The Third Edition of this classic text presents the basic concepts of PET imaging technology. Topics include basic physics of PET imaging; detectors, scanners and data collection; storage, display, and PACS; PET radionuclides and radiopharmaceuticals; reimbursement for PET procedures; and performance of PET studies. This revised edition is thoroughly updated and includes information on new PET scanning detectors and PET/MRI scanners; PET/MRI data acquisition; software packages; recently developed PET radiopharmaceuticals; and new procedures for PET studies. To maximize understanding, the book includes pertinent basic science principles, equations, sample problems and practice questions. Basics of PET Imaging, Third Edition, is an ideal resource for nuclear medicine physicians, residents and technologists.

This book provides a comprehensive overview of diagnostic imaging in infectious diseases. It starts with a general review of infection diseases, including their classification, characteristics and epidemiology. In separate chapters, the authors then introduce the radionuclide imaging of 50 kinds of infectious diseases. Volume 1 covers 21 viral infections. Volume 2 has 29 chapters discussing 24 bacterial infections and 5 parasitic infections. Each disease is clearly illustrated using cases combined with high-quality computed tomography (CT) and magnetic resonance imaging (MRI). The book provides a valuable reference source for radiologists and doctors working in the area of infectious diseases.

This book offers a comprehensive overview of medullary thyroid carcinoma, both in the more common sporadic form and in the familial form, multiple endocrine neoplasia (MEN) types 2A and 2B. The coverage includes, but is not limited to, molecular biology and genetics, pathology, clinical presentation, imaging techniques, surgical treatment, and follow-up. The role of calcitonin as a highly sensitive and specific tumor marker for the screening, diagnosis, and follow-up of MTC and metastatic disease is described, and the significance of other tumor markers is also considered. With regard to treatment, the use of thyroidectomy is fully discussed, including in children carrying the mutations in the RET proto-oncogene considered causative for MEN 2. Additionally, the value of tyrosine kinase inhibitors as the most effective treatment modality in patients with a large tumor burden or rapid tumor growth, or both, is explained. Medullary Thyroid Carcinoma and Multiple Endocrine Neoplasia Type 2 will be an ideal source of up-to-date information for a wide range of practitioners, including endocrinologists, oncologists, internal medicine specialists, geneticists, and nuclear medicine physicians.

The Institute of Nuclear Medicine, founded in 1961, celebrates with this Festschrift, its Golden Jubilee. It has been a remarkable 50 years of progress of the radionuclide tracer methodology. From initial, physiology based experimentation, a full independent medical discipline evolved, and with it, a comprehensive clinical service. Diagnosis and Treatment with radiotracers have established the basis for Nuclear Medicine. Technological advances have permeated the field like none other, its multidisciplinary character and its translational research are embedded in the history of the Institute and its success. Recent and latest advances in the field promise a future as bright as has been witnessed and documented in the last 50 years.

In the past two decades much has been published on whiplash injury, yet both the confusion regarding the condition and the medicolegal discussion surrounding it have increased. In this scenario, a guide to recent and current international research in the field is more necessary than ever. Especially functional imaging methods - such as single-photon emission tomography, positron emission tomography, functional MRI, and hybrid techniques - have demonstrated a variety of significant brain alterations. This book accordingly offers a critical approach to the challenging interpretation of the new research data obtained using functional neuroimaging in whiplash injury. It covers all aspects, including the imaging tools themselves and the different methods of image analysis. Whiplash Injury: New Methods of Functional Neuroimaging will hopefully help patients, their relatives and friends, physicians, and others to understand this condition as a disease.

Nuclear Medicine Therapy presents the state of the art in targeted radionuclide therapy, both in clinical practice and contemporary clinical investigation and trials. With contributions from an internationally-distinguished group of physicians and scientists, the book is devoted entirely to the use of nuclear medicine techniques and technology for therapy of malignant and benign diseases. Individual chapters cover the scientific principles and clinical applications of radionuclide therapy and the state of clinical trials of agents currently under investigation in the therapy of tumors involving virtually every organ system. Due to overlapping interest in techniques, indications, and clinical use, the development of radionuclide therapy attracts considerable input from other medical specialists whose collaboration is essential, including radiation and medical oncologists, hematologists, diagnostic radiologists, hepatologists, endocrinologists, and rheumatologists. And because radionuclide therapy is a rapidly evolving field of nuclear medicine, it is the aim of this volume to appeal to all specialists involved in targeted radionuclide therapy and to contribute to the standardization of the practice globally.

This book reviews the philosophies, theories, and principles that underpin assessment and evaluation in radiology education, highlighting emerging practices and work done in the field. The sometimes conflicting assessment and evaluation needs of accreditation bodies, academic programs, trainees, and patients are carefully considered. The final section of the book examines assessment and evaluation in practice, through the development of rich case studies reflecting the implementation of a variety of approaches. This is the third book in a trilogy devoted to radiology education. The previous two books focused on the culture and the learning organizations in which our future radiologists are educated and on the application of educational principles in the education of radiologists. Here, the trilogy comes full circle: attending to the assessment and evaluation of the education of its members has much to offer back to the learning of the organization.

The fourth edition of this well-established text has been completely revised and updated to reflect developments in the science and practice of radiopharmacy that have taken place over the last ten years. As the demand for radiopharmacists continues to increase, this book aims to meet the need for specialised information on the use of radiopharmaceuticals in the detection and treatment of diseases and conditions. The book is divided into the following six sections: * physics applied to radiopharmacy * medicinal radio-elements * radiopharmacology and radiopharmacokinetics * radiopharmaceutics: formulation, preparation and quality assurance * radiopharmacy practice * new techniques for design and testing of radiopharmaceuticals. Sampson's Textbook of Radiopharmacy is supported by the UK Radiopharmacy Group and includes contributions from experts worldwide. It is the only up-to-date reference that covers the regulation of radiopharmacy practice in the UK, the USA and Europe. This book is essential reading for advanced students specialising in radiopharmacy and will serve as a lifelong reference for radiopharmacists practising in PET (Positron Emission Tomography) centres, nuclear medicine centres and radiopharmacies, as well as those working in research or the pharmaceutical industry.

Unique neurointerventional surgery resource analyzes landmark literature to inform optimal patient management The field of neurointerventional surgery is rapidly expanding with an ever-accelerating pace of technological innovations. While industry plays a significant role in designing new technology and defining indications for its use, practitioners need to evaluate and determine the most efficacious treatments for their patients. Neurointerventional Surgery: An Evidence-Based Approach by renowned endovascular neurosurgeons Min Park, M. Yashar S. Kalani, and Michael F. Stiefel examines the most common disease states in neurointerventional surgery through a critical lens. The unique text leverages evidenced-based data to inform treatment decisions and improve patient outcomes. The text is organized by 5 sections and 32 chapters, including the latest state-of-the-art interventions. Each of the chapters provides critical analysis of the "landmark papers" that established the foundation and standards for modern neurointerventional practice. An example is the rapidly changing understanding of large vessel occlusions in ischemic stroke that now strongly supports mechanical thrombectomy as a viable and important part of the treatment armamentarium. Key Highlights Contributions from internationally recognized leaders in academic neurointerventional surgery provide insightful and analytic perspectives Encompasses the full continuum of neurointerventional procedures in one resource, from hemorrhagic and ischemic stroke to neoplasms and spine conditions The reader-friendly structure and chapter formatting facilitates understanding of often complicated decision-making The evidenced-based, multifaceted approach to neurointerventional surgery presented in this textbook makes it vital reading for residents, fellows, and practitioners in neurosurgery, as well as fellows in interventional neuroradiology and interventional neurology. This book includes complimentary access to a digital copy on https://medone.thieme.com.

The neuron doctrine, first formulated in 1891, states that the brain is constructed of individual neurons, organized into functioning circuits that mediate behavior. Above all else, this is the main concept that underlies all of modern neuroscience. This 25th Aniversary Edition of The Foundations of the Neuron Doctrine explains how this theory was the product of an explosion of histological studies and vigorous debates near the end of the nineteenth century by an extraordinary group of scientists, most importantly the leading figure of the time, Santiago Ramon y Cajal of Spain, and includes the foremost nervous system investigators of many countries, such as Albrecht Kolliker, Sigmund Freud, Wilhelm His, August Forel, Fritdjof Nansen and Gustav Retzius. The neuron doctrine explains how these eminent scientists used a selective nerve cell stain invented by Camillo Golgi of Italy and followed him in describing the fabulous branching patterns of nerve cells, providing strong evidence that the cells interact as individual units to form circuits. This work also describes how this view was opposed by Golgi, who maintained that the nerve cells form syncytial networks. Studies in the 1950s appeared resoundingly to confirm the nerve cell as an individual unit, as embodied in the neuron doctrine, which became the basis for the rise of concepts of normal and disordered neural function in the remaining 20th century. This 25th Anniversary Edition concludes by discussing how recent studies are showing a much greater degree of complexity in neuronal organization, so that the debate of neuron versus network is again coming to the fore of neuroscience research. Unique to this anniversary edition is the inclusion of commentaries by distinguished leaders in the neurosciences on the continuing relevance of the neuron doctrine for modern studies of the brain at all levels, from genes and molecules to microcircuits, neural networks, and behavior.

Intended for nuclear medicine specialists in training, it is equally an invaluable reference for other professionals and students. The richly illustrated chapters are devoted to individual organs and systems, with each chapter depicting the findings in selected pathological cases and in healthy individuals, with a comparison of nuclear medicine with other diagnostic imaging modalities. The full potential and also the limitations of modern nuclear medicine are described and sources of error are elucidated. The author is a well-versed nuclear medicine specialist with experience in research, teaching and clinical practice.

This book explains clearly and in detail all aspects of radiation protection in nuclear medicine, including measurement quantities and units, detectors and dosimeters, and radiation biology. Discussion of radiation doses to patients and to embryos, fetuses, and children forms a central part of the book. Phantom models, biokinetic models, calculations, and software solutions are all considered, and a further chapter is devoted to quality assurance and reference levels. Occupational exposure also receives detailed attention. Exposure resulting from the production, labeling, and injection of radiopharmaceuticals and from contact with patients is discussed and shielding calculations are explained. The book closes by considering exposure of the public and summarizing the "rules of thumb" for radiation protection in nuclear medicine. This is an ideal textbook for students and a ready source of useful information for nuclear medicine specialists and medical physics experts.

In contrast to most anatomic radiographic imaging techniques, nuclear medicine permits real time, non-invasive imaging of human physiology and pathophysiology and also allows for exquisite targeting of disease with therapeutic radiology. To open this window to the processes of human disease, one must first understand the physical processes behind radioactive decay and emission, as well the principles of radiation detection. Practical Nuclear Medicine Physics provides residents and practitioners in nuclear medicine and radiology a readable explanation of the physics concepts underpinning nuclear imaging and how they impact the utilization and interpretation of those images. Following a brief introductory section, the book provides numerous case examples, illustrating various imaging artifacts and pitfalls that can be recognized and remedied with a solid understanding of the physics behind the procedure. Understanding and applying the physics behind nuclear medicine is essential to maximizing not only diagnostic and therapeutic accuracy for providing optimal patient care, but "Practical Physics" is a required portion of radiology residency education and a designated area of the board exams.

This book presents a comprehensive review of nuclear cardiology principles and concepts necessary to pass the Nuclear Cardiology Technology Specialty Examination. The practice questions are similar in format and content to those found on the Nuclear Medicine Technology Certification Board (NMTCB) and American Registry of Radiological Technologists (ARRT) examinations, allowing test takers to maximize their chances of success. The book is organized by test sections of increasing difficulty, with over 600 multiple-choice questions covering all areas of nuclear cardiology, including radionuclides, instrumentation, radiation safety, patient care, and diagnostic and therapeutic procedures. Detailed answers and explanations to the practice questions follow. It also includes helpful test-taking tips. Supplementary appendices include commonly used abbreviations and symbols in nuclear medicine, glossary of cardiology terms, and useful websites. Nuclear Cardiology Study Guide is a valuable reference for nuclear medicine technologists, nuclear medicine physicians, and all other imaging professionals in need of a concise review of nuclear cardiology.

PRACTICAL FDG IMAGING provides the reader with a reference source of cases with FDG images obtained both on dedicated PET tomographs and hybrid scintillation cameras. The cases are presented in thorough depth so that they are of value to both specialists and residents in training who need to learn the indications and interpretations of FDG images and the advantages and limitations of hybrid scintillation cameras compared to dedicated PET tomographs. This book is ideal for nuclear and radiology medicine residents, as well as those practitioners who need to become familiar with this technology. The first part of the book concentrates on the technical aspects of FDG imaging. Part two is devoted to the clinical applications in the fields of neurology, cardiology and oncology.

Coronary flow reserve is an important functional parameter to understand the pathophysiology of coronary circulation. Coronary flow reserve measurement is used to assess epicardial coronary stenoses or to examine the integrity of microvascular circulation. An appreciation of coronary physiology is an integral part of clinical decision-making for cardiologists treating patients with coronary artery disease. The pioneering research efforts of Dr Lance Gould, who explored the relationship between the anatomic severity of a stenosis and its flow resistance (59;60) , have been transferred to clinical practice (94; 194). In the absence of stenosis in epicardial coronary artery, the coronary flow reserve may be decreased when coronary microvascular circulation is compromised by arterial hypertension with or without left ventricular hypertrophy, diabetes mellitus, hypercholesterolemia, or other diseases. Several techniques have been established for measuring coronary flow reserve. However, these techniques are either invasive (intracoronary Doppler flow wire), highly expensive and scarcely available (Positron Emission Tomography - PET) or semi-invasive and causing patient discomfort (transesophageal Doppler echocardiography), thus their clinical use is limited. Because of the clinical importance of coronary flow reserve there is a need for a simple, noninvasive, repeatable and inexpensive tool capable of this functional evaluation. This monograph focuses on the assessment of coronary flow reserve using transthoracic Doppler echocardiography - the technique fulfilling the above-mentioned criteria. Transthoracic Doppler echocardiography has become a popular tool evolving from a research to diagnostic technique applied in everyday practice.

In this volume an account is given of the technologies relevant to the detection of sentinel lymph nodes in the context of surgical oncology. This is a rapidly and evolving field, and the clinical applications discussed in this volume are exciting and important. A multidisciplinary team was assembled to discuss this subject in the light of direct experience gained by each of the groups in the previous 12 months. Clinical case material is presented and the methodology of sentinel lymph node imaging and detection is discussed in detail. The authors have assembled in a single volume a significant amount of personal data and a comprehensive literature review which will serve as a single reference and teaching source for all those interested in this critical technique relevant to the management of large numbers of patients in surgical oncology.

Because of the current progress in molecular medicine (genomics, proteomics), a plethora of new and often human-specific targets are being identified. These targets often play a significant role in the pathogenesis of diseases, and identifying them offers the potential for early diagnosis and intervention. An early in vivo validation of specific ligands binding to these targets in humans is needed to as- sess their potential for targeted imaging and radiotherapy. Further- VI Preface more, such validation studies may allow for a better understanding of the molecular processes underlying phannacologic activity and therefore for a more successful development of phannaceuticals in general. The purpose of the Ernst Schering Research Foundation (ESRF) Workshop 48 was to provide a forum for an open exchange on the state of the art in the early development of such radiophanna- ceuticals. Experts from academia, industry, and regulatory authori- ties were invited to give presentations on aspects covering the identi- fication of targets, preclinical studies on the safety of ligands, as well as their validation in human clinical trials. It was our intention to cover both the opportunities and the challenges that scientists in this field are facing. Radiopharmaceuticals are uniquely suitable for the above-men- tioned target validation studies.

The European Collaboration on Boron Neutron Capture Therapy (BNCT), conceived in 1987 and successful in 1989 in gaining financial support as a Concerted Action through the Medical and Health Research Programme of the Commission ofthe European Communities (CEC) in Brussels, considered it an opportune moment to hold its annual Plenary Meeting on 18-20 Septem ber 1991 as an International Workshop entitled "Towards Clinical Trials of Glioma with BNCT". The background to this consideration was influenced by the world-wide resurgence ofinterest in NCT over the last 2 decades and by the exemplifica tions at the Fourth International Symposium on Neutron Capture Therapy for Cancer held in Sydney in December 1990, where it was strongly indicated that within the next 2 years clinical trials would be started both in Europe and the United States. In particular at the High Flux Reactor of the Joint Research Centre of the CEC at Petten in The Netherlands, an epithermal neutron beam designed and installed in the summer of 1990 recently became operable at full reactor power. An extensive series ofexperiments, including the nuclear and radiobiological characterisation of the beam and a healthy tissue tolerance study on canines has started and has the aim to define the preconditions for clinical trials onpatients with Grade III/IV glioma. However, as with any other new therapy modality, it must be demon strated that BNCT is safe for the patient and has a reasonable chance of being an effective therapy.

Despite 50 years of antibiotics, infection remains a major source of both morbidity and mortality. Immunosuppression, either secondary to drugs in transplant recipients or secondary to HIV, has expanded the number of microorganisms that are known to be pathogenic in man. Imaging of infection has a vital role both in the initial diagnosis and in the continuing management of patients with infection or suspected infection. Functional imaging using nuclear medicine techniques has a unique role to play in identifying sites of infection in a wide range of patients with varying clinical conditions. This book, written by a series of experts not just in the fields of nuclear medicine but also infectious disease and radiology, discusses the role of nuclear medicine in three parts: a review of the pathophysiology of infection; a technical description of those nuclear medicine techniques which can be used in imaging infection; an extensive systematic review including thoracic, abdominal and orthopaedic infection as well as a special section on the acutely ill patient, the immunosuppressed patient and the patient with pyrexia of unknown origin. This book will be of interest to all clinicians looking after patients with infection and who need to use imaging techniques. It will also be of use to radiologists and nuclear medicine physicians who will be using these techniques clinically.

Methods
- Thorough description of the current imaging and functional investigation techniques in nuclear medicine and radiology
- Detailed portrayal of indications and differential diagnoses
Clinical Applications
- Exhaustive description of the features of paediatric urological diseases relevant for diagnostic imaging
- Embryologic and pathophysiologic background
- Clear recommendations on application of diagnostic imaging techniques based on the latest findings and consensus guidelines
Case Studies
- Large number of case reports illustrating standard procedures in diagnostic imaging
- Case descriptions highlighting common diagnostic problems
- Presentation of unusual and rare cases

"More than half of the world's population is at risk of the tropical diseases malaria, leprosy, schistosomiasis, lymphatic filariasis, onchocerciasis, Chagas' disease, African trypanosomiasis and leishmaniasis and half a billion are infected with at least one of these diseases". J. H. F. Remme, World Health Organisation, 1993. "If it is true that science is not limited by frontiers and all research Institutions then belong to mankind, so it is natural for each Institution to be responsible for the problems of those who live in the geographic area under its influence. There are no specific aspects concerning physical, chemical or philosophical concepts and facts, but specificity does exist concerning geology, sociology and pathology. It is the duty of each Institution to study the particular aspects concerning its geographic region, as missing links of the chain of universal knowledge may be found there." H. L. de Oliveira, fonner Rector of the University ofSiio Paulo, 1967. "Nuclear Medicine is cost effective, especially in the developing countries. ( ... ).

Magnetic Resonance Imaging (MRI) is a rapidly evolving technique which is having a significant impact on medical imaging. Only a few years ago, al though Nuclear Magnetic Resonance (NMR) was well known as an important analytical technique in the field of chemical analysis, it was effectively un known in medical circles. Following the initial work of PAUL LAUTERBUR and RAYMOND DAMADIAN in the early 1970s demonstrating that it was possible to use NMR to produce im ages, progress in the medical fields was relatively slow. Recently, however, with the availability of commercial systems, progress has been very rapid, with increasing acceptance of MRI as a basic imaging technique, and the develop ment of exciting new applications. MRI is a relatively complex technique. First, the image depends on many more intrinsic and extrinsic parameters than it does of in techniques like X-ra diography and computed tomography, and secondly, the intrinsic parameters such as T1 and T2 are conceptually complex, involving ideas not usually de scribed in traditional medical imaging courses. In order to produce good MR images efficiently, and to obtain the maximum information from them, it is necessary to appreciate, if not to fully understand, these parameters. Further more, knowledge of how the image is produced helps in appreciating the ori gin of the artifacts sometimes found in MRI due to effects like patient motion and fluid flow."

Bone Tumors: A Practical Guide to Imaging is a concise guide to common tumors encountered by physicians in daily practice. The authors make use of high-yield facts, differential diagnoses, and extensive radiological images to introduce a wide range of bone tumors, focusing on their classic appearance and location in order to provide readers with a solid foundation of knowledge for tumor recognition and evaluation. The book includes explanations of methods for properly evaluating bone lesions, common imaging modalities used for diagnosis, and individual chapters covering different classes of benign and malignant tumors, including cartilage, osseous, fibrous, miscellaneous, and bone metastases. The book concludes with a comprehensive selection of 75 unknown cases, including brief clinical history, description of imaging findings, best differential diagnoses, and short discussion revealing the most likely diagnosis. Bone Tumors is an ideal resource for practicing physicians and residents in radiology, orthopedic surgery, pathology, and primary care. About the Authors Jim S. Wu, MD, is Assistant Professor of Radiology at Beth Israel Deaconess Medical Center, Harvard Medical School. Mary G. Hochman, MD, is Chief of the Section of Musculoskeletal Imaging and Assistant Professor of Radiology at Beth Israel Deaconess Medical Center, Harvard Medical School.