Preface

Medicine is at its best when it can attract a multidisciplinary team to

the solution of an important patient-related problem. It can be stated

without equivocation that patient selection is amongst the top

priorities since only then can appropriate resources be matched to

the appropriate management of disease.

This book is the result of such a multidisciplinary effort.A general

surgeon with an interest in cancer,a general nuclear medicine physi-

cian, a medical physicist and a pathologist have teamed up to bring

into focus the present role of lymphoscintigraphy and the detection

of the sentinel lymph node in the surgical management of cancer.

The combined expertise is significant. The bridge to span (sur-

gical procedures and the operating theatre environment, radiation

detectors and imaging devices and their safe operation, radio-

pharmaceuticals and their appropriate selection and use, patho-

logical evidence gathering and interpretation and last but certainly

not least, effective clinical decision making) is wide, and the subject

of this succinct and focussed text.

It is our combined hope that by scanning through the pages of this

volume, surgeons, general and nuclear medicine physicians, radio-

logists and radiation health workers, will all find relevant infor-

mation that is presented in a concise and hopefully also critical

manner.

This volume also represents another example of the power of

modern tracer technology in medicine.As more data are gathered in

this rapidly expanding field it is already time to consider how we

can all improve existing methodologies. Patients will clearly be the

main beneficiaries.

 

 

 

 

 

 

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M.R.S. Keshtgar

W. A. Wa dding ton

S.R. Lakhani

P. J. E ll

 

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