gh ink Yenase cae sh sigue aminsaree veetarenortaveos Prk erin ai verapsce web 8 i st “Shnmumren fc alt pont dining race uyoae stu mei ind cot de tip une de eons sunt elatoare de cali, poco ohio ‘Slow pager ns ces edminstate de len tebe lca doa in consi Trea Jean acocsdencle print rameatte crete al aces, pei Ghovarie de medcanone cosines aministraren d ex inraveos, De 86 tence eigen ee idspensal into sei de rdlgie ee wrzesah admin Tre de ano de const nivel, Trebue de semeneacaposcu fap ve necear ou a8 ef nemo soup petuabile, de ser Rios smu Rings, Tminccont de brocortzon nibieniice,pecum ale medicament opeiie Sechrepostbile ci nvr a pare ‘nines eae ponte pare fo moment inj de substan de cont lod ntavenos ei etavazres ate a acl inject In moment sei ‘So up de ice webuie pil edie smiitren costa se api Toca eh cu ga, umn > emguens cu ironies ll exis scl wae cro ol ets. V4. Substntle de contrast late ecoraie Subse de contrast wate In eogrie se zea po ebarvain nicrpuicule de ner cess fess cio de lesan, ded a cep Jens ema cet ‘Asie microbe de doi de carbon ino inavenoy ces sougeitca ssclr ga oie: sat vaseuzt, redinduse dimensunie len ‘deci (ee enlists} males naz eso ieoeogene cv wn reochin Diimensoile micoulr sit de eva micoai pemitind acerca fet roblene pape ‘Pea sgures dre nsoreekmeoui, micrabule sun abate ator carmpnent(galiciozn ~ Eoin, Levit, mica de albumin unas ‘Atuneo, eventual pote co 07 St dosed pamite 01% (Lvov) saa fennpde (Sener, Deity), preven te dz apd «seria fi confert sabia fava de rane ASI const persist dea 60 Secinde pot a7 mine Prisplle indi se bsnor dcontas eer su “eae annie beats e poste apees vac sinensines| over ners, alc amar wie pores, fusuile TIPS, “enna de at eal tan stad anereo casi “omni tle poten conductor aba) Reale advere su prt vse dup aminseares itevenoesd 9 subst de coanast cogntice V1, Substanle de contrast wiles rezouaia magnetic (IRN Saban de cots wie eens magick I doe fc moc tingle eae 9 (1) po spin (7) Ee sot denumie ‘ted ona pareagetice scons incu al su ma aie ie fc pe ipl de iar protic (ton elation dee) apare dtr intact pls magic este al susan de contr dpe ‘ng al ptr eis, Dati Spl ill magaeieeecroic ee de 1000 or ma mare dct proto anaes de snl prumagntih neces pena ede tingle laste fate mi, Dine to stom, gail (Ga), an element ata sar, are eft ‘elas cel mai paler. Magnevis este wn agen conta especie excel, ‘oo tlenas foie eat i adminis invenons, el evil in component tals. Ese iat In seeerele ponder TI pen vein vaslr $8 foeduit (angio IRM) st carterzren Ireilor cx ifecte octet (sia ‘ati composed in CT, Sa Magnevnl are anal sees ae. ‘si, tid Fadninisitpacieilor en insets ronal), dra wal ete de Daimeeabgeorp. Timp de Injumiire plasmaih ea de arorimatv 90 min laure find goo integral. Reale averse Ia Magni sa rare, de inne red nes de regular sant snptomate uri, din sn uli nafs rapa rec adverse ipa goeull ana, Deze produlr de const ds In apatin nor substan ca speci tae do ong, bm special hpi, Gadotena de dmeghomi (G4BOPTA ~ ‘Malihanes) est expaenal une clase de age de conrast specifi bepbli extacelar, and eft de cure TI eliinare bia tne 2 yi 5% res ind pe cale rea ARS cago de beans de contrast specif ey lca ida inclade agent ch parle degbl de ond de fr. Avec parce set fo ite de stem esculo- ental dn fet (elle Kuper = praia, pn i tae din doa ijt, pid nacrfugel dn papa re) @ mdr hematopoe Se, determining roduc small neste noma. Tsuure eae mo con 50 tip de ele, de reg estar morte, mt Vor lage parceled oxi fer prnd un sort de intonriste dca, find mai bine vzaliate dup foxes aces dp de contast De refine ene fg! cb acs ip de ube de ont ant asocte sevenelor ponderte 12. Ele por f alte ait pears ents parochin eptc it 9 vse (alt substan de conte spesifiiathepbilinl et Mangotoipi tide (MarDPPO ~ Tessa) car produce © scure TI i Real nermal Gotesitte crest vera, ecileptlgie plrind i hiposerinal. Se ‘ins in propo mare 0%) pe ele ir, a ere adverse ant tc © Ince de 12% resi nace severe find de 6 oa are det i el subst de consast now ii. 1 Roll asstenehin admirer subsansorde contrast iniravenoase lindas meet rail, sa improun cu aco, fice ineroptra ciel pe depres uno vena antesdene palpi ale ni neva ups compaiti pce a rap ou dvene meicamen, a special tbloce sania, yo alinete pn lergee (pm, ae gh, fic ct cot ae Ge lod). atenie eesti, care de fat consti Containicaie sole adviser sebtnlr de contast ide, © consis ‘tment co suse ecunetas care oid (aaa! nde). ye sig op inv paint in dep cunoti decal seme formal de consign, cu privie Ia word pect feces examin, previ adie su a susan’ de contrast vei dts valli a Mona de susan de cones “Sec aus de const ex lo temperate en 30°C. asian ‘caressa de oa ee roca lactase in sere dios, ocr condi de aspse 6 atagpte ral penta aint subse! de coat Call teal ete desde medic infec de debi ‘tec neces ecu de ona "tu sion cre pce pein cx tml dee moot se veri pemsbitatn sea ‘sis smu inject ub sgrvepheres medical substan de cosas Sates de cori mse admins i fx comin, of eb 0 lateagee = Inet de en 15 ac I debut, ep adinsrare an 1 batt cours irasens, Se obser use re fl de esc a pacino ‘aii tia cen ma iid texte oor even reci serge a dina subside conta insane. gk adnan sent de ont nase ais dbase ‘eater aizt pe ae eevee reine eli i igor "ATENTHES faconl de substan de coost uz se aezs 24 de one etn ijvare peeve size a eel poduitoae tone, eal ijt sens ite oblgth st eprovephere evetulle locidee de injete (een vai, edmiitare parwvenmiss, kere tout enjoin ar iii senplor atoms de nets). pt ica bale psn minim 30 mins, dap eae f siti vol femble pte, expat suprinat asinine se sg apa stp panera co de inject. Capitolul V APARATUL DE RADIOLOGIE CONVENTIONALA Zahara, Ana Malena Brat ‘VA. Component apartal de aolgle Orie apust be radiologic ete alent dnio sre de echipaments sutanenble Tub diogn cu aeossorile sale (Generar exe rn aie a ‘ Traafomitoare + Tenporiatare Lint de lente Ppt de coms Mas de igre Stati deadogaie ert de asrescapie per eskpamentele os ous postu (de rate soon) Serr pons, Goneratora ete acs pare a apr do riolgi ce esigufoenares coreati lees apecliefincjintici tui alioger gh fuciones ‘chipmeneor nex, Curl cae june la enero in eau leit aul ‘diners a apr de radiologist cet ality de 220 sab 38D V. Tabu treba sigur cv erent conti catia de oedalovoor neni ‘mish de nda! milamperlr, Aco desde 92 rank co jon ‘rsformaturelr rdsu, Orie gnentor ae im consraie dowt wasormsoee, unl de Tak ese, cre traf cust dela incre os esas tae 0-150 kn Inport cs carcertile aust §¢ un alt tansformmor de jo teins, cae transorms corn de in ren ae de 20¥, cre asia prin cul de joa tense ice lament cate Transformatora ete anit dinzan primar 9 un scan. La evel Prima, impli cu tora de tansrmare sh cae va ajnge 8 nda Iiamperir. Pena dsipachcliict usormnons seal hale de Prin oasfomar se obfie un cere tune iment, a de ft {Caen ater este sinusoid Redrerora are rol dea “amps” asa Figura 12, Pip reiresorai eB te or conarctive esau ee se ize pn de Sipepe vid Redes wea ‘Pen un cat tcc vem aoe de ir de ct 6 reds (13). Figura 1, Cre ifiziceu 6 reeesoure fn acest foc itlaie rol ae do crite lewice complet, Un cout de joe eine, cre sigur lineata ment sti ‘Un ci de ol tsa, aflat nge cao and 9 are cess Geren mice de poten ssiguind overt mare de depasae © fase slectonie, eset «energie ma mar deisel dean0d Temporzaoarcle sit dipostive sketonice cae courlezt slinenare clocioh tbuhi, dorsi 8 echgameatlor aula ale apart de raioge Tinp de rege Toei amen aad scree anda vena deri pti ones ccuitelor de msararxconto!, time eshpamentlor ain (gi onto tc) ere In inyee ehipancasor aia nksrate tp de emis etl Line de aimentare screens de ab car ase esr ine sm de creat de see s sormatonre, le ti fe din cpr, 8 i ‘eure poirot, nnd ae ale de onset Corinde cel pao wnatoar meeanisme de con un pomicgri “sletor de fae (pest url 2 oar) omnis opie pent pata ce 2 possi) “spas de su i ool pent x 3 part expec “easuze (KV) innit (08) ia, ‘Se pom mana! pu do parame 3 ind stato. Apratcle modem ay rpimari pewnte (in mem apustul) pen

    You might also like