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Some other recent developments are: panoramic imaging, elastography (although its current contribution is still to be determined but it seems to offer promising potential), and, most importantly, specific contrast agents.
These techniques have considerably refined the quality of the information obtained, and have particularly enhanced the degree of sensitivity with which lesion progression can be assessed.
The quality of the information gained from different imaging modalities (Doppler sonography, multislice CT, MRI spectroscopy, and diffusion MRI) means that in a growing number of situations, we can envisage determining with great accuracy not only the usual information of tumour size and topography, but often the exact nature of the tissue, almost always identifying whether a lesion is aggressive or not.
Of all these techniques, Doppler sonography has become the most widely used due to the striking improvements in its sensors, especially for superficial applications.
The materials in this course are based on the most accurate information available to the author at the time of writing.
The scientific literature on ADHD grows daily, and new information may emerge that supersedes these course materials.
Ultrasonography is the very first investigation in our protocol.
It is also very often used to close investigations, as it accurately guides core needle biopsy from these generally accessible lesions.
Far less information exists concerning the history of ADHD in adults, largely because ADHD was widely held to be a disorder strictly of childhood for most of the past century.
While popular interest in the possibility that adults can have attention deficit hyperactivity disorder (ADHD) most likely originated with the bestseller, published in 1994 by psychiatrists Edward Hallowell and John Ratey, clinical and scientific papers acknowledging the existence of an adult version of this disorder date back at least 50 years and possibly even two centuries ago.
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