The visualization of human anatomy for diagnostic, therapeutic, and educational pur poses has long been a challenge for scientists and artists. In vivo medical imaging could not be introduced until the discovery of X-rays by Wilhelm Conrad ROntgen in 1895. With the early medical imaging techniques which are still in use today, the three-dimensional reality of the human body can only be visualized in two-dimensional projections or cross-sections. Recently, biomedical engineering and computer science have begun to offer the potential of producing natural three-dimensional views of the human anatomy of living subjects. For a broad application of such technology, many scientific and engineering problems still have to be solved. In order to stimulate progress, the NATO Advanced Research Workshop in Travemiinde, West Germany, from June 25 to 29 was organized. It brought together approximately 50 experts in 3D-medical imaging from allover the world. Among the list of topics image acquisition was addressed first, since its quality decisively influences the quality of the 3D-images. For 3D-image generation - in distinction to 2D imaging - a decision has to be made as to which objects contained in the data set are to be visualized. Therefore special emphasis was laid on methods of object definition. For the final visualization of the segmented objects a large variety of visualization algorithms have been proposed in the past. The meeting assessed these techniques.

This book constitutes the refereed proceedings of the Second International Workshop on Spatio-temporal Image Analysis for Longitudinal and Time-Series Image Data, STIA 2012, held in conjunction with MICCAI 2012 in Nice, France, in October 2012. The 13 papers presented in this volume were carefully reviewed and selected from 22 submissions. They are organized in topical sections named: longitudinal registration and transport; spatio-temporal analysis for shapes; spatio-temporal analysis under appearance changes; and spatio-temporal analysis for biology.

The purpose of this series of volumes is to present a comprehensive view of the complications that result from the use of acceptable diagnostic and thera peutic procedures. Individual volumes will deal with iatrogenic complications involving (1) the alimentary system, (2) the urinary system, (3) the respiratory and cardiac systems, (4) the skeletal system and (5) the pediatric patient. The term iatrogenic, derived from two Greek words, means physician-in duced. Originally, it applied only to psychiatric disorders generated in the patient by autosuggestion, based on misinterpretation of the doctor's attitude and comments. As clinically used, it now pertains to the inadvertent side effects and complications created in the course of diagnosis and treatment. The classic categories of disease have included: (1) congenital and developmen tal, (2) traumatic, (3) infectious and inflammatory, (4) metabolic, (5) neoplastic, and (6) degenerative. To these must be added, however, iatrogenic disorders a major, although generally unacknowledged, source of illness. While great advances in medical care in both diagnosis and therapy have been accomplished in the past few decades, many are at times associated with certain side-effects and risks which may result in distress equal to or greater than the basic condi tion. Iatrogenic complications, which may be referred to as "diseases of medical progress," have become a new dimension in the causation of human disease."

La radiologie digestive a ete pendant de nombreuses decennies Ie fleuron de la radiologie fran

2 Diagnostic Use of Radiographic Methods in Coronary Disease. . . . . . . . . . . . . . . . . . . . . . . . . . 56 3 Material. . . . . . . . . . . . . . . . . . . . . . . . . 58 4 Mode of Operation . . . . . . . . . . . . . 62 5 Radiological Projections. . . . . . . . . . . . . . . . . 63 6 Monitoring of Cardiac Parameters . . . . . . . . . . . . 64 7 Pharmacological Tests . . . . . . . . . . . . . . . . 66 7. 1 Coronary Arteries . . . . . . . . . . . . . . . . . . . . . 66 7. 2 Left Ventricle. . . . . . . . . . . . . . . . . . . . . . . . 67 8 Accidents and Risks of Coronary Arteriography . . . . . 67 References . . . . . . . . . . . . . . . . . . . . . . . . . 68 III Angiographic Explorations: Normal Results . . . 71 1 Left Ventricle and Left Ventricular Function 71 1. 1 Radiological Anatomy. . . . . . . . . . . . 71 1. 2 Normal Kinetics. . . . . . . . . . . . . . . 77 1. 3 Analysis of Wall Contraction . . . . . . 78 1. 4 Volumes and Function Indexes. . . . . . . 81 2 Coronary Arteries and Veins . . . . . . . . 84 2. 1 Origin, Calibre and Preponderance of the Coronary Arteries . . . . . . . . . . . . . . . . . . . . . . . . 84 2. 2 Nomenclature and Segmentation of the Coronary Arteries . . . . . . . . . . . . . . . . . . . . . . 87 2. 3 A Reminder About the Physiology of Coronary Circulation . . . . . . . . . . . 93 2. 4 Angiographic Anatomy . . . . . . . . . . 94 2. 4. 1 Left Coronary Artery . . . . . . . . . . . 94 2. 4. 2 Right Coronary Artery. . . . . . . . . . . . . 95 2. 4. 3 Vascularization of Nodes and the Conduction System . . 96 2. 4. 4 Interconnecting Anastomoses . . . . . . . . . . . . . . . 97 2. 5 Coronary Veins . . . . . . . . . . . . . . . . . . . 97 References . . . . . . . . . . . . . . . . . . . . . . . . . 98 IV Angiographic Explorations: Congenital Anomalies of the Coronary Arteries. . . . . . . . . . . . . . . . . . . . . . . . 100 1 Anomalies of the Origin, Course and Distribution of Coronary Arteries Arising from the Aorta . . . . . . . . 100 2 Abnormal Origin of a Coronary Artery from the Pulmonary Artery . . . . . . . . . . . . . . . . . . . . . 101 3 Anomalies in the Diameter of Coronary Arteries . . . . . 104 4 Coronary Fistulae . . . . . . . . . . . 109 References . . . . . . . . . . . . . . . . . . . . . . . . . 113 VII V Angiographic Explorations: Coronary Atheroma. . . . . . . . 114 1 Left Ventricle . . . . . . . . . . . . . . . . . . . . . . . . 114 1. 1 Morphological Anomalies: Bulging and Lacuna-Like Aspects . . . . . . . . . . . . . . . . . . . . . . . . . . .

The Fourth International Copenhagen Symposium on Detec tion of Breast Cancer, which took place in Copenhagen August 1988, made it possible once again for scientists from all over the world to come together to present the latest advances in the fight against breast cancer. This book forms a synthesis of important contributions, with special reference to follow-up screening trials, stereotactic X-ray guided fine-needle aspira tion biopsy procedures, and new and important contributions to our knowledge concerning nonpalpable breast tumors. It is our fervent hope that the reader of this book will be encouraged to join in the struggle against breast cancer, especially screening programs, in order to detect the disease as early as possible, bearing in mind that breast cancer, in spite of recent advances, still is a dreadful strain on women throughout the world. S. Brunner B. Langfeldt Contents E. L. Kitts, Jr., J. Beutel, R. S. Holland, and B. Blank Relative Doses in Mammography: The Future Development of Film/Screen Mammography Systems . . . . '. . . . . . . . . . . . . . . . . . . . . 1 R. McLelland . Earlier Detection of Breast Cancer: An Overview 10 J. Leveque, e. O. Lorino, and J. J. Ferrara Inflammatory Disease of the Breast. . . . . 18 R. McLelland Stellate Lesions of the Breast 24 R. McLelland Screening for Breast Cancer: Opportunities, Status and Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . 29 S. A. Feig Follow-up Studies of the Health Insurance Plan Study and the Breast Cancer Detection Demonstration Project Screening Trials in the USA. . . . . . . . . . . . . . . . 39 R."

This book is not intended as a general text on MRI. It is written as an intro duction to the field, for nonexperts. We present here a simple exposition of certain aspects of MRI that are important to understand to use this valuable diagnostic tool intelligently in a clinical setting. The basic principles are presented nonmathematically, using no equations and a minimum of symbols and abbreviations. For those requiring a deeper understanding of MRI, this book will help facilitate the transition to standard texts. Chapters 1 through 4 provide a general introduction to the phenomenon of nuclear magnetic resonance and how it is used in imaging. Chapter 1 discus ses magnetic resonance, using a compass needle as an example. In Chapter 2, the transition to the magnetic resonance of the atomic nucleus is made. Chapter 3 describes the principles of imaging. In Chapter 4, the terms T 1 and T 2 are described and their relationship to tissue characterization; the fun damental role of thermal magnetic noise in T 1 and T 2 is discussed.

An Advanced Study Institute on Ultrasonics in Medical Diagnosis was held in Milan, Italy, from 10 to 15 June 1974. This ASI was of a short five-day duration and limited to cardiac diagnosis by ultra sound only. Since that time, the field of diagnostic imaging in medicine has literally exploded with new and improved means of medical diagnosis such as computed tomography, microwaves, nuclear magnetic resonance and other sophisticated techniques. These developments have enabled medical practitioners to make diagnoses with a minimum of danger to the patient, and a maximum of accuracy never before possible, and represent a multi-quantum advance over the early state-of-the-art presented at the 1974 ASI. Since then, several meetings have taken place on these individual topics to bring together experts who presented their latest research results, but none have discussed the entire field of diagnostic imaging in medicine in one meeting nor have they had the teaching character of an Advanced Study Institute. The art and science of medicine have been altered repeatedly during the eight year interval since the last ASI. Today's clinician must be part technologist and must be enough of an investigator to understand and appreciate the scientific method. The current complex advances in instrumentation and pharmacology have had a marked effect on how medicine is practiced. There was, therefore, an urgent need to bring the entire field of imaging in medicine to one teaching podium where the many advances of the last six or seven years could be reviewed.

The three-volume set LNCS 7510, 7511, and 7512 constitutes the refereed proceedings of the 15th International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2012, held in Nice, France, in October 2012. Based on rigorous peer reviews, the program committee carefully selected 252 revised papers from 781 submissions for presentation in three volumes. The third volume includes 79 papers organized in topical sections on diffusion imaging: from acquisition to tractography; image acquisition, segmentation and recognition; image registration; neuroimage analysis; analysis of microscopic and optical images; image segmentation; diffusion weighted imaging; computer-aided diagnosis and planning; and microscopic image analysis.

This atlas is a selection of roentgenograms of patients who visited the radiology departments at the University Hospital in Leiden between 1970 and 1978, the Free University Hospital in Amsterdam in 1979, and the radiology department at the Indiana University Medical School in Indianapolis in 1977. The most common radiological abnormalities of the small intestine are illustrated clearly, unhindered by flocculation or segmentation of the contrast fluid. The authors believe this book is a definite contribution to the goal of precise early small bowel diagnosis. However, the key to good diagnosis is not only a superb examination technique, but also the knowledge, the character, and the personal perfectionism of the physician. If these factors are optimal, then the best possible roentgenographic series will be obtained - at least as far as the technique is concerned. All patients illustrated here were examined by using the enteroclysis technique. With this method of small bowel examination, the contrast fluid is administered via an infusion directly into the duodenum instead of orally. The infusion method has added a new dimension to the usual radiological examination of the small intestine. This method is also especially suited for the comparative evaluation of motility, and the study of disturbed motility. Throughout the course of the examination, the technique can be adapted to special situations at any given moment and can be modified to produce precise diagnostic roentgenograms and diagnosis.

There are two important reasons for publishing this new series entitled "Advances and Technical Standards in Neurosurgery": 1. the lack of any organized common European postgraduate training system for young neurosurgeons and 2. the language barriers, which impede the exchange of neurosurgical findings in Europe more than in other parts of the world. The fact that the English language is well on the way to becoming the international medium at European scientific conferences is a great asset in terms of mutual understanding. Therefore the Editors have decided to publish all contributions III English, regardless of the native language of the authors. All contributions are submitted to the entire editorial board before publication of any volume. Our series is not intended to compete with the publications of original scientific papers in other neurosurgical journals. Our intention is, rather, to present fields of neurosurgery and related areas in which important recent advances have been made. The contributions are written by specialists in the given fields and constitute the first part of each volume. In the second part of each volume, we publish detailed descriptions of standard operative procedures, furnished by experienced clinicians; in these articles the authors describe the techniques they employ and explain the advantages, difficulties and risks involved in the various procedures. This part is intended primarily to assist young neurosurgeons in their postgraduate training. However, we are convinced that it will also be useful to experienced, fully trained neurosurgeons.

J.J. Broerse, Radiobiological Institute TNO, Rijswijk, The Netherlands, and T .J. MacVittie, Armed Forces Radiobiology Research Institute, Bethesda, MD, USA. During the past decade, relatively few new studies have been initiated on the response of different species to high-dose, total-body irradia- tion. For information on the LDSO/30d (the dose which produces 50 percent lethality within 30 days), one is generally referred to the older literature (e. g., Bond, Fliedner and Archambeau, 1965). Compari- son of experimental data reveals considerable variations in LDSD values even after total-body irradiation with conventional X rays, ranging from 4 to 6 Gy in the monkey, 7.1 to 9 Gy in the rat and from 6.4 to 9 Gy in the mouse (see also Hall, 1978). Part of the discrepancy in the LDso values can possibly be attributed to inadequacies in the dosimetry procedures and exposure arrangements employed. As far as clinical experience is concerned, there is now an appreciable amount of information available about the effect of total- body irradiation as a conditioning treatment for bone marrow transplan- tation in patients suffering from leukaemia or aplastic anaemia. The results from different centres, including the incidence of complications such as radiation pneumonitis, are considerably different. This can part I y be connected with the application of different radiation sched- ules: large single dose versus fractionated or protracted irradiation.

As an addition to the European postgraduate training system for young neurosurgeons we began to publish in 1974 this series devoted to Advances and Technical Standards in Neurosurgery which was later sponsored by the European Association of Neurosurgical Societies. The fact that the English language is well on the way to becoming the international medium at European scientific conferences is a great asset in terms of mutual understanding. Therefore we have decided to publish all contributions in English, regardless of the native language of the authors. All contributions are submitted to the entire editorial board before publication of any volume. is not intended to compete with the publications of original Our series scientific papers in other neurosurgical journals. Our intention is, rather, to present fields of neurosurgery and related areas in which important recent advances have been made. The contributions are written by specialists in the given fields and constitute the first part of each volume. In the second part of each volume, we publish detailed descriptions of standard operative procedures, furnished by experienced clinicians; in these articles the authors describe the techniques they employ and explain the advantages, difficulties and risks involved in the various procedures. This part is intended primarily to assist young neurosurgeons in their post graduate training. However, we are convinced that it will also be useful to experienced, fully trained neurosurgeons."

There are two important reasons for commencing this new series of publi cations entitled "Advances and Technical Standards in Neurosurgery" 1. the lack of any organized common European postgraduate training system for young neurosurgeons and 2. the language barriers, which impede the exchange of neuro surgical findings in Europe more than in other parts of the world. The fact that the English language is well on the way to becoming the international medium at European scientific conferences is a great asset in terms of mutual understanding. Therefore the Editors have decided to publish all contributions in English, regardless of the native language of the authors. All contributions are submitted to the entire editorial board before publi cation of any volume. Our series is not intended to compete with the publications of original scientific papers in other neurosurgical journals. Our intention is, rather, to present fields of neurosurgery and related areas in which important recent advances have been made. The contributions will be written by specialists in the given fields and will constitute the first part of each volume."

Proceedings of the 9th Conference, Washington D.C., 10-14 June 1985 Sponsored by the Clinical Center and the Fogarty International Center of the National Institutes of Health, Bethesda, Maryland, USA

As an addition to the European postgraduate training system for young neurosurgeons we began to publish in 1974 this series devoted to Advances and Technical Standards in Neurosurgery which was later sponsored by the European Association of Neurosurgical Societies. The fact that the English language is well on the way to becoming the international medium at European scientific conferences is a great asset in terms of mutual understanding. Therefore we have decided to publish all contributions in English, regardless of the native language of the authors. All contributions are submitted to the entire editorial board before publication of any volume. Our series is not intended to compete with the publications of original scientific papers in other neurosurgical journals. Our intention is, rather, to present fields of neurosurgery and related areas in which important recent advances have been made. The contributions are written by specialists in the given fields and constitute the first part of each volume. In the second part of each volume, we publish detailed descriptions Of standard operative procedures, furnished by experienced clinicians; in these articles the authors describe the techniques they employ and explain the advantages, difficulties and risks involved in the various procedures. This part is intended primarily to assist young neurosurgeons in their post graduate training. However, we are convinced that it will also be useful to experienced, fully trained neurosurgeons."

Master of all endocrine activity and executive organ of one's quality of life, the pituitary gland is tightly lodged in the" turkish saddle. " As a bony container, the sella turcica is to the hypophysis what the skull is to the brain; it can therefore be looked upon as a little vault within the cranial vault. Just as the cranium is moulded by the growth of the brain, so is the sella fashioned by its content. It becomes locally enlarged in response to expanding intrasellar lesions, and it tends to return to its original size and shape upon their removal or destruction. Pituitary adenomas have in the past been diagnosed upon enlargement of the sella turcica. In the past decade, as a direct result of interdisciplinary coopera- tion, we have learned that tiny adenomas, the immediate cause of some cases of acromegaly, amenorrhea-galactorrhea syndrome, or Cushing's disease, can exist with minimal or no observable effect on the size of the sella. The break- through started when radioimmunoassay, as a new method of accurately measur- ing specific hormonal output, indicated selective pituitary oversecretions in pa- tients with normal-sized sellae. Neurosurgeons highly skilled in the transsphenoi- dal approach with the surgical microscope were obliged to operate on some of these patients and confirmed the presence of tiny oversecreting adenomas in their pituitary glands.

In January 1995, 300 participants from Asia, USA, and Europe lively discussed the "State of the Art and Future Aspects of CT" in Peking, China. The workshop was designed to cover all essential aspects of modern CT imaging including the historical development, different techniques, contrast agents, organ systems, and indications. The comparative evaluation of CT versus MRI and ultrasound was a central topic. Additionally, a special session was dedicated to "Angiography Tomorrow." This book summarizes the state of the art in both conventional and spiral CT imaging and provides some suggestions as for the future role of the method.

The eontinual growth of radiologie information makes it inereas- ingly diffieult for the praetitioner to maintain eurrent clinieal knowledge. Radiologie textbooks eontaining mueh material for the praetieing clinieian are often impossible to review thoroughly. Such radiographie texts deseribing the hand as a window to the understanding of systemie disease are available, but there has been an absence of books whieh present an easily assimilated synopsis of this material. Professor Thijn has elegantly presented all the major and many minor features of diseases and eonditions that affeet the skeleton, using hand roentgenograms as a window. He has also included numerous illustrations of key assoeiated roentgeno- graphie manifestations elsewhere in the body. His organized pre- sentation of eaeh entity, including introductory remarks, radio- graphie findings in the hand and other sites, differential diagno- sis, and key referenees, forms a strueture through whieh an ap- propriate evaluation of a clinieal ease may be made. The eoneise synopsis of eaeh disease entity, weIl illustrated by superb roentgenograms, provides an exeellent strueture for both the student first learning about such eonditions and the praetitioner researehing an explanation for partieular roentgeno- graphie findings. Professor Thijn has attempted, and I believe has sueeeeded admirably, to provide a souree from whieh a student or praeti- tioner of radiology may readily arrive at a differential diagnosis of an observed radiographie feature. LOUIS A. GILULA, M.D.

This book constitutes the refereed proceedings of the Second International Workshop on Multimodal Brain Image Analysis, held in conjunction with MICCAI 2012, in Nice, France, in October 2012. The 19 revised full papers presented were carefully reviewed and selected from numerous submissions. The objective of this workshop is to forward the state of the art in analysis methodologies, algorithms, software systems, validation approaches, benchmark datasets, neuroscience, and clinical applications.

The purpose of this book is to explain the current state of the art in radiological examination, interpretation, and understanding of colonic disease. The radiologic aspects of colon disease are combined here with clinical information to serve both beginners and advanced students. Major emphasis has been placed on technique for those radiologists, residents, and technologists first undertaking modern gastrointestinal radiographic techniques. The essentials of technique are stressed so that the reader obtains a clear understanding of colon disease based on sound practical information. We believe this book is a thorough and practical text of particular interest to clinical radiologists and gastroenterologists in their everyday practice, and also for teachers, residents and medical students. Digital examination and sigmoidoscopy are the first procedures in examination of the colon. Then, the radiologic examination is the next most important procedure. Endoscopy and biopsy play a compli mentary role to the radiological examination. The barium enema reveals quickly and early the overall status of the colon and it can then guide endoscopy and biopsy together with subsequent treatment. Surely, if the lesion is not detected our clinical, radiologic, endoscopic, and therapeutic skills are of no use."

There have been significant advances in the treatment of sarcomas in the past several years. Further, different clini cal treatment programs are being advocated in different areas including surgery alone, surgery with preoperative or post operative chemotherapy, surgery with different radiotherapy modalities, with each investigator espousing his own treat ment program. On the other side, there is the question of whether these treatment programs are offering better results or whether the natural history of sarcomas has changed. The International Symposium on Sarcomas was held at Innisbrook Resort, Tarpon Springs, Florida, October 8-10, 1987. This was the first international symposium to date involving all of the disciplines treating sarcomas including pathologists, orthopaedic surgeons, general surgeons, medical oncologists, pediatric oncologists, and radiation oncol ogists. The Symposium brought together a number of special ists working in the clinical field of sarcomas for a presen tation of their specific treatment programs and their results. The presentations were followed by panel discussions to stimulate educational debate as to the different forms of treatment for sarcomas and to formulate some conformity in control of disease, control of spread, and ultimate function for the patient. James R. Ryan, M.D."

Over the past decade, techniques have been developed and implemented to observe metabolism noninvasively in localized regions of intact, living experimental animals and humans through the use of magnetic resonance spectroscopy (MRS). At the same time, magnetic resonance imaging (MRI) techniques developed in the 1970s and refined in this decade have been increasingly applied as a powerful clinical tool to probe human anatomy. Because of the unusual metabolic and physiologic characteristics of malignant tissues, oncology has been one of the primary focuses of the application of both MRS and MRI. Although considerable progress has been made in oncologic applications of magnetic resonance (MR), further research is needed to realize the full potential of MR in this area. Consequently, the 21st Annual Detroit Cancer Symposium entitled "Magnetic Resonance in Experimental and Clin ical Oncology" was organized to provide a forum for researchers in the field to report the state of the art of MRS and MRI in oncol ogy, to discuss future goals for MRS and MRI in oncology, and to define the research needed to meet those goals. The major emphasis of the symposium was on MRS due to both the recent widespread availability of clinical MRS instrumentation and the extensive amount of animal MRS research performed over the past half decade.

It Itis is 1984, 1984, a a year year immortalized immortalizedby by George GeorgeOrwell Orwell some some35 35 year year ago. ago. In In 1949, 1949, he he prophesized prophesized a a world worlddominated dominated by by television television images images and andelectronic electronic communica communica tions. Orwell's vision of an incredible technologic revolution is the reality of the tions. Orwell'svisionofanincredibletechnologicrevolutionistherealityofthe 1980's. 1980's. Over Over the the past past three threedecades, decades, this this technical technicalexplosion explosion has has impacted impacted on on all all levels levelsof of society, society, including including the the practice practice of ofMedicine. Medicine. In 1949, the cardiologist had available to him only his stethoscope, the chest In1949, thecardiologisthadavailabletohimonlyhisstethoscope, thechest roentgenogram, roentgenogram, the theelectrocardiogram, electrocardiogram, and and his hisclinical clinical astuteness. astuteness. In In 1984, 1984, the the cardiologist still requires great clinical skills, but also has available to him echo cardiologiststillrequiresgreatclinicalskills, butalsohasavailabletohimecho cardiography, cardiography, radionuclide radionuclideperfusion perfusion and and functional functional tests, tests, digital digital radiography, radiography, computed computed tomography, tomography, positron positronemission emission tomography, tomography, and and nuclear nuclearmagnetic magnetic resonance resonanceimaging. imaging. These These imaging imagingmodalities modalities are are the theresult result of ofthe the development developmentof of the the digital digitalcomputer, computer, and and the theexplosive explosive advances advances in in microelectronics. microelectronics. Cardiac Cardiac imaging imaginghas has rapidly rapidlyevolved evolved into intoa a specialized specialized area area of of interest interestshared shared by by cardiolo cardiolo gists, radiologists, engineers, physicists, and statisticians. Our book, Digital gists, radiologists, engineers, physicists, andstatisticians."

The management of ankle injuries has long been a stumbling block for orthopae dists in training. As a first year resident, I was fortunate to encounter the series of articles by N. Lauge-Hansen and T. Baek Kristensen that classified ankle injuries according to their mechanism. I found this information quite helpful throughout my residency and early years of practice. Several years ago, an attempt was made to summarize this material for the benefit of the orthopaedic house staff of Thomas Jefferson University. It quickly become obvious that such a "manual" would require a great deal of professional illustration and editorial assistance in order to be effective. Almost simulta neously, a fortuitous encounter with Ms. Marie Low (at that time Medical Editor of Springer-Verlag New York Incorporated) provided both the stimulus and the means to present this information in the manner and detail which it deserved. Contributors were carefully selected for their knowledge and experience in particular areas and for their willingness to cooperate in providing a smooth flowing manuscript. This text contains little new material. Rather, it represents an attempt to bring together, under one cover, the wealth of extant information on this subject. Wherever a consensus could not be perceived, conflicting views have been sum marized as objectively as possible. Unfortunately, there are still many aspects of ankle injury for which we have more questions than answers."