The International Symposium of Acoustical Imaging has been widely recognized as the premier forum for presentations of advanced research results in both theoretical and experimental development. Held regularly since 1968, the symposium brings together th leading international researchers in the area of acoustical imaging. The 24 meeting is the third time Santa Barbara hosted this international conference and it is the first time the meeting was held on the campus of the University of California, Santa Barbara. As many regular participants noticed over the years, this symposium has grown significantly in size due to the quality of the presentations as well as the organization itself. A few years ago multiple and poster sessions were introduced in order to accommodate this growth. In addition, the length of the presentations was shortened so more papers could be included in the sessions. During recent meetings there were discussions regarding the possibility of returning to the wonderful years when the symposium was organized in one single session with sufficient time to allow for in-depth presentation as well as discussions of each paper. And the size of the meeting was small enough that people were able to engage in serious technical interactions and all attendees would fit into one photograph. In light of the constraints of the limited budget with respect to the escalating costs it was not considered feasible.

Ultrasound plays an important role in the diagnostic imaging of infants and children and has indeed become the workhorse for many conditions. This is attributable both to the avoidance of ionizing radiation and to the unique features displayed on ultrasound in children in almost all body areas. In the future the potential of ultrasound can be expected to increase further owing to new developments such as ultrasound contrast material, three- or four- dimensional ultrasound, and ultrasound elastography. This book systematically covers the use of ultrasound in all organ systems and throughout childhood. After discussion of the basics, including physics, artifacts, and procedural details, decision making regarding the use of ultrasound is elucidated by listing next imaging steps based on recommended imaging algorithms. The indications and prerequisites for a particular examination are documented, and practical tips and tricks are highlighted. The normal, age-dependent ultrasound findings and typical appearances in different pathologies are presented in detail and illustrated by numerous high-quality images. Particular emphasis is placed on those findings that differ from the adult sonographic appearances. In addition to the classic pediatric abdominal applications, detailed consideration is given to neurosonography, echocardiography, chest ultrasound, musculoskeletal and hip ultrasound, Doppler sonography, and interventional ultrasound. The potential role of the most modern techniques in various situations is explained. Pediatric Ultrasound will prove an invaluable source of information and an indispensable aid to decision making and diagnosis for radiology residents, experienced (pediatric) radiologists, sonographers, pediatricians, pediatric surgeons and urologists, and all other physicians who deal with children as a part of their daily practice.

Published as a companion to Volume 12, the current volume presents the latest advances in electron paramagnetic resonance of iron proteins, metalloproteins, and free radicals. The book features a diskette containing programs for iron ERP spectral simulation and ENDOR analyses.

Ultrasound (US) prenatal screening has been proposed as the most effective technique for Trisomy 21 early assessment. Assessment of Nuchal Translucency (NT) offers promising non-invasive method for fetal abnormalities detection up to 75%. Nevertheless, current clinician practice of NT examination by locating the sonogram calipers on 2D US image requires highly trained and competent operators by adhering to a standard tedious protocol; therefore it is prone to errors and hence it decreases the reliability in intra- and inter-observer repeatability. This Brief provides the basic knowledge regarding Trisomy 21 diseases and its existing detection methods. The restrictions and disadvantages of each method are discussed accordingly. Therefore, a non-invasive early detection method using 3D ultrasound reconstruction of Nuchal Translucency is introduced. This new method for 3D NT assessments has an edge over the previous 2D methods, and entails the composite function in visualizing the explicit internal marker structure. Further, image processing techniques covered from data acquisition, pre-processing, speckle noise reduction and 3D segmentation are also discussed. This should be especially useful for students and professional researchers in the Biomedical and image processing fields.

This volume is the scientific chronicle of the NATO Advanced Research Workshop on Computational Aspects of the Study of Biological Macro molecules by Nuclear Magnetic Resonance Spectroscopy, which was held June 3-8, 1990 at Il Ciocco, near Barga, Italy. The use of computers in the study of biological macromolecules by NMR spectroscopy is ubiquitous. The applications are diverse, including data col lection, reduction, and analysis. Furthermore, their use is rapidly evolv ing, driven by the development of new experimental methods in NMR and molecular biology and by phenomenal increases in computational perfor mance available at reasonable cost. Computers no longer merely facilitate, but are now absolutely essential in the study of biological macromolecules by NMR, due to the size and complexity of the data sets that are obtained from modern experiments. The Workshop, and this proceedings volume, provide a snapshot of the uses of computers in the NMR of biomolecules. While by no means exhaustive, the picture that emerges illustrates both the. importance and the diversity of their application."

The disorders induced by iodine deficiency affect at least one billion people. Because ofits effects on brain development, iodinedeficiency is the single most preventable cause of mental retardation in the world. Therefore, the United Nations and the Heads of State of almost all the world's countries represented at the Summit for Children in 1990 adopted resolutions to eradicate the disorders induced by iodine deficiency (IDD) by the year 2000. For geological and socio-economic reasons, most of the populations affected by iodine deficiency disorders live in isolated and usually mountainous areas, in pre industrialized parts ofthe world. The problem of iodine deficiency in Europe has been greatly underestimated in the last decades. After the remarkable studies on the effects of iodine deficiency and their prevention and correction in Switzerland, IDD was generally considered no longer a significant public health problem in Europe. However, surveys carried out in the early 1980's under the auspices of the European Thyroid Association, clearly demonstrated the persistence of moderately or even severely affected areas. These surveys also highlighted the lack ofinformation about large parts ofEurope, especially its eastern part. It is only quite recently, following major changes in international relations and thanks to the support of UNICEF, WHO, the International Council for the Control of Iodine Deficiency Disorders and the European Thyroid Association, that more extensive surveys have been conducted in several parts of Europe hitherto almost unexplored. These surveys showed that most European countries were iodine deficient."

A straight forward, easy reference to the most common injection sites. - Photos displaying patient and probe positioning - High resolution ultrasound images with needle visualization - Clinical tips and "pearls"

The North Atlantic Treaty Organization (NATO) has sponsored research and personnel safety standards development for exposure to Radiofrequency Radiation (RFR) for over twenty years. The Aerospace Medical Panel of the Advisory Group For Aerospace Research and Development (AGARD) sponsored Lecture Series No. 78 Radiation Hazards,! in 1975, in the Netherlands, Germany, and Norway, on the subject of Radiation Hazards to provide a review and critical analysis of the available information and concepts. In the same year, Research Study Group 2 on Protection of Personnel Against Non-Ionizing Electromagnetic Radiation (Panel VIIl of AC/243 Defence Research Group, NATO) proposed a revision to Standardization Agreement (STANAG) 2345. The intent of the proposal was to revise the ST ANAG to incorporate frequency-dependent-RFR safety guidelines. These changes are documented in the NATO STANAG 2345 (MED), Control and Recording of Personnel Exposure to Radiofrequency Radiation,2 promulgated in 1979. Research Study Group 2 (RSG2) of NATO Defense Research Group Panel VIII (AC1243) was organized, in 1981, to study and contribute technical information concerning the protection of military personnel from the effects of radiofrequency electromagnetic radiation. A workshop at the Royal Air Force Institute of Aviation Medicine, Royal Aircraft Establishment, Farnborough, U. K. was held to develop and/or compile sufficient knowledge on the long-term effects of pulsed RFR to maintain safe procedures and to minimize unnecessary operational constraints.

The origin ofthe International Acoustical Imaging Symposium series can be traced to 1967, when a meeting on acoustical holography was held in C alifornia. In those days, acoustical holography was at the leading edge of research but, as the importance of this subject waned, so the title of the series was changed from Acoustical Holography to Acoustical Imaging in 1978. The early Symposia were held at various venues in the United States. In 1980. the series became international, with the Symposium that year taking place in Cannes in France. The pattern now is to try to met alternately in the USA and in another part of the world so that active researchers everywhere can conveniently attend at a reasonably high frequency. It was a great privilege for us in Bristol in the United Kingdom to be chosen to host the 25th Symposium, which convened on 19 March 2000 and spread over four days. We were blessed not only by good weather, but also by the attendance ofnearly 100 pa rticipants who came from 17 c ountries. A large number of papers were accepted for presentation, either orally or as posters. Whether an oral presentation or a poster, all were considered to have equal merit, and no distinction is made between them in the published proceedings. There were no parallel sessions, so every participant could attend every presentation. The re sultant disciplinary cross fertilisation maintained the t radition of past Symposia.

There are many human cancers which actively synthesize specific characteristic proteins such as melanomas, thyroid cancer and squamous cell carcinoma. Many cancer researchers have of course tried to utilize this specific activity as a key for the selective treatment of cancers. In the past for example, the molecular hybrid compound of DOPA, a substrate of melanin, and nitrogen mustard N-oxide hydrochloride, a ctyotoxic anti-tumor drug, was synthesized as Melphalan and used to treat malignant melanoma. A major problem arose though in that it was soon found to be highly suppressive toward bone marrow and quite toxic while not being remarkably effective. Thus, malignant melanoma could not be cured by it. Such failure led us to develop a novel bimodal therapeutic system which includes the use of non-toxic potentially cytocidal chemicals which selectively accumulate within the cancer cells and which are converted by a controllable modality into an actively cytocidal element in situ. We can now non-surgically cure malignant melanoma and glioblastoma with our selective cancer treatment, neutron capture therapy (NCT); as can be found in this volume. Included are 124 papers on the latest breaking developments discussed at the Sixth International Symposium on NCT for Cancer held in Kobe during the late autumn of 1994.

Renal sonography forms a basic part of routine diagnostic strategy. This textbook summarizes eighteen years of experience in diagnostic ultrasound. We want it to serve as a guide to both imagers and mere consumers of information. That is why we shall emphasize practical advice and diagnostic pitfalls; it is also why we shall often deal with the relations of sonography with other diagnostic procedures, which it may complement or replace, precede or follow, the purpose being to achieve efficiency at low cost. We shall limit our subject matter to the kidney itself and the neighboring retroperitoneal compartments, dealing only briefly with the lower urinary tract, which requires specialized procedures. We devoted considerable space to renal sonography in our book Clinical Atlas of Ultrasonic Radiography, published in 1973. Since then, nothing has changed and everything has changed. Nothing, because even then the differential diagnosis between a solid and a cystic mass, the etiologic diagnosis of a nonsecreting kidney, and the positive diagnosis of a traumatic juxtarenal hematoma were quite reliable, making possible drastic reductions in the indications for instrumental roentgenologic examinations. Everything, be cause improved resolution and grey scale imaging (already partially achieved in 1973, thanks to real time) have profoundly refined both anatomic and pathologic ultrasonic studies. And now high resolution real time imaging has revolutionized renal examination techniques, whereas Doppler is entering routine ultrasonic diagnosis."

Clinical Doppler Ultrasound offers an accessible, comprehensive introduction and overview of the major applications of Doppler ultrasound and their role in patient management. The new edition of this medical reference book discusses everything you need to know to take full advantage of this powerful modality, from anatomy, scanning, and technique, to normal and abnormal findings and their interpretation. It presents just the right amount of Doppler ultrasonography information in a compact, readable format! "The text is well referenced and provides details of enough relevant sources for any experienced sonographer to use the book as a guide for developing comprehensive scanning protocols for a range of studies, as well as providing a useful reference for normal values and disease grading criteria. As with previous editions of this text I feel it would make an excellent addition to the library of any department where Doppler ultrasound examinations are performed". Reviewed by: Dave Flinton on behalf of the Radiography journal, Nov 2014 "Whether you are an experienced vascular technologist/sonographer or a student in ultrasound this book should become a valued addition to your library". Reviewed by Gillian Martin, University Hospitals of South Manchester NHS Fundation Trust, on behalf of RAD Magazine, July 2014 Make the most informed Doppler imaging decisions possible by gaining a thorough understanding of the advantages and disadvantages of using Doppler ultrasound, as well as the basic principles behind its techniques and technologies. Acquire optimal images and avoid errors with the help of detailed protocols and high-quality, full-color illustrations throughout. Understand and apply the latest Doppler imaging techniques with a new chapter on interventional and intraoperative applications of Doppler ultrasound and a new chapter on dialysis grafts, plus coverage of the most recent information on the role of contrast agents and how best to administer them. View real-time videos of Doppler imaging, and search across the complete text online at Expert Consult.

The fetal period of human growth and development has become an area of intense study in recent years, due in large part to the development of diagnostic ultrasound. More than 2,000 articles have been published in the last five years describing anatomy and pathology in utero, as reflected in sonographic images. Yet, no stan dard reference exists to correlate these images with fetal gross anatomy and at tempts to draw parallels from adult structure have often led to false assumptions. The dictum "the newborn is not a miniature adult" is all the more valid for the fetus. This text aims to provide a comprehensive reference for normal sectional anat omy correlated with in utero ultrasound images. In addition, magnetic resonance images of therapeutically aborted or stillborn fetuses are paired with similar gross sections to serve as a foundation upon which current in vivo studies may build. Lastly, a miscellaneous section illustrates several anatomic points useful in the understanding of fetal anatomy. These points include the changing anatomy of the fetal brain during gestation and the anatomy of the meninges, the fetal heart, and ductus venosus. It is our hope that this atlas will provide a clear picture of fetal anatomy, rectify some of the confusion which exists in antenatal diagnosis, and stimulate further interest in fetal development."

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.

Despite the many advances made in the diagnosis and therapy of cancer, the mortality rate is still about half that of the incidence rate. However, the odds are not evenly distributed. Prognosis for some cancers is good, but for others, few patients will survive 12 months. This latter group of cancers is characterised by a proclivity to disseminate malignant cells in the host organ. The degree of surgery possible may be limited by the critical nature of the organ, and chemotherapy and radiotherapy are of palliative value only. In some cases systemic metastases occur, but in other cases, failure to achieve local control results in death. First among these cancers are the high grade brain tumours, astrocytoma 3,4 and glioblastoma multiforme. Local control of these tumours should lead to cure. Other cancers melanoma metastatic to the brain, for which a useful palliative therapy is not yet available, and pancreatic cancer for which localised control at an early stage could bring about improved prognosis. Patients with these cancers have little grounds for hope. Our primary objective is to reverse this situation with Neutron Capture Therapy (NCT). The purpose of this fourth symposium is to hasten the day whereby patients with these cancers can reasonably hope for substantial remissions. The first symposium on NCT was held in Boston in 1983, followed by Tokyo in 1985 and Bremen, Germany in 1988.

It was only in 1980 that the first recognisable magnetic resonance images of the human brain were published, by Moore and Holland from Nottingham University in England. There then followed a number of clinical trials of brain imaging, the most notable from the Hammersmith Hospital in London using a system designed by EMI, the original manufacturers of the first CT machines. A true revolution in medicine has ensued; in only a few years there are thousands of scanning units, and magnetic resonance imaging (MRI) has assumed a central importance in medical investigation. It is an extraordinary fact that within a few years of development, the esoteric physics of nuclear spin, angular momentum, and magnetic vector precession were harnessed to provide exquisite images of living anatomy; modem science has no greater tribute. That indisputable king of neurology and the oldest of recorded conditions, epilepsy, has not been untouched by the new technology; indeed, it is our view that the introduction of MRI of electroencephalography (EEG) in the late has been as important to epilepsy as was that 1930s. Now, for the first time, the structural and aetiological basis of the condition is susceptible to thorough investigation, and MRI can provide structural detail to parallel the functional detail of EEG. MRI has the same potential as had EEG over 50 years ago, to provide a new level of understanding of the basic mechanisms, the clinical features and the treatment of epilepsy.

Digital radiography is a general term describing any projection radiological system in which the image exists in digital form at some stage between acquisition and viewing. In an earlier form, radiographic films were dig itized in an attempt to enhance and redisplay information of interest. The field has evolved to its current state, in which X-ray signals are detected electronically, converted to digital form, and processed prior to being recorded and displayed. A primary goal of digital radiography is the re moval of interfering effects from secondary structures in an image, so that clinically significant details can be displayed with enhanced visibility. The achievement of this goal involves many parameters, including con trast agents, subtraction techniques, processing techniques, filtering tech niques, system noise, and quantitative aspects. It is the purpose of this book to present material by noted individuals in the field covering several of the above topics. The authors acknowledge the secretarial and editorial assistance of Mrs. Helen Taylor and the editorial assistance of Mrs. Ruth McDevitt. James G. Kereiakes Stephen R. Thomas Cincinnati, Ohio Colin G. Orton Detroit, Michigan ix Contents 1. DIGITAL RADIOGRAPHY: OVERVIEW B. A. Arnold, 1. G. Kereiakes, and S. R. Thomas 1. Introduction . . . . . . . . . 1 2. Point-Scanned Detector Systems 3 3. Line-Scanned Detector Systems 4 4. Area Detector Systems 5 4.1. Stimulable Phosphors 5 4.2. Selenium Detectors ."

It is now 150 years ago, on 25th May 1842, that the son of a Salzburg ston emason presented a scientific work "On the coloured light of the double stars and certain other heavenly bodies" at a meeting of the Royal Bo hemian Society of Sciences held in Prague. Christian Andreas Doppler, then professor at the Prague Technical Institute, set a milestone in scien tific history in the meeting room of the Royal Society in the Charles Uni versity, just a few meters from the National Theatre where another genius from Salzburg, Wolfgang Amadeus Mozart, had celebrated his musical triumph with the premiere of his opera Don Giovanni fifty-five years earlier. Doppler's lecture set out in brilliant simplicity what we now call the Doppler principle, which since has found numerous uses in astronomy, which was of primary interest to Christian Doppler. In addition, it has found countless practical applications in physics, navigation, aeronautics, geodesy, medicine, science and technology. In medicine alone, Doppler sonography is now an established diagnostic procedure in the fields of childbirth, cardiology and diseases of the blood vessels, neurology, neuro surgery and vascular surgery, and is continually finding new medical appli cations in today's world of high technology."

Scintigraphic imaging with radiolabeled blood elements has continued to be a useful diagnostic modality. The major trust of recent investigation has been in simplifying labeling techniques and developing new agents that will label blood elements selectively in vitro. The VI Symposium of the International Society of Radiolabeled Blood Elements was held in Barcelona (Spain) during November 23 to 27, 1992.The conference was sponsored by the NATO Scientific Affairs Division, the USA Department of Energy and the Spanish National Health Service. This monograph comprises articles that represent most of the 85 papers (70 oral and 15 posters) presented during the symposium. The meeting was attended by 110 investigators hailed from 21 countries. Although lllIn-oxine and 99mTc-HMPAO remain the choice agents for labeling blood components for routine applications, there was heavy emphasis on developing new labeling agents that will either simplify the in vitro labeling procedure, or, even better, will label blood components selectively in vivo, by injecting the radioactive agents directly into patients. The degree of success in imaging target lesions in humans by using these agents has been excellent.

The first of a two volume set, Volume 12 provides a long-awaited compilation of NMR theory to paramagnetic molecules. International experts report the latest developments in NMR methodology as applied to strongly relaxed and shifted resonances, detail the theoretical aspects of paramagnetic shift and relaxation, and discuss the interpretive bases of these molecular properties in relation to the structure and function of various paramagnetic molecules.

The Association Internationale de Recherche sur la Circulation Osseuse, A.R.C.O., was founded in London in December 1989 by a small group of doctors, surgeons and researchers in basic sciences who had been involved for many years in the study of bone circulation and its disorders. They had met several times in Toulouse, during the International Symposia on Bone Circulation held there since 1973 and they wished to carry their contacts further. In founding A.R.C.O., they established as their primary aims the encouragement and furtherance of research, organisation of meetings and promotion of knowledge on the subject. At the present time, the Association has over a hundred members from more than bone tissue twenty countries in Europe, America and Asia. All have the conviction that and its pathology can only be truly known and studied if one has an understanding of its vascular system and the way its circulation functions. This concept, apparently beyond question, has not yet been adopted by all physicians and scientists who are interested in bone. From time to time, one comes across teaching programmes on bone patho logy which make no mention of bone circulation.

This book constitutes the Proceedings of the 26th Symposium on Acoustical Imaging held inWindsor, Ontario, Canada during September 9-12, 2001. This traditional scientific event is recognized as a premier forum for the presentation of advanced research results in both theoretical and experimental development. The lAIS was conceived at a 1967Acoustical Holography meeting in the USA. Since then, these traditional symposia provide an opportunity for specialists who are working in this area to make new acquaintances, renew old friendships and present recent results of their research. Our Symposium has grown significantly in size due to a broad interest in various topics and to the quality of the presentations. For the firsttime in 40 years, the IAIS was held in the province of Ontario in Windsor, Canada's Automotive Capital and City of Roses. The 26th IAIS attracted over 100specialists from 13countries representing this interdisciplinary field in physical acoustics, image processing, applied mathematics, solid-state physics, biology and medicine, industrial applications and quality control technologies. The 26th lAIS was organized in the traditional way with only one addition-a Special Session "History of Acoustical Imaging" with the involvement of such well known scientists as Andrew Briggs, Noriyoshi Chubachi, Robert Green Jr., Joie Jones, Kenneth Erikson, and Bernhard Tittmann. Many of these speakers are well known scientists in their fields and we would like to thank them for making this session extremely successful.

The first edition of this definitive text ran to 24 chapters. The second edition, reflecting the explosive growth of interest in echo-enhancement, contains 44. The first section deals with some of the most important emerging issues and technologies and covers harmonic imaging, the use of echo-enhancers to provide quantitative information, and the application of enhanced power Doppler to tissue imaging. The second, on contrast echocardiography, explores the use of echo-enhancement during transesophageal imaging. One chapter describes the use of contrast-enhancement transesophageal imaging to determine coronary flow reserve and another gives a detailed account of the application of the technique to the evaluation of left ventricular function. Other authors describe the intraoperative use of contrast echocardiography and discuss the potential of myocardial contrast echocardiography to replace thallium scintigraphy. Another chapter covers the emerging technique of transient response imaging and its role in the assessment of myocardial perfusion, and two chapters are devoted to three-dimensional contrast echocardiographic assessment of myocardial perfusion. Use of echo-enhancement in the evaluation of peripheral circulation is discussed in chapters on carotid and peripheral arterial flow imaging and others that describe renal and hepatic vascular imaging. The newer applications of echo-enhancement outside the cardiovascular system are described in three chapters devoted to the visualization of tumour vasculature. The final chapters look to the future and cover the imaging of intramyocardial vasculature, the development of site-specific agents and the emergence of the new acoustically active agents.

An international meeting of experts on Cardiovascular Imaging by Ultrasound was held in Aachen from 26-27 April, 1991. It provided new and interesting insights into what has already been achieved in ultrasound-based cardiovascular diagnosis and therapy and what will be introduced in clinical practice in the near future. Since the introduction of ultrasound in clinical practice in 1984 there has been no other physical principle that has added and will continue to add so much to clinical diagnosis and therapy. Echocardiography, once established as a non-invasive diagnostic tool, is increasingly becoming an invasive technique for cardiovascular imaging. This book contains the edited contributions from 38 scientists and engineers from all over the world who presented the most up-to-date findings on 2-dimensional echocardiography, different Doppler modalities, contrast and stress echocardiography and the different modalities of transesophageal echocardiography, including mono-, bi- and multiplane TEE, as well as pulsed and CW-Doppler application via TEE. Exciting and promising developments are discussed in the field of intravascular ultrasound, tissue characterization, ultrasound ablation, ultrasound-based 3-dimensional reconstruction of the heart, and high frequency Doppler analysis.

Endoanal and endorectal ultrasound represents considerable progress in the field of anorectal imaging. Its importance in the staging of rectal and anal cancer, in identifying perianasto- motic neoplastic recurrences, in defining acute and chronic suppurative disease and in assessing sphincteral anatomical integrity, is now a confirmed reality. The evidence provided by endoanal and endorectal ultrasonography guides the colorectal surgeon in his choice among the various therapeutic approaches and helps in assessing the effects of the treatments applied. The great flexibility and high degree of reliability make this exploratory method an indispensable tool at all stages of the clinical course in the majority of patients with anorectal problems, including the fundamental follow-up stage. The publication of this excellent volume on intraanal and intrarectal ultrasonog- raphy is therefore to be appreciated, especially since it is in the form of an atlas. As we are dealing with imaging, it is particularly appropriate that it is the images that tell the story. Like all important things, this volume does not come out of nothing. It is the result of many years of skilled work by Drs. G.A. Santoro and G. Di Falco and is based on the experience of internationally renowned professional experts. The ten sections of the atlas begin with general information on ultrasonography, gradually progressing to the technical problems of the method and the aspects rela- tive to anorectal tumors.This last section leads to a review of traditional and mod- ern therapeutic possibilities.