The international symposium CAR '89 (the third in a row), held in Berlin in June 1989, was again focused on the fundamental principles of applying Computer Assisted Radiology (CAR) in health care. The book contains all the presentations of the symposium and this provides an up-to-date, complete state-of-the-art-report of this interdisciplinary subject, in which physicians, engineers, physicists and computer scientists cooperate.

Over the years, interventional radiology has developed many effective and less invasive procedures. As the number and types of interven tions increase, radiologists are becoming more and more involved in clinical patient care. This includes pre-interventional patient workup, sophisticated medical therapy and monitoring during interventions, regular inpatient rounds and complete follow-up management. Therefore interventional radiologists are faced with a broad spectrum of clinical and pharmacological questions. Adjunctive medical therapy should increase the patient's comfort, should improve the success rates, and should further reduce the risks of the procedures. In order to fulfill our responsibility to the patients, a profound knowledge of certain drugs is indispensable. This in cludes, for example, sedatives, analgesics, cardiovascular drugs and agents to prevent infections, thromboembolic complications or restenoses. Moreover, a good monitoring system during complex procedures will increase the safety of radiological interventions. These topics and several more have been presented and discussed during an international symposium in Basel, Switzerland, in January 1992. It is the benefit of the authors, that all these results could be published shortly after the event. Connected with our thanks to all the co-workers the editors hope to find this publication assisting an increasing number of safe interventions.

As an addition to the European postgraduate training system for young neurosurgeons we began to publish in 1974 this series of Advances and Technical Standards in Neurosurgery which was later sponsored by the European Association of Neurosurgical Societies. This series was first discussed in 1972 at a combined meeting of the Italian and German Neurosurgical Societies in Taormina, the founding fathers of the series being Jean Brihaye, Bernard Pertuiset, Fritz Loew and Hugo Krayenbiihl. Thus were established the principles of European co operation which have been born from the European spirit, flourished in the European Association, and have throughout been associated with this serIes. The fact that the English language is well on the way to becoming the international medium at European scientific conferences is a great asset in terms of mutual understanding. Therefore we have decided to publish all contributions in English, regardless of the native language of the authors. All contributions are submitted to the entire editorial board before publication of any volume. Our series is not intended to compete with the publications of original scientific papers in other neurosurgical journals. Our intention is, rather, to present fields of neurosurgery and related areas in which important recent advances have been made. The contributions are written by spe cialists in the given fields and constitute the first part of each volume.

New imaging technology and more sophisticated image processing systems will have a profound effect on those areas of medicine which are concerned with imaging for diagnosis and therapy planning. Digitally formated data will form the basis of an increasing number of medical imaging modalities. Before the diagnostic imaging department of the future will largely be digital, many problems have still to be solved as regards image quality, costs, and ease of use. The computer and other information science derived methods will contribute towards solving many of the problems in these areas. It is widely expected that there will be an information science derived evolution in imaging for radiology and related departments. Computer assistance may be applied to image generation, e.g. CT, MRI, DR and DSR, storing and transferring of images, and viewing, analysing and interpreting of images. The application of computers to these activities (which characterise radiological departments), may be defined as Computer Assisted Radiology (CAR) . In the main, CAR will promote the transition from analog imaging systems to digital systems, integration of digital imaging modalities through Picture Archiving and Communication Systems (PACS') and the graduated employment of Medica~ Work Stations (MWS) for diagnosis and therapy planning. It will transfer geographically, organisationally and/or mentally isolate imaging activities towards fully integrated multi-imaging modality diagnostic departments. This development will have a considerable impact on patient management, on the medical profession and on the health care system.

This unique ultrasound atlas is dedicated entirely to pathology of the scrotal contents. The 357 illustrations constitute the major proportion of the book, each of them is accompanied by a labelled diagram and detailed description. The atlas covers the essential embryology and ultrasound anatomy, the principal clinical presentations encountered in practice by the clinician and radiologists, and the differential diagnosis of intrascrotal cysts and calcifications. For each chapter there is a short but precise text, supplemented by tables or decision-making algorithms followed by the relevant images.

There is a tradition behind the current radiologic examination of the small bowel. Many of the great names in gastrointestinal radiology have established their reputations on the basis of their work in the small bowel. This is an area which is assuming ever greater importance for radiologists as its mucosal surface continues to elude the endos copist. Moreover, it is an aspect of radiology which calls for the greatest technical and interpretative skill. It is a great pleasure to welcome the English language version of this beautiful work on Radiology of the Small Intestine. English speaking physicians are frequently not as familiar with the large body of work published in French as they should be. Tant pis ! Dr. Bret and his co-workers have been pioneers in the pursuit of excellence in gastrointestinal radiology. During all the years that I have been involved in this field, I have admired their work.

The author describes in his unique style the anatomical variants of the brain and skull. This atlas is a continuation of his last work on "Neuronavigation and Neuroanatomy". Most anatomical reference volumes show a large number of common and rare variations. This atlas concentrates on well known and little known variants which are especially important for the clinicians, in particular the neurosurgeons and the radiologists. The variants have been grouped after areas of trepanation. The author presents also a number of so far unknown variants gathered from his personal theoretical and clinical experience of 50 years. Exact knowledge of anatomical variations which the surgeon may encounter helps to plan operations and to avoid unexpected complications. Variants of no clinical relevance, even rather common ones, have not been included.

Nous sommes entrA(c) dans une civilisation de l'image et du numA(c)rique. L'imagerie mA(c)dicale numA(c)rique offre au clinicien des outils nouveaux, riches de promesses, et en pleine A(c)volution. Or ces techniques ne peuvent se concevoir sans utilisation de l'informatique. Mais cette imagerie utilise une information complexe, volumineuse, non structurA(c)e, souvent multimA(c)dia. Elle pose donc A l'informaticien des problA]mes difficiles qu'il ne sait pas encore parfaitement rA(c)soudre. Par consA(c)quent, la recherche d'outils informatique adaptA(c)s et la determination de leur meilleur mode d'utilisation est un domaine riche de possibilitA(c) de collaboration entre mA(c)decins et informaticiens. La premiA]re confA(c)rence organisA(c)e dans le cadre des Entretiens de Lyon a permis A des informaticiens et A des mA(c)decins, ensemble, d'une part d'A(c)tudier les aspects informatiques des bases de donnA(c)es d'imagerie mA(c)dicale, d'autre part de rechercher comment faire A(c)voluer les systA]mes d'imagerie mA(c)dicale (PACS) vers une intA(c)gration dans des systA]mes d'information hospitaliers, d'autre part encore de dA(c)terminer par quelles techniques pourraient Aatre obtenues et mieux visualisA(c)es des images mA(c)dicales notamment tridimensionnelles, enfin d'A(c)tudier les systA]mes experts mA(c)dicaux et les problA]mes d'intelligence artificielle appliquA(c)e A la mA(c)decine.

A goldmine of theoretical insights and practical suggestions, Achieving Excellence in Medical Education, Second Edition explores the essential question facing medical educators and learners today: What is our vision of educational excellence, and what can we do to enhance our performance? Among the topics explored within this updated, engaging, informative, and thought-provoking text are: * Education's position as a priority of medical schools * Seminal educational insights from non-medical educators * Best practices of outstanding educators and learners * Promises and pitfalls of new educational technologies * Key resources for promoting excellence in medical education * Medical education's role in preparing future leaders * Leadership roles for medical schools in universities and society Reviews of the first edition: "This is an eloquent, quotable, and inspirational book that provides a template for "Achieving Excellence in Medical Education." - Journal of the American Medical Association "Gunderman is an accomplished educator, well known as a thoughtful and provocative teacher. . . I recommend his book to department chairs, clerkship and residency program directors, and education professionals who are shaping the future of medical education." - New England Journal of Medicine

Using images and anatomic illustrations, "Rad Tech's Guide to MRI: Imaging Procedures, Patient Care, and Safety" provides the reader with a quick overview of MRI for quick reference and examination preparation. As part of the Rad Tech's Guide Series, this volume features an overview of anatomy, imaging tips, scanning procedures, and the latest information on protocols--all in the context of patient care and safety.

Each book in the Rad Tech's Guide Series covers the essential basics for those preparing for their certifying examinations and those already in practice.

Special Features include:
Materal based on the ARRT educational requirements
Quick-reference bullet format
Concise presentation

This book constitutes the thoroughly refereed conference proceedings of the 6th International Symposium on Biomedical Simulation (ISBMS) which was held in Strasbourg, France, in October 2014. Biomedical modeling and simulation are at the center stage of worldwide efforts to understand and replicate the behavior and function of the human organism. Large scale initiatives such as the Physiome Project, Virtual Physiological Human and Blue Brain Project aim to develop advanced computational models that will facilitate the understanding of the integrative function of cells, organs, and organisms, with the ultimate goal of delivering truly personalized medicine. At the same time, progress in modeling, numerical techniques and haptics has enabled more complex and interactive simulations. The 27 revised full papers (including 16 regular and 11 short papers) were carefully selected from 45 submissions and cover topics such as training systems and haptics, physics-based registration, vascular modeling and simulation, image and simulation, modeling, surgical planning, analysis, characterization and validation.

This book offers a review of the normal histopathological anatomy, imaging techniques and diagnostic findings for a broad spectrum of clinical problems. It includes a classification of inflammatory syndromes previously described under several different terms. It is the first textbook to describe the imaging of all anterior chest wall disorders.

This book constitutes the refereed proceedings of the 6th International Workshop on Biomedical Image Registration, WBIR 2014, held in London, UK, in July 2014.

The 16 full papers and 8 poster papers included in this volume were carefully reviewed and selected from numerous submitted papers. The full papers are organized in the following topical sections: computational efficiency, model based regularisation, optimisation, reconstruction, interventional application and application specific measures of similarity.

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

Gastrointestinal bleeding is an age-old problem. The original description of g- trointestinalbleedingmayhavebeenfromGalenandhisworkconnectingdyspepsia andmelanoticstool. Thechangesinourmanagementofgastrointestinalbleeding overthecenturieshavebeendrivenbynaturalalterationsinthespectrumofdiseases, expanding our understanding of these diseases and the never ending advances in technologyandpharmacologythathaveoccurredrelativetoGIdiseases. Academic interestingastrointestinalbleedingpeakedinthelasthalfofthetwentiethcentury withtheexpandingroleofsurgery,thediscoveryofacid-basedpepticulcerthe- pies,andtheriseof?exibleendoscopyandculminatedinthedescriptionofh. pylori as a causative agent for ulcer disease. More recently there has been a decrease incidenceinbleedingdiseasesofthegutandthereforeadecreasinginterestinthe scholarlywritingaboutthesediseases. Therehasnotbeenamajortextbookwritten aboutgutbleedinginover10yearsandthereforetheintentionofthistextbookisto ?llthatvoidbyprovidingareviewofacomprehensiveapproachtouppergut,mid, andlowergutbleeding. CliniciansatDukeUniversitywhohaveacommoninterestinthegastrointes- naltracthavecollaboratedintheconstructionofthistext. Thisefforthasbrought together surgeons, gastroenterologists, and radiologists, to carefully chronicle the presentation, diagnosis, and management of modern day causes of gastrointes- nal bleeding. These co-authors concentrate on some of the latest innovations in the endoluminal and minimally invasive techniques that characterize the current approaches to these diseases. Emphasis has been placed on capsule endoscopy, double-balloon endoscopy, laparoscopic peptic ulcer surgery, and angiographic diagnosis and management techniques. The text has been written in such a way thatthereadercanquicklyreviewaspeci?ccauseofGIbleedingpriortomanaging ofsuchapatient. Weexpectthistextwillbeusedwiththesameimmediacyasthe diseasespresent. Wehopethatthistextprovidesafoundationforlearningformedicalstudents, interns,residents,andpractitionerswhoencounterthesecriticallyillanddif?cultto managepatients. Durham,NC,USA AuroraD. Pryor Durham,NC,USA TheodoreN. Pappas Durham,NC,USA MalcolmStanleyBranch v Acknowledgment TheeditorswouldliketothankMs. VirginiaCashforherhelpinthepreparation andcoordinationofthetext. vii Contents Part I Upper GI Bleeding Stabilization of Patients Presenting with Upper Gastrointestinal Bleeding. ..3 ErrolL. BushandMarkL. Shapiro Urgent Workup for Upper Gastrointestinal Bleeding...13 LorettaErhunmwunseeandSandhyaA. Lagoo-Deenadayalan Management of Esophageal Variceal Bleeding ...23 KekiBalsaraandLisaPickett Management of Dieulafoy's Lesions ...31 SerainaK. Faes,BrianR. Untch,ClaireEdwards,JohnTurner, MartinPoleski,andDouglasS. Tyler Management of Bleeding Peptic Ulcer Disease ...39 JamesC. PadussisandTheodoreN. Pappas Management of Unusual Sources of Upper GI Bleeding...65 ElisabethTracyandJanetTuttle-Newhall Mallory-Weiss Syndrome...79 JacobN. SchroderandMalcolmS. Branch Management of Bleeding Small Bowel Tumors...85 KeriE. LunsfordandAuroraD. Pryor Management of Bleeding from the Bile Duct ...103 CarlosE. MarroquinandBridgetM. Marroquin Management of Bleeding from the Pancreas...

This volume presents pedagogical content to understand theoretical and practical aspects of diagnostic imaging techniques. It provides insights to current practices, and also discusses specific practical features like radiation exposure, radiation sensitivity, signal penetration, tissue interaction, and signal confinement with reference to individual imaging techniques. It also covers relatively less common imaging methods in addition to the established ones. It serves as a reference for researchers and students working in the field of medical, biomedical science, physics, and instrumentation. Key Features * Focusses on the clinical applications while ensuring a steady understanding of the underlying science * Follows a bottom-up approach to cover the theory, calculations, and modalities to aid students and researchers in biomedical imaging, radiology and instrumentation * Covers unique concepts of nanoparticle applications along with ethical issues in medical imaging

Practical Colonoscopy Jerome D. Waye, MD, Director of Endoscopic Education, Clinical Professor of Medicine, Mount Sinai Medical Center, New York, NY, USA James Aisenberg, MD, Clinical Professor of Medicine, Mount Sinai Medical Center, New York, NY, USA Peter H. Rubin, MD, Associate Clinical Professor of Medicine, Mount Sinai Medical Center, New York, NY, USA Are you looking for a rapid-reference, step-by-step guide to teach you all that you need to know in order to perform high-quality colonoscopy? Then Practical Colonoscopy is the perfect resource for you. Drawing upon their collective century of experience performing and teaching colonoscopy, Drs. Waye, Aisenberg and Rubin share the pearls and principles that they find most useful in every day practice. The team is led by Dr. Jerry Waye, one of the world s leading practitioners and teachers of endoscopy. Up-to-date, practical, clinically-focused, succinct and packed full of outstanding illustrations and videos, this multi-media tool guides you through the core aspects of best colonoscopy practice. Key features include: * Lucid,step-by-step explanations of the techniques and principles that will help you to achieve outstanding results * A companion website that contains 39 videos illustrating important techniques, findings, and problems * Text-boxes that highlight and organize the pearls and pitfalls of colonoscopy practice * Line diagrams that illustrate important strategies and maneuvers * High-resolution still photographs that depict important findings and techniques GI trainees will find this the perfect introductory guide to colonoscopy, and more experienced specialists will value it as a refresher tool that is replete with hundreds of new pearls provided by world experts. Practical Colonoscopy is a must-have tool for today s colonoscopist.

This is the first work to take a comprehensive look at the application of Magnetic Resonance (MR) techniques in the diagnosis, follow-up and therapy monitoring of dementing illnesses. The authors present an overview of MR findings in neurodegenerative and vascular disorders leading to dementia. In doing so, they also discuss other diseases that lead to cognitive and/or behavioural deterioration, such as infectious inflammatory disorders, toxic encephalopathies, inborn errors of metabolism of adult onset and post-traumatic, post-radiotherapy and post-chemotherapy conditions. This authoritative, well-written and richly illustrated reference work is indispensable for anybody working in the field.

This invaluable and well-presented text brings together previously fragmented or incompletely elucidated data on the impressive recent advances in orthopedic nuclear medicine. The book begins by acquainting the readers with various anatomic, physiologic, pathologic and technical concepts crucial to understanding orthopedic nuclear medicine and its utilization in clinical practice. Subsequent chapters detail the diagnosis of skeletal infections, trauma, vascular disorders, metabolic and neoplastic bone diseases, soft tissue calcifications and joint disorders. A separate section is devoted to the use of radionuclides in the treatment of bone and joint diseases. A unique feature of this richly illustrated volume is its comprehensive and clinically oriented approach. The book will prove invaluable to all with an interest in diagnostic and therapeutic orthopedics, including radiologists, orthopedists, rheumatologists, pediatricians, other clinicians and nuclear medicine professionals.

Nuclear Medicine in Psychiatry showcases the combined expertise of renowned authors whose dedication to the investigation of psychiatric disease through nuclear medicine technology has achieved international recognition. Psychiatric disorders are discussed both from categorical and functional psychopathological viewpoint and the latest results in functional neuroimaging are detailed. Most chapters are written jointly by a psychiatrist and a nuclear medicine expert, and each contains a section "Clinical Aspects", to link research data with clinical routine. This state-of-the-art compendium will be valuable to anybody in the field of neuroscience, from the psychiatrist and the radiologist/nuclear medicine specialist to the interested general practitioner and cognitive psychologist.

Regular physical exercise is associated with substantial health benefits. Recent evidence not only holds for cardiovascular effects promoting "physical health", but also for the central nervous system believed to promote "brain health". Moderate physical exercise has been found to improve learning, memory, and attentional processing, with recent research indicating that neuroprotective mechanisms and associated plasticity in brain structure and function also benefit. Physical exercise is also known to induce a range of acute or sustained psychophysiological effects, among these mood elevation, stress reduction, anxiolysis, and hypoalgesia. Today, modern functional neuroimaging techniques afford direct measurement of the acute and chronic relation of physical exercise on the human brain, as well as the correlation of the derived physiological in vivo signals with behavioral outcomes recorded during and after exercise. A wide range of imaging techniques have been applied to human exercise research, ranging from electroencephalography (EEG), magnetoencephalography (MEG), near infrared spectroscopy (NIRS), magnetic resonance imaging (MRI) to positron emission tomography (PET). All of these imaging methods provide distinct information, and they differ considerably in terms of spatial and temporal resolution, availability, cost, and associated risks. However, from a "multimodal imaging" perspective, neuroimaging provides an unprecedented potential to unravel the neurobiology of human exercise, covering a wide spectrum ranging from structural plasticity in gray and white matter, network dynamics, global and regional perfusion, evoked neuronal responses to the quantification of neurotransmitter release. The aim of this book is to provide the current state of the human neuroimaging literature in the emerging field of the neurobiological exercise sciences and to outline future applications and directions of research.

- Donation refusal is high in all the regions of Argentina. - The deficient operative structure is a negative reality that allows inadequate donor maintenance and organ procurement. - In more developed regions, there are a high number of organs which are not utilized. This is true for heart, liver and lungs. Small waiting lists for these organs probably reflect an inadequate economic coverage for these organ transplant activities. - There is a long waiting list for cadaveric kidney transplants, which reflect poor procurement and transplant activity. - Lack of awareness by many physicians leads to the denouncing of brain deaths. In spite of these factors, we can say that there has been a significant growth in organ procuration and transplantation in 1993, after the regionalization of the INCUCAI. Conclusions Is there a shortage of organs in Argentina? There may be. But the situation in Argentina differs from that in Europe, as we have a pool of organs which are not utilized (donation refusal, operational deficits, lack of denouncing of brain deaths). Perhaps, in the future, when we are able to make good use of all the organs submitted for transplantation, we will be able to say objectively whether the number of organs is sufficient or not. Acknowledgements I would like to thank the University of Lyon and the Merieux Foundation, especially Professors Traeger, Touraine and Dr. Dupuy for the honour of being invited to talk about the issue of organ procurement.