This book embarks on a journey never taken before, approaching the imaging of the disease of achalasia with new pathophysiological assumptions in mind, coming from the Chicago Classification of Manometric diagnosis. Using state-of-the-art, modern x-ray technology, the authors have developed a schematic and simple approach to detection, diagnosis, and patient stadiation and prognostic stratification, for radiologists, clinicians, and students. Key Features: 1. Serves as a useful guide to structured and comprehensive reporting of barium swallows, both in achalasia and other oesophageal motility disorders. 2. Allows radiologists, both specialists, and trainees, to comprehensively understand achalasia from anatomic, pathophysiologic, therapeutic points of view, allowing for exact comprehension, detection, and reporting of the radiologic hallmarks of the disease. 3. Empowers readers to diagnose and define the exact achalasia subtype in each patient, due to the specifically developed FBF score.

Medical students preparing for a career in clinical practice must become familiar with a wide range of diagnostic imaging techniques and image-guided interventions. They must learn to identify the indications for radiological examination and recognize the role each procedure plays in the workup, diagnosis, and therapeutic management of patients. That is why Squire's Fundamentals of Radiology has been such an important, long-standing resource for medical students, physicians, and other professionals at all stages of their careers. It teaches essential topics in the radiology curriculum and features hundreds of illustrative cases clinicians can turn to again and again in practice. In this long-awaited seventh edition, Robert Novelline provides more than 600 new high-resolution images representing the current breadth of radiological procedures: conventional x-rays, ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), angiography, radioisotope scanning, positron emission tomography (PET), and molecular imaging. This edition's expanded coverage addresses dual energy CT, breast tomosynthesis, PET-MR scanning, and tractography brain imaging, along with best practices for managing patient experiences during and after examination. All new images were produced at a major teaching hospital using state-of-the-art imaging technologies. Squire's Fundamentals of Radiology is designed to be read cover to cover by students, with concepts, principles, and methods progressing in a logical, cumulative manner. It also serves as an invaluable tool for teachers and an indispensable reference for seasoned practitioners. Written by a radiologist who has trained thousands of medical students and residents, this textbook is the clear choice for excelling in the general practice of radiology.

The Royal College of Radiologists' First Anatomy module aims to ensure that this critical area in the interpretation of radiological images is thoroughly learned in the first year of training. This revision aid includes ten FRCR Part 1 practice exams with answers, equating to 200 high quality radiological images of normal anatomy that include CT, MRI, Ultrasound, Fluoroscopic studies and plain radiography. Following the examination format, five questions are set for each image, while detailed answers, clinical points and gems provide explanations and highlight learning points. This book will be ideal for trainees sitting the First FRCR examination, but also for those in other surgical or medical specialties who are exposed to radiology on a daily basis and wish to increase their understanding of radiological studies. Medical students and prospective radiology trainees may also find this book a helpful introduction and revision aid. 'A comprehensive, well structured and above all highly relevant book for all candidates approaching the new RCR anatomy exam.' - from the Foreword by Niall Power

Gamuts in Radiology is the world's most complete, best known, and most trusted guide to radiologic differential diagnosis. Since 1975, radiologists the world over have used 'Gamuts' to ensure that every diagnostic possibility is considered. For the Fourth Edition, Dr. Maurice M. Reeder has assembled an all-new board of Section Editors who have completely revised and updated their respective sections. These editors are among the world's authorities in their respective specialties, and they have given this classic the most complete revamping it has ever had. New features in the fourth edition include: over 250 new gamuts in the areas of ultrasound, magnetic resonance body imaging, and head and neck imaging; more than 80 percent of the previously existing gamuts have been updated; an entire new section on Obestetrical Ultrasound.

Intracoronary ultrasound is a rapidly evolving imaging modality and the increasing number of published studies indicates that the technique is safe and provides incremental and more detailed diagnostic information than coronary angiography. The technique has the potential to study the pathobiology of atherosclerosis, to clarify the significance of angiographically equivocal lesions and has helped us to understand the mechanisms, effects and complications of catheter-based revascularization procedures. Combinations of imaging and therapeutic devices are being developed for both guidance and assessment of the revascularization procedure. Three-dimensional reconstruction of coronary segments is now possible in real time and provides the opertor with more detailed information on coronary pathology. In this monograph, leading experts in the field present the state of the art of all these new developments.

The book is divided into two parts: Part I deals with the relevant physics and planning algorithms of protons (H Breuer) and Part II with the radiobiology, radiopathology and clinical outcomes of proton therapy and a comparison of proton therapy versus photon therapy (BJ Smit). Protons can be used for radiosurgery and general radio therapy. Since proton therapy was first proposed in 1946 by Wilson, about sixteen facilities have been built globally. Only a very few of these have isocentric beam delivery systems so that proton therapy is really only now in a position to be compared directly by means of randomised clinical trials, with modern photon radiotherapy therapy sys tems, both for radiosurgery and for general fractionated radiotherapy. Three-dimensional proton planning computer systems with image fusion (image of computerised tomography (CT), magnetic resonance registration) capabilities imaging (MRI), stereotactic angiograms and perhaps positron emission tomography (PET) are essential for accurate proton therapy planning. New planning systems for spot scanning are under development. Many of the older comparisons of the advantageous dose distributions for protons were made with parallel opposing or multiple co-planar field arrangements, which are now largely obsolete. New comparative plans are necessary once more because of the very rapid progress in 3-D conformal planning with photons. New cost-benefit analy ses may be needed. Low energy (about 70 MeV) proton therapy is eminently suitable for the treatment of eye tumours and has firmly established itself as very useful in this regard."

This book covers all one needs to know about the utility of endomicroscopy in the diagnosis and management of gastrointestinal diseases. It provides a comprehensive description of the latest in diagnostic criteria and advances in the basic science pertaining to endomicroscopy of the gastrointestinal system. Each chapter introduces the key histologic, endoscopic, and endomicroscopic features of common gastrointestinal conditions, with generous illustration using typical images. The book will provide the practicing physicians with the principles of practice, and procedural techniques of endomicroscopy, as well as demonstrate the bench-to-bedside translational potential of endomicrosocpy in helping endoscopists manage their patients' gastrointestinal conditions. This book fills an enormous gap in providing a much needed atlas in GI endomicroscopic diagnosis. Readers can learn the diagnostic criteria of various gastrointestinal conditions as illustrated by high quality endoscopic, endomicroscopic and histology images. It contains the most extensive review of currently published studies of endomicroscopy in gastrointestinal conditions. It has numerous high quality endomicroscopic images along with high definition endoscopy and histology images illustrating the common gastrointestinal diseases. It will provide a platform for standardizing endomicroscopic practice and learning.

Osteoarthritis is a condition in which low-grade inflammation results in joint pain, and it is the most common joint disease. Interactions between all of the major joint tissues, including the articular cartilage, synovium, bone marrow, subchondral bone, trabecular bone, and muscle, have been implicated in osteoarthritis. Magnetic resonance images have been used to quantify the cartilage morphology, volume and thickness, and focal defects, and may reflect changes in the biochemical composition of articular cartilage.

This book brings together contributions from key investigators in the area of magnetic resonance imaging (MRI) for osteoarthritis of the knee. Written by a multidisciplinary group of scientists, engineers, and clinicians, this book is the first to cover MRI as a new emerging modality for the diagnosis of osteoarthritis, and presents new findings in both basic and clinical science research.

Digital Radiography has been ? rmly established in diagnostic radiology during the last decade. Because of the special requirements of high contrast and spatial resolution needed for roentgen mammography, it took some more time to develop digital m- mography as a routine radiological tool. Recent technological progress in detector and screen design as well as increased ex- rience with computer applications for image processing have now enabled Digital Mammography to become a mature modality that opens new perspectives for the diag- sis of breast diseases. The editors of this timely new volume Prof. Dr. U. Bick and Dr. F. Diekmann, both well-known international leaders in breast imaging, have for many years been very active in the frontiers of theoretical and translational clinical research, needed to bring digital mammography ? nally into the sphere of daily clinical radiology. I am very much indebted to the editors as well as to the other internationally rec- nized experts in the ? eld for their outstanding state of the art contributions to this v- ume. It is indeed an excellent handbook that covers in depth all aspects of Digital Mammography and thus further enriches our book series Medical Radiology. The highly informative text as well as the numerous well-chosen superb illustrations will enable certi? ed radiologists as well as radiologists in training to deepen their knowledge in modern breast imaging.

Develop the skills you need to produce diagnostic-quality medical images! Radiologic Science for Technologists: Physics, Biology, and Protection, 12th Edition provides a solid foundation in the concepts of medical imaging and digital radiography. Featuring hundreds of radiographs and illustrations, this comprehensive text helps you make informed decisions regarding technical factors, image quality, and radiation safety for both patients and providers. New to this edition are all-digital images and the latest radiation protection standards and units of measurement. Written by noted educator Stewart Carlyle Bushong, this text will prepare you for success on the ARRT (R) certification exam and in imaging practice. Broad coverage of radiologic science topics includes radiologic physics, imaging, radiobiology, and radiation protection, with special topics including mammography, fluoroscopy, spiral computed tomography, and cardiovascular interventional procedures. Objectives, outlines, chapter introductions, and summaries organize information and emphasize the most important concepts in every chapter. Formulas, conversion tables, and abbreviations provide a quick reference for frequently used information, and math equations are always followed by sample problems with direct clinical application. Key terms are bolded and defined at first mention in the text, with each bolded term included in the expanded glossary. Math formulas are highlighted in special shaded boxes for quick reference. Penguin icons in shaded boxes represent important facts or bits of information that must be learned to understand the subject. End-of-chapter questions help students review the material with definition exercises, short-answer questions, and calculations. Student workbook reinforces understanding with worksheets that complement the content covered in the text. Available separately. NEW! Updated content reflects the newest curriculum standards outlined by the ARRT (R) and ASRT. NEW! All images are digital, following current radiology practice. NEW! Updated radiation protection standards and units of measurement are incorporated throughout the text. NEW! Streamlined physics and math sections focus on the essential content to ensure student technologists are prepared to take the ARRT (R) exam and have the background needed to perform well in the clinical environment. NEW! Increased alignment of chapter objectives with the ASRT core curriculum helps students focus on need-to-know content in preparation for the Registry exam and for clinical success.

This contributed volume focuses on cardiovascular diseases (CVDs), and explores the ways in which signaling mechanisms at the biochemical, molecular, and cellular levels in the blood vessels (vascular) and heart contribute to the underlying causes of development and progression of the CVDs. This volume covers unique topics such as oxidant signaling in vascular and heart diseases and health, cytoskeletal signaling in vascular health and disease, phospholipase signaling in CVDs, lipid signaling in vascular and myocardial health and diseases, and drug discovery in cellular signaling for cardiovascular diseases. This book assembles the most important discoveries made by leaders on the cellular signaling mechanisms operating behind the development and progression of life-threatening CVDs. It is an extremely useful resource for the investigators in the field of CVDs, and opens the discussion for further discovery of efficient management and effective treatment of the CVDs.

The biomedical sciences have recently undergone revolutionary change, due to the ability to digitize and store large data sets. In neuroscience, the data sources include measurements of neural activity measured using electrode arrays, EEG and MEG, brain imaging data from PET, fMRI and optical imaging methods. Analysis, visualization and management of these time series data sets is a growing field of research that has become increasingly important both for experimentalists and theorists interested in brain function. Written by investigators who have played an important role in developing the subject and in its pedagogical exposition, the current volume addresses the need for a textbook in this interdisciplinary area. The book is written for a broad spectrum of readers ranging from physical scientists, mathematicians and statisticians wishing to educate themselves about neuroscience, as well as biologists who would like to learn time series analysis methods in particular, and refresh their mathematical and statistical knowledge in general, through self-pedagogy. It could also be used as a supplement for a quantitative course in neurobiology or as a textbook for instruction on neural signal processing. The first part of the book contains a set of essays meant to provide conceptual background which are not technical and should be generally accessible. Salient features include the adoption of an active perspective of the nervous system, an emphasis on function, and a brief survey of different theoretical accounts in neuroscience. The second part is the longest in the book, and contains a refresher course in mathematics and statistics leading up to time series analysis techniques. The third part contains applications of data analysis techniques to the range of data sources indicated above (also available as part of the Chronux data analysis platform from http://chronux.org), and the fourth part contains special topics.

This book provides a perspective on the current status of bioimaging technologies developed to assess the quality of musculoskeletal tissue with an emphasis on bone and cartilage. It offers evaluations of scaffold biomaterials developed for enhancing the repair of musculoskeletal tissues. These bioimaging techniques include micro-CT, nano-CT, pQCT/QCT, MRI, and ultrasound.

"This book presents the technology evaluation methodology from the point of view of radiological physics and contrasts the purely physical evaluation of image quality with the determination of diagnostic outcome through the study of observer performance. The reader is taken through the arguments with concrete examples illustrated by code in R, an open source statistical language." - from the Foreword by Prof. Harold L. Kundel, Department of Radiology, Perelman School of Medicine, University of Pennsylvania "This book will benefit individuals interested in observer performance evaluations in diagnostic medical imaging and provide additional insights to those that have worked in the field for many years." - Prof. Gary T. Barnes, Department of Radiology, University of Alabama at Birmingham This book provides a complete introductory overview of this growing field and its applications in medical imaging, utilizing worked examples and exercises to demystify statistics for readers of any background. It includes a tutorial on the use of the open source, widely used R software, as well as basic statistical background, before addressing localization tasks common in medical imaging. The coverage includes a discussion of study design basics and the use of the techniques in imaging system optimization, memory effects in clinical interpretations, predictions of clinical task performance, alternatives to ROC analysis, and non-medical applications. Dev P. Chakraborty, PhD, is a clinical diagnostic imaging physicist, certified by the American Board of Radiology in Diagnostic Radiological Physics and Medical Nuclear Physics. He has held faculty positions at the University of Alabama at Birmingham, University of Pennsylvania, and most recently at the University of Pittsburgh.

A concise and comprehensive review of findings and differential diagnoses found on the oral board examination for diagnostic radiology. Drawing on pertinent and key differential diagnoses, the authors have assembled and organized the diagnoses most likely to appear on the exam and illustrated them with essential images to reinforce the findings associated with each differential. Additionally, with each finding set is provided a mnemonic to augment recall of any missing components of the differential that would be considered important. Because of their concise presentation, many cases can be examined, interpreted, completed, and memorized very rapidly in a single sitting. Since the majority of cases contain prototypical representations of pathology, the book also serves as an excellent reference source for many years after the reader has taken and passed the oral board examination. A CD-ROM edition of the book (ISBN: 1-58829-928-7), sold separately, is available for use on the reader's PC or PDA.

This practical, two volume handbook provides a critical look at state-of -the-art ultrasound techniques and equipment. It is a comprehensive reference with numerous black/white and color ultrasonograms, tables and graphs. The volumes include extensive literature citations which assist the investigator in finding more in-depth references. This work focuses on the recent remarkable expansion in both diagnostic techniques and clinical applications. It reports findings based on an unusually large patient population over al long time period. It presents the accuracy and limitations of various aspects of ultrasound.

This practical, two-volume handbook is the first to illustrate the use of transvaginal color doppler in obstetrics and gynecology. It provides a critical look at state-of-the-art ultrasound techniques and equipment and serves as a comprehensive reference with numerous black/white and color ultrasonograms, tables and graphs. The volumes include extensive literature citations which assist the investigator in finding more in-depth references. This work focuses on the recent remarkable expansion in both diagnostic techniques and clinical applications. It reports findings based on an unusually large patient population over a long period of time. It presents the accuracy and limitations of various aspects of ultrasound. This important publication is especially helpful for clinicians and researchers.

Key features: * Provides a clear explanation for many of the pain generators in low back pain and illuminate this perplexing and ubiquitous problem. * Addresses a gap in the existing literature, as "non-specific" or mechanical lumbosacral spine pain accounts for by far most chronic spinal pain sufferers' complaints for clinicians dealing with spinal pain syndromes like general medical practitioners, and spinal specialists in various fields such as sports medicine. * Illustrates anatomical structures that can be injured and thus become responsible for causing mechanical lumbosacral spine pain, frequently, such injuries cannot be detected on sophisticated imaging such as MRI.

High Efficiency Video Coding and Other Emerging Standards provides an overview of high efficiency video coding (HEVC) and all its extensions and profiles. There are nearly 300 projects and problems included, and about 400 references related to HEVC alone. Next generation video coding (NGVC) beyond HEVC is also described. Other video coding standards such as AVS2, DAALA, THOR, VP9 (Google), DIRAC, VC1, and AV1 are addressed, and image coding standards such as JPEG, JPEG-LS, JPEG2000, JPEG XR, JPEG XS, JPEG XT and JPEG-Pleno are also listed. Understanding of these standards and their implementation is facilitated by overview papers, standards documents, reference software, software manuals, test sequences, source codes, tutorials, keynote speakers, panel discussions, reflector and ftp/web sites - all in the public domain. Access to these categories is also provided.

Diagnostic imaging is an essential component in the evaluation of the patient with known or suspected respiratory tract disease. While chest radiography continues to serve as the primary tool for imaging the chest, advances in computed tomography (CT) have led to a variety of applications such as high-resolution CT (HRCT), advanced 3-D airway imaging, and image-guided procedures. The aim of this book is to deliver a clinically-oriented approach to pulmonary imaging. Each chapter of the book will provide an organized approach to the different facets of imaging of specific clinical scenarios, focusing on strengths and weaknesses of available imaging tests. High quality examples of typical imaging findings of specific conditions will supplement the text. The target readers include practicing internists, pulmonologists, thoracic surgeons, and primary care practitioners. Other readers will include respiratory care therapists and medical students. The proposed cohort of authors represents experts in the field of thoracic radiology. These authors have experience in thoracic radiology and medical writing, each will deliver a high-quality chapter meeting the aims and scope of this book while addressing the target audience. Aside from the first three chapters, which are introductory materials, each author will be invited to select a clinician with whom they work closely to serve as a co-author in order to provide a chapter that maintains the clinical orientation of this book.

This volume provides a comprehensive overview of quality metrics and methods used to improve quality for all major modalities of CRC screening. It introduces the readers to the evidence of effectiveness behind various CRC screening modalities: stool-based tests (Fecal Occult Blood, Fecal Immunochemical and Fecal DNA tests), flexible sigmoidoscopy, colonoscopy and CT colonography. In-depth chapters review the latest guidelines for CRC screening, compare differences among the five major national guidelines, and highlight the need for valid quality and cost indicators. While the main focus of this volume is on colonoscopy, since most quality indicators and analyses have focused on this modality of screening and surveillance, one chapter is devoted to quality indicators of other screening modalities. Differences between process and outcome measures are also highlighted and a small but valid set of recommended national measures are listed. Written by experts in the field, Colorectal Cancer Screening: Quality and Benchmarks is an important and useful resource written for gastroenterologists, primary care physicians, general and colorectal surgeons, family physicians, and investigators with research focus in screening and quality metrics.

Appraising cancer as a major medical market in the 2010s, Wall Street investors placed their bets on single-technology treatment facilities costing $100-$300 million each. Critics inside medicine called the widely-publicized proton-center boom "crazy medicine and unsustainable public policy." There was no valid evidence, they claimed, that proton beams were more effective than less costly alternatives. But developers expected insurance to cover their centers' staggeringly high costs and debts. Was speculation like this new to health care? Cancer, Radiation Therapy, and the Market shows how the radiation therapy specialty in the United States (later called radiation oncology) coevolved with its device industry throughout the twentieth-century. Academic engineers and physicians acquired financing to develop increasingly powerful radiation devices, initiated companies to manufacture the devices competitively, and designed hospital and freestanding procedure units to utilize them. In the process, they incorporated market strategies into medical organization and practice. Although palliative benefits and striking tumor reductions fueled hopes of curing cancer, scientific research all too often found serious patient harm and disappointing beneficial impact on cancer survival. This thoroughly documented and provocative inquiry concludes that public health policy needs to re-evaluate market-driven high-tech medicine and build evidence-based health care systems.

Clear, concise description of more than 100 US-guided injections in musculoskeletal medicine. A Doody's Core Title for 2022! Atlas of Ultrasound-Guided Musculoskeletal Injections includes numerous tips and tricks from the field's most experienced and respected practitioners. This unique and state-of-the-art text is ideal for physiatrists, rheumatologists, sports medicine physicians, radiologists, pain medicine specialists, and orthopedic surgeons. With a focus on safety and efficacy, this atlas is a worthwhile investment for any practitioner looking to add ultrasound-guided procedures to their practice or is looking to sharpen their skills. The book opens with informative coverage of the fundamentals of MSK US, including ultrasound physics, preparation and set-up for MSK US procedures, and the rationale and evidence for performing these procedures. The main body of the book dedicates one chapter to a specific US-guided injection or procedure. Each chapter design includes sections on key points, pertinent anatomy, common pathology, US imaging, indications, and technique. The book is divided into 8 sections: Shoulder Elbow Hand and wrist Pelvis Knee Foot and ankle Special procedures (rotator cuff, Percutaneous Trigger finger release, Ultrasound-guided Carpal Tunnel release, and Tenex) Introduction Atlas of Ultrasound-Guided Musculoskeletal Injections includes coverage of the full spectrum of procedures, ranging from basic US guided joint injections to perinerual injections, tenotomies, and surgical procedures such as percutaneous A1 pulley release, making the book the field's first true cornerstone text and the "go to" resource for any clinician interested in the subject.

The book has two intentions. First, it assembles the latest research in the field of medical imaging technology in one place. Detailed descriptions of current state-of-the-art medical imaging systems (comprised of x-ray CT, MRI, ultrasound, and nuclear medicine) and data processing techniques are discussed. Information is provided that will give interested engineers and scientists a solid foundation from which to build with additional resources. Secondly, it exposes the reader to myriad applications that medical imaging technology has enabled.

The evolution of technological advances in infrared sensor technology, image processing, "smart" algorithms, knowledge-based databases, and their overall system integration has resulted in new methods of research and use in medical infrared imaging. The development of infrared cameras with focal plane arrays no longer requiring cooling, added a new dimension to this modality. Medical Infrared Imaging: Principles and Practices covers new ideas, concepts, and technologies along with historical background and clinical applications. The book begins by exploring worldwide advances in the medical applications of thermal imaging systems. It covers technology and hardware including detectors, detector materials, un-cooled focal plane arrays, high performance systems, camera characterization, electronics for on-chip image processing, optics, and cost-reduction designs. It then discusses the physiological basis of the thermal signature and its interpretation in a medical setting. The book also covers novel and emerging techniques, the complexities and importance of protocols for effective and reproducible results, storage and retrieval of thermal images, and ethical obligations. Of interest to both the medical and biomedical engineering communities, the book explores many opportunities for developing and conducting multidisciplinary research in many areas of medical infrared imaging. These range from clinical quantification to intelligent image processing for enhancement of the interpretation of images, and for further development of user-friendly high-resolution thermal cameras. These would enable the wide use of infrared imaging as a viable, noninvasive, low-cost, first-line detection modality.