The authors present their experience in more than seven years of
dynamic computed tomography in clinical practice. Time density
curves and characteristic examples in specific regions of interest
enrich the presentation. Dynamic computed tomography makes an
important contribu tion to the diagnosis and evaluation of a
pathologic process: the demonstration of the dynamics of blood flow
within the lesion and surrounding normal tissue. Since both the
lesion itself and adjacent normal tissue demonstrate characteristic
findings in each circulatory phase, the study provides a large
amount of data on the flow of blood and contrast material which
facilitate both recognition and diiferentation of a lesion. Late
studies following administration of a contrast agent allow an
estimate of the passage of the contrast medium to the inter
stitium, which is of diagnostic importance. Chapters dealing with
specific clinical entities also contain useful information on the
most appropriate means of contrast agent administration (bolus
injection or infusion) as well as a discussion of indications for
the procedure. Dynamic computed tomography represents a significant
advance over conventional computed tomography in some situations,
and this signifies a major contri bution to the diagnostic
capabilities of the clinical radiologist. The authors are to be
commended for the fact that they have clearly defined the limits of
dynamic computed tomography. I hope that the first English language
edition, following the appea rance of the German version in 1983,
will be well received."
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