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Books > Medicine > Other branches of medicine > Medical imaging > Radiology
This book reviews the frontier of research and clinical applications of Patient Specific Modeling, and provides a state-of-the-art update as well as perspectives on future directions in this exciting field. The book is useful for medical physicists, biomedical engineers and other engineers who are interested in the science and technology aspects of Patient Specific Modeling, as well as for radiologists and other medical specialists who wish to be updated about the state of implementation.
This book is based on contributions presented at the 1st World Congress on Gallium-68 and Peptide Receptor Radionuclide Therapy, which examined recent developments in theranostics - the emerging field of molecular targeting of vectors that can be used for both diagnosis and therapy, when modified accordingly. The focus of this book is on the rapidly developing research into and clinical applications of gallium-68 and other generator-produced PET radionuclides in the personalized diagnosis and treatment of neuroendocrine tumors and other diseases. In addition, new PET radiopharmaceuticals are considered, and the latest ideas and concepts, presented. Theranostics embodies both molecular and personalized medicine. It is at the cutting edge of medicine, and the contents of this volume will be of interest to chemists, physicians, and investigators dealing with generators, PET radiochemistry, molecular imaging, and radionuclide therapy.
As part of the successful THE REQUISITES series, the second edition of Thoracic Radiology: The Requisites, by Theresa McLoud, MD and Phillip Boiselle, MD, presents the most essential information you need to know about chest radiology, including some of the more recent techniques in chest imaging such as CTA and PET imaging. Its concise and up-to-date coverage prepares you for examinations and clinical practice. Abundantly illustrated with over 800 images and covering all functional units of chest organs, this book discusses diagnostic imaging of the most frequently seen problems and the interventional techniques performed in thoracic radiology. Summarizes key information with numerous outlines, tables, ''pearls,'' and boxed material for easy reference. Focuses on essentials to pass the certifying board exam and ensure accurate diagnoses in clinical practice. Approximately 90% of the more than 1,000 images are new, reflecting the very latest thoracic imaging modalities and techniques. Many diagrams and images are also now in full color. New material on acute and critical care including post-operative complications, trauma, ICU diagnosis, and implantable devices. More interventional content including diagnostic biopsy techniques, fiducial placement to aid VATs resection, and ablative therapies including microwave and cryoablation. Expanded and updated lung cancer coverage including new tumor staging, new surgical and bronchoscopic staging techniques, and lung cancer screening. New information on thoracic MRI indications, protocols, and case material outlining how MRI adds specificity to tissue characterization of masses and extent of disease. Expanded content on interstitial lung disease including color anatomic drawings and extensive new case material. Current pulmonary nodule management strategies including the updated 2017 Fleischner criteria for incidental nodules. New editor, authors, and section editors bring a fresh perspective to this completely revised book. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of electronic devices.
- Donation refusal is high in all the regions of Argentina. - The deficient operative structure is a negative reality that allows inadequate donor maintenance and organ procurement. - In more developed regions, there are a high number of organs which are not utilized. This is true for heart, liver and lungs. Small waiting lists for these organs probably reflect an inadequate economic coverage for these organ transplant activities. - There is a long waiting list for cadaveric kidney transplants, which reflect poor procurement and transplant activity. - Lack of awareness by many physicians leads to the denouncing of brain deaths. In spite of these factors, we can say that there has been a significant growth in organ procuration and transplantation in 1993, after the regionalization of the INCUCAI. Conclusions Is there a shortage of organs in Argentina? There may be. But the situation in Argentina differs from that in Europe, as we have a pool of organs which are not utilized (donation refusal, operational deficits, lack of denouncing of brain deaths). Perhaps, in the future, when we are able to make good use of all the organs submitted for transplantation, we will be able to say objectively whether the number of organs is sufficient or not. Acknowledgements I would like to thank the University of Lyon and the Merieux Foundation, especially Professors Traeger, Touraine and Dr. Dupuy for the honour of being invited to talk about the issue of organ procurement.
The author describes in his unique style the anatomical variants of the brain and skull. This atlas is a continuation of his last work on "Neuronavigation and Neuroanatomy". Most anatomical reference volumes show a large number of common and rare variations. This atlas concentrates on well known and little known variants which are especially important for the clinicians, in particular the neurosurgeons and the radiologists. The variants have been grouped after areas of trepanation. The author presents also a number of so far unknown variants gathered from his personal theoretical and clinical experience of 50 years. Exact knowledge of anatomical variations which the surgeon may encounter helps to plan operations and to avoid unexpected complications. Variants of no clinical relevance, even rather common ones, have not been included.
This book was born out of thirty years of didactic and practical experience with the intention of giving the reader concise neurosurgical elements and an appropriate selected iconography. This text wants to represent a practi cal and essential guide for the medical student and a useful reference point for specialists interested in pursuing more detailed literature studies. General practitioners and specialists in related subjects can consult this text to formulate a diagnosis and elaborate a proper therapy. November, 2000 The Authors Contents 1. CRANIAL DYSRAPHIAS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Arnold-Chiari malformation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Dandy-Walker malformation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Encephalocele . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Cranial dermic sinus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Corpus callosum agenesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2. BRAIN TUMORS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Epidemiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Symptoms and signs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Intracranial hypertension. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Focal symptoms and signs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Epilepsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Language disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Optic pathways disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Apraxias. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Psychic disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Cerebellar syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Frontal lobe tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Parietal lobe tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Temporal lobe tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Occipital lobe tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Posterior cranial fossa tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Cerebellar tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Fourth ventricle tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Ponto-cerebellar angle tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 VIII Contents Brainstem tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Clivus tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Tumors of the cerebral ventricles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Tumors of the lateral ventricles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Third ventricle tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Fourth ventricle tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Pineal region tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Sellar and parasellar region tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Anatomopathological classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Benign cerebral tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Leptomeningeal tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Nerve sheath tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Vascular tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Dysembryogenetic tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Mixed cerebral tumors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Malignant cerebral tumors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Pseudo tumor cerebri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Phacomatosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 3. INTRACRANIAL ANEURySMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S9 Epidemiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Methods of nuclear magnetic resonance (NMR) are increasingly applied in engineering sciences. The book summarizes research in the field of chemical and process engineering performed at the Karlsruhe Institute of Technology (KIT). Fundamentals of the methods are exposed for readers with an engineering background. Applications cover the fields of mechanical process engineering (filtration, solid-liquid separation, powder mixing, rheometry), chemical process engineering (trickle-bed reactor, ceramic sponges), bioprocess engineering (biofilm growth), and food process engineering (microwave heating, emulsions). Magnetic Resonance Imaging (MRI) as well as low-field NMR are covered with notes on hardware. Emphasis is placed on quantitative data analysis and image processing.
In recent years, developments in ultrasound, computed tomography and magnetic resonance imaging have made important changes in the practice of diagnostic radio logy. Concomitantly, invasive radiology for both diagnostic and therapeutic purposes has grown into a rapidly evolving subspecialty. This text represents a landmark in paediatric radiology. The three authors are distinguished radiologists who, over the past two decades, have greatly contributed to paediatric hepatology. Their pioneering work in the area of splanchnic angiography and diagnostic as well as therapeutic cholangiography was facilitated by their close day-to-day interaction with the Paediatric Liver Disease Unit at Hoepital Bicetre. The contents and the format of this "atlas" are testimony to their knowledge of clinical hepatology and to their wide experience in invasive paediatric radiology. The out standing quality of the images is enhanced by appropriate clinical descriptions which will help the reader understand the indications for these procedures, their accuracy and limitations.
In recent years, revolutionary technical advances have permitted neuroscientists to map the functioning of the brain in exquisite detail. Of interest are the new techniques that visually display cell energy metabolism which is coupled to functional brain activity in behaving animals. This is the first book dealing with the application of 2-deoxyglucose and related metabolic mapping techniques for brain imaging of behavioral and learning functions. Quantitative autoradiographic techniques based on the use of exogenous markers include radiolabeled glucose and its analogs, especially 2-deoxyglucose and fluorodeoxyglucose. Other mapping techniques are based on the histochemical staining of endogenous metabolic markers such as cytochrome oxidase, as well as immunohistochemistry for expression of c-fos genes. In spite of the great potential capabilities of the new imaging techniques, relatively few neuroscientists are using this approach to study brain functions related to behavior. There is a need to review state-of-the-art applications of these methods in behavioral neuroscience, and to formulate recommendations for future research in this area. This book is intended to fulfill these needs by bringing together leading neuroscientists using metabolic mapping approaches to elucidate brain mechanisms of behavior. Discussions are not limited to one animal species, but they cover a broad range of vertebrates with unique behavioral capabilities.
In spring this year it will be 23 years since I began to study rotation technique as applied to radiology. In applying this technique to roentgenography the name Rotation Radiography was adopted publicly in 1946. Since then this study has revealed that the technique is valuable not only in diagnosis but also in radiotherapy, and the name Conformation Radiotherapy was publicly an nounced in 1960. Through these studies it became clear that it is possible to show the axial transverse cross section of the human body roentgenographically, which could be of great value medically, but it was realized that no detailed roentgenograms of the axial transverse cross section covering the whole of the normal human adult have been published so far. To prepare an atlas was therefore considered basic for the practical application of this method, since without it further developments of this type of roentgenography cannot be expected. Conse quently it was decided first to prepare the atlas. In addition, the clinical application of this method to the diagnostic and therapeutic field was described with brief notes on the essential features of the method."
Percutaneous nuclectomy according to the Onik method is an avantgarde method used to remove the intervertebral disc by percutaneous access and with closed surgery. The instrumentation and the procedure are simple. The main feature is the smaller diameter of the probe (2mm) which fragments and aspires the small chips of pulpy nucleus. It reduces the risk of discitic infections (occurring in various percentages with all methods of percutaneous discectomy) because the hole in the anulus, being small, closes spontaneously after the probe is removed. Moreover postoperative acute lumbar pain has been reported to occur less frequently. This method is carried out under local anesthesia, with radioscopic and intraoperative discographic monitoring. By consulting this atlas orthopaedists, neurosurgeons and neuroradiologists may learn this method easily, because every detail is clearly presented and illustrated with a great number of coloured pictures.
Neurological applications of PET include using itto identify Alzheimer's Disease, including differentiating between other forms of Dementia, to show causes of seizures that were otherwise unclear, and to diagnose psychiatric disorders like Schizophrenia. Although other books on PET may have a chapter or section on neurological applications, this is the only comprehensive and up-to-date book on neurological PET. It reviews PET in neuroscience with particular emphasis on findings that indicate its potential for improving diagnosis and treatment in neurology and psychiatry. Improving the transfer of the huge scientific developments in brain PET into clinical carewill produce tangible human benefit. To this end, "NeuroPET" focuses on practical and potentially clinically relevant issues and identify solid ground as well as open questions. In addition, the book includes major chapters on the methodological background, including tracer physiology and kinetic modeling, and a comprehensive literature review."
This book summarizes the proceedings of the 10th international conference on Infonnation Pro cessing in Medical Imaging (IPMI-lO), held in June, 1987, in Zeist, The Netherlands. IPMI is a biennial conference, organized alternately in Europe and North America. The subject of the conference is the use of physics, mathematics, computer science, and engineering in the of medical images. The intent of the conference is to fonnation, processing and interpretation provide a forum where new ideas and results of research in medical imaging can be presented and amply discussed. Accordingly, the programme can comprise only a limited number of papers. The scientific committee of IPMI-lO selected 41 papers for presentation, although a total of 102 extended abstracts of on the average high quality had been submitted. All selected contri butions are included in these proceedings. During of the preparations of the conference the organizers received the tragic news of the death of Francois Erbsmann, the initiator of IPMI, and organizer of the first conference in 1969 in Brussels. Francois always emphasized that the backbone of the IPMI meetings should be promising young and active researchers rather than established scientists in the field. As an appreciation of this idea, and in thankful remembrance of Francois' stimulating work, the IPMI-board has taken the initiative to present the Francois Erbsmann prize for the most significant contribution to the conference by a young investigator.
The series of workshops sponsored by the European Communities started with "Methodology of PET" at Hammersmith Hospital, London, in March 1984. This was followed by "Radiochemistry, Methodology and Standardization in PET" at the Service Hospitalier Frederic Joliot in Orsay, France, in March 1985. Both these meetings were, in the opinion of all participants, great successes, and it was agreed that such work shops should continue and be organized on the same basis. After these two workshops on the fundamentals of PET, time now is ripe to evaluate the clinical efficacy of PET investigations, and to discuss to what extend the information provided by this high technology and theoretical area has contributed to the understanding of disease mechanisms, leading to immediate clinical applications. As pointed out in the previous meetings, PET using short-lived radioisotopes produced in an on-line cyclotron is restricted to a few centers. Therefore, the topics studied so far were mainly of scientific interest and clinical problems were dealt with only marginally. Before this costly technique can be spread and new information made accessible to a broader clinical clientele, its clinical value must be demonstrat ed. So far, in the majority of studies, the central nervous system was the primary target organ, and PET has contributed a great deal to our understanding of brain physiology and pathology. Also on the heart, a substantial number of studies have been performed in various centers, but the application of PET to this organ is still somewhat limited."
This book provides an easy-to-use manual that will help trainee and practising interventional radiologists by providing cases which cover most of the complications that a general interventionalist may encounter in normal practice. There will be 40-50 cases. The cases will be presented succinctly but thoroughly, such that the reader is equipped to manage the complication immediately. At least 50% of cases will be from District General Hospital Consultants.
Stochastic Image Processing provides the first thorough treatment of Markov and hidden Markov random fields and their application to image processing. Although promoted as a promising approach for over thirty years, it has only been in the past few years that the theory and algorithms have developed to the point of providing useful solutions to old and new problems in image processing. Markov random fields are a multidimensional extension of Markov chains, but the generalization is complicated by the lack of a natural ordering of pixels in multidimensional spaces. Hidden Markov fields are a natural generalization of the hidden Markov models that have proved essential to the development of modern speech recognition, but again the multidimensional nature of the signals makes them inherently more complicated to handle. This added complexity contributed to the long time required for the development of successful methods and applications. This book collects together a variety of successful approaches to a complete and useful characterization of multidimensional Markov and hidden Markov models along with applications to image analysis. The book provides a survey and comparative development of an exciting and rapidly evolving field of multidimensional Markov and hidden Markov random fields with extensive references to the literature.
The management of vascular and tumorous lesions of the parasellar region still remains one of the most demanding tasks in neurosurgery. It is only a short time ago that the major concepts of the anatomy of the so-called cavernous sinus were described in detail. Surgical interventions in this region are very complex, they are time-consuming and require an extensive back ground of experience in surgery of the cranial base. Pioneer anatomical studies of the parasellar region done by Taptas, and the daring direct operative approach introduced by Parkinson pro moted the development of modern neuroradiological intervention proce dures, which were initiated by Serbinenko and further refined by Debrun, Vifiuela and others. The technique of the detachable balloon catheter stimulated surgeons to proceed with the direct operative approach to lesions of the parasellar region. Today, it is hard to imagine a successful man agement of vascular pathologies of this region without a complementary use of the two techniques."
Computerization of the radiological image (digitization, com puted tomography), the diagnostic contributions of ultra sonography, and the advent of magnetic resonance imaging all herald a new era in radiology. While this discipline retains its clinical nature, and continues to group together various specialities, the technical "common denominator" plays an increasingly important role, and requires a more global ap proach to the clinical problem. Centralization of state-of-the-art equipment in technical imaging centers - strategic points in future hospitals - will al low clinical radiologists to perform all of the examinations re quired for diagnosis and follow-up with a high degree of reli ability, under optimum security, and at the lowest possible cost. This is the right moment to publish this treatise, as we begin to apply this new approach to radiological studies. For purposes of clarity, the lymphomatous processes have been dealt with by anatomical location; more important, though, is the discussion of the multiple aspects of diagnosis, with particular emphasis on recent noninvasive modalities (characteristic visceral lesions; analysis and characterization of the anatomical and tissue components of these lesions with the highest possible degree of precision; regional disease ex tension and anatomical features; information on concomitant regional involvement and distant sites), allowing selection of appropriate therapy and surveillance strategies."
Magnetic resonance imaging of the heart allows a quick and exact evaluation of global and regional pump function, regional myocardial wall motion, myocardial perfusion and coronary blood flow. Some of these parameters must also be analyzed under stress conditions to identify myocardial ischemia. By combining these functional parameters with high-resolution anatomical images, which are even sufficient to depict the coronary arteries, magnetic resonance imaging has become one of the most important noninvasive procedures to study the condition of the heart and is being increasingly used in the clinical setting. Therefore, it is important not only to optimize and evaluate the technique in specialized centers, but also for a broad variety of users to become familiar with the wide range of applications for this method. In this book, which is aimed at cardiologists, radiologists, and technical assistants, the physical fundamentals and scanning techniques are clearly described. In addition, practical guidelines for the anatomical planning of the examination and for patient care are offered. The accompanying CD-ROM contains additional figures and numerous videos.
The present book offers a bird's eye view of the clinical potential of nuclear medical techniques (including nuclear and magnetic resonance) in the practice of cardiology. It is based on 16 review publications which cover the most important areas in clinical cardiovascular nuclear medicine. The book has been grossly divided into three sections: (1) Physiology, (2) Techniques, and (3) Clinical Applications. The Physiology section deals with the nuclear medicine background of myocardial perfusion, myocardial metabolism, and cardiac function (Chapters 1, 2, and 3). The Techniques sections discusses the planar techniques, in particular for the perfusion tracer thallium-201, the Single Photon Emission Computed Tomography (SPECT) technique, and the Positron Emission Tomography (PET) technique (Chapters 4, 5 and 6). This section also addresses the physical background of Magnetic Resonance Imaging (MRI) (Chapter 7). The Clinical Applications section discusses the value of nuclear cardiology for a variety of cardiac diseases from detection ofmyocardial infarction to its merits for evaluating cardiomyopathies (Chapters 8-14). Chapter 10 shortly addresses the experimental and clinical value of Magnetic Resonance Spectroscopy (MRS). Chapter 15 describes the latest developments in nuclear cardiology with an emphasis on new cardiac imaging agents. Finally, Chapter 16 presents the currently advocated Guidelines in Nuclear Cardiology. The book will assist the clinical cardiologist, the cardiology resident, the nuclear medicine physician, and the radiologist in understanding the currently used cardiovascular nuclear medicine techniques. It will broaden knowledge of the nuclear cardiology techniques and will show the reader how indispensable these techniques are in clinical cardiology practice.
In this text atlas of neuroimaging the author provides a review of the pathologies and diseases that affect the head, brain, skull base, face, spine, and cord. The case presentation format of this handbook covers the important clinical and neuropathological aspects of the disease process. The book contains 350 selected pathologies, represented in 750 high resolution MR images. It also covers the aspects of neurological disorders and the fundamental aspects of the physics of magnetic resonance, spectroscopy, as well as a review of MR techniques. Given its scope, this book is of interest to radiologists involved in MR interpretation, neuroradiologists seeking an up-to-date review, and all workers in the field of diagnostic and therapeutic neurology.
Echocardiography has now reached its maturity and plays a key role in the clinical assessment of cardiac function. However, its ability to assess myocardial perfusion remains a clinical challenge. Myocardial contrast echocardiography is a technique that uses microbubbles. These microbubbles remain entirely within the intravascular space and their presence in any myocardial region denotes the status of microvascular perfusion within that region. During the last few years, a large number of research studies have been dedicated to this topic. The latest developments in echocardiographic techniques and second-generation contrast agents allow for the potential assessment of myocardial perfusion and provide an accurate endocardial border delineation. In the present book, these new echocardiographic techniques dedicated to the assessment of myocardial perfusion are described in detail by experts from both sides of the Atlantic. Tips and tricks are included, explaining the basic concepts that are needed to understand and perform contrast echocardiography.
One of the most puzzling and striking features of many of the genetically determined progressive neuromuscular diseases such as the spinal muscular atrophies and the muscular dystrophies is that muscular wasting and weak ness in these cases is curiously selective, at least in the early stages, pick ing out certain skeletal muscles and sparing others. The diagnosis of these conditions has largely depended in the past upon the recognition of specific patterns of involvement of individual muscles and muscle groups, taken along with information derived from the mode of inheritance within the in dividual family and the results of special investigations. The investigations of most value have proved to be serum enzyme studies, electromyography and related techniques, and muscle biopsy. The advent of CT scanning has, however, introduced a new dimension; as the authors of this interesting monograph have clearly demonstrated, it is now possible, using the whole body scanner, to define patterns of muscular atrophy in the limbs and trunk much more precisely than by any other method. Not only does this techni que demonstrate which muscles are involved, but the changes in relative density provide useful information about the severity of the process and about the progress of the disease if the studies are performed serially. This monograph is pleasantly written and most attractively illustrated."
Epilepsy surgery is defined as any neurosurgical intervention whose pri- mary objective is to relieve medically intractable epilepsy (European Fed- eration of Neurological Societies Task Force 2000). The aim of epilepsy surgery is to reduce the number and intensity of seizures, minimise neuro- logical morbidity and antiepileptic drug (AED) toxicity, and improve quality of life. By definition, epilepsy surgery does not include normal surgical treatment of intracranial lesions where the primary goal is to di- agnose and possibly remove the pathological target, often an advancing tumour. In these patients, epileptic seizures are only one symptom of the lesion and will be treated concomitantly as part of the procedure. Temporal lobe epilepsy (TLE) is recognised as the most common type of refractory, focal epilepsy. In one third of all cases the neuronal systems responsible for the seizures that characterise this form of epilepsy fail to respond to currently available AEDs (Andermann F 2002). New imaging methods, especially magnetic resonance imaging (MRI), identify localising abnormalities in an increasing proportion of patients with intractable focal epilepsy. Consequently, the accuracy of the preoperative diagnostic pro- cedures has been significantly improved during the last decade; and suit- able candidates for surgery can be selected more reliably. Currently the main resources in most epilepsy surgery centres have been used to evaluate candidates for TLE surgery.
Since 1939, the Symposium Neuroradiologicum has been held every 4 years in various cities throughout the world. Great neuroradiologists such as Taveras, Du Boulay, Greitz, Lindgren, and DiChiro have been among the presidents of the previous symposia. The XV Symposium Neuroradiologicum was held in Kumamoto from 25 September through 1 October 1994. More than 1,200 participants gathered to discuss the most recent developments, including interventional neuroradiology, functional imaging, MRI contrast media, new techniques in MRI, iodinated contrast media and other advances. The communications are presented in this book. Special lectures held by Drs. Dillon, Harwood-Nash, and Picard are included. This book covers the most recent advances in neuroradiology. |
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