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Specialists in cardiac imaging offer their extensive experience of
performing and interpreting myocardial perfusion studies with
thallium 201 and single photon emission tomography in this unique
teaching atlas which contains over 1500 colour illustrations.
Recent explorations in the neurosciences have been progressing
towards an understanding of the relationship between brain struc
ture and brain function. Having passed through an era which may be
described as one of a localisationist philosophy, in which discrete
brain areas were seen to subserve only discrete functions, the
perspective of brain-behaviour relationships has advanced in recent
years to an appreciation that a more holistic approach is not only
heuristically valid, but is also most likely to lead to future
advances. The close relationship between the mind and the brain has
been appreciated since the time of Hippocrates when he opined 'men
ought to know that from nothing else but thence [from the brain]
comes joys, delights, laughter and sports, and sorrows, griefs,
despondency and lamentations ... and by this same organ we become
mad and delirious and fears and terrors assail us'. In the
nineteenth century, particularly in France and Germany, descrip
tions of what are now recognised to be independent neurological
diseases emerged following empirical clinical observations. Investi
gation led to the identification in many cases of underlying struc
tural abnormalities which could be linked to pathological changes.
This volume is based on a series of lectures delivered at a one-day
teach ing symposium on functional and metabolic aspects of NMR
measure ments held at the Middlesex Hospital Medical School on 1st
September 1985 as a part of the European Nuclear Medicine Society
Congress. Currently the major emphasis in medical NMR in vivo is on
its poten tial to image and display abnormalities in conventional
radiological im ages, providing increased contrast between normal
and abnormal tissue, improved definition of vasculature, and
possibly an increased potential for differential diagnosis.
Although these areas are undeniably of major importance, it is
probable that NMR will continue to complement con ventional
measurement methods. The major potential benefits to be de rived
from in vivo NMR measurements are likely to arise from its use as
an instrument for functional and metabolic studies in both clinical
re search and in the everyday management of patients. It is to this
area that this volume is directed."
In this volume an account is given of the technologies relevant to
the detection of sentinel lymph nodes in the context of surgical
oncology. This is a rapidly and evolving field, and the clinical
applications discussed in this volume are exciting and important. A
multidisciplinary team was assembled to discuss this subject in the
light of direct experience gained by each of the groups in the
previous 12 months. Clinical case material is presented and the
methodology of sentinel lymph node imaging and detection is
discussed in detail. The authors have assembled in a single volume
a significant amount of personal data and a comprehensive
literature review which will serve as a single reference and
teaching source for all those interested in this critical technique
relevant to the management of large numbers of patients in surgical
oncology.
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