Current State and Future Directions of Cranial Focused Ultrasound Therapy

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Author :
Publisher : Frontiers Media SA
ISBN 13 : 2832508286
Total Pages : 109 pages
Book Rating : 4.8/5 (325 download)

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Book Synopsis Current State and Future Directions of Cranial Focused Ultrasound Therapy by : Vibhor Krishna

Download or read book Current State and Future Directions of Cranial Focused Ultrasound Therapy written by Vibhor Krishna and published by Frontiers Media SA. This book was released on 2022-12-02 with total page 109 pages. Available in PDF, EPUB and Kindle. Book excerpt: Topic Editors Vibhor Krishna and J. Levi Chazen have received grants for research purposes from Insightec Inc. The other Topic Editors declare no competing interests with regard to the Research Topic subject.

MRI-Guided Focused Ultrasound Surgery

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Author :
Publisher : CRC Press
ISBN 13 : 1420019937
Total Pages : 217 pages
Book Rating : 4.4/5 (2 download)

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Book Synopsis MRI-Guided Focused Ultrasound Surgery by : Ferenc A. Jolesz

Download or read book MRI-Guided Focused Ultrasound Surgery written by Ferenc A. Jolesz and published by CRC Press. This book was released on 2007-09-26 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: MRI-Guided Focused Ultrasound Surgery will be the first publication on this new technology, and will present a variety of current and future clinical applications in tumor ablation treatment. This source helps surgeons and specialists evaluate, analyze, and utilize MRI-guided focused ultrasound surgery - bridging the gap between phase 3 clinical tr

Image-guided Focused Ultrasound Therapy

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Author :
Publisher :
ISBN 13 : 9781032756639
Total Pages : 0 pages
Book Rating : 4.7/5 (566 download)

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Book Synopsis Image-guided Focused Ultrasound Therapy by : Gail Haar

Download or read book Image-guided Focused Ultrasound Therapy written by Gail Haar and published by . This book was released on 2024 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Ultrasound has been widely used in diagnostic imaging for a long time. In the past ten years, image-guided focused ultrasound therapy has seen rapid growth, in biomedical science and engineering, and in clinical medicine. The purpose of this book is to bring internationally renowned authorities and experts in this field together to provide up-to-date and comprehensive reviews of basic physics, biomedical engineering and clinical applications of focused ultrasound therapy in a widely accessible to a wide audience fashion. Focusing on applications in cancer treatment, this book covers basic principles, practical aspects, and clinical applications of focused ultrasound therapy. It reviews the medical physics and bio-effects of focused ultrasound beams on living tissues, dosimetric methods and measurements, transducer engineering, image guidance and monitoring including MRI and ultrasound, treatment delivery systems and clinical applications. The book also gives practical guidelines on patient setup, target localisation, treatment planning and image-guided procedures for the treatment in various sites, including he prostate, liver, pancreas, breast, kidney, uterus, bone and brain. The book discusses major challenges for the use of focused ultrasound energy on living tissues and explores the cellular and physiological responses that can be employed in the fight against cancer from biological, physics and engineering perspectives. It also highlights recent advances, including the treatment of solid tumours using image-guided drug delivery, and the exploitation of microbubbles, nanoparticles, and other cutting-edge techniques. Readers who are interested in learning more about the technique and clinical applications described in each chapter can find more information in the comprehensive bibliographies provided. This book is suitable for anyone involved in, or looking to become involved in, the research and clinical applications of focused ultrasound therapy, including medical professionals, physicists, biomedical engineers, graduate students and others working in this multidisciplinary field. It offers a balanced and critical assessment of state-of-the-art technologies, major challenges, and an outlook on the future of focused ultrasound therapy. It presents a thorough introduction for those new to the field while providing helpful, up-to-date information and guidelines for readers already using this therapy in clinical and pre-clinical settings"--

Transcranial Focused Ultrasound

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (133 download)

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Book Synopsis Transcranial Focused Ultrasound by : Alec Hughes

Download or read book Transcranial Focused Ultrasound written by Alec Hughes and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Transcranial focused ultrasound is a rapidly-advancing therapeutic modality. In recent years, clinical trials have begun for a number of neurological conditions, including Essential Tremor, Obsessive Compulsive Disorder, and Neuropathic Pain. These clinical trials follow decades of intensive laboratory research programs to understand the mechanisms behind ultrasound interaction with brain tissue and to develop clinical devices that are capable of delivering the therapeutic ultrasound to a wide range targets. Looking to the future, however, there remain many obstacles to the further implementation of focused ultrasound to a number of pathologies: limited steering range in the brain using a hemispherical array, secondary control over the spatial manifestation of the focus transcranially, and possible temperature-dependent acoustic effects. Recent clinical data of thermal lesions from treatments of Essential Tremor using MR-guided transcranial focused ultrasound have shown that in many cases the focus is oblique to the main axis of the phased array. Chapter 3 presents the pertinent clinical data and attempts to explain the phenomenon. Numerical simulations were performed on clinical data to analyze the causes of the oblique focus and determine appropriate correction methods. It was found that the focal obliquity could be replicated with the numerical simulations to within 23.2 +/- 13.6 degrees of the clinical cases. It was then found that a major cause of the focal obliquity was the presence of sidelobes, caused by an unequal deposition of power from the different transducer elements in the array at the focus. In addition, it was found that a 65% reduction in focal obliquity was possible using phase and amplitude corrections in comparison to the clinical phase corrections alone. Extending the results of Chapter 3, in Chapter 4 a technique was developed for the generalized rotation of a focus using a phased array of ultrasound transducers. In this chapter, the concept of focusing an ultrasound phased array is expanded to include a method to control the orientation of the focus using a Tikhonov regularization scheme. It is then shown that the Tikhonov regularization parameter used to solve the ill-posed focus rotation problem plays an important role in the balance between quality of focusing and array efficiency. In Chapter 5, clinical data were analyzed to indicate a reduction in the induced energy-temperature efficiency relationship during clinical treatments at higher acoustic powers; to establish its relationship with the spatial distribution of the focal temperature elevation; and to explore its cause. Computer simulations, animal experiments, and clinical system tests were performed to determine the effects of skull heating, changes in brain properties and transducer acoustic output, respectively. The reduction in the energy-efficiency relationship during treatment was found to correlate with the increase in size of the focal volume at higher sonication powers (p-value.

The Tumor

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Author :
Publisher : Focused Ultrasound Foundation
ISBN 13 : 1495179419
Total Pages : 66 pages
Book Rating : 4.4/5 (951 download)

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Book Synopsis The Tumor by : John Grisham

Download or read book The Tumor written by John Grisham and published by Focused Ultrasound Foundation. This book was released on 2015-03 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: John Grisham says THE TUMOR is the most important book he has ever written. In this short book, he provides readers with a fictional account of how a real, new medical technology could revolutionize the future of medicine by curing with sound. THE TUMOR follows the present day experience of the fictional patient Paul, an otherwise healthy 35-year-old father who is diagnosed with a malignant brain tumor. Grisham takes readers through a detailed account of Paul’s treatment and his family’s experience that doesn’t end as we would hope. Grisham then explores an alternate future, where Paul is diagnosed with the same brain tumor at the same age, but in the year 2025, when a treatment called focused ultrasound is able to extend his life expectancy. Focused ultrasound has the potential to treat not just brain tumors, but many other disorders, including Parkinson’s, Alzheimer’s, hypertension, and prostate, breast and pancreatic cancer. For more information or to order a free hardcopy of the book, please visit The Focused Ultrasound Foundation’s website www.fusfoundation.org. Here you will find a video of Grisham on the TEDx stage with the Foundation’s chairman and a Parkinson’s patient who brings the audience to its feet sharing her incredible story of a focused ultrasound “miracle.” Readers will get a taste of the narrative they expect from Grisham, but this short book will also educate and inspire people to be hopeful about the future of medical innovation.

Image-Guided Neurosurgery

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Publisher : Academic Press
ISBN 13 : 0128011890
Total Pages : 537 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Image-Guided Neurosurgery by : Alexandra J. Golby

Download or read book Image-Guided Neurosurgery written by Alexandra J. Golby and published by Academic Press. This book was released on 2015-05-05 with total page 537 pages. Available in PDF, EPUB and Kindle. Book excerpt: Image-Guided Neurosurgery provides readers with an update on the revolutionary improvements in imaging and visualization relating to neurosurgery. From the development of the pneumoencephalogram, to the operating microscope, to cross sectional imaging with CT and later MRI, to stereotaxy and neuronavigation, the ability to visualize the pathology and surrounding neural structures has been the driving factor leading surgical innovation and improved outcomes. The book provides a comprehensive reference on the application of contemporary imaging technologies used in neurosurgery. Specific techniques discussed include brain biopsies, brain tumor resection, deep brain stimulation, and more. The book is ideal for neurosurgeons, interventional radiologists, neurologists, psychiatrists, and radiologists, as well as technical experts in imaging, image analysis, computer science, and biomedical engineering. A comprehensive reference on image-guided neurosurgery Includes coverage of neuronavigation in cranial surgery and advanced imaging, including functional imaging, adoption of intra-operative MRI and emerging technologies Covers all image-guided neurosurgery tools, including robotic surgical devices Ideal reference for topics relating to neurosurgery, imaging, stereotaxis, radiosurgery, radiology, epilepsy, MRI, the use of medical robotics, lasers, and more

Atlas of Ultrasound-Guided Procedures in Interventional Pain Management

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Author :
Publisher : Springer
ISBN 13 : 9781493992751
Total Pages : 334 pages
Book Rating : 4.9/5 (927 download)

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Book Synopsis Atlas of Ultrasound-Guided Procedures in Interventional Pain Management by : Samer N. Narouze

Download or read book Atlas of Ultrasound-Guided Procedures in Interventional Pain Management written by Samer N. Narouze and published by Springer. This book was released on 2019-06-13 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: With a focus on anatomy and sonoantomy, this beautifully illustrated updated edition captures the latest advances in the rapidly growing field of ultrasound-guided pain medicine and MSK procedures. This atlas is divided into seven sections that provide an overview and focus on interventional approaches and advancements. Authored by international experts, each clinical chapter features a maximal number of instructive illustrations and sonograms and provides a description of sonoanatomy, instructions on performing the procedure and how to confirm appropriate needle placement. This book will help encourage and stimulate physicians to master approaches in interventional MSK and pain management.

Intraoperative Ultrasound (IOUS) in Neurosurgery

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Publisher : Springer
ISBN 13 : 3319252682
Total Pages : 197 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Intraoperative Ultrasound (IOUS) in Neurosurgery by : Francesco Prada

Download or read book Intraoperative Ultrasound (IOUS) in Neurosurgery written by Francesco Prada and published by Springer. This book was released on 2016-03-08 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is intended as a practical manual on the use of intraoperative ultrasound (IOUS) as a tool for imaging guidance during cranial and spinal neurosurgical procedures. Full account is taken of the emergence of novel clinical applications and recent technical advances, with extensive coverage of the impact of developments such as improved probe technology, fusion imaging and virtual navigation, 3D ultrasound imaging, contrast-enhanced ultrasound, and elastosonography. Basic principles of ultrasound are elucidated in order to assist in the optimal use of IOUS and clear guidance is provided on the interpretation of imaging findings in various pathologies. Informative comparisons are also made of the use of techniques such as fusion imaging and contrast-enhanced ultrasound in general radiology and neurosurgery. The aim of the authors is to enhance the general knowledge regarding intra-operative ultrasound brain imaging, standardizing its use and exploring new techniques, leading in some way toward compensating the lack of specific training in the application of ultrasound among the neurosurgical community. IOUS is a sensitive tool that can improve surgical precision and help to reduce morbidity.

Manual of Neurosonology

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Publisher : Cambridge University Press
ISBN 13 : 1107659159
Total Pages : 333 pages
Book Rating : 4.1/5 (76 download)

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Book Synopsis Manual of Neurosonology by : László Csiba

Download or read book Manual of Neurosonology written by László Csiba and published by Cambridge University Press. This book was released on 2016-04-28 with total page 333 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neurosonology is non-invasive, portable, and has excellent temporal resolution, making it a valuable and increasingly popular tool for the diagnosis and monitoring of neurological conditions when compared to other imaging techniques. This guide looks beyond the use of neurovascular ultrasound in stroke to encompass a wide range of other neurological diseases and emergencies. It offers a practical approach to the examination of patients, interpretation of ultrasound studies, and the application of neurosonology to the development of management and treatment strategies. Each chapter incorporates a thorough and clear procedural methodology alongside scanning tips for trainees; this step-by-step approach is further enhanced by example images and focused diagnostic questions. Authored and edited by international experts, this practical manual of neurosonology is an invaluable resource for neurologists, neurosurgeons, intensivists, radiologists, and ultrasonographers.

Brain Stimulation Therapies for Clinicians

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Publisher : American Psychiatric Pub
ISBN 13 : 1615372709
Total Pages : 220 pages
Book Rating : 4.6/5 (153 download)

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Book Synopsis Brain Stimulation Therapies for Clinicians by : Edmund S. Higgins

Download or read book Brain Stimulation Therapies for Clinicians written by Edmund S. Higgins and published by American Psychiatric Pub. This book was released on 2019-08-13 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive survey of the state of current practice, this new edition of Brain Stimulation Therapies for Clinicians provides thoroughly updated information on the growing list of electrical stimulation therapies now in use or under study, including electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), transcranial magnetic stimulation (TMS), deep brain stimulation (DBS), cortical stimulation (CS), and transcranial direct current stimulation (TDCS), as well as new coverage of promising treatments such as low intensity focused ultrasound pulsation (LIFUP) and temporal interference stimulation (TI). After a brief course on the fundamentals of electricity and a refresher on neuroanatomy, the text explores how electricity works within biological systems before progressing to the chapters on individual therapies, which cover the history and evolution of the treatment, the techniques involved, clinical indications, side effects, and an up-to-date review of the evidence base supporting its use. The book is designed to help the reader cut through the initially daunting "alphabet soup" (e.g., ECT, TMS) by providing a clear and straightforward analysis of the prevailing techniques -- an indispensable resource for both clinicians and patients seeking in-depth knowledge of these acronyms and methods. The book's noteworthy features are many: Refinements in treatment protocols since the last edition are discussed in detail. For example, the sections on ECT cover advances such as focal electrically administered seizure therapy (FEAST) and magnetic seizure therapy (MST), while the TMS chapter covers theta burst and recent approval for obsessive-compulsive disorder. The underlying science is addressed in the initial review of electricity and physics, information that is foundational to these treatment modalities, but that clinicians do not encounter in the medical school curriculum. The section also addresses the parameters for brain stimulation and how to determine the right dose. A separate chapter is devoted to low intensity focused ultrasound pulsations (LIFUP) and temporally interfering (TI) electric fields, emerging treatments that have the potential to noninvasively stimulate focal locations deep in the brain without surgery or the implantation of hardware. The section on using DBS for treatment-resistant Parkinson's disease (PD) is thorough, authoritative, and a boon to clinicians assessing the viability and efficacy of treatment options for their PD patients. The new edition retains the amusing, but always informative sidebars highlighting the history of brain experimentation and applications of brain stimulation techniques Written in a down-to-earth, accessible style by authors at the forefront of progress in the field, Brain Stimulation Therapies for Clinicians is a rigorous, evidence based review of clinical data that focuses on what we know, what we don't know, and the strength of the evidence.

Practical Guide to Transcranial Direct Current Stimulation

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Author :
Publisher : Springer
ISBN 13 : 3319959484
Total Pages : 651 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Practical Guide to Transcranial Direct Current Stimulation by : Helena Knotkova

Download or read book Practical Guide to Transcranial Direct Current Stimulation written by Helena Knotkova and published by Springer. This book was released on 2019-01-23 with total page 651 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive overview on Transcranial Direct Current Stimulation (tDCS) and the clinical applications of this promising technique. Separated into three parts, the book begins with basic principles, mechanisms and approaches of tDCS. This is followed by a step-by-step practicum, methodological considerations and ethics and professional conduct pertaining to this novel technique. Chapters are authored by renowned experts who also direct and plan tDCS educational events worldwide. Bridging the existing gap in instructional materials for tDCS while addressing growing interest in education in this field, professionals within a broad range of medical disciplines will find this text to be an invaluable guide.

Fear Extinction

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Publisher : Springer Nature
ISBN 13 : 3031430050
Total Pages : 386 pages
Book Rating : 4.0/5 (314 download)

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Book Synopsis Fear Extinction by : Mohammed R. Milad

Download or read book Fear Extinction written by Mohammed R. Milad and published by Springer Nature. This book was released on 2023-11-16 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book aims to provide the reader a neuroscientific understanding surrounding a very simple question: how do we learn not to fear? Exploring answers to this question is very important for two reasons. First, learning about the neural mechanisms of fear extinction is of relevance to everyone’s life - it is such a basic yet relevant question to our daily experiences. Therefore, understanding brain mechanisms of fear and its regulation is essential from a basic neuroscience point of view. Second, excessive fear and the inability to regulate its expression is one of the hallmarks of fear-, anxiety-, trauma-, and stressor-related psychopathologies. And as such, learning about how fear is acquired, stored, expressed, and regulated could help advance our understanding of the etiology of psychopathology, the maintenance of symptoms pertaining to failure to regulate fear, and could help us develop novel therapeutics to equip providers and patients with the tools to better quell their fears. The contributions contained in this book are provided by experts in the fields of basic and clinical neuroscience, experimental and clinical psychology, and neuropsychiatry. The contributions are organized to start the reader with basic definitions of how we define fear, how we study its neural circuits at the molecular and cellular levels, how to study human behavior and the brain using state-of-the art experimental and statistical tools, to how much fear contributes to psychopathology. This volume ends with current advances aimed to enhance the capacity to extinguish fear; a clinical result that would aid in the treatment of multiple psychiatric disorders, followed by a discussion on future directions of this highly important and relevant field.

Micro-, Meso- and Macro-Connectomics of the Brain

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Author :
Publisher : Springer
ISBN 13 : 3319277774
Total Pages : 173 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Micro-, Meso- and Macro-Connectomics of the Brain by : Henry Kennedy

Download or read book Micro-, Meso- and Macro-Connectomics of the Brain written by Henry Kennedy and published by Springer. This book was released on 2016-03-10 with total page 173 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book has brought together leading investigators who work in the new arena of brain connectomics. This includes ‘macro-connectome’ efforts to comprehensively chart long-distance pathways and functional networks; ‘micro-connectome’ efforts to identify every neuron, axon, dendrite, synapse, and glial process within restricted brain regions; and ‘meso-connectome’ efforts to systematically map both local and long-distance connections using anatomical tracers. This book highlights cutting-edge methods that can accelerate progress in elucidating static ‘hard-wired’ circuits of the brain as well as dynamic interactions that are vital for brain function. The power of connectomic approaches in characterizing abnormal circuits in the many brain disorders that afflict humankind is considered. Experts in computational neuroscience and network theory provide perspectives needed for synthesizing across different scales in space and time. Altogether, this book provides an integrated view of the challenges and opportunities in deciphering brain circuits in health and disease.

Magnetic Resonance Neurography

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Author :
Publisher : JAYPEE BROTHERS PUBLISHERS
ISBN 13 : 9350905574
Total Pages : 213 pages
Book Rating : 4.3/5 (59 download)

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Book Synopsis Magnetic Resonance Neurography by : Chhabra Avneesh

Download or read book Magnetic Resonance Neurography written by Chhabra Avneesh and published by JAYPEE BROTHERS PUBLISHERS. This book was released on 2012-12-15 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, first of its kind, combination of concise explanations and focused clinical information satisfies the needs of practicing radiologists, neurologists, neurosurgeons, plastic and other peripheral nerve surgeons in need of a handy reference and technologists performing MRN studies. Written by two experts of magnetic resonance neurography (MRN) practitioners and educators, this thoroughly illustrated resource delivers how the information you need to perform and interpret peripheral nerve MR imaging studies with confidence. Concise descriptions and high quality illustrations combined wit.

Translational Research in Traumatic Brain Injury

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Author :
Publisher : CRC Press
ISBN 13 : 1498766579
Total Pages : 388 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Translational Research in Traumatic Brain Injury by : Daniel Laskowitz

Download or read book Translational Research in Traumatic Brain Injury written by Daniel Laskowitz and published by CRC Press. This book was released on 2016-04-21 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme

Stereotactic and Functional Neurosurgery

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Publisher : Springer Nature
ISBN 13 : 3030349063
Total Pages : 563 pages
Book Rating : 4.0/5 (33 download)

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Book Synopsis Stereotactic and Functional Neurosurgery by : Nader Pouratian

Download or read book Stereotactic and Functional Neurosurgery written by Nader Pouratian and published by Springer Nature. This book was released on 2020-02-28 with total page 563 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text presents a comprehensive and state-of the-art approach to stereotactic and functional neurosurgery. Overarching sections include achieving stereotactic precision, defining trajectories and targets, the biophysics of stereotactic therapies, diseases and targets, and the future of functional neurosurgery. Each section is designed to be inclusive of all relevant topics, serving as an unbiased resource to new clinicians in this field or established clinicians that are aiming to better understand complementary methods. Importantly, each section and the associated chapters can be used by basic and translational scientists as well as engineers and industry to better understand and deliver innovation to the field. Chapters within each section methodically analyze traditional and recently emerging concepts and techniques; address underlying principles with examples drawn from specific diseases and applications; and cover patient selection, target selection, available stereotactic methods, nuanced surgical methods, and clinical evidence across treatment options. Written by experts in each area, Stereotactic and Functional Neurosurgery is a definitive guide to the latest developments in stereotactic targeting, electrode implantation, surgical treatment of neurological and psychiatric disorders, the renaissance of stereotactic lesions, and the frontier of restorative neurosurgery for a variety of disorders that have no other therapeutic options.

Pain Management, An Issue of Neurosurgery Clinics of North America, E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323850189
Total Pages : 137 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Pain Management, An Issue of Neurosurgery Clinics of North America, E-Book by : Joshua M. Rosenow

Download or read book Pain Management, An Issue of Neurosurgery Clinics of North America, E-Book written by Joshua M. Rosenow and published by Elsevier Health Sciences. This book was released on 2022-06-23 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Neurosurgery Clinics, guest editors Drs. Joshua M. Rosenow and Julie G. Pilitsis bring their considerable expertise to the topic of Pain Management. Because pain management often benefits from a multidisciplinary approach, this issue addresses how pain can be assessed and managed with and without medication (e.g., acupuncture, chiropractic medicine, mindfulness meditation) and procedures. Contains 15 relevant, practice-oriented topics including the multidisciplinary team in pain management; healthcare disparity in pain; nonopioid postoperative pain management; holistic therapy: what works and what does not; machine learning and pain outcomes; and more. Provides in-depth clinical reviews on pain management, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.