Ginecologia

ThisbookcomprisesthescientificproceedingsoftheInternationalWorkshop onDigitalMammography(IWDM),heldinBremen,Germany,fromJune22 toJune25,2002. Sinceitsinceptionin1992,IWDMhasgrownintotheIn- ternationalForumonDigitalMammography. TheuniquenessofIWDMisits attractivenesstoresearchers,medicalpractitioners,andindustrialdevelopers. F6rmerworkshopswereheldinSanJose,USA(1992),York,UK(1994), Chicago,USA(1996),Nijmegen,NL(1998),andToronto,Canada(2000). Each ofthesescientificeventshasbeencombinedwithverysuccessfulandfocused industrialandresearchexhibits,whichdemonstratedthemilestonesofdigital mammographyhard-andsoftware. Now,thatdigitalmammographyisenteringroutineclinicaluse,wewitness itsstrongimpactonscreeninganddiagnosticmammography,computeraided detection,minimallyinvasiveprocedures,andthedevelopmentofsystemicand integrateddisease-orientedbreastcare. Inviewofthis,the2002workshoppro- videdawindowtogiveusaglanceatthefuture,andtheworkwhichwas presentedintalks,postersandexhibitshasdemonstratedthatIWDM2002will takeaspecialplaceintheverysuccessfulsequenceofIWDMevents. Finally,asconferencechair,Iwouldliketothankallwhohavehelpedtopre- pareandrunIWDM2002:theScientificAdvisoryBoardforitsexcellentworkin guaranteeingscientificsignificance,theOrganizationalBoardforitshardworkto accomplishanappropriateframeworkfortheevent,andtheindustrialexhibitors andsponsorsfortheirgeneroussupport. Bremen,January2003 Heinz-Otto Peitgen ConferenceChair ProfessorofMathematicsand BiomedicalSciences VI Scientific Committee SusanAstley UniversityofManchester,UK UlrichBick CharitBerlin,Germany/UniversityofChicago,USA MichaelBrady OxfordUniversity,UK HiroshiFujita GifuUniversity,Japan MaryellenGiger UniversityofChicago,USA NicoKarssemeijer UniversityHospitalNijmegen,TheNetherlands Heinz-OttoPeitgenUniversityofBremen,Germany EttaD. Pisano UniversityofNorthCarolina,USA MartinYaffe UniversityofToronto,Canada IWDM 2002 was supported by (MeViS SIEMENS BreastCare medical I' General Electric ARC-0 Fllmle. . Perfection for DI I JMammography Table of Contents Imaging Systems and Detectors...1 DigitalMammographicApplicationofaSinglePhotonCountingPixel Detector...3 Amendolia SR, Bisogni MG, Delogu P, Fantacci ME, Novelli M, Quattrocchi M, Rosso V, Stefanini A, Zucca S BreastCancerScreeningUsingaDedicatedBreastCTScanner:A FeasibilityStudy...6 Boone JM, Lindfors KK, Seibert JA, Nelson TR PhysicalEvaluationofaPrototypefortheSectraMicrodose MammographySystem...12 Lundqvist M, Bergstrom D, Cederstrom B, Chmill V, Chuntonov A, Danielsson M, Aslund M DoseMeasurementsonaScanningMulti-slitDigitalMammography System...17 Hansson B, Cederstrom B, Danielsson M, Aslund M DigitalMammographyvs. toScreen-FilmMammography:aPhantom Study...20 Heid P, PagliuchiC, Seradour B, Motte N, Langlois L, Kurkdjian S, Piana L MammographyTaxonomyforImprovementofLesionDetectionRates...27 Howard D, Roberts SC, Tabar L AHighResolution(25 p. m)HybridSelenium/CCDSlotScanDetector forDigitalMammography...33 Hunter DM, De CrescenzoG, Mainprize JG, Mawdsley GE, SmithC, Kasap SO, Rowlands JAR, Tumer T, Yin S, Yaffe MJ Co-registeredBreastImagingwith3DX-Raysand3DUltrasound...38 Kapur A, Eberhard JW, Abdalmajeid AM, Thomenius K ImagingCharacteristicsofaDirectConversionFull-FieldDigital MammographyDetectorusingSelenium...4 3 Lee DL, Yorker lG, ling Z, leromin LS SimultaneousAcquisitionofDiffraction,ScatteringandPhase-Contrast ImagesbyMeansofaMulti-LayerEdge-OnMicrostripDetector 48 Olivo A, Arfelli P, Bergamaschi A, Dreossi D, Longo R, Menk RH, Montanari F, Pani S, Poropat P, Rigon L, Vallazza E, Castelli E VIII FullFieldDigitalMammographywithaCCDBasedSlot-Scanned Detector. PhysicalCharacteristicsMeasurements...

European Practice in Gynaecology and Obstetrics is a series of books published under the auspices of EBCOG. In each volume, the specialist will find a review of basic science, recent concepts in pathophysiology, clinical aspects, imaging, treatment and unresolved problems or controversies, and up-to-date references. The management of cervical cancer has evolved greatly over the past 20 years. Above all, screening and treatment of pre-invasive lesions have allowed a significant decrease in the incidence of cervical cancer in developed nations. Although clinical examinations and staging are most important in assessing lesions, MRI and the laparoscopic approach now offer a more precise evaluation of the locoregional spread of the disease and of the main prognostic factors upon which the increasingly specific therapeutic indications depend. Major therapeutic advances in stages I and II have also made it possible to preserve fertility to obtain better results by associating radiation and chemotherapy. This progress is the fruit of the work of international teams, many of them European, but is based on screening and diagnoses by individual physicians throughout the world. Invasive Carcinoma of the cervix, the first book in the EPGO collection, presents the current status and practices in managing this pathology.

European Practice in Gynaecology and Obstetrics is a series of books published under the auspices of EBCOG. In each volume, the specialist will find a review of basic science, recent concepts in pathophysiology, clinical aspects, imaging, treatment and unresolved problems or controversies, and up-to-date references. This book aims to update residents in practice in obstetrics and gynaecology, fellows in reproductive medicine, as well as practicing gynaecologists and endocrinologists on the most recent developments in ovulation induction. Leading experts from many different European countries describe the indications for ovulation induction and ovarian stimulation; the available protocols using not only conventional, but also the newest pharmaceutical agents, such as recombinant gonadotrophins and GnHR antagonists. They also review the potential risks (ovarian hyperstimulation syndrome, multiple pregnancy and cancer) associated with these treatment modalities as well as the strategies to prevent them. The implications in this book are very important for achieving more effective as well as safer ovulation induction protocols.

This easy-to-access review tool presents hundreds of single answer multiple-choice and matching set questions that follow the same chapter organization as "Comprehensive Gynecology, 4th Edition" - the premier reference book in gynecology. All questions are followed by a brief rationale for the correct answer with page references to the parent text. Over 80 images test interpretive skills.

La ginecologia psicosomatica può essere considerata come una sottospecialità che ha una sua precisa collocazione nell'ambito della specialità ostetrico-ginecologica. Essa studia, come indica il suo nome, l'interazione tra mente e corpo nelle diverse patologie ostetriche e ginecologiche. Ma può essere anche considerata come uno sguardo più ampio alle diverse affezioni della donna dove gli aspetti psicologici, sociali e culturali devono essere considerati insieme alla patologia organica, riconoscendo quell'unità della persona che sola permette la guarigione. Il volume vuole offrire uno strumento utile a ginecologi-ostetrici, endocrinologi psicologi, medici, ostetriche, ma anche a quanti si interessano alle problematiche della salute femminile.

Thoroughly revised for its Fifth Edition, this volume is a comprehensive, clinically oriented guide to the evaluation and medical and surgical treatment of urinary tract dysfunction, colorectal disorders, pelvic organ prolapse, and urinary incontinence in women. The book reviews urinary tract and pelvic floor anatomy, describes the clinical examination and current diagnostic tests, and discusses the pathology and treatment of specific disorders. This edition features new chapters on pelvic floor dysfunction and overactive bladder, an extensive section on colorectal dysfunction, and an easy-to-follow review of surgeries for stress incontinence. The book contains over 200 illustrations, including full-color illustrations of cystoscopy.

Hysteroscopy is increasingly used in gynecologists' offices or in outpatient facilities for the evaluation and treatment of uterine disease. This beautifully illustrated text demonstrates both the theory and application. The author explains the basic principles of operative hysteroscopy, as well as the clinical applications of the various procedures. The gynecologist learns about diagnosis and the new therapies that are available. A full atlas serves as an indispensable tool.

Female Pelvic Medicine and Reconstructive Pelvic Surgery is a high level text covering recent advances in the field. It includes anatomy, normal and abnormal physiology, investigation techniques, inflammatory conditions and treatment options.The international panel of contributors is at the leading edge of research in the field and the editors have brought together these contributors and topics which span the entire range of pelvic floor disorders in women. Emphasis is placed on evidence-based medicine and this book serves to encourage all physicians and health care providers for women with pelvic floor problems to work collaboratively and collegially. The resulting comprehensive overview will prove indispensable for urology and gynecology specialists worldwide. Topics covered include: Anatomy, Physiology, Neurophysiology; Investigation of Pelvic Floor Dysfunction; Inflammatory Conditions, Painful Bladder and Pelvic Syndromes, Common Bowel Problems; Conservative Treatments for Pelvic Floor Disorders; Surgical Approaches to Urinary and Faecal Incontinence; Surgery for Disorders of Pelvic Support; Fistulae, Operative Trauma, Postoperative Problems.

This is a handy reference that emphasizes the common problems encountered in gynecologic and obstetric practice. It simplifies a vast amount of information without being overly simplistic. A wide range of topics is addressed; sections include: General Gynecology, Reproductive Endocrinology and Infertility, Gynecologic Oncology, General Obstetrics, Maternal Complications, The Fetus, The Placenta, Labor and Delivery.

The interest in pelvic floor reconstruction has grown rapidly in recent years. The collaboration between urologists, gynaecologists and colorectal surgeons has also increased. The book covers the surgical anatomy, urinary and faecal incontinence and their treatment, prolapse surgery, fistulae and post-operative management. Female Pelvic Reconstructive Surgery is a multi-disciplinary book edited by Stuart L Stanton, Urogynaecologist, and Phillipe Zimmern, Urologist, with contributions by internationally known and experienced clinicians. The book is well illustrated, up to date and authoritative.

Comprehensive coverage of both benign and malignant breast lesions in an atlas based on pattern analysis and diagnostic criteria. Clinically oriented discussion reflects changes in the field and adheres to the modern way in which biopsies are interpreted. Individual chapters encompass coverage of FNA cytology, stereotactic core needle biopsy interpretation and radiologic/pathologic correlation.

The new edition of this popular volume in the "Major Problems in Pathology" series represents a comprehensive monograph on the pathology of the lower female genital tract, with a particular emphasis on uterine cervical cytology and the various other ancillary methods utilised to diagnose its diseases. It explores the full range of clinical and pathological findings encountered in practice, defines their diagnostic features and criteria and presents effective strategies for solving diagnostic challenges.