For centuries the analysis of the heart rhythm has belonged to the foundations of medical art. We know that doctors in ancient Tibet used the interpretation of the heart rate to draw prognostic conclusions-somehow a modern rationale-that deserves further attention. The rapid advancement of science is providing more and more information about the details, but the subatomic resolution of structures hides the risk and the complex procedures are fragmented into static impressions. The same has happened to the ECG. The revolutionary development, acknowledged by the Nobel Prize for Einthoven, ledfromtheanalysisofthedynamicheartratetothestaticanalysisofthe heartstream curve. It is only with the ECG Holter recording over longer periods that the cardiologists rediscovered the old dynamic. With the continuous recording of the heart rate and its periodicity, it became accessible to a new dimension, a dim- sion that requires technically well-de?ned foundations for accurate data coll- tion, detailed knowledge of the electrocardiologic particularities of arrhythmia, and medical knowledge for the translation of the results into a diagnostic synthesis. With the ECG Holter the issue is no longer just to detect an arrhythmia, but also to determine dynamic circumstance in which the critical event occurred. In fact, we investigate the trigger, the event, and the context, and we have to integrate all of that information within the clinical picture, from the pathology right through to the symptom-indeed a multi-dimensional task.

Most books on imaging in sports medicine are concerned with the particular joints or anatomy involved in sports-related injuries. This book, however, takes a different perspective by looking at injuries that are associated with specific sports. All of the well-known major sports, such as football, tennis, and basketball, are included, as are many less common but still very popular sports, such as baseball, American football, and rugby. The chapters on sports-specific injuries are preceded by two chapters on the perspective of clinicians and another two chapters on the general use of MR imaging and ultrasound in sports medicine. The authors of the book are world-renowned experts from five continents. Imaging in Sports-Specific Musculoskeletal Injuries should be of great interest to radiologists, sports medicine physicians, orthopedic surgeons, and rehabilitation physicians, and to anyone interested in the treatment of sports-related injuries.

Cardiovascular and Neurovascular Imaging: Physics and Technology explains the underlying physical and technical principles behind a range of cardiovascular and neurovascular imaging modalities, including radiography, nuclear medicine, ultrasound, and magnetic resonance imaging (MRI). Examining this interdisciplinary branch of medical imaging from academic, clinical, and industrial perspectives, this comprehensive book: Covers each major imaging modality as well as special applications, time-resolved techniques, and image-guided therapies Discusses image quality and accuracy, radiation safety and dosimetry, and image formation and analysis Explores current and future trends in vascular imaging procedures and technologies Featuring chapters authored by field experts, Cardiovascular and Neurovascular Imaging: Physics and Technology combines the latest information on the physics and technology of cardiovascular and neurovascular imaging under one cover, providing students, professionals, and researchers with a single, state-of-the-art reference.

Up-to-Date Details on Using Ultrasound Imaging to Help Diagnose Various Diseases Due to improvements in image quality and the reduced cost of advanced features, ultrasound imaging is playing a greater role in the diagnosis and image-guided intervention of a wide range of diseases. Ultrasound Imaging and Therapy highlights the latest advances in using ultrasound imaging in image-guided interventions and ultrasound-based therapy. The book presents current and emerging techniques, identifies trends in the use of ultrasound imaging, and addresses technical and computational problems that need to be solved. The book is organized into three sections. The first section covers advances in technology, including transducers (2-D, 3-D, and 4-D), beamformers, 3-D imaging systems, and blood velocity estimation systems. The second section focuses on diagnostic applications, such as elastography, quantitative techniques for therapy monitoring and diagnostic imaging, and ultrasound tomography. The final section explains the use of ultrasound in image-guided interventions for image-guided biopsy and brain imaging.

This invaluable little pocketbook takes the reader through the basics of chest X-ray examination and interpretation. It covers the range of conditions clinicians are likely to encounter on the wards, and guides the reader through the diagnostic process based on the appearance of the abnormality shown. Suitable for medical students, junior doctors and other health professionals who interpret chest X-rays, including radiographers, nurses and physiotherapists, this text is the ideal solution to increasing your skills and boosting your confidence in using chest X-rays for diagnosis and management. Chest X-Ray Made Easy has garnered international praise as the ideal quick and simple guide to understanding chest X-rays. Concise and succinct - makes interpretation of chest X-rays as simple as possible Comprehensive but easy to understand Specifically designed for junior doctors and students New chapter on what and when to request, and how to do that New images throughout, including obvious and subtle examples of abnormalities Includes CT images and how they correlate with chest X-rays Sections on radiation doses and indications for chest X-rays Sections on chest X-ray appearances in COVID-19 Updated section on imaging in pregnancy Features interpretation of placement of lines, tubes, and of complications Quiz section to test knowledge Established title that is trusted internationally

Improve the Accurate Detection and Diagnosis of Cancer and Other Diseases Despite the expansion of the CAD field in recent decades, there is currently no single book dedicated to the development and use of CAD systems. Filling this need, Computer-Aided Detection and Diagnosis in Medical Imaging covers the major technical advances and methodologies shaping the development and clinical utility of CAD systems in breast imaging, chest imaging, abdominal imaging, and other emerging applications. After a historical overview of CAD, the book is divided into four sections. The first section presents CAD technologies in breast imaging, which is the most advanced area of CAD application. The second section discusses CAD technologies in chest and abdominal imaging. The third section explores emerging CAD technologies in a wide range of imaging modalities designed to address a variety of diseases. The final section describes the current use of CAD systems in clinical practice as well as how CAD will play an important role in quantitative image biomarkers and imaging genomics research. This book brings together existing and emerging CAD approaches at a level understandable to students, CAD system developers, basic scientists, and physician scientists. Newcomers to CAD research will learn about fundamental aspects in the process of CAD system development. Developers of CAD systems will gain insight on designing new or improved CAD systems. Experienced researchers will get up-to-date information on the latest CAD technologies.

A Practical Guide to 3D Ultrasound was conceived with the beginner in mind. The guide summarizes the basics of 3D sonography in a concise manner and serves as a practical reference for daily practice. It is written in easy-to-read language and contains tables summarizing the step-by-step instructions for the techniques presented. Following introductory chapters covering the various technical aspects of 3D ultrasound, the book covers clinical applications of 3D ultrasound in the first trimester and for the fetal cardiovascular, genitourinary, and central nervous systems. Clinical applications of fetal anatomical structures such as the skeleton, chest, face, and gastrointestinal tract are also discussed. In addition, the clinical applicability of 3D ultrasound in obstetrics and gynecology is explored. The book is highly illustrated and contains more than 350 ultrasound images, many in color, corresponding to the techniques discussed. A table of practical tips is also included at the end of every chapter. This book is a practical and comprehensive reference for the basics surrounding 3D ultrasound.

The Physiological Measurement Handbook presents an extensive range of topics that encompass the subject of measurement in all departments of medicine. The handbook describes the use of instruments and techniques for practical measurements required in medicine. It covers sensors, techniques, hardware, and software as well as information on processing systems, automatic data acquisition, reduction and analysis, and their incorporation for diagnosis. Suitable for both instrumentation designers and users, the handbook enables biomedical engineers, scientists, researchers, students, health care personnel, and those in the medical device industry to explore the different methods available for measuring a particular physiological variable. It helps readers select the most suitable method by comparing alternative methods and their advantages and disadvantages. In addition, the book provides equations for readers focused on discovering applications and solving diagnostic problems arising in medical fields not necessarily in their specialty. It also includes specialized information needed by readers who want to learn advanced applications of the subject, evaluative opinions, and possible areas for future study.

The applications of image-based measurement are many and various: image-guided surgery, mobile-robot navigation, component alignment, part inspection and photogrammetry, among others. In all these applications, landmarks are detected and located in images, and measurements made from those locations.Precision Landmark Location for Machine Vision and Photogrammetry addresses the ubiquitous problem of measurement error associated with determining the location of landmarks in images. With a detailed model of the image formation process and landmark location estimation, the Cramer-Rao Lower Bound (CRLB) theory of statistics is applied to determine the least possible measurement uncertainty in a given situation.This monograph provides the reader with: the most complete treatment to date of precision landmark location and the engineering aspects of image capture and processing; detailed theoretical treatment of the CRLB; a software tool for analyzing the potential performance-specific camera/lens/algorithm configurations; two novel algorithms which achieve precision very close to the CRLB; an experimental method for determining the accuracy of landmark location; and, downloadable MATLAB registered] package to assist the reader with applying theoretically-derived results to practical engineering configurations. All of this adds up to a treatment that is at once theoretically sound and eminently practical.Precision Landmark Location for Machine Vision and Photogrammetry will be of great interest to computer scientists and engineers working with and/or studying image processing and measurement. It includes cutting-edge theoretical developments and practical tools so it will appeal to research investigators and system designers.

Changes in the neurological functions of the human brain are often a precursor to numerous degenerative diseases. Advanced EEG systems and other monitoring systems used in preventive diagnostic procedures incorporate innovative features for brain monitoring functions such as real-time automated signal processing techniques and sophisticated amplifiers. Highlighting the US, Europe, Australia, New Zealand, Japan, Korea, China, and many other areas, EEG/ERP Analysis: Methods and Applications examines how researchers from various disciplines have started to work in the field of brain science, and explains the different techniques used for processing EEG/ERP data. Engineers can learn more about the clinical applications, while clinicians and biomedical scientists can familiarize themselves with the technical aspects and theoretical approaches. This book explores the recent advances involved in EEG/ERP analysis for brain monitoring, details successful EEG and ERP applications, and presents the neurological aspects in a simplified way so that those with an engineering background can better design clinical instruments. It consists of 13 chapters and includes the advanced techniques used for signal enhancement, source localization, data fusion, classification, and quantitative EEG. In addition, some of the chapters are contributed by neurologists and neurosurgeons providing the clinical aspects of EEG/ERP analysis. Covers a wide range of EEG/ERP applications with state-of-the-art techniques for denoising, analysis, and classification Examines new applications related to 3D display devices Includes MATLAB (R) codes EEG/ERP Analysis: Methods and Applications is a resource for biomedical and neuroscience scientists who are working on neural signal processing and interpretation, and biomedical engineers who are working on EEG/ERP signal analysis methods and developing clinical instrumentation. It can also assist neurosurgeons, psychiatrists, and postgraduate students doing research in neural engineering, as well as electronic engineers in neural signal processing and instrumentation.

Imaging informatics is a complex and historically rapidly changing field, knowledge of which is central to the practice of all imaging specialists. This convenient pocket guide provides the foundations of knowledge in informatics, allowing radiographers in training and in practice, assistant practitioners and other allied health professionals to understand, use and develop more efficient ways of imaging that will in turn deliver improved patient care.

There are many modalities available to image the heart and this variety and number of scan types can prove to be daunting to radiologists and cardiologists. In addition, there are the numerous devices, stents, valves and other paraphernalia which are employed in the management of cardiac disease, which need to be recognised and identified when interpreting any of these various scans. Containing 75 challenging clinical cases and illustrated with superb, high quality images, Cardiac Imaging covers a wide range of cardiac imaging problems from basic radiographic cases to more challenging and esoteric cases involving echocardiography, cardiac MRI, cardiac CT and myocardial perfusion imaging. The book uses an accessible format for quick assimilation. It remains an invaluable text for all radiology and cardiology professionals in practice and in training, from hospital-based doctors preparing for higher examinations to established physicians in their continuing professional development.

Advances and Technical Standards in Neurosurgery was conceived in 1972byitsfoundingfathersJeanBrihaye,BernardPertuiset,FritzLoew andHugoKrayenbuuhlatacombinedmeetingoftheItalianandGerman NeurosurgicalSocietiesinTaormina. Itwasdesignedtocomplementthe Europeanpost-graduatetrainingsystemforyoungneurosurgeonsandwas ?rst published in 1974 initially through sponsorship by the European AssociationofNeurosurgicalSocieties. Allcontributionshavebeenp- lishedinEnglishtofacilitateinternationalunderstanding. Theambitionofallsuccessiveeditorialboardshasbeentoprovidean opportunityformaturescholarshipandre?ection,notconstrainedbyar- ?ciallimitsonspace. Theseriesprovidesaremarkableaccountofprogress overthepast35years,bothwithregardtoadvances,detaileddescriptions of standard operative procedures and in- depth reviews of established knowledge. Thepresentvolumeisnoexceptionandshouldappealtoboth experiencedneurosurgeonsandyoungneurosurgeonsintrainingalike. TheEditors Contents Listofcontributors...XIII Advances Present and potential future adjuvant issues in high-grade astrocytic glioma 1,2 1 1 2 1 treatment. F. LEFRANC ,M. RYNKOWSKI,O. DEWITTE,andR. KISS, Department ofNeurosurgery,ErasmeUniversityHospital,FreeUniversityofBrussels(U. L. B. ), 2 Brussels,Belgium, LaboratoryofToxicology,InstituteofPharmacy,FreeUniversity ofBrussels(U. L. B. ),Brussels,Belgium Abstract...4 Introduction...5 Naturalresistanceofmigratingmalignantgliomacellstoapoptosis (radiotherapyandchemotherapy)...6 Patternsofcelldeath...8 Autophagy:apotentialTrojanhorseformalignantgliomas...11 Therapeuticbene?tsoftemozolomide...13 Localtherapiesforglioblastomas...15 Ongoingclinicaltrialsforglioblastomas...16 Growthfactorreceptorinhibitors ...17 PI3K=Akt,mTORandNF- Binhibitors...17 Matrixmetalloproteinase(MMP)inhibitors(MMPI)...18 Angiogenesistargeting ...19 Cellularandvaccinationtherapies...20 Genetherapy...20 Reducingmalignantgliomacellmotilityinordertorestore pro-apoptoticdrugsensitivity...20 Thesodiumpumpconstitutesapotentialtargettocombat malignantgliomas...21 Thesodiumpump...22 Cardiotonicsteroids:ligandsofthesodiumpump...24 VIII Contents Thesodiumpumpisinvolvedincancercellproliferation, migrationanddeath...24 Braintumorstemcellsapotentialtargettocombatmalignantgliomas...26 Conclusions...27 References...2 8 Deepbrainstimulationforpsychiatricdisorders-stateoftheart. T. E. SCHLA APFER and B. H. BEWERNICK, Brain Stimulation Group, Department of Psychiatry and Psychotherapy,UniversityHospitalBonn,GermanyandDepartmentsofPsychiatry andMentalHealth,TheJohnsHopkinsUniversity,MD,USA Abstract...37 Introduction...38 Historyofdeepbrainstimulation...39 PrinciplesofDBS...40 NeurobiologyofdepressionandOCD...41 Neurobiologyofdepression...41 NeurobiologyofOCD...42 StudiesofDBSandpsychiatricdisorders...43 Problemsintargetselection...43 Targetsindepression...43 TargetsinOCD ...46 SafetyandadvantagesofDBS...47 EthicalaspectsandstandardsinDBS...51 Ethicalconsiderations...51 ThepathtowardsmandatorystandardsforDBSinpsychiatricdisorders...52 Conclusions...53 ThefutureofDBS...54 References...54 Standards High?owextracranialtointracranialvascularbypassprocedureforgiantan- rysms:indications,surgicaltechnique,complicationsandoutcome. H. C. PATEL and P. J. KIRKPATRICK, Department of Academic Neurosurgery, Addenbrooke's Hospital,UniversityofCambridge,Cambridge,UK Abstract...61 Introduction...62 Surgicaltechnique...67 Cranialexposure...69 Cervicalexposure...70 Saphenousveinexposure...71 Preauriculartunnel...7 2 Contents IX Anastamoses...73 Distalanastamosis...73 Externalcarotidanastamosis...74 Closureandpostoperativecare...77 Discussion...77 Comparisonofoutcomes...77 Choosingthetypeofgraft...78 Longtermpatencyofgrafts...79 Ischaemiccomplications...79 Anticoagulationrelatedmorbidity...81 Conclusion...

Ultrasound is used to demonstrate and classify numerous vascular diseases and provides a firm basis for deciding the most appropriate interventional treatment. Practical Vascular Ultrasound: An Illustrated Guide delivers a hands-on, practical approach to the diagnosis of vascular disease.

Providing an overview of performing vascular ultrasounds, the physiology of blood flow, and vascular pathology, the book explores the various vascular conditions most investigated through ultrasound. Conditions covered range from extracranial cerebrovascular arterial diseases to chronic venous disease in the lower limbs. For each disorder, the authors discuss:

• Anatomy
• Pathology
• Clinical presentations
• Differential diagnosis
• What doctors need to know for each condition
• Normal findings and criteria for disease as seen by ultrasound
• Comprehensive protocols for scanning
• Ultrasound images and observations that should be collected for best practice reporting

The authors also discuss interventional vascular ultrasound procedures. Using easy-to-read, point-form text, this concise text is enhanced with high-resolution ultrasound images and clear line diagrams. It" "provides a consistent, comprehensive, and professional approach to vascular ultrasound.

Key Features * Sets the standard for training and competency of this emerging, yet scientifically approved non-invasive technique of ultrasound with all the essential information on how to perform ultrasound and interpret the images obtained. * Features clear and didactic images demonstrating echo findings in various situations along with videos of diaphragmatic ultrasound offering a unique "window" on mechanically ventilated patients, allowing to take important clinical decisions on ventilatory modes and assistance by pulmonologists, critical care specialists, thoracic surgeons, emergency medicine specialists as well as trainees. * Includes a chapter on pediatric ultrasound along with ultrasound of other respiratory muscles (i.e., intercostal and abdominal) which is emerging as a useful complementary tool.

This full-colour, richly-illustrated book is an excellent source of rapidly retrievable information on aspects of relevance in daily clinical practice in the outpatient breast clinic. Expert guidance is provided on a full range of topics, including pitfalls of clinical examination, imaging and related tissue diagnosis, approaches to management decision-making in different disorders, the role of surgery and adjuvant therapy, follow-up and rehabilitation. In outpatient breast clinics, effective communication with patients must be established in order to address symptoms that in most cases are not serious but can be very worrying and sometimes lead to misdiagnosis and also to litigation. Outpatient consultations also offer an opportunity to encourage a healthy lifestyle and to provide information on matters such as risk assessment, screening and the most reliable websites. A well-functioning outpatient clinic is essential to a breast unit's overall proficiency. Readers will find this book an invaluable aid to good practice. The authors place particular emphasis on quality indicators and key priorities for implementation of the main guidelines, at the same time specifying the level of evidence for them and degree of recommendation. Practical measures for achieving the best results are highlighted, and helpful advice is provided on optimizing patient communication and reducing the psychological burden.

Magnetic resonance imaging (MRI) is a rapidly developing field in basic applied science and clinical practice. Research efforts in this area have already been recognized with five Nobel prizes awarded to seven Nobel laureates in the past 70 years. Based on courses taught at The Johns Hopkins University, Magnetic Resonance Imaging: The Basics provides a solid introduction to this powerful technology. The book begins with a general description of the phenomenon of magnetic resonance and a brief summary of Fourier transformations in two dimensions. It examines the fundamental principles of physics for nuclear magnetic resonance (NMR) signal formation and image construction and provides a detailed explanation of the mathematical formulation of MRI. Numerous image quantitative indices are discussed, including (among others) signal, noise, signal-to-noise, contrast, and resolution. The second part of the book examines the hardware and electronics of an MRI scanner and the typical measurements and simulations of magnetic fields. It introduces NMR spectroscopy and spectral acquisition and imaging techniques employing various pulse sequences. The final section explores the advanced imaging technique of parallel imaging. Structured so that each chapter builds on the knowledge gained in the previous one, the book is enriched by numerous worked examples and problem sets with selected solutions, giving readers a firm grasp of the foundations of MRI technology.

Conventional computed tomography (CT) techniques employ a narrow array of x-ray detectors and a fan-shaped x-ray beam to rotate around the patient to produce images of thin sections of the patient. Large sections of the body are covered by moving the patient into the rotating x-ray detector and x-ray source gantry. Cone beam CT is an alternative technique using a large area detector and cone-shaped x-ray beam to produce 3D images of a thick section of the body with one full angle (360 degree or 180 degree plus detector coverage) rotation. It finds applications in situations where bulky, conventional CT systems would interfere with clinical procedures or cannot be integrated with the primary treatments or imaging systems. Cone Beam Computed Tomography explores the past, present, and future state of medical x-ray imaging while explaining how cone beam CT, with its superior spatial resolution and compact configuration, is used in clinical applications and animal research. The book: Supplies a detailed introduction to cone beam CT, covering basic principles and applications as well as advanced techniques Explores state-of-the-art research and future developments while examining the fundamental limitations of the technology Addresses issues related to implementation and system characteristics, including image quality, artifacts, radiation dose, and perception Reviews the historical development of medical x-ray imaging, from conventional CT techniques to volumetric 3D imaging Discusses the major components of cone beam CT: image acquisition, reconstruction, processing, and display A reference work for scientists, engineers, students, and imaging professionals, Cone Beam Computed Tomography provides a solid understanding of the theory and implementation of this revolutionary technology.

This up-to-date treatment of recent developments in geometric inverse problems introduces graduate students and researchers to an exciting area of research. With an emphasis on the two-dimensional case, topics covered include geodesic X-ray transforms, boundary rigidity, tensor tomography, attenuated X-ray transforms and the Calderon problem. The presentation is self-contained and begins with the Radon transform and radial sound speeds as motivating examples. The required geometric background is developed in detail in the context of simple manifolds with boundary. An in-depth analysis of various geodesic X-ray transforms is carried out together with related uniqueness, stability, reconstruction and range characterization results. Highlights include a proof of boundary rigidity for simple surfaces as well as scattering rigidity for connections. The concluding chapter discusses current open problems and related topics. The numerous exercises and examples make this book an excellent self-study resource or text for a one-semester course or seminar.

Developments in CT technology during the last 20 years have impressively improved its diagnostic potentialities. Part of a two-volume set that covers all aspects of CT imaging, Multi-Detector CT Imaging: Abdomen, Pelvis, and CAD Applications contains easily searchable clinical specialty chapters that provide specific information without need of an index. The coverage goes far beyond just a "how-to" or an encyclopedia of findings, however. The authors have uniformly put techniques, clinical findings, pathologic disease presentations, and clinical implications in practical perspective. It is no wonder that with the critical role CT plays and the rapid innovations in computer technology that advances in the capabilities and complexity of CT imaging continue to evolve. While information about these developments may be scattered about in journals and other resources, this two-volume set provides an authoritative, up-to-date, and educational reference that covets the entire spectrum of CT.

Computational Vision and Medical Image Processing. VIPIMAGE 2013 contains invited lectures and full papers presented at VIPIMAGE 2013 - IV ECCOMAS Thematic Conference on Computational Vision and Medical Image Processing (Funchal, Madeira Island, Portugal, 14-16 October 2013). International contributions from 16 countries provide a comprehensive coverage of the current state-of-the-art in the fields of: 3D Vision; Computational Bioimaging and Visualization; Computational Vision and Image Processing applied to Dental Medicine; Computational Vision; Computer Aided Diagnosis, Surgery, Therapy, and Treatment; Data Interpolation, Registration, Acquisition and Compression; Image Processing and Analysis; Image Segmentation; Imaging of Biological Flows; Medical Imaging; Physics of Medical Imaging; Shape Reconstruction; Signal Processing; Simulation and Modeling; Software Development for Image Processing and Analysis; Telemedicine Systems and their Applications; Trabecular Bone Characterization; Tracking and Analysis of Movement; Virtual Reality. Related techniques covered in this book include the level set method, finite element method, modal analyses, stochastic methods, principal and independent components analysis and distribution models. Computational Vision and Medical Image Processing. VIPIMAGE 2013 is useful to academics, researchers and professionals in Biomechanics, Biomedical Engineering, Computational Vision (image processing and analysis), Computer Sciences, Computational Mechanics and Medicine.

A practical guide to radiation safety

Many health and scientific professionals require a basic understanding of radiological safety principles, even and especially if they are not specialists in radiological health. Principles of Radiological Health and Safety is designed for this purpose as well as a resource for safety personnel who also handle radiation safety duties. It is a text of basic concepts needed in broad-based protection programs, with real-world examples and practice problems to demonstrate principles and hone skills.

Resource data for practical problems in radiation protection are provided along with illustrative examples of their use. For example, modes and energies of radioactive transformation, radiation attenuation and absorption, dose coefficients, and environmental transport parameters are included for many of the common circumstances encountered in laboratory and industrial settings. these are cross referenced to standard compendiums for straightforward use when more in-depth listings need to be consulted. Other topics include:

• Atom structure and radioactivity
• Radiation protection standards and programs
• Radiation interactions and dose
• Environmental radiological assessment
• Radiation shielding
• Radon
• Internal radiation dosimetry
• Radioactive waste

Safety professionals as well as students and teachers will find Principles of Radiological Health and Safety to be an invaluable addition to their professional and academic libraries.

"This excellent treatise on Vasovist(r) created by a team of exceptional faculty who are pioneers in MR Angiography covers the basic techniques, safety, efficacy, image processing and pharmaco-economic details to successfully implement a new level of MRA image quality with this new contrast agent." Martin Prince, Cornell University, New York

"The editors and authors have made groundbreaking contributions towards establishing MR angiography in various investigative settings, rendering it more precise and applying it for diverse indications. The work presented here is founded upon the extensive experience of the editors, as well as the broad range of experience from other scientific working groups." Maximilian Reiser, Ludwig Maximilian University, Munich

Vasovist(r) (Gadofosveset), worldwide the first blood pool agent, has only recently become available for clinical use, but has already gained wide acceptance as a tool to improve magnetic resonance angiography. This book presents the first in-depth introduction to the basic physicochemical aspects of the agent, the application of Vasovist(r) in clinical MRA, as well as potential clinical applications beyond MRA and patient management-related aspects. The first part of the book explains basic and technical properties of the agent and the differences of Vasovist(r) compared to currently available extracellular agents. The second part contains detailed chapters on safety and efficacy. In the third part the focus is on MR angiographic applications, and in the fourth part of the book potential clinical fields beyond MRA are explored. All clinical chapters feature ready-to-use clinical protocols and a series of take home messages that concisely summarize the current role of blood pool imaging for each specific indication.&l

Images from CT, MRI, PET, and other medical instrumentation have become central to the radiotherapy process in the past two decades, thus requiring medical physicists, clinicians, dosimetrists, radiation therapists, and trainees to integrate and segment these images efficiently and accurately in a clinical environment. Image Processing in Radiation Therapy presents an up-to-date, detailed treatment of techniques and algorithms for the registration, segmentation, reconstruction, and evaluation of imaging data. It describes how these tools are used in radiation planning, treatment delivery, and outcomes assessment. The book spans deformable registration, segmentation, and image reconstruction and shows how to incorporate these practices in radiation therapy. The first section explores image processing in adaptive radiotherapy, online monitoring and tracking, dose accumulation, and accuracy assessment. The second section describes the mathematical approach to deformable registration. The book presents similarity metrics used for registration techniques, discussing their effectiveness and applicability in radiation therapy. It also evaluates parametric and nonparametric image registration techniques and their applications in radiation therapy processes. The third section assesses the efficiency, robustness, and breadth of application of image segmentation approaches, including atlas-based, level set, and registration-based techniques. The fourth section focuses on advanced imaging techniques for radiotherapy, such as 3D image reconstruction and image registration using a graphics processor unit. With contributions from an international group of renowned authors, this book provides a comprehensive description of image segmentation and registration, in-room imaging, and advanced reconstruction techniques. Through many practical examples, it illustrates the clinical rationale and implementation of the techniques.

Implement TMR with Your Patients and Improve Their Quality of Life

Developed by Dr. Todd A. Kuiken and Dr. Gregory A. Dumanian, targeted muscle reinnervation (TMR) is a new approach to accessing motor control signals from peripheral nerves after amputation and providing sensory feedback to prosthesis users. This practical approach has many advantages over other neural-machine interfaces for the improved control of artificial limbs. Targeted Muscle Reinnervation: A Neural Interface for Artificial Limbs provides a template for the clinical implementation of TMR and a resource for further research in this new area of science.

After describing the basic scientific concepts and key principles underlying TMR, the book presents surgical approaches to transhumeral and shoulder disarticulation amputations. It explores the possible role of TMR in the prevention and treatment of end-neuromas and details the principles of rehabilitation, prosthetic fitting, and occupational therapy for TMR patients. The book also describes transfer sensation and discusses the surgical and functional outcomes of the first several TMR patients. It concludes with emerging research on using TMR to further improve the function and quality of life for people with limb loss.

With contributions from renowned leaders in the field, including Drs. Kuiken and Dumanian, this book is a useful guide to implementing TMR in patients with high-level upper limb amputations. It also supplies the foundation to enable improvements in TMR techniques and advances in prosthetic technology.