Thorax

Cardiovascular disorder severity analysis in magnetic resonance images (MRI) involves using machine learning techniques to analyze MRI images and assess the severity of cardiovascular disorders. This approach utilizes deep learning algorithms, such as convolutional neural networks (CNN), for image analysis, segmentation, and feature extraction. The severity analysis involves quantifying the extent and location of damaged tissues, narrowing of blood vessels, and other pathological changes related to cardiovascular disorders. This analysis can aid in the diagnosis, prognosis, and treatment planning of patients with cardiovascular disorders. This method has several advantages, including the ability to detect subtle changes in MRI images that may be missed by human observers, the potential to provide more accurate and objective measures of disease severity, and the ability to integrate data from electronic health records and other sources. Overall, this approach has the potential to improve medical decision-making and provide more personalized care for patients with cardiovascular disorders, thus helping to reduce the burden of these conditions on individuals and society.

Epidemiology and Diagnosis of Neuroendocrine Tumors.- Imaging of Neuroendocrine Tumors.- Pathology of Neuroendocrine Neoplasms in the Digestive System.- Perioperative Management.- Neoadjuvant and Adjuvant Treatment Strategies for Well Differentiated Neuroendocrine Tumors.- Carcinoid Crisis: History, Dogmas, and Data.- Gastroduodenal NETs.- Non Functional Pancreatic Neuroendocrine Tumors.- Pancreas - Functional.- Jejunoileal Neuroendocrine Tumors.- Colon and Rectal Neuroendocrine Tumors.- Surgical evaluation of appendiceal neuroendocrine tumors.- Primary Neuroendocrine Tumors of the Lung.- Medullary Thyroid Cancer.- Paraganglioma and Pheochromocytoma.- Merkel Cell Carcinoma.- Neuroendocrine liver metastases.- Neuroendocrine Peritoneal Metastases.- Palliative Interventions for Metastatic Neuroendocrine Tumors.- Emerging Systemic Therapies for Neuroendocrine Tumors.

En 1990, âgée de 12 ans, Tiphaine Ollivier se voit diagnostiquer une cardiomyopathie hypertrophique. Lors de ses études de médecine, son professeur de cardiologie leur explique que les personnes souffrant de cette pathologie décèdent souvent vers 40 ans. Trois ans après cette sentence, elle est victime d'un infarctus à 26 ans. Première alerte.Puis la vie reprend ses droits : Tiphaine devient médecin et maman de deux enfants.Mais la prophétie se vérifie au fur et à mesure que les années passent et qu'elle se rapproche des 40 ans : son coeur fatigue, il lui faut une greffe.Ce livre était son journal intime. Il raconte ce parcours difficile et pourtant si commun à tous les futurs greffés.C'est un livre dur et drôle à la fois, un livre d'amour et un livre militant contre la douleur et pour la bientraitance au sein des hôpitaux.Tiphaine témoigne pour faire progresser le don d'organe, pour montrer qu'il n'est pas simple ' d'espérer l'inacceptable ', à savoir la mutilation de son propre corps, et le décès d'une ­personne, afin de bénéficier d'un don d'organe.

This book is a practical guide to the differential diagnosis and treatment of patients presenting in the Emergency Department with syncope or arrhythmias, including bradyarrhythmias, atrial fibrillation, narrow and wide QRS tachycardias. In addition, clear advice is provided on the management of patients with cardiac devices and possible dysfunction, electrical storm, or a requirement for urgent surgery. For each topic, a literature review of epidemiology, physiopathology, differential diagnosis, and treatment is conducted. Furthermore, practical suggestions are offered for short-term management, e.g., regarding the decision on when and where to hospitalize the patient; these proposals do not replace but rather summarize or integrate the current guidelines. The book is designed both for emergency physicians and cardiologists, who will be the first to evaluate and treat patients with arrhythmias or potentially arrhythmic problems in the emergency setting. It will also be a useful textbook for students and residents in Cardiology and Emergency Medicine.

With a background in photography, the author through a collection of artful images provides a window into the typically closed operating room doors of a cardiac surgeon. The Art of Healing - A Glimpse of Cardiac Surgery describes all stages of Coronary artery bypass grafting, including anaesthesia, going on the cardiopulmonary bypass machine, vein and arterial grafting, coming off the cardiopulmonary bypass machine, chest closure, patient recovery, intensive care unit stay, and finally the patient's three month post-operative progress visit. Coronary artery bypass grafting is the most common procedure in cardiac surgery. With millions affected by cardiac disease and it being the most common cause of death in North America, this book offers a unique opportunity to follow a cardiac surgeon as he performs the surgery. It provides a clear picture of what happens behind the closed doors of a modern, state of the art cardiac operating room, with easily understandable descriptions and reasoning.

This book aims to describe the role of interventional therapies in various forms of secondary hypertension and to explain the ability of such approaches to address unmet needs in the setting of uncontrolled essential hypertension. The coverage encompasses interventions in the full range of relevant conditions, including the various specific pathologies responsible for secondary hypertension, such as renal artery stenosis, coarctation of the aorta, and adrenal tumors. In each case, up-to-date information is presented on indications, procedural aspects, and patient follow-up. A further focus is the most recent knowledge on the use of invasive neuromodulation, such as renal sympathetic denervation and baroreflex stimulation. The text is supplemented by helpful explanatory diagrams and treatment algorithms. A comprehensive clinical guide of this nature has to date been absent from the literature. The book will be of interest to clinicians managing hypertensive patients, researchers investigating advanced hypertension management, and students on cardiovascular courses.

This book is a comprehensive overview of heart failure and cardiac transplantation and integrates scientific and clinical information about the physiology, pathophysiology, diagnosis, and treatment of this disorder. Organized into five parts, it reviews the history and basic mechanisms of heart failure; etiology of heart failure; heart failure disease progression; advanced therapies for heart failure; and cardiac transplantation. The book presents basic concepts in the physiology, molecular biology, pathology, and epidemiology of the normal and failing heart; known causes of heart failure, such as right heart failure, valvular cardiomyopathy, molecular mechanisms of sarcomeric cardiomyopathies, and neuromuscular cardiomyopathy; cardiorenal syndrome; neurohormonal activation; cardiac resynchronization, ventricular assist devices; regenerative mechanisms; orthotopic heart transplantation; early and late management of the post-transplant patient; heart transplantation and antibody-mediated rejections; heart-lung transplantation; and cardiac xenotransplantation.Featuring contributions from leaders in the fields of heart failure, cardiac transplantation, cardiac pathology, and cardiovascular molecular research, Congestive Heart Failure and Cardiac Transplantation is a valuable compendium for cardiologists, cardiothoracic surgeons, researchers, trainees, and students.

This book describes the most recent insights into heart failure and the role played by autonomic nervous system pathophysiology in it, discussing the therapeutic implications. While current therapeutic approaches are able to control the effects of excessive adrenergic activation in heart failure syndrome, the underlying abnormalities of adrenergic control remain unaltered and can still cause progression to unmanageable end-stage heart failure. New therapeutic pathways are therefore being explored with a view to developing interventions that can directly modulate adrenergic over-activity and restore a more appropriate balance in neural control of the cardiovascular system. The book opens by examining current heart failure therapies. Advances in our understanding of autonomic regulation/dysregulation in heart failure are then discussed in detail, in the context of the search for more effective therapies. A concluding section addresses the role of autonomic nervous system denervation in heart failure. The authors are top scientists from leading research centers.

The latest contributions in the field of thoracic surgery are elucidated in this book. It comprehends topics being most discussed about in the practical fields of cardiac, aortic, general thoracic surgeries and anesthesia. The authors, who have been part of the development of these various fields, have presented their unique viewpoints. Also, because of strict adhesion of the original work and research of the authors to the evidence base testifies that practical facts are the best guarantee of scientific value. It is inclusive of all the benefactions of authors pertaining to sub-classes in the study of Thoracic surgery. This book will prove to be very helpful to the scientists of this field because of its efficient structure and proficient format.

Written by internationally acclaimed specialists, Cardio-Thoracic, Vascular, Renal and Transplant Surgery provides pertinent and concise procedure descriptions spanning benign and malignant problems and minimally invasive procedures. Complications are reviewed when appropriate for the organ system and problem, creating a book that is both comprehensive and accessible. Stages of operative approaches with relevant technical considerations are outlined in an easily understandable manner.  Forming part of the series, Surgery: Complications, Risks and Consequences, this volume Cardio-Thoracic, Vascular, Renal and Transplant Surgery provides a valuable resource for all general surgeons and residents in training. Other healthcare providers will also find this a useful resource.

Book

The 6th International Symposium on Artificial Heart and Assist Devices met in Tokyo in July 1996, bringing together researchers and specialists from around the world. The symposiums proceedings in this volume comprise papers from nine sessions, each opening with contributions by leading scientists: TAH, heart transplantation, biomaterials, VAS, clinical application, pathophysiology, engineering, new approaches, and special sessions. Of special note is the inclusion, for the first time, of pathophysiology related to clinical use of assist devices. The clinical application section includes a paper by Dr. Michael DeBakey on the progress made in recent years. With descriptions of the scientific exhibition, accompanied by photographs of all artificial heart devices and systems displayed by major laboratories and manufacturers, Artificial Heart 6 presents the latest information on developments in the field of artificial heart, biomaterials, and heart transplantation.

Cardiovascular fluid mechanics is now used as a tool in determining diagnosis, treatment, and prognosis by physicians and surgeons working in the fields of cardiology and angiology. The text is based on a considerable amount of clinical and experimental data on blood flow in the heart and large vessels obtained using various methods such as ultrasound pulsed Doppler velocimetry (including Doppler color flow imaging), catheter-tip electromagnetic velocimetry, hot-film anemometry, and laser Doppler velocimetry. The book will introduce medical researchers and clinicians to this rapidly developing field and allow them to apply the knowledge and the methods of fluid mechanics to practical medicine.

Minimally invasive surgical techniques have the minimally invasive procedure allow far made a significant impact in lowering morbidity modifications in anesthetic technique. The and mortality and in changing the indications basics of this endeavor are weIl covered in this for operative surgery in the abdomen. Only section. recently have these minimally invasive tech­ The basic techniques of thoracoscopic surgery niques been applied to the diseases of the tho­ were developed in various diagnostic maneu­ rax. The standard posterior lateral thoracotomy vers. It was this initial diagnostic application of infamous for its post-operative pain and atten­ thoraeoseopy whieh aIlowed these teehniques to dant complications, is already being replaced in be developed and further therapeutie applica­ a large number of situations by minimally inva­ tions to be forwarded. This text nicely illustrates sive thoracoscopic techniques. eurrent diagnostie techniques and their applica­ This text by Gossot, Kleinmann and Levi pro­ tion. vides basic information required for surgeons In addition, the most commonly applied thera­ interested in approaching the most common peutie proeedures in the pleura, lung and eso­ diseases in the ehest utilizing thoracoscopic phagus are weIl eovered as are their indications techniques. The text is a well organized attempt and potential eomplications.

This issue of Thoracic Surgery Clinics, Guest Edited by Drs. Jean Deslauriers, F.G. Pearson, and Farid Shamji, is devoted to surgery and chemotherapy for lung cancer. This issue was written as a tribute to Dr. Robert J. Ginsberg, and will include articles on: Contemporary results of surgical resection of NSCLC after induction therapy; Prediction of operative morbidity and mortality before operation; Limited resection for small diameter tumors; Management of tumors involving the chest wall, including Pancoast tumors and tumors invading the spine; Role of surgery in patients with clinical N2 disease; Reconstruction of the bronchus and pulmonary artery; Current status of systematic lymph node dissection versus lymph node sampling; Intraoperative nodal staging: Role of sentinel node technology; Stereotactic body radiation therapy (SBRT) in early stage tumors; Palliative resection; Adjuvant chemotherapy after pulmonary resection for lung cancer; Targeted therapy and new anti-cancer drugs in advanced disease; Biologic approaches to drug selection and targeted therapies; Cost effective methods for follow-up after lung cancer surgery; Quality of life after pulmonary resection; and Principles of palliative care.

The aim of this book is to focus on the important relationships between the heart and the brain in health and disease. The brain and nervous system may cause or influence heart disease, e. g. , by causing arrhythmias or modi­ fying the response to ischemia. Disorders of the heart and circulation may cause brain damage, e. g. , by releasing emboli resulting in cerebral infarc­ tion. Furthermore, both the brain and the heart are frequently targets of the same disease process. The heart and brain have electrophysiologically active cells, which may respond in similar ways to diseases and various interventions. Finally, many drugs affect both the brain and the heart, and drugs used for heart diseases usually have side effects on the brain and vice versa. With today's increasing subspecialization in medicine, we feel the time has come to present a book that integrates basic and clinical aspects of cardiology, neurology, cardiovascular surgery, and neurosurgery. We hope this cross fertilization will broaden horizons and advance both understand­ ing and practice. This book is based on a symposium held at the University of TromS!/l, Norway, 24-27 June 1987, organized by Ilmar A. Sulg, Knut Rasmussen, Svein Ivar Mellgren, Dag S!/lrlie, and Helge Refsum of the Departments of Clinical Neurophysiology, Medicine, Neurology, Surgery, and Physiology, respectively. Weare grateful to the distinguished group of contributors for not only outlining their pioneering studies, but also describing their recent work and indicating important possibilities for the future.

The book will be written by the experts in the disease including imaging, interventional cardiology and surgical valve expertise. The book has five main sections:Aortic Valve DiseaseMitral Valve DiseaseTricuspid Valve DiseasePulmonic Valve DiseaseMultimodality ImagingThe main objectives of the book are:1- to provide the main guidelines to clinicians on how to identify and diagnose valvular heart disease2- to provide an overview of what the near future will bring in the diagnosis, prevention and risk stratification of patients to catheter versus surgical approaches3- to outline the possible implications for medical therapies in slowing progression of calcific aortic valve disease and myxomatous mitral valve disease

Eingeführte und neueste therapeutische Strategien bei der Behandlung von Herzerkrankungen stehen im Mittelpunkt dieses Buches.Renommierte deutschsprachige Kardiologen und Herzchirurgen stellen sowohl operative als auch medikamentöse Konzepte vor. Der Ansatz des Buches ist breit angelegt, dabei jedoch strikt praxisorientiert.Schwerpunktthemen:- Herzinsuffizienz- koronare Herzerkrankung- Endokard- und Perikarderkrankungen- Kardiomyopathien- Herzrhythmusstörungen- Aortenerkrankungen.Umfassend, übersichtlich, aktuell - dieses Werk liefert Ihnen zuverlässig alle relevanten Informationen für sichere Therapieentscheidungen.

A comprehensive atlas covering the breadth and depth of chest imagingWritten by renowned experts in chest imaging, Chest Imaging Case Atlas, Second Edition enables radiology residents, fellows, and practitioners to hone their diagnostic skills by teaching them how to interpret a large number of radiologic cases. This atlas contains over 200 cases on conditions ranging from Adenoid Cystic Carcinoma to Wegener Granulomatosis. Each case is supported by a discussion of the disease, its underlying pathology, typical and unusual imaging findings, management, and prognosis, providing a comprehensive overview of each disorder.Special Features of the Second Edition:- Over 1500 high-quality images demonstrating normal and pathologic findings and their variations- More multiplanar, CT angiographic (CTA), MRI, and 3D imaging is incorporated into the text, helping readers stay current with this rapidly changing technology- 40 new cases and updated images in cases from the previous edition- A new post-thoracotomy chest section addresses normal post-operative findings and complications associated with common thoracic interventional procedures- The neoplastic diseases section includes the new TNM staging system for lung cancer- The adult cardiovascular disease section now contains a discussion on univentricular and biventricular or end-stage heart failure including various ventricular assist devices and the Total Artificial Heart, their imaging features, and complications associated with their use- The diffuse lung disease section has been expanded to include an approach to HRCT interpretation- Case discussions are based on up-to-datereviews of current literature as well as classic landmark articles- Pearls are provided to describe the features that may strongly support a specific diagnosis, enabling readers to sharpen their clinical diagnostic skillsThis book is an invaluable illustrated reference that all physicians in radiology and chest imaging in particular, including pulmonary medicine physicians and thoracic surgeons, should have on their bookshelf.

Vascular care has evolved from conservative therapy and open surgical therapy to a minimally invasive approach using endovascular techniques, laparoscopic or thoracoscopic techniques as well as hybrids of open and endovascular techniques. New technological developments continue to arise allowing surgeons to be more creative and adding to the treatment options available.   Vascular Surgery provides up-to-the-minute information and details new developments and procedures in the field of vascular surgery. With an authorship of international acclaim, this comprehensive text is a highly valuable resource for surgeons and trainees.

Assisted Circulation 3 is an authoritative review of the progress which has been achieved in the last 5 years since the appearance of Assisted Circulation 2 in 1984. The present book highlights the work of well-known experts on - new indications for assisted circulation, - cardiac assist devices as bridges toward transplantation, - temporary mechanical heart support, - results of long term studies into problems of tissue overgrowth, infection, and physiological regulation of cardiac devices, and - new results on cardiac transplantation and the new immunsuppresive regima. Assisted Circulation 3 is the latest product of an ongoing effort by the editors to keep readers abreast of recent advances in the field on a regular basis.