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Nobody can know everything. For the successful application of
techniques based on nuclear magnetic resonance to clinical
problems, it is a vital necessity that individuals with widely
different skills should learn a little of each others' trades by
co-operation and communication. Ernest Cady has long proved himself
a master of these arts to his colleagues at University College
London, and by writing this excellent book he extends his
experience to a wide circle of readers. Although the nuclear
magnetic resonance (NMR) phenomenon had been predicted
theoretically (and to some degree demonstrated experimentally)
appreciably earlier, it required the advances in electronics that
took place during World War II to turn NMR into a practical
technique, as demonstrated independently in 1946 by Bloch and
Purcell. Since then, NMR has been used extensively and increasingly
by chemists and physicists. In the 1970s the first applications of
NMR to animal organs yielded important advances in our knowledge of
the biochemical and physiological processes as they occur in
genuinely intact tissues. They showed incidentally that some
conventional techniques introduce significant artifacts.
RF Probeheads 1. J. Link, Faellanden, Switzerland The Design of
Resonator Probes with Homogeneous Radiofrequency Fields 2. M.
Schnall, Philadelphia, PA/USA Probes Tuned to Multiple Frequencies
for In-Vivo NMR RF Pulses 3. P.C.M. van Zijl, Rockville, MD/USA;
C.T.W. Moonen, Bethesda, MD/USA Solvent Suppression Strategies for
In Vivo Magnetic Resonance Spectroscopy 4. M. Garwood, K. Ugurbil,
Minneapolis, MN/USA B1 Insensitive Adiabatic RF Pulses 5. P.G.
Morris, Nottingham, UK Frequency Selective Excitation Using
Phase-Compensated RF Pulses in One andTwo Dimensions 6. S. Mueller,
Basel, Switzerland RF Pulses for MultipleFrequency Excitation:
Theory and Application Spectrum Analysis 7. R. de Beer, D. van
Ormondt, Delft, The Nethelands Analysis of NMR Data Using Time
Domain Fitting Procedures 8. E.B. Cady, London, UK Determination of
Absolute Concentrations of Metabolites from NMR Spectra
Obstetricians and pediatricians in daily practice will find here
the answersand explanations they need concerning the major problem
of perinatal asphyxia. Leading experts in pediatrics, obstetrics
and neurophysiology havecome together to produce a single
sourcebook covering all aspects of thesubject. Biochemical
mechanisms and clinical aspects of perinatal asphyxia, fetal and
neonatal assessment, and perinatal management are thoroughly
discussed. Neurodevelopmental outcome is another important issue
addressed. In light of newer technologies, the prognosis of infants
suffering from asphyxia is examined. Many figures and typicalcases
are provided, making the book easy to use and providing quick
access to solutions. The reader can easily identify a problem in
the fetus and its subsequent development. With such knowledge, the
improved managementof perinatal asphyxia is made possible.
There has been increasing interest in neonatal neurology,
especially since imaging techniques were introduced in the neonatal
ward. Looking at the natural history of imaging techniques, we can
identify three main axes of its development. Logically, it was
first essential to image the brain morphologically. For this
purpose, computed tomography was initially used, followed by ultra
sound. However, to improve the quality of the images, magnetic
resonance imaging was introduced. Major features of ultrasound and
magnetic reso nance imaging are their safety and lack of
ionization. Morphological imaging techniques have proved to be
insufficient to ex plain the mechanisms underlying CNS injuries.
Thus, it was essential to develop functional techniques to assess
cerebral hemodynamics and oxy genation. The use of Doppler
ultrasound, PET scanning, SPECT scanning and, more recently, NIRS
have widened our knowledge of general neurolog ical problems.
Finally, to achieve our goal of attaining a better understanding of
CNS injuries, it is important to assess cerebral cellular
metabolism. Magnetic resonance spectroscopy was introduced to
achieve this goal. We hope that this book links these different
techniques in order to widen our horizon. The future is promising
and bound to provide further develop ments, which however can only
be understood if we grasp the present level of development.
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