A transoesophageal echocardiography (TEE) test is an alternative way to perform an echocardiogram. An ultrasound transducer, positioned on an endoscope, is guided down the patient's throat into the oesophagus. The test provides a close look at the heart's valves and chambers, without interference from the ribs or lungs. TEE is often used when the results from standard echo tests are not sufficient, or when your doctor wants a closer look at the heart (Cleveland Clinic). This book is a comprehensive guide to TEE of the tricuspid and pulmonary valves, both on the right side of the heart. Divided into three sections, TEE of both valves is discussed in detail, as well as various associated cardiac surgeries. The final section comprises multiple choice questions for revision. This highly illustrated guide includes numerous clinical photographs and diagrams, as well as a DVD ROM demonstrating more than 90 procedural videos to enhance learning. Key points Comprehensive guide to transoesophageal echocardiography (TEE) of the tricuspid and pulmonary valves Complete section of multiple choice questions Numerous full colour photographs, diagrams and tables Includes DVD ROM demonstrating TEE procedures

Designed to help you quickly learn or review normal anatomy and confirm variants, Imaging Anatomy: Ultrasound, second edition, is the ultimate reference worldwide, keeping you current within the fast-changing field of ultrasound imaging through comprehensive coverage of sonographic anatomy for head and neck, musculoskeletal, abdomen and pelvis, obstetrics and embryology, neonatal head, and vascular. With over 90% of the images updated, this second edition is completely up-to-date and highly illustrated, which when combined with an orderly, easy-to-follow structure, make this unique title unmatched in its field. Provides expert reference at the point of care in every anatomical area where ultrasound is used Presents richly labeled images with associated commentary as well as thumbnail scout images to show transducer placement Features a robust collection of CT/MR correlations, highlighting the importance of multimodality imaging in modern clinical practice Reflects the recent dramatic improvements in equipment and techniques with state-of-the-art images throughout Includes an expanded musculoskeletal section, new and expanded OB/GYN content including pelvic floor, and new coverage of 3D ultrasound Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

This handy reference guide is intended to help trainees or new practitioners gain confidence and improve basic skills in performing ultrasound-guided interventions. Focusing on the most commonly executed procedures for peripheral joint problems, the book also includes lower-risk injections for spine disorders and upper extremity peripheral nerve injuries. For each injection, the following information is provided: indications, suggested medications and dosing, approach (in-plane/out-of-plane), bulleted description of the procedure (marking the site, optimal probe placement, correct angle to guide the needle from initial entry through the skin to the target structure), list of structures to avoid, and clinical pearls and tips. Photos illustrating marking and probe placement and high-resolution ultrasound images with needle visualization on insertion and at target will accompany each injection.

Easy-to-read and engaging, this text offers a succinct overview of radiation biology and protection concepts. It teaches both why and how to protect yourself and patients from ionizing radiation. Emphasis is placed on integrating the theory of radiation protection as seen in radiobiology with radiation protection as it should be practiced in the clinical education setting. The text discusses cell structure, the direct and indirect effects of radiation at the cellular level, biological effects of radiation exposure, and protection practices for both patients and personnel. Current regulations and recommendations are in compliance with the educational requirements established by the American Society of Radiologic Technologists (ASRT).

This book represents an effort to document the experience of a carefully-chosen group of international surgeons, regarding the use of imaging technology in their everyday practice. The aim of this book is to help medical students and surgeons at all levels of training and practice to understand the basics of the more common imaging techniques (CT, MRI, MRCP, US, XR, radionuclide scan, etc.), including their advantages and disadvantages and their optimal use and limitations. Following that, the application of these imaging modalities, including the most current developments, in the different fields and subspecialties of surgical practice (including, but not limited to, surgical oncology, neurosurgery, endocrine surgery breast surgery, hepatobiliary surgery, pancreatic surgery, transplantation, urology etc.) is presented in detail. What is important about this book is that it is written by an international group of surgeons who are experts in their respective fields and who offer us here their wisdom and experience, regarding what the communication between the surgeon and the radiologist should be, in order to provide these complex patients with the best possible care. Apart from the radiological and imaging tools commonly used in current practices, future prospects and challenges regarding how imaging technology can increase surgical efficiency in the future are explored. The overall goal of this book is to help surgeons in today's technology-driven environment have a proper understanding of the use and limitations of modern imaging techniques.

Titles in the Pocket Tutor series give practical guidance on subjects that medical students and foundation doctors need help with on the go, at a highly affordable price that puts them within reach of those rotating through modular courses or working on attachment. Topics reflect information needs stemming from today's integrated undergraduate & foundation courses: * Common investigations (ECG, imaging, etc) * Clinical skills (surface anatomy, patient examination, etc.) * Clinical specialties that students perceive as too small to merit a textbook (psychiatry, renal medicine) Key Points * Highly affordable price and convenient pocket size format - fits in back pocket * Logical, sequential content: the first principles of emergency imaging, then a guide to understanding a normal image and the building blocks of an abnormal image, before describing specific clinical disorders * Clinical disorders are illustrated by high quality radiographs, ultrasounds, CTs and MRIs, with brief accompanying text that clearly identifies the defining feature of the image * Focuses on the conditions that medical students and foundation doctors are most likely to see and be tested on

Although rare, retinoblastoma has been at the fore- fortunate; while in the developed world eye preser- front of cancer research and treatment for the last tion has become a priority, developing countries c- three decades. The two-hit hypothesis of oncogenesis tinue to face delays in diagnosis, poor access to care, proposed by Alfred Knudson provided the conceptual and suboptimal treatment - the problem in the less framework for tumor suppressor gene research and developed world is cure. led to the discovery of the retinoblastoma pathway as In this book, we have invited a team of experts to a key element in cancer development. More recently, address all those important aspects of retinoblastoma the treatment of children with retinoblastoma has also research and therapy - from biology to epidemiology provided a model for modern approach to the can- to treatment. We hope that in subsequent editions we cer patient; state of the art retinoblastoma treatment will be able to continue to provide updates on such can only be conceived in the context of the multidis- exciting subjects.

Pathology of the Pancreas: A Practical Approach covers all the diagnostic entities in adult pancreatic pathology, providing extensive illustrations and tables to assist the pathologist at the time of diagnostic reporting of histological and cytological specimens. Potential pitfalls and mimics in pancreatic pathology are highlighted and illustrated, and guidance is provided regarding how to recognize and avoid them. Pathology of the Pancreas: A Practical Approach enables the pathologist to recognize the various pathological entities and provide the key information in their pathology reports, which is necessary for the individual patient's further management. It is based on the most recent diagnostic algorithms, international consensus guidelines, and systems for disease classification, staging and grading. Clinical information is also included, where it is important for the multidisciplinary team management discussion. Pathology of the Pancreas: A Practical Approach is a bench book for everyday use beside the microscope and provides the diagnostic pathologist with a comprehensive, well-illustrated and extensively cross-referenced approach to pancreatic pathology.

Over the past two decades, the remarkable advances in imaging techniques, such as ultrasound and fast or ultra-fast MRI, have led to the diagnosis of an increasing number of tumors at the prenatal stage. This revised, abundantly illustrated second edition of Tumors of the Fetus and Infant: An Atlas presents an up-to-date account of the clinical and pathological features of neoplastic disease and tumor-like conditions in the fetus, neonate, and infant and discusses major tumor studies and cases from throughout the world. The full range of tumors is covered, with each chapter reviewing the incidence, clinical findings, cytogenetics, pathology, radiology, treatment, and prognosis. The goal is to enable the reader to gain a clear understanding of these lesions so that a correct diagnosis can be achieved and appropriate treatment, initiated. This atlas will also serve as a concise and easy to use reference source not only for pathologists but also for clinicians, resident physicians, medical students, and other medical specialists.

For every physician that interprets ECGs, there is great need to understand a vast amount of information regarding the technique. That the basics of the technique have changed little over the last 100 years means that there is a huge amount of subtle detail that must be learnt to enable its effective use as a diagnostic test. The ECG technique is critical for deciding upon further diagnostic procedures and therapeutic interventions (notably coronary angiography, PTCA, stenting, coronary artery bypass grafting, pacemaker insertion, ablation, electroconversion etc). Without attaining the skills to practice the ECG procedure and knowledge of its diagnostic value - skills often overlooked during medical training - physicians will be unlikely to use it to the benefit of their patients.

In the elderly, the coexistence of various diseases, the presence of involutional and degenerative changes, and the occurrence of both physical and cognitive problems represent "the norm." It is therefore important to know how to distinguish the healthy elderly from those in need of treatment as a sound basis for avoiding overdiagnosis and overtreatment. This aspect is a central theme in Geriatric Imaging, which covers a wide range of applications of different imaging techniques and clearly explains both the potential and the limitations of diagnostic imaging in geriatric patients. Individual sections are devoted to each major region or system of the body, and a concluding section focuses specifically on interventional procedures. The book, written by recognized experts in the field, is superbly illustrated and will be an ideal resource for geriatricians, radiologists, and trainees.

In clear and concise language, Fundamentals of High-Resolution Lung CT, provides a straightforward guide to understanding the high-resolution lung CT (HRCT) assessment of diffuse lung diseases. You will learn to accurately interpret HRCT findings, and how those findings can translate into the correct diagnosis or appropriate differential diagnosis. This volume includes over 600 images we consider classic, many of which have been updated and improved to facilitate easier reading and more precise interpretation. This new edition includes two-page summaries of each chapter, including; key diseases, facts, and findings, as well as classic images -- useful for review or to better understand CT findings and specific topics Every chapter has been updated with new content and new imagery to reflect recent advances and understanding of diseases, and to aid in diagnosis. Numerous pathology images have been added to help you better understand disease processes. Seminal images are now highlighted so you can compare to more recent findings. Covers many commonly encountered diseases like pneumonias, sarcoidosis, and connective tissue diseases, as well as rare diseases. Not just for radiologists in practice and residence; specialists in pulmonology and oncology benefit, too! Enhance Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

This book is a unique resource that will help pediatric radiologists, pediatricians, and pediatric endocrinologists to optimize the work-up and treatment of pediatric patients with endocrine disorders. Acclaimed experts in the field present and discuss the imaging findings obtained in disorders of the various endocrine systems, including the hypothalamo-pituitary axis, the thyroid and parathyroids, the adrenals, and the pancreas. Detailed advice is also provided on the assessment of bone growth and on imaging of the fetal glands, ambiguous genitalia, and the female pelvis in the context of precocious puberty. Throughout, care is taken to highlight characteristic findings and diagnostic clues. All of the currently used imaging techniques are covered, with clear explanation of their benefits and limitations. The informative text is supported by a wealth of high-quality illustrations, the large majority of them in color.

Titles in the Pocket Tutor series give practical guidance on subjects that medical students and foundation doctors need help with `on the go', at a highly-affordable price that puts them within reach of those rotating through modular courses or working on attachment. Topics reflect information needs stemming from today's integrated undergraduate and foundation courses: Common presentations Investigation options (e.g. ECG, imaging) Clinical and patient-orientated skills (e.g. examinations, history-taking) The highly-structured, bite-size content helps novices combat the `fear factor' associated with day-to-day clinical training, and provides a detailed resource that students and junior doctors can carry in their pocket. Key points Highly-affordable price and convenient pocket-size format Logical, building-block approach to content: initial chapter on the principles of neuroimaging, followed by focus on understanding normal and abnormal images. Subsequent chapters describe specific disorders Clinical disorders are illustrated by high-quality images with accompanying text that clearly identifies the defining features of the image Focuses on the conditions medical students and junior doctors are most likely to see

The field of gastrointestinal motility disorders has been expanding in recent times largely due to advances in diagnostic modalities. This coupled with new evidence to support best practices has increased the interest among clinical gastroenterologists, researchers, teachers and trainees.New advancesin the field of evaluation of functional bowel diseases and motility disorders, such as high-resolution manometry, 24-h pH impedance monitoring, Bravo capsule pH-metry, barostat, balloon expulsion test, barium and MR defecography, biofeedback, hydrogen breath tests, motility capsule (smartpill) etc. have significantly expanded the scope and outcome of treating such these disorders. However, presently there is nocomprehensiveguidethat coversall aspects of evaluation of GI motility.This contributed volumewill havechapters written by a panel of experts from the global academia, including from India, Singapore, Japan, Taiwan, Thailand, Europe and USA, integrating the body of knowledge on evaluation methods with evidence of best practices for the management of motility disorders. A chapter on how to set-up a manometry laboratory provides key information for clinicians and researchers who are planning to start working in this area. With 20 chapters in the book supported with numerous tables, flow charts, schematic diagrams and images, professionals will find it an essential reading.

Part of the Clinico Radiological Series, this book provides a multidisciplinary overview of diagnostic imaging for sinonasal disorders. Divided into seven sections, the text begins with an introduction to normal anatomy and imaging techniques. The following sections discuss imaging and pathology of different sinonasal diseases including inflammatory nasal conditions, tumours and tumour-like disorders, trauma, and congenital and systemic diseases. Emphasis is placed on the importance of image interpretation and a complete chapter is dedicated to functional endoscopic sinus surgery (FESS) imaging. The comprehensive text is enhanced by nearly 500 radiological images and tables, and includes illustrative cases and guidance on structured reporting format. Other titles in the Clinico Radiological Series include Temporal Bone Imaging (9789385891908) and Imaging of Interstitial Lung Diseases (9789386322517). Key Points Multidisciplinary guide to diagnostic imaging for sinonasal disorders Part of the Clinico Radiological series Includes chapter on functional endoscopic sinus surgery (FESS) imaging Highly illustrated with radiological images, tables and clinical cases

Endoscopic access to the small intestine has for a long time presented a challenge to physicians. Although capsule endoscopy can provide an endoscopic image from the entire small intestine, neither biopsy nor endoscopic treatment can be performed with it. In order to make more definitive diagnoses of abnormal findings detected by capsule endoscopy, a new system incorporating greater insertability and maneuverability is required. Double-balloon endoscopy, which enables endoscopic observation of the entire small intestine, represents such a new system. The chapters of this book describe the principles, insertion technique, and clinical applications of double-balloon endoscopy, which will become the gold standard of enteroscopy and may well eliminate the need for intraoperative enteroscopy in many patients. As such, this book will provide an invaluable source of reference for all practitioners working in the field.

Advanced diagnostic imaging (ADI) services, such as computed tomography (CT), magnetic resonance imaging (MRI), and nuclear medicine (NM), allow physicians to diagnose life-threatening diseases like cancer and heart disease with greater speed and precision. The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) required that beginning January 1, 2012, suppliers that produce the images for Medicare-covered ADI services in office settings, such as physician offices, be accredited by an organization approved by the Centers for Medicare and Medicaid Services (CMS). This book examines the effect the accreditation requirement may have on beneficiary access to ADI services provided in the office setting. It also assesses CMS's standards for accreditation of ADI suppliers; CMS's oversight of the accreditation requirement; trends in Medicare spending on imaging services from 2000 through 2006; the relationship between spending growth and the provision of imaging services in physicians' offices; and imaging management practices used by private payers that may have lessons for Medicare.

The 'Index of Medical Imaging' is the must-have companion for diagnostic radiography students and newly qualified imaging practitioners, designed to allow easy access to descriptions and discussions of many aspects of medical imaging such as radiographic projections, positioning, procedures and clinical examinations.

The Index consists of multiple lists, tables and discussions linked to (amongst others) radiography, CT, MRI and components such as radiological contrast agents, responses to contrast reactions, MRI safety. There is a glossary of terms and definitions plus a list of abbreviations that may be encountered within radiology. Tables are given that suggest the order and type of examination that should be performed as defined by the UK Royal College of Radiologists.

FEATURES- Supports clinical decision-making- Glossary of key terms and abbreviations- Unique format that consists of multiple lists, tables and discussions

This atlas has been written as an introduction to assessment and diagnosis for clinicians with limited experience of epilepsy: specialists in internal medicine, trainees in neurology and primary care physicians, who are tasked with the care of epileptic patients. The book deals with the pathophysiology of epilepsy and highlights the most important clinical aspects and complications of the disease, equipping readers with the knowledge and the skills to be able to deal with epileptic patients in a safe manner and give them the best chance to become seizure free.It is a comprehensive visual guide, illustrating each type of epilepsy with real clinical cases. It includes algorithms and tables which summarise pharmacologic therapies and illustrate treatment options. The appendices provide straightforward instruction on reading and interpreting the EEG.

Now in its second edition, Imaging Anatomy: Musculoskeletal is a complete anatomic atlas of the musculoskeletal system, boasting an improved organization with easily accessible information that is standardized for each body region. Brand new chapters, updated anatomical coverage, and highly detailed images combine to make this quick yet in-depth resource ideal for day-to-day reference. Emphasizes relevant anatomy for clinical practice, and combines text and images to detail normal variants and imaging pitfalls New chapters highlight normal variants and imaging pitfalls for each anatomical region with measurements and lines that are valuable to referring clinicians Updated anatomical coverage now includes information on regions such as the thumb Features both the left and right extremities and has significantly larger and improved scout images to expedite reference Includes arthrographic anatomy for each joint Individual chapters provide an anatomical overview, radiographic and arthrographic anatomy, and MR atlas for each region Expert Consult eBook version is included with purchase and allows you to search all of the text, figures, images, and references from the book on a variety of devices

This volume covers state-of-the-art applications of solid-state and solution nuclear magnetic resonance( NMR) spectroscopy to study protein structure, dynamics and interactions. Chapters detail various aspects of data acquisition and processing, determination of the structure, multi-timescale dynamics of entities ranging from individual proteins to large macromolecular complexes to intact viral assemblies. The final two chapters will highlight the promise of NMR beyond field strengths of 1 GHz to study the structure, dynamics and interactions of a larger class of proteins and protein complexes of extraordinary biological interest. Written in the highly successful Methods in Molecular Biology series format, chapters provide detailed laboratory protocols and troubleshooting tips that would be of great practical help to NMR spectroscopists with different levels of expertise. Authoritative and cutting-edge, Protein NMR: Methods and Protocol aims to ensure successful results in the further study of this vital field.

This handbook provides hospitals, clinics, and imaging centers, along with their medical and technical directors and hospital administrators, with the necessary information and tools to develop quality initiatives. The specific aims of this book include: 1.Describe quality control as it relates to non-invasive cardiovascular imaging 2.Understand the current standards as published by societal guidelines or accrediting organizations e.g. American College of Radiology (ACR), Intersocietal Accreditation Commission (IAC), The Joint Commission (TJC) or the European Society of Cardiology (ESC). 3.Demonstrate techniques to comply with the routine quality assessment of the equipment utilized in the imaging process. 4.Understand and document the appropriate patient and protocol selection. 5.Optimize appropriate imaging techniques to minimize acquisition and processing artifact. 6.Improve the reporting process and more effectively communicate with referring physicians. 7.Assess the current process of care and document the outcomes to allow for process improvement. 8.Develop protocols for the evaluation of patient and physician satisfaction. 9.Design programs to perform the public reporting of outcomes.

Covering both physical as well as mathematical and algorithmic foundations, this graduate textbook provides the reader with an introduction into modern biomedical imaging and image processing and reconstruction. These techniques are not only based on advanced instrumentation for image acquisition, but equally on new developments in image processing and reconstruction to extract relevant information from recorded data. To this end, the present book offers a quantitative treatise of radiography, computed tomography, and medical physics. Contents Introduction Digital image processing Essentials of medical x-ray physics Tomography Radiobiology, radiotherapy, and radiation protection Phase contrast radiography Object reconstruction under nonideal conditions

Echocardiography is one of the most useful and powerful diagnostic tools in the assessment of cardiac function. It remains a rapidly expanding modality, with new techniques constantly developing and maturing. Building on the success of the original work, the second edition of Making Sense of Echocardiography: A Hands-on Guide provides a timely, accessible overview for those learning echocardiography for the first time as well as an accessible handbook that experienced sonographers can refer to throughout their careers. The strong clinical focus and concentration on real-life scenarios make this book especially relevant in day-to-day practice. New chapters in this edition discuss myocardial mechanics and speckle tracking and 3D echo. The book also contains significantly expanded and updated material on: Contrast echocardiography Tissue Doppler imaging Intravascular ultrasound and epicardial echocardiography The left ventricle and its systolic function Left ventricular diastolic function The left atrium Supplying the latest guidelines and evidence-based clinical advice, this edition is also supplemented with new illustrations and an updated website. Fully updated key references for further reading are provided for each chapter. This accessible yet comprehensive text will ensure readers are up to date on the essentials in the field and can confidently integrate new procedures into their everyday practice.