by Mario Banche, M.D. IX The neologism "coloscopy" (colonscopy, colonoscopy) is the latest addition to the vocabulary of endoscopy of the large intestine. just as the term "duodenoscopy" was in endoscopy of the upper digestive tract a few years ago. With the advent of the coloscope it is now possible to examine the large bowel more extensively and effectively than was formerly possible with the use of its rigid forerunner, the rectosigmoidoscope. The earliest rectoscopes, 11 endoscopes" introduced during the 19th century by Segales and Desormeaux (1826, 1853), were conceived for many uses-inspection of the urethra, bladder, uterus, rectum. Successive improvements eventually led to the construction of an instrument designed exclusively for endoscopy of the rectum and sigmoid colon (Bensaude, 1907). Over the following years the rectoscope underwent no substantial change and thus an abundant and homogeneous literature accrued in which the available instruments and their use were described while the endoscopic pathologic nosography and corresponding endoscopic pictures of the rectum and sigmoid colon were codified, illustrated first by simple sketches and later by still and motion photography. The literature contains many excellent publications, some in monograph form.

This book constitutes the thoroughly refereed post-conference proceedings of the International Workshop on Computational Challenges and Clinical Opportunities in Virtual Colonoscopy and Abdominal Imaging, held in conjunction with MICCAI 2010, in Beijing, China, on September 20, 2010.
The 19 revised full papers presented were carefully reviewed and selected from 26 submissions. The papers are organized in topical sections on CT colonography CAD, abdominal imaging, and virtual colonoscopy.

Featuring 150 cases and over 400 high-quality images, Pediatric Imaging Cases offers a complete survey of the field of pediatric radiology. Cases are formatted as questions and answers, allowing for self-assessment, complete with relevant radiologic findings, differential diagnoses, teaching points, further steps in management, and suggested further readings. Part of the Cases in Radiology series, this book offers a comprehensive overview of the clinical issues of pediatric radiology: cardiovascular system, gastrointestinal system, genitourinary system, spine, neuroradiology, chest and airway, and musculoskeletal system. Ideal for residents preparing for board exams as well as seasoned clinicians wishing to test their knowledge, Pediatric Imaging Cases provides a thorough investigation of the field.

Practical and clinically oriented, Specialty Imaging: Acute and Chronic Pain Intervention provides unique, authoritative guidance on the use of image-guided techniques for periprocedural analgesia and pain management procedures. Ideal for practicing and trainee interventional radiologists, pain physicians, and anesthesiologists, this one-stop resource is tailored to your decision support needs, with coverage of everything from neuroanatomy and specific pain conditions to interventional procedures for acute and chronic pain. Provides up-to-date content informed by best practices and the perspectives of both interventional radiology and anesthesiology Discusses key topics such as multimodal opioid sparing techniques as adjuncts and alternatives to the use of opioids for acute pain management, as well as shared decision making in interventional radiology pain management Demonstrates the new fascial pain blocks as well as sympathetic nerve blocks for periprocedural analgesia during interventional procedures Covers adult and pediatric acute and chronic pain conditions Integrates neuroanatomy and the "why" of clinical procedures for a better understanding of the pathways and various options for therapeutic intervention Presents information consistently, using a highly templated format with bulleted text for quick, easy reference Begins each section with a discussion of neuroanatomy, followed by succinct chapters that provide "how-to" information on a clinically useful, imaging-guided interventional procedure for treating a specific acute or chronic pain condition Features procedural videos and clear, high-quality drawings for visual reinforcement, e.g., sequential illustrations that show where nerves are located through successive peeling of anatomic layers Includes an Expert ConsultT eBook version that allows you to search all text, figures, and references on a variety of devices

Mit den von anerkannten Sachkennern der Radiologie und der Frauenheilkunde erarbei- teten Beitragen fUr den Band XIII/2 des Handbuches der medizinischen Radiologie konnten erstmals in der Weltliteratur umfassende Zusammenstellungen des gesamten Wissensstof- fes auf dem Gebiet der gynakologischen Radiologie und der radiologisch-geburtshilflichen Diagnostik vorgelegt werden. Die Methodik und den Informationswert der Hysterosalpingographie hat FOCHEM abgehandeIt und gestiitzt auf die fundierten Ergebnisse eigener Arbeit, in klar gegliederten Kapiteln die morphologischen Rontgenbefunde des gesunden und kranken Uterus und der Tuben erlautert. Mit dem Beitrag tiber die gynakologische Rontgendiagnostik in der Padiatrie haben BENZ und WILLICH eine vollstandige Ubersicht der Ergebnisse ihres noch wenig bekannten Forschungsgebietes gegeben, das fUr viele Fachgebiete der Medizin groBe praktische Bedeutung erlangt hat. Die methodischen Grundlagen und den Informationswert der radiologischen Spezial- diagnostik in der Gynakologie haben GROTEMEYER und BREIT zusammengestellt. Einen grundlegenden Beitrag zur Anatomie und Topographie der Organe des weiblichen Bek- kens im Hinblick auf die Rontgen-Ganzkorper-Computer-Tomographie verdanken wir PLATZER, der das Fundament fUr die Bildanalyse dieser neuartigen diagnostischen Me- thode erarbeitet hat. Die spezielle Rontgendiagnostik der gynakologischen Tumoren mit Hilfe der Angio- graphie und Rontgen-Ganzkorper-Computer-Tomographie haben BREIT und ROHDE ab- gehandelt. In besonderen Kapiteln ist die oft vernachlassigte Rezidivdiagnostik bei Ge- schwiilsten von BREIT sowie LISSNER und SCHERER bearbeitet worden. Gestiitzt auf eigene Forschungs- und Entwicklungsarbeit geben die Autoren eine umfassende Ubersicht und berticksichtigen die wertvollen diagnostischen Informationen, die heute mit Hilfe der Rontgen-Ganzkorper-Computer-Tomographie fUr die klinische Arbeit zur VerfUgung stehen.

This definitive book is the companion volume to Clark's Positioning in Radiography. It is focused on special imagining procedures and techniques and interventional procedures. Bringing together conventional contrast media studies, computed tomography, ultrasound, magnetic resonance imaging, radionuclide imaging including PET, SPECT CT and PET MRI and digital interventional procedures into one volume, it is the essential source of information for students of Radiography and Radiographer Assistant Trainees. The book reflects as to why procedures are carried out in terms of the indications for justification under IRMER 2000 procedures and any NICE or other medical referral guidelines such as the Map of Medicine.The book adopts an anatomical systemic approach, designed to be a clear and comprehensive reference text. Each chapter is highly illustrated and contains sections detailing anatomy, pathology considerations, procedure methodology and an evaluation of recommended imaging modalities. Both conventional and cross-sectional procedures are described, giving details for each procedure on indications/contraindication, position of patient, imaging modality, imaging procedure, contrast media and injection data, and imaging analysis. Important information is provided on the parameters which affect image production and quality for each of the modalities described in the book as well as considering the risk benefit, sensitivity and specificity of procedures.Whilst keeping many of the standard procedures and successful changes and additions to the first edition (Clark's Special Procedures in Diagnostic Imaging), this new edition includes a number of new innovations as well as reflecting the changes in approach to radiographic technique as a result of the variety of different x-ray equipment platforms accompanying the new digital imaging technology environment and advancements across the range of modern imaging modalities. The innovations include a section on recommended imaging pathways for different disease processes, the addition of a number of procedures not covered in the original edition i.e. defecating proctograms and herniograms and virtual coloscopy . This author team has a wide experience in publication and access to modern radiography imaging departments where technique and procedures are constantly changing many of which are reflected, making this book state of the art and reflecting the changing and advanced role of the radiographer.

Creating New Medical Ontologies for Image Annotation focuses on the problem of the medical images automatic annotation process, which is solved in an original manner by the authors. All the steps of this process are described in detail with algorithms, experiments and results. The original algorithms proposed by authors are compared with other efficient similar algorithms. In addition, the authors treat the problem of creating ontologies in an automatic way, starting from Medical Subject Headings (MESH). They have presented some efficient and relevant annotation models and also the basics of the annotation model used by the proposed system: Cross Media Relevance Models. Based on a text query the system will retrieve the images that contain objects described by the keywords.

The chest X-ray (CXR) or chest radiograph remains the most commonly ordered imaging study in medicine, yet paradoxically is often the most complex to learn, recall, and master effective and accurate interpretation. The chest radiograph includes all thoracic anatomy and provides a high yield, given the low cost and single source. This guide presents a structured lexicon for use by readers to reproducibly describe radiographic abnormalities of the chest detected on plain film CXRs. The lexicon is designed to provide readers with clinically significant differentiation of abnormalities detected. The content is structured to relate specific combinations of distinct radiographic findings to classes/groupings of pathological etiologies of those findings. Recognizing the individual findings and identifying their combination or lack of combination with other individual findings allows readers to create effective differential diagnoses that can then be further evaluated using other imaging procedures and/or non-radiographic clinical information. The book includes hundreds of images, including radiographs, CTs, graphics, and analogous models to help teach otherwise complex processes and radiographic principles.

The discovery of x-ray, as a landmark event, enabled us to see the "invisible," opening a new era in medical diagnostics. More importantly, it offered a unique undestanding around the interaction of electromagnetic signal with human tissue and the utility of its selective absorption, scattering, diffusion, and reflection as a tool for understanding the physiology, evolution of disease, and therapy. With contributions from world-class experts, Medical Imaging: Principles and Practices offers a review of key imaging modalities with established clinical utilization and examples of quantitative tools for image analysis, modeling, and interpretation. The book provides a detailed overview of x-ray imaging and computed tomography, fundamental concepts in signal acquisition and processes, followed by an overview of functional MRI (fMRI) and chemical shift imaging. It also covers topics in Magnetic Resonance Microcopy, the physics of instrumentation and signal collection, and their application in clinical practice. Highlights include a chapter offering a unique perspective on the use of quantitative PET for its applications in drug discovery and development, which is rapidly becoming an indispensible tool for clinical and research applications, and a chapter addressing the key issues around organizing and searching multimodality data sets, an increasingly important yet challenging issue in clinical imaging. Topics include: X-ray imaging and computed tomography MRI and magnetic resonance microscopy Nuclear imaging Ultrasound imaging Electrical Impedance Tomography (EIT) Emerging technologies for in vivo imaging Contrast-enhanced MRI MR approaches for osteoarthritis and cardiovascular imaging PET quantitative imaging for drug development Medical imaging data mining and search The selection of topics provides readers with an appreciation of the depth and breadth of the field and the challenges ahead of the technical and clinical community ofresearchers and practitioners.

The first International Workshop on Machine Learning in Medical Imaging, MLMI 2010, was held at the China National Convention Center, Beijing, China on Sept- ber 20, 2010 in conjunction with the International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI) 2010. Machine learning plays an essential role in the medical imaging field, including image segmentation, image registration, computer-aided diagnosis, image fusion, ima- guided therapy, image annotation, and image database retrieval. With advances in me- cal imaging, new imaging modalities, and methodologies such as cone-beam/multi-slice CT, 3D Ultrasound, tomosynthesis, diffusion-weighted MRI, electrical impedance to- graphy, and diffuse optical tomography, new machine-learning algorithms/applications are demanded in the medical imaging field. Single-sample evidence provided by the patient's imaging data is often not sufficient to provide satisfactory performance; the- fore tasks in medical imaging require learning from examples to simulate a physician's prior knowledge of the data. The MLMI 2010 is the first workshop on this topic. The workshop focuses on major trends and challenges in this area, and works to identify new techniques and their use in medical imaging. Our goal is to help advance the scientific research within the broad field of medical imaging and machine learning. The range and level of submission for this year's meeting was of very high quality. Authors were asked to submit full-length papers for review. A total of 38 papers were submitted to the workshop in response to the call for papers.

Colorectal Cancer Screening and Computerized Tomographic Colonography: A Comprehensive Overview is an authoritative volume on CT colonography. Structured in a manner that will allow the reader to understand the practical and larger public health issues surrounding both CT colonography and CRC screening in general, the text is designed to reach a broad audience of specialist clinicians and primary care physicians. The book provides an overview of the disease and risk factors of colorectal cancer, as well as the history and development of CTC as both a colorectal imaging and screening modality. The text also reviews the controversies, potential pitfalls, and exciting new directions and capabilities inherent in the practice of CTC. Filled with high quality images and authored by experts in the field, Colorectal Cancer Screening and Computerized Tomographic Colonography: A Comprehensive Overview is the definitive reference for clinicians interested in computerized tomographic colonography and CRC screening.

Addressing the widespread need for a practical guide to imaging mass spectrometry (IMS), this book presents the protocols of IMS technology. As that technology expands, research groups around the world continue its development. Pharmaceutical companies are using IMS for drug analyses to study pharmacokinetics and medical properties of drugs. Drug research and disease-related biomarker screening are experiencing greater use of this technology, with a concurrent increase in the number of researchers in academia and industry interested in wider applications of IMS. Intended for beginners or those with limited experience with IMS technology, this book provides practical details and instructions needed for immediate know-how, including the preparation of animal tissue samples, the application of a matrix, instrumental operations, and data analysis, among others. By describing the foundations of IMS, this volume contributes to the ongoing development of the field and to progress in human health.

"Noninvasive Cerebrovascular Diagnosis" is the newest definitive text on the current techniques used in assessing vascular disorders. Readers will receive authoritative information and will be guided through the establishment and accreditation of a vascular laboratory and introduced to the physics of diagnostic testing. Chapters, written by selected experts, comprehensively explain the use of ultrasound in diagnosing cerebrovascular, renovascular, visceral ischemia and peripheral arterial disease as well as venous disorders and deep abdominal vascular conditions. Noninvasive Vascular Diagnosis contains over 300 illustrations, many of them in colour. Due to the special sections which give clinical correlations, this book will be invaluable to physicians who treat vascular disorders, surgeons, cardiologists, vascular radiologists and the vascular laboratory staff.

Presented in an interesting, historical and philosophical way, this book describes the current state of play in brain imaging, showing the differences among the different imaging modalities, and reviewing the knowledge about the chemical reactions in the brain, and their relationship to thinking, feeling and acting.

The book reviews all the results of PET and PET/CT imaging of the brain with all radiopharmaceuticals that bind to receptors in all recognized and classified mental diseases, as well as the studies on the localization of those sites that are activated by sensory or motor activity. The book illustrates the parts of the brain activated and deactivated during sensory perception, motion and other mental functions and explains how the process of neurotransmission takes place in chemical terms.

The book is a valuable reference resource for all those in nuclear medicine and radiology as well as the educated general public.

The area of molecular imaging has matured over the past decade and is still growing rapidly. Many concepts developed for molecular biology and cellular imaging have been successfully translated to in vivo imaging of intact organisms. Molecular imaging enables the study of processes at a molecular level in their full biological context. Due to the high specificity of the molecular readouts the approach bears a high potential for diagnostics. It is fair to say that molecular imaging has become an indispensable tool for biomedical research and drug discovery and development today.This volume familiarizes the reader with the concepts of imaging and molecular imaging in particular. Basic principles of imaging technologies, reporter moieties for the various imaging modalities, and the design of targeted probes are described in the first part. The second part illustrates how these tools can be used to visualize relevant molecular events in the living organism. Topics covered include the studies of the biodistribution of reporter probes and drugs, visualization of the expression of biomolecules such as receptors and enzymes, and how imaging can be used for analyzing consequences of the interaction of a ligand or a drug with its molecular target by visualizing signal transduction, or assessing the metabolic, physiological, or structural response of the organism studied.The third edition has been extended considerably. This holds for the chapter on imaging modalities, which now includes sections on intravital microscopy and mass spectrometric imaging. All chapters have been updated and a new chapter on the challenges of translating molecular imaging solutions for clinical use has been added.

The two-volume set LNCS 5761 and LNCS 5762 constitute the refereed proceedings of the 12th International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2009, held in London, UK, in September 2009.

Based on rigorous peer reviews, the program committee carefully selected 259 revised papers from 804 submissions for presentation in two volumes. The first volume includes 125 papers divided in topical sections on cardiovascular image guided intervention and robotics; surgical navigation and tissue interaction; intra-operative imaging and endoscopic navigation; motion modeling and image formation; image registration; modeling and segmentation; image segmentation and classification; segmentation and atlas based techniques; neuroimage analysis; surgical navigation and robotics; image registration; and neuroimage analysis: structure and function.

This book covers cutting-edge research on the use of nanoparticles for in vivo diagnostic medical imaging and therapy. It discusses a variety of nanoparticles, including quantum dots, carbon nanotubes, dendrimers, gold nanoshells, metal nanorods, micelles, liposomes, polymers, MRI iron oxide particles, and microbubbles. Examples in the book include multifunctional nanoparticles that are designed for multimodality imaging and simultaneous diagnostic and therapy (theranostic) applications.

Coronary artery disease is the most commonly encountered problem in adult cardiology in the world. Echocardiography is the most commonly used imaging modality encountered in cardiology practice in the world. Even though there are many Acute Coronary Syndrome (ACS) reference books and echocardiography reference books, there is no single practical book so far in the literature with focus on the combined topics. The authors believe that this will be the first book to provide information on how echocardiography can be used in, prevention, diagnosis and treatment of ACS.

Useful in many areas of medicine and biology, Bayesian methods are particularly attractive tools for the design of clinical trials and diagnostic tests, which are based on established information, usually from related previous studies. Advanced Bayesian Methods for Medical Test Accuracy begins with a review of the usual measures such as specificity, sensitivity, positive and negative predictive value, and the area under the ROC curve. Then the scope expands to cover the more advanced topics of verification bias, diagnostic tests with imperfect gold standards, and those for which no gold standard is available.

Promoting accuracy and efficiency of clinical trials, tests, and the diagnostic process, this book:

• Enables the user to efficiently apply prior information via a WinBUGS package
• Presents many ideas for the first time and goes far beyond the two standard references
• Integrates reader agreement with different modalities X-ray, CT Scanners, and more to study their effect on medical test accuracy
• Provides practical chapter-end problems

Useful for graduate students and consulting statisticians working in the various areas of diagnostic medicine and study design, this practical resource introduces the fundamentals of programming and executing BUGS, giving readers the tools and experience to successfully analyze studies for medical test accuracy.

This book has been specifically designed to serve as a quick reference that will be of immediate help in decision making. The book is ordered alphabetically according to diagnoses. The intention is that the clinican consults the information on a suspected diagnosis, and then considers the surgical and radiological differential diagnoses that are listed. A total of 80 common diagnoses are covered. For each diagnosis, the left-hand page presents information relevant to the surgeon, while the right-hand page is designed for the radiologist. The information for the surgeon comprises clinical insights, including symptoms, warnings, controversies, important facts of which the surgeon should be aware, and the surgical differential diagnosis. The intention is to enable the surgeon to request the most suitable investigation using the appropriate terminology, ensuring that the correct test is done within the correct time frame. The radiologist is provided with lists of the primary and follow-on investigations, the imaging findings, and helpful tips, as well as the radiological differential diagnosis. Informative supporting images are included for each diagnosis. The authors are all experts in their fields, with extensive practical experience and in-depth knowledge of new imaging techniques. This book belongs in the pocket of every student, house officer, resident, medical officer, or generalist consultant who may be the first practitioner to see the patient.

To improve efficiency and reduce administrative costs, healthcare providers, insurance companies, and governments are increasingly using integrated electronic health record (EHR) and picture archiving and communication systems (PACS) to manage patients' medical information. Reflecting the latest applications of PACS technology, PACS and Digital Medicine: Essential Principles and Modern Practice discusses the essential principles of PACS, EHR, and related technological advancements as well as practical issues concerning the implementation, operation, and maintenance of PACS and EHR systems. The book focuses on various components of PACS that use state-of-the-art technologies. The authors first present topics to consider prior to implementation, including design principles for PACS components and theory. They also cover post-installation quality control; security and privacy policies; maintenance, including upgrade/integration with other information systems; and governing standards. Each chapter includes an introduction to basic concepts and principles relevant to the topics, before exploring challenges that PACS users may encounter in daily work. Discussions are supplemented with more than 130 illustrations, along with case studies of implementation in two organizations. A useful guide and broad overview of the field, this book presents key principles and practical steps for PACS and EHR implementations and maintenance. Although the technology and standards of healthcare IT will evolve over time, the theory and practical advice found in this text will remain pertinent in the future.

The two-volume set LNCS 5761 and LNCS 5762 constitute the refereed proceedings of the 12th International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2009, held in London, UK, in September 2009.

Based on rigorous peer reviews, the program committee carefully selected 259 revised papers from 804 submissions for presentation in two volumes. The first volume includes 125 papers divided in topical sections on cardiovascular image guided intervention and robotics; surgical navigation and tissue interaction; intra-operative imaging and endoscopic navigation; motion modeling and image formation; image registration; modeling and segmentation; image segmentation and classification; segmentation and atlas based techniques; neuroimage analysis; surgical navigation and robotics; image registration; and neuroimage analysis: structure and function.

The aim of this book is to present statistical problems and methods in a friendly way to radiologists, emphasizing statistical issues and methods most frequently used in radiological studies (e.g., nonparametric tests, analysis of intra- and interobserver reproducibility, comparison of sensitivity and specificity among different imaging modality, difference between clinical and screening application of diagnostic tests, ect.). The tests will be presented starting from a radiological "problem" and all examples of statistical methods applications will be "radiological."

Intravoxel incoherent motion (IVIM) refers to translational movements which within a given voxel and during the measurement time present a distribution of speeds in orientation and/or amplitude. The concept was introduced in 1986 together with the foundation of diffusion MRI because it had been realized that flow of blood in capillaries (perfusion) would mimic a diffusion process and impact diffusion MRI measurements. IVIM-based perfusion MRI, which does not require injection of any tracer or contrast agent, has been first investigated in the brain, but is now experiencing a remarkable revival for applications throughout the body, especially for oncologic applications, from diagnosis to treatment monitoring. This book addresses a number of highly topical aspects of the field from leading authorities, introducing the concepts behind IVIM MRI, outlining related methodological issues, and summarizing its current usage and potential for clinical applications. It also presents future research directions, both in terms of methodological development and clinical application fields, extending to new, non-perfusion applications of IVIM MRI, such as virtual MR elastography.