New Techniques for Thoracic Outlet Syndromes presents in a comprehensive format an up-to-date, state of the art reference that physicians can use in consultation to properly treat patients using the resources that modern medicine offers. This book offers the newer surgical approaches that have been developed during the past 30 years. Some of these techniques are modification of operations that were proposed previously but were not fully affective and left many patients suffering with permanent disability. This textbook is a compendium of the proper management of these patients that cannot be found in isolated reports of literature. The neurogenic-arterial thoracic outlet syndrome section covers how to diagnosis the illness using the proper tests, therefore eliminating the use of expensive, uncomfortable and inconvenient tests. The text is organized in three basic sections that cover all the aspects of the thoracic outlet syndromes. The first section addresses the neurogenic-arterial type, with the pertinent subsections: symptoms, diagnosis. A list of the useful tests is provided to make a correct diagnosis of this syndrome. This is followed by the sections on treatment, using the surgical approaches with historical aspects and evolution of the operations proposed. The second section involves the venous thoracic outlet syndrome divided into the corresponding subsections comprising: symptoms and physical findings, etiology, diagnosis. This section also includes a list of the usual tests to make the proper diagnosis. The last section of this text is dedicated to the presence of cervical ribs and their classification of the different types that occur, and also the proper surgical treatment when fusion of the upper ribs is present. New Techniques for Thoracic Outlet Syndromes offers the current, acceptable and most effective methods to handle thoracic outlet syndromes. It will be of great value to thoracic surgeons, vascular surgeons, interventional radiologists as well as fellows and residents in training for cardiothoracic and vascular surgery.

For the last half of the 20th century cobalt-60 units were the mainstay of radiation treatments for cancer. This book describes the development of the first cobalt -60 unit in the United States and the man behind it, Leonard Grimmett. Conceptually conceived before World War II it only became possible because of the development of nuclear reactors during the war. The initial idea was to replace the radium in the contemporary units of the time with cobalt-60, but with the realization that the reactors could produce much more cobalt-60 than originally thought the design of the cobalt-60 unit was drastically changed to take advantage that the application of the inverse square law to cancer radiation treatments would make. Although Grimmett conceived of and published his ideas first, the Canadians built the first units because of the capability of their reactor to produce more suitable cobalt-60 sources. The story tells how Grimmett and the other people involved came together at the time that the U S Atomic Energy Agency was pushing the use of radioactivity in medicine. But Grimmett died suddenly before his unit could be built and very little information about him was known until recently when various documents have come to light, allowing the full story to be told.

Urological Oncology, Second Edition offers an updated multi-disciplinary and multi professional approach to the assessment, diagnosis, treatment and follow-up care of patients being investigated and treated for urological malignancies. As a professional resource for all nurses involved in the care of uro-oncology patients, particularly those in advanced practice roles, there is an emphasis on developing advanced practice with in-depth discussions to support evidence based, patient focused care. Mainly aimed at trainee nurses, nurse practitioners in urology / urological oncology, Urological Oncology, Second Edition, is also useful for general nurse practitioners. With this in mind the level is higher than that of a general nursing book.

CAR is a symposium and exhibition covering the impact of computer and communication systems applied to radiology and other medical disciplines, which use digital imaging for diagnosis and therapy planning. CAR '93 also provides tutorials, but more emphasis is given to a broad variety of specific problems related to medical/technical issues in digital imaging. This is achieved through in-depth presentations of results of current medical imaging projects on a worldwide basis.

Sincethepublicationofthisbook in2005, thegrowthofpositron emission tomography(PET)andPET/CTmodalityhasbeenphenomenalwiththed- coveryofef?cientdetectorsandtheadditionofsophisticatedscannersand powerfulsoftware. Becauseofthevastadvancementandchangesintechn- ogy, andalso withgreatappreciationofthesuccess ofthe?rst edition, we thoughtasecondeditionofthebookwouldbeappropriate. Thebookisrevisedtoagainful?lltheneedsofnuclearmedicineprof- sionalssuchasphysicians, technologists, andresidents, alongwithstudents fortheirboardexaminationandtraining. Thecontentsofthebookhavebeen keptatthebasiclevelaswasinthe?rstedition. The organization of the book essentially has remained the same. Some chaptershavebeenrevisedvery extensively, while others haveonly minor changes. NochangehasbeenmadeinChap. 1asitisbasedonbasicphysics. Extensive revision has been made in Chaps. 2 and 3 to include up-to-date information on detectors, scanners, and data collection. Chapter 4 in the original edition has been divided into Chaps. 4 and 5 to allow for a se- ratechapteron"Storage,Display,andPACS. "Chapter6hasbeenupdated withnewinformationonNEMAstandardsonacceptancetestsofPETsc- ners. NewPETradionuclidesandthelistofcurrentavailablecyclotronshave beenaddedtoChap. 7. Chapter8includesasectiononCompoundingofPET Radiopharmaceuticals,inadditiontoseveralnewPETradiopharmaceuticals. NewregulationsconcerningtheuseofPETradiopharmaceuticals,thelice- ingofphysiciansandtechnologists,andtheaccreditationofPETfacilitiesto beeligibleforreimbursementforPETproceduresareallincludedinChap. 9. Chapter10hasbeenrevised,focusingontheissuesofcurrentreimbursement issuesforPETstudies. OnlyminorchangeshavebeenmadeinChaps. 11and 12toincludeup-to-dateinformation. Questionshavebeenaddedattheend ofeachchapter,asappropriate,tore?ectthechangesincontents. IthankmycolleaguesattheClevelandClinicFoundationfortheirsupport in manywaysand Mrs. DianeGrif?s for kindly typingand completingthe manuscriptontime. vii viii Preface IsincerelythankAndrewMoyer,editorofradiologyandnuclearmedicine, atSpringerforsupportandencouragement,andS. GeethalakshmiSrinivasan, ProjectManager,atSPiTechnologiesIndiaPvtLtdforexcellentproduction ofthebook. Cleveland,OH GopalB. Saha Contents 1. RadioactiveDecayandInteractionofRadiationwithMatter ...1 AtomicStructure ...1 RadioactiveDecay ...2 ?Decay ...2 ? ? Decay ...3 + Positron(?) Decay ...3 ElectronCapture ...3 IsomericTransition ...4 RadioactiveDecayEquations ...5 GeneralDecayEquations ...5 SuccessiveDecayEquations ...7 UnitsofRadioactivity ...9 UnitsofRadioactivityinSystemInternationale ...9 Calculations ...9 InteractionofRadiationwithMatter ...10 InteractionofChargedParticleswithMatter ...10 Interactionof?RadiationwithMatter ...12 Questions ...15 ReferencesandSuggestedReading ...17 2. PET ScanningSystems ...19 Background ...19 SolidScintillationDetectorsinPET ...20 PhotomultiplierTube ...24 PulseHeightAnalyzer ...25 ArrangementofDetectors ...25 PETScanners ...28 CoincidenceScintillationCameras ...29 PET/CTScanners ...30 SmallAnimalPETScanner ...33 MobilePETorPET/CT ...36 ix x Contents Questions ...38 ReferencesandSuggestedReading ...39 3. DataAcquisition and Corrections ...41 PETDataAcquisition ...41 TimeofFlightMethod ...46 Two-Dimensionalvs. Three-Dimensional DataAcquisition ...47 FactorsAffectingAcquiredPETData ...49 Normalization ...49 PhotonAttenuation ...50 AttenuationCorrectionMethods ...52 RandomCoincidences ...53 ScatterCoincidences ...55 CorrectionforScatterCoincidences ...56 DeadTime ...58 RadialElongation ...59 PET/CTDataAcquisition ...6 0 FactorsAffectingPET/CTData ...62 Questions ...67 ReferencesandSuggestedReading ...68 4. ImageReconstruction ...71 SimpleBackprojection ...71 FilteredBackprojection ...72 TheFourierMethod ...73 TypesofFilters ...75 IterativeReconstruction ...

This book covers the complete spectrum of deformable models, its evolution as an imagery field and its use in many biomedical engineering and clinical application disciplines. The book focuses on the core image processing techniques, theory and biomaterials useful to research and industry. Contributors are all pioneers in the field.

Many international experts collaborated in creating this groundbreaking work, a principal-coding system, and in developing reference films and imaging parameters for the International Classification of HRCT for Occupational and Environmental Respiratory Diseases. The book is an authoritative guide to the recognition of dust diseases of the lung, using radiological imaging techniques, with special emphasis on high-resolution computerized tomography (CT). The classification is a powerful, essential tool for recording patient data on CT in a globally standardized semiquantitative way. The system is also applicable to surveillance and screening for occupational and environmental respiratory diseases. The book is a valuable resource not only for radiologists but for all who work in occupational medicine and public health.

Established as a classic text on nuclear chemistry and pharmacy, Fundamentals of Nuclear Pharmacy has been thoroughly revised with new information added covering innovations in imaging technology and clinical applications in the field. The Sixth Edition also eliminates outdated information from previous editions on radiopharmaceuticals now discontinued from the market. Dr. Gopal B. Saha's books have continually been praised for their clarity and accuracy while setting new standards for making complex theoretical concepts readily understandable to the reader. Like past editions, this book is intended to be used as a textbook on nuclear chemistry and pharmacy for nuclear medicine residents and students and as a reference book for nuclear medicine physicians and radiologists. New sections in the Sixth Edition include: * PET/CT and SPECT/CT * Digital Imaging * Exploratory IND * Nanoparticle Imaging * Treatment of liver cancer with 90Y-TheraSpheres and 90Y-SIR-Spheres * Treatment of Non-Hodgkin's lymphoma with 131I-Bexxar

The impact of molecular imaging on diagnostics, therapy, and follow-up in oncology is increasing steadily. Many innovative molecular imaging probes have already entered clinical practice, and there is no doubt that the future emphasis will be on multimodality imaging in which morphological, functional, and molecular imaging techniques are combined in a single clinical investigation. This handbook addresses all aspects of molecular imaging in oncology, from basic research to clinical applications. The first section is devoted to technology and probe design, and examines a variety of PET and SPECT tracers as well as multimodality probes. Preclinical studies are then discussed in detail, with particular attention to multimodality imaging. In the third section, diverse clinical applications are presented, and the book closes by looking at future challenges. This handbook will be of value to all who are interested in the revolution in diagnostic oncology that is being brought about by molecular imaging.

MRI has become the main paraclinical test in the diagnosis and management of multiple sclerosis. More than 400 pictures of different typical and atypical MS lesions are demonstrated in this atlas. Each image has a teaching point. New diagnostic criteria and differential diagnosis are discussed.

Health Effects of Cell Phone Radiation will offer a concentrated and up-to-date overview on the effects of radio frequencies on human tissue. While significant advances are being made on many fronts, ranging in frequency from quasi-static to the optical regime, a special emphasis of this volume is on current understanding of biological interactions of cellular mobile communication radiation. The use of cell-phones has experienced phenomenal growth - some estimate that there will be more than 3.5 billion users of these wireless devices by the end of 2010, worldwide. The widespread impact of these new wireless technologies has raised concerns about the safety of human exposure to radio-frequency (RF) energy emitted by these telecommunication devices. A better understanding of the biological effects of RF electromagnetic field is needed to safeguard against possible harm to the general population. Fortunately in recent years there has been a resurgence of research interest in achieving a quantitative understanding of the relationships between the biological effects of RF radiation and the physical variables that may cause them. A significant number of results have and are beginning to appear in the literature. This volume reviews and assesses the biological effects of exposure to electromagnetic fields from wireless communication technology.

This is the first textbook entirely dedicated to the endovascular treatment of complications related to arteriovenous accesses for hemodialysis (native fistulas and prosthetic grafts). The book addresses the anatomy of upper limb arteries and veins as well as the clinical presentation of patients and the way to perform and read a fistulogram. Many details and illustrations are provided, clarifying the subtleties in catheterization and the dilation of stenoses. From a strategic point of view, it is explained for the first time that many stenoses must either be ignored or deliberately underdilated. A wealth of images helps to understand the different stages of access recovery from thrombosis. As the number of incident dialysis patients is increasing by 5% every year, this is a field of growing interest. In testament to this there are several annual or bi-annual meetings held by numerous national and international societies (vascularaccesssociety.com, sfav.org, vasamd.org, dialysiscontroversies.org, asdin.org).

Themonographisdevotedtothetheoreticalstudiesofradiationeffectsonmammals. It summarizes the results obtained by the author over the past 30 years, most of them being of high priority. In the course of these studies, a single approach to the modeling of radiation effects on mammals has been elaborated. Speci?cally, in the framework of the developed deterministic mathematical models, the effects of both acute and chronic irradiation in a wide range of doses and dose rates on vital body systems (hematopoiesis, small intestine, and humoral immunity), as well as on the development of autoimmune diseases, are investigated. The radiation effects on the mortality dynamics in homogeneous and nonhomogeneous(in radiosensitivity) mammalian populations are also studied by making use of the developed stochastic models. The most appealing feature of these mortality models consists of the fact that they account for the intrinsic properties of the exposed organism. Namely, within these models the stochastic biometrical functions are calculated proceeding from statistical characteristics and dynamics of the respective critical body system (hematopoiesis or small intestine). The performed theoretical investigations contribute to the development of the system and quantitative approaches in radiation biology and ecology. These studies elucidate the major regulatory mechanisms of the damage and recovery processes running in the vital body systems of exposed mammals and reveal the key par- eters characterizing the processes.

This book summarizes 20 years of work on the kinetics of blood-brain transfer and metabolism mechanisms in mammalian brain. The substances affiliated with these mechanisms include glucose, amino acids, monocarboxylic acids, and oxygen. These substances are important to energy metabolism and neurotransmission in the mammalian brain at rest and during activation. To understand the processes addressed by these mechanisms, the book examines the kinetics of compartmentation and compartmental analysis, particularly as they relate to transporter, enzyme, and receptor function. Compartments are subsets of substances separated by transporters and receptors in membranes, and enzymes in cells. This book is divided in six major chapters covering compartmental analysis, kinetic analysis of transport and metabolism, blood-brain transfer and metabolism of glucose, amino acids, and oxygen, and amino acid metabolism and interaction of amino acid metabolites with receptors.

This book describes the design of the first functioning single-sided tomograph, the related measurement methods, and a number of applications in medicine, materials science, and chemical engineering. It will be the first comprehensive account of this new device and its applications. Among the key advances of this method is that images can be obtained in much shorter times than originally anticipated, and that even vector maps of flow fields can be measured although the magnetic fields are highly inhomogeneous. Furthermore, the equipment is small, mobile and affordable to small and medium enterprises and can be located in doctors' offices.

The 29th International Symposium on Acoustical Imaging was held in Shonan Village, Kanagawa, Japan, April 15-18, 2007. This interdisciplinary Symposium has been taking place every two years since 1968 and forms a unique forum for advanced research, covering new technologies, developments, methods and theories in all areas of acoustics. In the course of the years the volumes in the Acoustical Imaging Series have developed and become well-known and appreciated reference works. Offering both a broad perspective on the state-of-the-art in the field as well as an in-depth look at its leading edge research, this Volume 29 in the Series contains again an excellent collection of seventy papers presented in nine major categories: (1) Strain Imaging, (2) Biological and Medical Applications, (3) Acoustic Microscopy, (4) Non-Destructive Evaluation and Industrial Applications, (5) Components and Systems, (6) Geophysics and Underwater Imaging, (7) Physics and Mathematics, (8) Medical Image Analysis, (9) FDTD method and Other Numerical Simulations.

We dedicate this text to Drs. Ernest E. Aegerter, a pathologist, and John A. Kirkpatrick Jr., a radiologist. They were among the principal founders of the ?eld of skeletal pathology and radiology. During their time, their residents and colleagues knew them as great educators with a dedication and a passion for their work. Their textbook, Orthopedic Diseases, published initially in 1958 was among the ?rst interdisciplinary works devoted to this ?eld. Dr. Aegerter and Dr. Kirkpatrick illuminated many aspects of the ?eld of radiology. Today, with the advent of new technologies, this ?eld has grown to include not only diseases that affect the skeleton but also those that affect muscles, ligaments, tendons, and also the cartilaginous structures within joints. With this text we intend to carry on Dr. Aegerter and Dr. Kirkpatrick's tradition. We have recruited only well-known musculoskeletal radiologists and pathologists to participate in the writing of this book. Each author has been carefully selected for his expertise on the topic about which he's been asked to contribute. Each author is known as an experienced and seasoned teacher. Each author has made a mark on the ?eld.

Unraveling the functional properties of structural elements in the brain is one of the fundamental goals of neuroscientific research. In the cerebral cortex this is no mean feat, since cortical areas are defined microstructurally in post-mortem brains but functionally in living brains with electrophysiological or neuroimaging techniques - and cortical areas vary in their topographical properties across individual brains. Being able to map both microstructure and function in the same brains noninvasively in vivo would represent a huge leap forward. In recent years, high-field magnetic resonance imaging (MRI) technologies with spatial resolution below 0.5 mm have set the stage for this by detecting structural differences within the human cerebral cortex, beyond the Stria of Gennari. This provides the basis for an in vivo microanatomical brain map, with the enormous potential to make direct correlations between microstructure and function in living human brains. This book starts with Brodmann's post-mortem map published in the early 20th century, moves on to the almost forgotten microstructural maps of von Economo and Koskinas and the Vogt-Vogt school, sheds some light on more recent approaches that aim at mapping cortical areas noninvasively in living human brains, and culminates with the concept of "in vivo Brodmann mapping" using high-field MRI, which was introduced in the early 21st century.

In recent years a dramatic increase in knowledge of the biology of the lymphomas has been accompanied by the emergence of new treatments offering improvements in efficacy and reduction in toxicity. In this volume an internationally recognized group of experts review relevant aspects of the biology, diagnosis and management, with particular emphasis on the emerging data available for this disease.

Myelin Repair and Neuroprotection in Multiple Sclerosis presents an up-date on the translational potential of promoting remyelination in multiple sclerosis (MS). A number of research frontiers still exist in this challenging disease. The cause remains elusive, preventing breakthroughs in its prevention. The move towards oral immunomodulatory therapies has been a major advance, as has the finding of new genes linked to susceptibility that may open the door to new therapeutic approaches. However, a frontier that has been making significant strides in recent years has been that surrounding the neurobiology of myelin regeneration and axon protection: such have been the advances that clinical translation is on the cusp of being achieved. Two broad approaches to therapeutic enhancement of remyelination are envisaged: promoting endogenous remyelination by targeting cells present in the CNS, or, replacing lost myelinating cells from exogenous sources. Current research on oligodendrocyte biology, the pathology of MS, imaging of lesions and the biology of remyelination are paving the way toward opening this new translational frontier. Professor Duncan and Professor Franklin have assembled a broad group of experts in the fields of glial cell biology, neuropathology, radiology and clinical neurology to provide the background toward taking remyelination from experimented models into MS patients.

In 194 cases featuring over 450, high-quality images, Nuclear Medicine and PET/CT Cases provides a succinct review of clinically relevant cases covering the full range of nuclear medicine. Cases are grouped into sections including: Nuclear CNS Imaging, Nuclear Inflammation/Infection Imaging, Ventilation/Perfusion Lung Scintigraphy, Pediatric Nuclear Medicine, Cardiac Imaging, Bone Scintigraphy, PET/CT in Oncology, General Oncologic Imaging, Thyroid and Parathyroid, Radionuclide Therapy and Pre-Therapy Evaluation, Liver, Spleen and Biliary Tract, Gastrointestinal Tract, Renal Scintigraphy. Part of the Cases in Radiology series, this book follows the easy-to-use format of question and answer in which the patient history is provided on the first page of the case, and radiologic findings, differential diagnosis, teaching points, next steps in management, and suggestions for furthering reading are revealed on the following page. This casebook is an essential resource for radiology residents and practicing radiologists alike.

Since the early 20th century, medical imaging has been dominated by monochrome imaging modalities such as x-ray, computed tomography, ultrasound, and magnetic resonance imaging. As a result, color information has been overlooked in medical image analysis applications. Recently, various medical imaging modalities that involve color information have been introduced. These include cervicography, dermoscopy, fundus photography, gastrointestinal endoscopy, microscopy, and wound photography. However, in comparison to monochrome images, the analysis of color images is a relatively unexplored area. The multivariate nature of color image data presents new challenges for researchers and practitioners as the numerous methods developed for monochrome images are often not directly applicable to multichannel images. The goal of this volume is to summarize the state-of-the-art in the utilization of color information in medical image analysis.

Matrix-valued data sets - so-called second order tensor fields - have gained significant importance in scientific visualization and image processing due to recent developments such as diffusion tensor imaging. This book is the first edited volume that presents the state of the art in the visualization and processing of tensor fields. It contains some longer chapters dedicated to surveys and tutorials of specific topics, as well as a great deal of original work by leading experts that has not been published before. It serves as an overview for the inquiring scientist, as a basic foundation for developers and practitioners, and as as a textbook for specialized classes and seminars for graduate and doctoral students.

The three-volume set LNCS 8673, 8674, and 8675 constitutes the refereed proceedings of the 17th International Conference on Medical Image Computing and Computer-Assisted Intervention, MICCAI 2014, held in Boston, MA, USA, in September 2014. Based on rigorous peer reviews, the program committee carefully selected 253 revised papers from 862 submissions for presentation in three volumes. The 100 papers included in the second volume have been organized in the following topical sections: biophysical modeling and simulation; atlas-based transfer of boundary conditions for biomechanical simulation; temporal and motion modeling; computer-aided diagnosis; pediatric imaging; endoscopy; ultrasound imaging; machine learning; cardiovascular imaging; intervention planning and guidance; and brain.

Atlas of Rheumatoid Arthritis is a high-quality educational initiative, written by leaders in the field of rheumatology, containing a collection of approximately 150 relevant images, with extended descriptive captions and a comprehensive bibliography. The Atlas of Rheumatoid Arthritis will provide clinicians with a visual guide to rheumatoid arthritis, focusing on assessment, diagnosis and treatment, including newer research into the signalling pathways involved in the pathogenesis of RA, before focusing on the treatment of RA. Rheumatoid arthritis (RA) is the most common and most serious of the inflammatory arthritic disorders, and it dominates clinical rheumatological practice. Effective, early treatment is vital as this can slow the course of the disease and reduce joint damage. RA is usually treated using disease-modifying anti-rheumatic drugs (DMARDs), most commonly methotrexate. The newest treatments target the disease-causing immune elements specifically and directly.