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By Luigi Bolondi

Neurorehabilitation including useful neurosurgery are gradually turning out to be fields, with new advances and applied sciences together with: selective interruption of assorted neural circuits, stimulation of the cerebral cortex, deep mind buildings, spinal twine and peripheral nerves with implantable stimulation platforms, and telephone transplantation in addition to nerve grafting. contemporary advances in neuroimaging strategies have additionally began to illustrate the involvement of in depth practical and structural reorganization of neural networks in the mind. which will encapsulate such recommendations, the fourth respectable clinical assembly of the Neurorehabilitation and Reconstructive Neurosurgery Committee of the realm Federation of Neurosurgical Societies (WFNS) used to be held in Seoul. This quantity is the fourth in a brand new sequence of lawsuits masking an important developments during this box.

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Additional info for Advances in Diagnostic Imaging The Value of Contrast-Enhanced Ultrasound for Liver

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The sensitivity of US examination is limited, ranging from 40% to 70% for lesions below 2 cm in diameter. In cirrhotic patients its sensitivity can reach 78%, with a specificity of 93% and a positive predictive value of 73% [8]. Two conditions must be met to detect a nodule by US: first, the US beam should reach the nodule, and secondly, the ultrasonic properties of the nodule should be different from the surrounding cirrhotic parenchyma. The liver atrophy and the interposition of bowel gases reduce the accessibility of the liver parenchyma.

It allows immediate repositioning of the electrodes in case of incomplete treatment. 1% in experienced hands [24]. ■ Clinical Management of HCC with and without the Use of USCA The clinical management of HCC was discussed at the EASL meeting in Barcelona, depending on the size of the nodule at US and serum AFP levels [7]. Four situations were found without the use of ultrasound contrast media. (1) If US failed to detect a nodule while serum AFP levels are increasing, a contrast-enhanced helical CT (CE-CT) is needed to rule out an HCC.

Lencioni R, Pinto F, Armillotta N, Bartolozzi C (2001) Assessement of tumour vascularity in hepatocellular carcinoma: comparison of power Doppler US and color Doppler US. Radiology 201:353-358 12. Leen E (2001) The role of contrast-enhanced ultrasound in the characterisation of focal liver lesions. Eur Radiol 11:E27-34 13. Fracanzani AL, Burdick L, Borzio M et al (2001) Contrast-enhanced Doppler ultrasonography in the diagnosis of hepatocellular carcinoma and premalignant lesions in patients with cirrhosis.

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