Advances in technology and human skill have made possible percutaneous catheter-based procedures for a wide spectrum of structural heart disease. A growing number of structural heart diseases that over the past two decades would have required open heart surgery can be safely treated using percutaneous catheter-based procedures.Traditionally, guidance of catheter-based procedures is done using fluoroscopy and two-dimensional transesophageal echocardiography (2D TEE). The recent introduction in the clinical practice of RT 3D TEE has overcome most of limitations of 2D TEE. The purpose of this book is to describe the use of this imaging modality in percutaneous interventional procedures underlying its growing role and acceptance among the interventional cardiologists but also emphasizing areas of weakness. Because today interventional cardiology ranges from closure of atrial and ventricular septal defects, to repair of mitral regurgitation and aortic stenosis, from the closure of left atrial appendage and prosthesis dehiscence, to the recent use in electrophysiological procedure, this book targets not only specialists in echocardiography and interventional cardiology but also general cardiologists. General cardiologists will find in any chapter anatomy of the structure treated (i.e. atrial septum, mitral valve...), a description of the morphopathology as seen with RT 3D TEE (degenerative or ischemic mitral regurgitation) the up-to-date indications to the specific percutaneous treatment and typical and unusual clinical cases.

This book provides a comprehensive account of the role of echocardiography in patients with mitral valve disease. The normal echocardiographic anatomy of the mitral valve is first presented, and the applications of echocardiography in mitral valve disease are then covered in detail by experts from different subspecialties in cardiology. Topics include etiology, pathophysiology, diagnosis, assessment of severity, and role of echocardiography in percutaneous and surgical techniques. The highly readable text is supported by a wealth of color images obtained with 3D echocardiography, currently the gold standard for the evaluation of mitral valve disease. The interdisciplinary approach used in describing the diagnostic and therapeutic applications will make this book useful for the clinical cardiologist as well as the echocardiographer. It will allow cardiologists to advance their knowledge in the field and will serve as an excellent updating tool for professionals engaged in echocardiography and cardiac diagnostic imaging.

This report provides a review of stem cells/progenitor cells and their responses to ionising radiation in relation to issues relevant to stochastic effects of radiation which form a major part of the ICRP system of radiological protection. Current information on stem cell characteristics, maintenance and renewal, evolution with age, location in stem cell "niches", radiosensitivity to acute and protracted exposures, is presented in a series of substantial reviews as Annexes concerning haematopoietic tissue, mammary gland, thyroid, digestive tract, lung, skin and bone. This foundation of knowledge of stem cells is used in the main text of the report to provide a biological insight to issues such as the linear-no-threshold (LNT) model, cancer risk among tissues, dose-rate effects and changes in the risk of radiation carcinogenesis by age at exposure and attained age.

This updated book is a practical guide to intrapartum ultrasonography to help practitioners improve labor and delivery, and to limit, where possible, complications. Presenting the authors' experiences, the book summarizes the state of the art in normal and abnormal labor. It clearly documents the use of intrapartum ultrasonography to evaluate the first and second stages of labor and diagnose the occiput posterior and transverse positions. Each situation is analyzed with the help of numerous informative images and invaluable tips and tricks showing how fetal head engagement and progression can be documented objectively. The importance of ultrasound in obstetrics risk management is also addressed. Explaining how intrapartum ultrasonography can be used to assess whether a safe natural delivery is likely or whether operative procedures are required, the book is a valuable resource for all professionals - physicians and midwifes alike - caring for women in labor.

Physics and Instrumentation of Diagnostic Medical Ultrasound Peter Fish. University of Wales -- Bangor, School of Electronic Engineering Science, and Gwynedd and Clwyd Health Authorities, Department of Medical Physics. The field of diagnostic medical ultrasound is constantly changing as new equipment and techniques are developed and refined. The use of ultrasound is increasing rapidly throughout the world and consequently a knowledge of the underlying scientific principles and instrument operation has become an essential part of medical ultrasound courses. This book provides a concise, highly illustrated description of physics and instrumentation of diagnostic medical ultrasound and includes substantial coverage of Doppler techniques and real-time instruments. It will be of great value to sonographers, radiographers, radiologists, medical physicists and technicians as an aid to the study of the clinical use of diagnostic ultrasound, and as an excellent introduction for those intending to investigate the subject in greater depth. Other Wiley Books of Related Interest Include: Doppler Ultrasound: Physics, Instrumentation, and Clinical Applications D. H. Evans, W. N. McDicken, R. Skidmore, J. P. Woodcock 1989 Clinical Magnetic Resonance: Imaging and Spectroscopy R. Andrew, G. Bydder, J. R. Griffiths, R. A. Iles, P. Styles 1990 Ultrasound Teaching Cases Volume 1 H. B. Meire, K. C. Dewbury, D. O. Cosgrove 1988 Ultrasound Teaching Cases Volume 2 K. C. Dewbury, H. B. Meire, D. O. Cosgrove 1988

Diagnostic Ultrasound of the Foot and Ankle is a valuable resource that examines the proper ultrasound technique when imaging the lower extremity. Editors John Tassone Jr and Stephen L. Barrett, along with a group of ultrasound specialists, delve beyond identifying pathology and provide readers with an analysis correlating how the information gained from a lower extremity ultrasound can be used in surgical planning. Additional images provided by world-class sonographer Brian Kincaid supply further clarification and illustration of ultrasound imaging.

Echocardiography (echo), the use of ultrasound to examine the heart, is a powerful and safe technique which is now widely available for cardiovascular investigation. This simple and highly praised text is a practical and clinically useful introduction to the subject. It aims to explain the echo techniques available, outlines what they are most suitable for, and most importantly puts echo into a clinical perspective. This book will be of value to all those who use or request echo, particularly doctors in training and medical students, but also physicians, surgeons, general practitioners, technicians, nurses and paramedics. This Third Edition takes full account of recent advances in echocardiography. A new chapter on performing and reporting an echo has been added. New text has been added on the role of echo in individuals with cancer and in diseases of the aorta. There are updated and expanded sections on pregnancy, the continuity equation, diastolic function, long-axis function and 3-D echo. There are also updates and more detailed sections on the use of echo in emergency situations, in cardiomyopathies and pericardial diseases, in congenital abnormalities and in cardiac resynchronization therapy. Up-to-date published international guidelines have been referenced throughout. New online content is available in the form of echo video images with accompanying self-assessment questions which will allow the reader to carry out self-assessment of knowledge and to see examples of the echos described in the text. This highly-praised book is a simple guide to a difficult subject, written in a conversational and accessible style. It is essential reading for anyone wishing to learn about echo - doctors in training, cardiac technicians, medical students etc. It provides full practical coverage of the clinical aspects of heart disease It will be of great use to those experienced in echo both as a refresher and an accessible reference source

A concise introduction to the principles and practice of point-of-care echocardiography for neonatologists Practical Neonatal Echocardiography is based on an acclaimed course that the authors havetaught for the past 15 years at USC training neonatologists in cardiac ultrasound ofneonatal patients for on-the-spot examination and diagnosis. Drs. Siassiand Noori have trained hundreds of physicians to use ultrasound equipment toexamine neonatal cardiac function at the first sign of distress, leading to fasterdiagnosis and referral to pediatric cardiologists for treatment. This book is designed to helpreaders develop the skills necessary to perform a high quality neonatalechocardiographic examination, evaluate cardiac function, and recognizeabnormalities and defects. Practical Neonatal Echocardiography begins with an introduction to the basic principles of echocardiography and the ultrasound scanners commonly used at pediatric cardiac centers. Neonatal cardiac anatomy is clearly described through the use of 2-dimensional images andvideo clips. Subsequent chapters teach the assessment of cardiac function, bloodflow, shunts, physical defects, and abnormalities that may exist in the absence of adefect. Myocardial dysfunction, heart failure, shock, hypertension, cardiomyopathy,cyanosis, and more are discussed in detail with multiple illustrative cases. *Integrated throughout the chapters are 110 video clips, which when looped, will display a beating heart. These real-life cases will help readers hone their skills in recognizing defects in cardiac function and growth.*Covers essential principles of echocardiography with clear descriptions and illustrations*Describes common features of ultrasound scanners and how to use them

This textbook is a comprehensive reference providing clinicians with the latest advances in the management of diabetes in pregnancy and the role of ultrasound. Beginning with an overview of the diagnosis and basic treatment of diabetes in pregnancy, the next chapter discusses foetal behaviour in normal pregnancy and in diabetic pregnancy. The following sections cover the role of ultrasound in diabetic pregnancy and for diabetes-related congenital anomalies. The final chapter covers diabetes and obesity in pregnancy. Authored by recognised experts in the field, the book is further enhanced by ultrasound images and other illustrations. Key points Comprehensive guide to management of diabetes in pregnancy and the role of ultrasound Examines foetal behaviour in both normal and diabetic pregnancy Includes chapter on diabetes and obesity in pregnancy Authored by recognised experts in the field

Der Ultraschall zahlt zu den zentralen Untersuchungstechniken in der Urologie: Das Verfahren ist kostengunstig, verhaltnismassig schnell zu erlernen, praktisch uberall einsetzbar und verursacht keine Strahlenbelastung. Der Atlas bietet einen reichen Fundus an Referenzaufnahmen hoechster Qualitat von haufigen, aber auch von seltenen Befunden. Die Autoren haben die Bilder mit knappen und prazisen Legenden versehen. Komplexe Befunde erlautern sie anhand anschaulicher Grafiken. Der Band eignet sich fur Einsteiger wie fur fortgeschrittene Diagnostiker.

This report provides a compendium of current information relating to radiation dose to patients, including biokinetic models, biokinetic data, dose coefficients for organ and tissue absorbed doses, and effective dose for major radiopharmaceuticals based on ICRP radiation protection guidance. These data were compiled from ICRP Publications 53, 80, and 106 and related amendments and corrections. This report also includes new information for 82Rb-chloride, iodide (123I, 124I, 125I, and 131I) and 123I labelled 2ss-carbomethoxy 3ss-(4-iodophenyl)-N-(3-fluoropropyl) nortropane (FPCIT). The data presented in this report are intended for diagnostic nuclear medicine and not for therapeutic applications.

Find information fast on the most frequently requested radiographic projections! Merrill's Pocket Guide to Radiography, 15th Edition summarizes essential information for more than 150 radiography projections in a spiral-bound format designed for quick reference in the clinical environment. Clear instructions explain how to position patients and body parts, and an optimal radiograph is included for each projection. From noted medical imaging educator Jeannean Hall Rollins, this easy-to-carry handbook guides you through everything from perfect positioning to perfect exposures. Bulleted step-by-step instructions show how to position the patient and body part for frequently requested radiography projections. More than 150 projections are each presented in a two-page spread, and include information on patient position, part position, central ray angulation, collimation, KVp values, and a photograph of a properly positioned patient. Diagnostic-quality radiograph for each projection demonstrates the result the radiographer is trying to achieve. Computed Radiography information allows the radiographer to make the subtle adjustments necessary to obtaining optimal CR results. Exposure technique chart for every projection helps reduce the need for repeat radiographs and improves overall image quality. Abbreviations and external landmarks are listed on the inside front cover and inside back cover for quick reference. Compensating filter information is included for those projections where filters are used. Section dividers with tabs make it easier to find the beginning of each section. NEW! Updated digital radiographs provide greater contrast resolution for improved visualization of pertinent anatomy. NEW! Thoroughly revised content reflects the latest American Registry of Radiologic Technologists (ARRT) standards. NEW! Updated positioning photos show current digital imaging equipment and technology. NEW! Full-color design emphasizes the key points on each page, enhancing your study of radiographic positioning and procedures.

This fourth edition provides clinicians with the latest information on the role of ultrasound in obstetrics and gynaecology. Divided into three sections, the book begins with an introduction to the use of ultrasound, followed by its application in both pregnant women and in the diagnosis of gynaecological disorders. The new edition has been fully revised and includes new chapters on fallopian tube ultrasound, HD live Silhouette and HD live Flow, 3D ultrasound in prenatal diagnosis, foetal face, and 4D ultrasound. A complete section on Foetal Therapy has also been added covering stem cell and gene therapy, ultrasound guided interventions, and open foetal surgery. Authored by recognised experts from Croatia and the USA, this comprehensive manual is enhanced by nearly 2000 ultrasound images, illustrations and tables. Key points Fully revised, fourth edition presenting latest information on ultrasound in obstetrics and gynaecology Includes many new topics Authored by recognised experts from Croatia and the USA Previous edition (9789350252598) published in 2011

This book addresses the wide range of issues that face the program leader - from how to choose a site and how to negotiate for equipment, to how to determine staffing requirements and how to anticipate and defuse possible turf issues with other programs and services in the hospital or healthcare facility. The early chapters of this book focus on the leadership of your program whether in your department or institution. The second section centers on education at all levels recognizing that smaller machines have made ultrasound available for medical students to advanced practitioners. The third section provides detailed logistics on equipment, maintenance, and safety. The fourth section focuses on a quality improvement program and includes a chapter on the workflow process. For those with limited budgets we also offer a section on practical operating and educational solutions. The fifth section offers insight into hospital level credentialing, quality assurance, national politics, and recent issues with accreditation. This is followed by reimbursement and coding. The last section covers topics in specialized communities. Chapters focus on ultrasound in global health, emergency medical services, pediatrics, critical care, community and office based practices. Multiple US working documents including checklists, graphs, spreadsheets, tables, and policy appendices are included.

Effectively prepare for certification, increase your knowledge, and improve your image interpretation skills using the proven and popular Case Review approach! In this new edition, Drs. John P. McGahan, Sharlene A. Teefey, and Laurence Needleman present 127 clinically relevant cases with associated images, multiple-choice questions, and rationales - organized by degree of difficulty and designed to reinforce your understanding of the essential principles needed to interpret a wide range of general and vascular ultrasound images. Study efficiently with content that mimics the format of board exams as well as the everyday clinical experience - offering highly effective preparation for certification, recertification, and practice. Build your skills in a cumulative way by progressing through three overall categories, from least to most difficult, with separate sections for Opening Round, Fair Game, and Challenge cases. Gain new understanding from dozens of unknown cases reflecting the most recent changes in abdominal and small part ultrasound, including the scrotum and thyroid. Understand the recent changes in the complexities of vascular ultrasound of the carotid, transplants, and extremities. Stay up to date with new thyroid cases and musculoskeletal cases, including rheumatoid arthritis and shoulder ultrasound. Expand your awareness of physics, state-of-the-art instrumentation, and common aritifacts with added new content. Clearly visualize what you're likely to see on exams and in practice thanks to new images -- including color Doppler images.

Core Topics in Transesophageal Echocardiography is a highly illustrated, full color, comprehensive clinical text reviewing all aspects of TEE. The text has been written particularly for those who are seeking accreditation in TEE. Section 1 includes chapters on first principles including cardiovascular anatomy, safety issues, indications and contraindications for use, US technology and physics and the details of image acquisition and interpretation in a variety of routine pathologies. Section 2 chapters discuss the use of TEE in a variety of more demanding clinical conditions including valve disease, complex ischaemic heart disease, the use of TEE in critical care and emergency settings, new echocardiography technologies, and TEE reporting. An outstanding free companion website (www.cambridge.org/feneck) contains numerous TEE video clips showing both normal and pathological states. Written by leading TEE experts from EACTA and EAE, this is an invaluable practical resource for all clinicians involved in the care of cardiac patients. A companion website of videos, giving a dynamic understanding of moving structures such as the heart, is also available at www.cambridge.org/features/fox/

The book provides a comprehensive description of the basic ultrasound principles, normal anatomy of the lower limb muscles and classification of muscle strain injuries. Ultrasound images are coupled with anatomical schemes explaining probe positioning and scanning technique for the various muscles of the thigh and leg. For each muscle, a brief explanation of normal anatomy is also provided, together with a list of tricks and tips and advice on how to perform the ultrasound scan in clinical practice. This book is an excellent practical teaching guide for beginners and a useful reference for more experienced sonographers.

This report provides the technical basis for SAFs relevant to internalised radionuclide activity in the organs of the reference adult male and reference adult female as defined in Publications 89 and 110. SAFs are given for uniform distributions of monoenergetic photons, electrons, alpha particles, and fission-spectrum neutrons over a range of relevant energies. Electron SAFs include both their collision and radiative components of energy deposition. SAF data are matched to source and target organs of the biokinetic models of the OIR publication series. The document further outlines the computational methodology and nomenclature for assessment of internal dose in a manner consistent with that used for nuclear medicine applications. Numerical data for particle specific and energy dependent SAFs are given in electronic format for numerical coupling to the respiratory tract, alimentary tract, and systemic biokinetic models of the OIR publication series.

Review important sonography learnings with Curry and Prince's Workbook for Sonography: Introduction to Normal Structure and Function, 5th Edition. This well-constructed review tool supports and completes the main text by providing an excellent introduction to sonography while preparing users to accurately identify sonographic pathology and abnormalities. Each workbook chapter opens with review questions on material from the corresponding chapter in the main text. Review questions are followed by drawings from the text - with parallel sonograms where appropriate - that include leader lines to label structures, but not the labels themselves. Workbook users will fill in the labels to identify structures in the drawings and sonograms, reinforcing visual and auditory learning from the text. Answers can be looked up in both the workbook appendix and by comparing the workbook figures to the labeled figures in the main text. Unlabeled line drawings and images from every chapter provide reinforcement of what you should be noticing on the scan. Direct correlation with each chapter from the main text enables immediate, thorough review of material. Review questions test your knowledge of the information learned in the text. NEW! Chapter on musculoskeletal sonography covers the latest use of ultrasound technology to visualize muscle, tendon, and ligament anatomy. NEW! Chapter devoted to pediatric sonography introduces you to the knowledge needed to work in this nascent specialty. NEW! Coverage of 5D technology familiarizes you with automated volume scanning. NEW! Updated content reflects the latest ARDMS standards and AIUM guidelines. NEW! Updated line drawings accompany new sonograms.

Expanded and updated edition highlighting current standards and breakthroughs in the technology of Doppler ultrasound Includes latest advances in 3D and color doppler and 4D fetal echocardiography Includes more than 500 illustrations, including more than 150 in color

Emergency bedside ultrasound assessment is well established for adult patients, but has only recently been introduced into everyday clinical practice for the care of pediatric patients. Pediatric Emergency and Critical Care Ultrasound is a concise, practical text which explains the principles of ultrasound, its diagnostic application in all organ systems and its use as a procedural adjunct. Both well-established and innovative applications are described, assisting the practitioner in incorporating ultrasound into daily practice, facilitating patient care and decreasing radiation exposure. Case studies and abundant illustrations enable the reader to study the appropriate techniques in detail and learn from real examples from the pediatric emergency department and intensive care unit. Pediatric Emergency and Critical Care Ultrasound is the first comprehensive bedside ultrasonography resource focusing on pediatric patients and is essential reading not only for pediatric emergency medicine subspecialists but for all emergency physicians, intensivists/critical care physicians and pediatricians.

This book will be of interest to anyone who wants to use ultrasound to understand human physiology both in the clinical setting and the classroom. Tremendous advances in ultrasound technology have resulted in portable ultrasound systems that are easy to use, produce excellent images, and are affordable with quality hand-held and laptop-sized systems costing between $2K and $20K. These systems are now being used at the patient bedside or point of care by almost all medical and surgical specialities from primary care to orthopaedic surgery. These portable systems, especially the hand-held devices, are now being called the stethoscopes of the 21st century and will likely be used by many that are presently using stethoscopes including physicians, nurses, physician assistants, medics and other health professionals. Ultrasound began to be used in medical student education in the 1990s and is steadily becoming a common teaching tool for courses like anatomy and physiology. It is a visual, highly interactive learning tool that bridges the basic and clinical sciences and allows the learner to observe physiology principles in a living model. Ultrasound is also being used to teach other health professions students as well as undergraduate college students and high school students. Despite this interest there are no books available that provide an introduction to ultrasound and how it can be used to enhance the teaching of physiology. This e-book will do just that as well as offer "How to Scan" videos with example laboratory exercises to further engage learners.