The material in this volume was prepared and collected over the past four years with the growing realization that a technical revolution was in progress for diagnostic medicine. It became clear that for the wide variety of imaging instruments and methods finding their way into applications for research and clinical medicine, there was a scarcity of reference and text books for the scientist and engineer beginning in the field. Thus what began as a relatively small project for a single volume has grown into certainly two and probably three volumes to adequately cover the field. This first volume is expected to be followed within a few months by a second volume, dealing with diagnostic radiology, and within a year by a third volume, covering most other aspects of medicine that utilize spectra from the ultraviolet through the visible into the near-infrared. The chapters in this book are divided into three groups. The first group deals with nuclear medicine and includes Chapters 1-8. These chapters are arranged to begin with a broad introduction to the subject (Chapter 1) followed by a sequence of four chapters (Chapters 2-5) that provide an in-depth review of the imaging instrumentation developed for the field. Chapter 6 deals with "evaluation" of imaging device per formance, while Chapters 7 and 8 discuss two areas of considerable re search activity."

Liver-Directed Therapy for Primary and Metastatic Liver Tumors is a comprehensive examination of tumors of the liver. It provides a unique multi-modality approach to management of all types of primary and secondary liver tumors. The biology of liver cancers, state of the art radiologic imaging and novel, non-surgical interventional strategies are given. There is an in depth analysis of surgical options including transplantation, resection, interstitial ablation techniques and liver-directed chemotherapy for hepatocellular carcinoma, bile duct cancers, and colorectal and neuroendocrine liver metastases. Because of the unique and comprehensive examination of liver tumors, this work is an excellent resource for surgical, transplant and medical oncologists, surgeons, gastroenterologists, and radiologists.

Gastroscopy, the endoscopic examination of the interior of the stomach, has finally come of age. Although beset with multiple difficulties, and slow to develop, the method has achieved a sudden flowering in the past 10 years found in few other types of examination of the living human. The advances, the results of great interest and perseverance by many workers in all parts of the world, have been based on the happy combination of these efforts and the rapidly changing manufacture of various instruments to visualize, photograph, and biopsy all parts of the stomach at will. So rapid have been these advances that it has been difficult even for those intimately involved to keep abreast of the changes. The general physician public is in consequence still in considerable ignorance of what is now endoscopically available for the diag nosis of gastric disease. Many interesting types of gastric pathology have been and are still being better defined by endoscopy, but its particular value lies in the diagnosis of malignant neo plasia of the stomach. Whereas in the immediate past it was necessary to restrict examination to roentgenograms, at best an indirect means, it is now possible to visualize lesions, photograph them in color, and biopsy all suspicious areas with great accuracy. A visual and histologic diagnosis of cancer of the stomach may be made in well-equipped institutions in an hour or less.

Once again, the proceedings of the Badgastein Symposium, this one being the 22nd in an uninterrupted series, offer a comprehensive record of the scientific events. Highlights at this meeting were certainly reports ofthe exciting new developments ofpositron imaging with Anger cameras, both with conventional high-energy collimators and with coincidence techniques. Preliminary c1inical results are promising and seem to offer a true alternative to sophisticated PET -technology with its for many laboratories prohibitive costs. The general nature ofthe symposium is documented by the large range oftopics covered so that all major topics of interest in both the basic sciences of nuc1ear medicine and c1inical ap plication are found. In accordance with the general trends in nuc1ear medicine, there has been a substantial increase in oncological work compared to the more traditional topics. This is also reflected in the Badgastein lecture, given by Professor P. Rigo, who presented an excellent survey ofnuc1ear oncology."

Now designated as a primary medical specialty, the field of interventional radiology has contributed many ground-breaking procedures, including angioplasty, catheter-delivered stents, aneurysm coiling, and minimally-invasive cancer treatment. This first-of-its-kind review text offers an authoritative, easy-to-use introduction to the field, highlighting procedures, instruments, techniques, modalities, and more. Using an image-filled, practical format it covers exactly what you need to know for a solid foundation in this fast-growing field. Access to this product, which may be at the discretion of your institution, is up to 3 years of online and perpetual offline access. Elsevier reserves the right to restrict or remove access due to changes in product portfolio or other market conditions. Employs a case-based approach with a consistent chapter format to provide a clear, practical review of each topic. Each case-based chapter includes an Overview of the procedure and disease process, Indications and Contraindications of the procedure, standard Equipment used, a review of relevant Anatomy, detailed Procedural Steps, as well as Treatment Alternatives and common Complications. Reviews the skillful use of X-rays, CT, ultrasound, MRI, and other imaging methods to direct interventional procedures. Uses brief, bulleted text and more than 350 images to help you quickly grasp the fundamental information you need to know. Includes Take Home Points, Clinical Applications, Key Facts, Key Definitions, and Literature Reviews. Features case-based chapters on vascular and non-vascular procedures, as well as Grand Rounds Topics such as anatomy, surgery, interventional oncology, pediatrics, and more. Helps ensure mastery of the material with additional online content, bonus images, videos, and Q&A that provide effective chapter review and quick practice for your exams. Offers quick review and instruction for medical students, residents, fellows, and related medical professionals working in the IR area, such as nurse practitioners and physician assistants. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access the full text, figures, and references from the book on a variety of devices.

Optical Polarization in Biomedical Applications introduces key developments in optical polarization methods for quantitative studies of tissues, while presenting the theory of polarization transfer in a random medium as a basis for the quantitative description of polarized light interaction with tissues. This theory uses the modified transfer equation for Stokes parameters and predicts the polarization structure of multiple scattered optical fields. The backscattering polarization matrices (Jones matrix and Mueller matrix) important for noninvasive medical diagnostic are introduced. The text also describes a number of diagnostic techniques such as CW polarization imaging and spectroscopy, polarization microscopy and cytometry. As a new tool for medical diagnosis, optical coherent polarization tomography is analyzed. The monograph also covers a range of biomedical applications, among them cataract and glaucoma diagnostics, glucose sensing, and the detection of bacteria.

This book contains extended versions of papers presented at the international Conference VIPIMAGE 2009 - ECCOMAS Thematic Conference on Computational Vision and Medical Image, that was held at Faculdade de Engenharia da Universidade do Porto, Portugal, from 14th to 16th of October 2009. This conference was the second ECCOMAS thematic conference on computational vision and medical image processing. It covered topics related to image processing and analysis, medical imaging and computational modelling and simulation, considering their multidisciplinary nature. The book collects the state-of-the-art research, methods and new trends on the subject of computational vision and medical image processing contributing to the development of these knowledge areas.

Since Locher first suggested Boron Neutron Capture Therapy (BNCT) in 1936, this theoretically ideal system has intrigued investigators. Unfortunately, the first clinical trials between 1951-1961 were not successful. However, they served to implant firmly the seed of BNCT, the growth of which has been carefully nurtured at a number of locations world-wide. This fact is attested to by the ongoing clinical trials in Japan as well as by the presence of researchers from active groups in the ten countries represented at this Workshop. In 1983 and 1985, the first and second international biannual symposia on BNCT were held, in response to a resurgence of interest in this field. In 1986, the DOE sponsored a workshop on NCT, in large part directed toward evaluating the national effort and the various neutron sources available within the United States. It now seems likely, because of various factors including improved neutron beams and boron delivery systems which have made the modality more attractive, that clinical trials will be initiated in the United States within the next few years. This 1988 special workshop, interspersed between the biannual international symposia, represents an effort to seek ideas and advice on the clinical a pects of BNCT, from all those diverse groups with a national commitment to this project. Our purpose is to facilitate our endeavor to incorporate the best procedures and techniques in the upcoming clinical trials.

During the past four decades knowledge about biological effects of ionizing radiations on mammalian cells, normal tissues and tumours has increased enormously and has enabled radiotherapists to obtain a better insight into the advantages and disadvantages of cancer treatments with modified regimens of irradiations and combinations with chemotherapeutic agents. Even for the older scientists and clinicians who have wit nessed all these developments and have contributed to the vast amount of information, it is difficult to integrate this knowledge and to apply it in their daily work. For younger workers it is often difficult to select the important main concepts and results from the overwhelming number of publications. It is evident that a book which provides an integrated view of basic and applied radiation oncology can be of great value to students, scientists and, most importantly, to clinicians who can devote only part of their time to the task of understanding the radiobiological background of their application of radiation in cancer treatment. This book "Radiation Oncology" is written by a radiotherapist who has for a long time participated in the integration of basic knowledge and clinical experience. He has selected radiobiological information which is considered important to radiotherapy and in the description and interpretation of normal tissue tolerance and tumour eradication probability, he illustrates how basic knowledge can be applied clinically."

Nuclear magnetic resonance imaging is one of several new experimental tech niques which have rec{, tly been applied to food systems. NMR in general and nuclear magnetic resonance imaging are powerful probes of the microscopic and macroscopic changes occurring in foods during processing, storage and utilization. The training that food scientists and food engineers have received in the past has often omitted specific courses in physical chemistry that form the theoretical and practical foundation necessary to fully utilized magnetic resonance experimental techniques. The goal of Magnetic Resonance Imaging in Foods is to introduce food scien tists and food engineers to magnetic resonance imaging and provide a basis for further study. As such the book begins with two chapters of an introductory nature. The first chapter introduces magnetic resonance phenomena, NMR in general, and MRI in detail. Particular emphasis is given to the limitations and typical ranges available for studying particular phenomena, for example, the range of diffusivities that can be studied using commercial grade NMR equipment. Chapter 2 gives a brief introduction to the classical physical model of NMR first introduced by Felix Bloch in 1946 and aspects important to the interpretation of MRI data. This chapter is provided for the researchers and students interested in more details of the basic theory. Chapter 2 can be skipped by those individuals not requiring more information on the basic theory of NMR. The next several chapters of the book are on applications of MRI to food systems."

Written by world-renowned experts in COPD A refresher for GPs and hospital doctors with practical diagnostic and treatment advice Reviews clinical developments and guidelines, and places them into everyday clinical practice Stresses the importance of early intervention, therapies and patient education Managing COPD is an in-depth guide on the management of patients with COPD concentrating on the impact of COPD on a patient as well as how healthcare professionals can intervene and educate the patient at an early stage and thereby slow the onset of severe symptoms. This book has been designed to increase physician awareness of the pathological processes involved in the aetiology of COPD which underpins effective disease management.

During the twenty years the authors have been associated with the field of radiation ecology, there has been a diversified and increasing use of radionuclides in applied and basic biological research. Prior to the advent of the atomic age in the 1940s the use of radionuclides as tracers was initiated, and following that period one observed a dramatically increased use in many disciplines. Concurrent with this increase there appeared many books and articles on radionuclide tech niques useful to biologists in general. Although only a few ecological applications were evident in these early years, ecologists were quick to see the opportunities available in their field. In the United States, major centers for such activities included Oak Ridge National Laboratory and the U. S. Atomic Energy Com mission's Savannah River Plant. At Oak Ridge National Laboratory Dr. Stanley I. Auerbach, director of ecological activities, encouraged with remarkable suc cess the use of tracers by his associates. Dr. Eugene P. Odum had the foresight to see that radionuclide tracers provided the means to solve many problems of interest to ecologists. Consequently, his research included some unique radio tracer applications at the Savannah River Plant. In addition he encouraged others involved in ecological activities at the Savannah River Plant to do likewise. Ecologists such as Dr. Robert C. Pendleton at the U. S. Atomic Energy Com mission's Hanford Works applied radionuclides in their research. To these early investigators and to those who followed we owe the oppportunity to write this book.

Specialists in cardiac imaging offer their extensive experience of performing and interpreting myocardial perfusion studies with thallium 201 and single photon emission tomography in this unique teaching atlas which contains over 1500 colour illustrations.

This is the fourth volume of Ultrasound in Medicine, the Proceedings of the Annual Scientific Meeting of the American Institute of Ultrasound in Medicine. Unless the Executive Board of the Institute change their mind, it may also be the last. Under these circumstances it is somewhat ironical that some of the deficiencies present in previous volumes appear to have been solved in the present volume. Notably, the Programme Committee, for the first time, exercised a stringent selection procedure by means of which the number of papers selected for presentation was limited with the result that both the quality of papers accepted for presentation and publication was improved and the number of simultaneous sessions at the meeting did not exceed two. The contents of this volume have been divided into the same sections as in previous volumes except that no papers on stan dardization procedures were accepted and a new supplementary section is added consisting of papers given at the Scientific Meeting of the American Society of Ultrasound Technical Specia lists. As in previous editions the readers may consider the engin eering sections at the end of this volume are the most rewarding. Some ingenious new systems are described both in the sections on Doppler techniques and new techniques. Current interest in tissue signatures and characterization are reflected in many of the pap~rs appearing in the Tissue Interactions section.

The International Commission on Radiological Protection (ICRP) has developed and systematically updated the system of radiological protection, which now recommends optimisation of protection measures within or guided by appropriate restrictions, such as dose constraints or reference levels, in all circumstances. This applies to all exposure situations (planned, emergency and existing) and all categories of exposure (occupational, medical, and public). Optimisation of protection is intended to reduce exposures to levels that are as low as reasonably achievable, economic and societal considerations being taken into account, and to manage medical exposures commensurate with the medical purpose.

We are pleased to present this second volume of a series that has already received much interest. The application of magnetic resonance methods to the study of actual biological systems as contrasted to cell-free samples, although not entirely novel, as demonstrated by Civan and Shporer in Volume I, has taken on new dimensions with the use of phosphorus-31 and carbon-13 NMR in studying cells, tissues, and organelles. The applications of 31 P NMR to such systems is reviewed in this volume, while carbon-13 will be covered in a later one. The use of nitroxide spin labels has grown to the point where it now may be considered a common biological technique. The synthesis and applications of a new class of nitroxides is described in this volume. ESR spectroscopy of paramagnetic ions is a powerful approach to studying molecular and structural details, as the chapter by Boas, Pilbrow, and Smith on the ESR of copper in Volume 1 has shown. In this volume the ESR of molybdenum and iron is treated in a comparable fashion. In the first volume some aspects of 1 H NMR spectroscopy of certain classes of In this volume the high-resolu biological macromolecules were discussed.. tion multinuclear NMR spectra of peptides, including the physiologically significant peptide hormones, are reviewed."

The book provides a comprehensive view of pattern recognition concepts and methods, illustrated with real-life applications in several areas. A CD-ROM offered with the book includes datasets and software tools, making it easier to follow in a hands-on fashion, right from the start.

Accurate interpretation of indications for treatment is the cornerstone of success in medicine. This book carefully examines the relation between clinical features, diagnosis, and choice of minimally invasive technique for a range of spine pathologies. It explains how selection of technique is intimately related to clinical and diagnostic aspects and how recognition of this relation forms the foundation for an optimal outcome. In addition to examining the various minimally invasive options, including the latest techniques, careful attention is paid to the role of medical treatment in avoiding recurrence after initial therapy. Nerve blocks, epidural injections, and intradiscal procedures are among the many options available in the armamentarium of the interventionalist, and advice is given on their use in different contexts. This volume will be of great value for neuroradiologists and others responsible for treating patients with spine disorders.

Hyperthennia is rapidly becaning the fourth IIDdality of cancer treatment, at least a useful adjuvant to radiation therapy, chEfiO therapy or surgery; at best, a new therapeutic fonn that, properly used, may open new horizons in the fight against this dreadful disease. The staging is still primitive. The devices used are after laboratory irrprovisations, and lack the precision and definition of treatment fields that will allow mass use of the m: Xiality. Clinical practices are limited to the procedural evaluations of a few pioneer groups, and basic understanding of its mechanism of action, although progressing by leaps and bounds, is still short of perfection. The challenge and the pranise are there and because of this, p engineers, physicists, biologists, physiologists and clinicians fran different specialties have a basic need for interaction, both in tenus of exchange of scientific infonnation and peer review of results and clinical trials. To satisfy this need, to act as a clearinghouse of knowledge and a fonnn for discussion, the North Alrerican Hyperthennia Group (NAHG) has been fonned. The reeting in Detroit in August 1981 represents the first gathering of the group, to be followed by a second in Salt Lake City in April 1982."

Digital radiography is a general term describing any projection radiological system in which the image exists in digital form at some stage between acquisition and viewing. In an earlier form, radiographic films were dig itized in an attempt to enhance and redisplay information of interest. The field has evolved to its current state, in which X-ray signals are detected electronically, converted to digital form, and processed prior to being recorded and displayed. A primary goal of digital radiography is the re moval of interfering effects from secondary structures in an image, so that clinically significant details can be displayed with enhanced visibility. The achievement of this goal involves many parameters, including con trast agents, subtraction techniques, processing techniques, filtering tech niques, system noise, and quantitative aspects. It is the purpose of this book to present material by noted individuals in the field covering several of the above topics. The authors acknowledge the secretarial and editorial assistance of Mrs. Helen Taylor and the editorial assistance of Mrs. Ruth McDevitt. James G. Kereiakes Stephen R. Thomas Cincinnati, Ohio Colin G. Orton Detroit, Michigan ix Contents 1. DIGITAL RADIOGRAPHY: OVERVIEW B. A. Arnold, 1. G. Kereiakes, and S. R. Thomas 1. Introduction . . . . . . . . . 1 2. Point-Scanned Detector Systems 3 3. Line-Scanned Detector Systems 4 4. Area Detector Systems 5 4.1. Stimulable Phosphors 5 4.2. Selenium Detectors ."

2 ence of a wave zone or induction zone under industrial and exper- imental conditions determines the physical values used to assess the intensity of irradiation (the power flux density or the field in- tensity), the instruments used for measuring, and the experimental technique (irradiation from a distant source, in a cavity resonator, inductor, capacitor, and so on). The physical parameters eVidently also determine the biolog- ical effects of the different frequency bands. In recent decades various bands of radio waves have been extensively used in many branches of industry. The microwave band has been widely applied in the field of radar, radionavigation, radioastronomy, radiometeorology, radiocommunication, nuclear physics, and physiotherapy. The short-wave and ultrashort-wave band are used for physiotherapy, radiocommunication, broadcast- ing, television, and also for the heat treatment of dielectrics and for welding plasticized rubber. The long and medium waves are used for the heat treatment of metals in the vacuum-tube industry and in mechanical engineering.

The seventh annual multidisciplinary symposium on clinical oncology organised by the Royal College of Radiologists discussed the subject of malignant brain tumours. It was held in London in February 1985 and this volume collects together the edited texts of the papers which were presented at the meeting. Primary tumours of the central nervous system account for about 9070 of all malignant diseases but as much as 20% of all paediatric neoplasms. The prognosis ranges from excellent for some of the less aggressive tumours, through good for children's tumours such as medulloblastoma, to appalling for the high-grade adult astrocytomas. Improvements in pathological diagnosis and surgical and radiothera peutic techniques have led to considerable sequential improvements in outcome over those obtained in the past. In contrast the response to chemotherapy over the whole range of tumours remains disappoint ing, and clearly awaits new drugs and methods of delivery. The relative rarity of individual types of tumours, apart from the commoner high-grade adult astrocytomas, has made progress in terms of clinical trials difficult to organise. In spite of this much investigative work is in progress. The symposium, and the present volume, were designed to provide a comprehensive overview of the subject by experts, with an emphasis on the possible routes to future progress. The topics included aspects of pathology, imaging, diagno sis and treatment of both the common and uncommon primary tumours. It is hoped the papers will stimulate further interest and activity in this difficult area of clinical therapy and investigation."

In Vivo EPR (ESR) is a textbook on this relatively new subject in biomedical electron spin resonance. While a few chapters have appeared in special topics volumes in this series, this book covers the principles and theory, instrumentation as well as the latest applications at the time of its writing. The authors are world-renowned experts and pioneers in their fields. This book is divided into two major sections dealing with theory and instrumentation, and aspects of biochemistry, in vitro and in vivo applications. A significant amount of detail is devoted to clinical applications and the problems and pitfalls encountered in in vivo spectroscopy and imaging.
Key Features:

-History of In Vivo EPR,
-Principles of Imaging-Theory and Instrumentation,
-Time-domain Radio Frequency EPR Imaging,
-The Measurement of Oxygen In Vivo Using In Vivo EPR Techniques,
-Potential Medical (Clinical) Applications of EPR,
-Combining NMR and EPR/ESR for In Vivo Experiments.

This book provides a comprehensive up-to-date review of optical approaches used in brain imaging and therapy. It covers a variety of imaging approaches including diffuse optical imaging, laser speckle imaging, photoacoustic imaging and optical coherence tomography. A number of laser-based therapeutic techniques are reviewed, including photodynamic therapy, fluorescence guided resection and photothermal therapy. Fundamental principles and instrumentation are discussed for each imaging and therapeutic approach.

An in-depth introduction to radiotherapy physics emphasizing the clinical aspects of the field. This second edition gradually and sequentially develops each of its topics in clear and concise language. It includes important mathematical analyses, yet is written so that these sections can be skipped, if desired, without compromising understanding. The book consists of seven parts covering basic physics (Parts I-II), equipment for radiotherapy (Part III), radiation dosimetry (Parts IV-V), radiation treatment planning (Part VI), and radiation safety and shielding (Part VII). An invaluable text for radiation oncologists, radiation therapists, and clinical physicists.