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SEVENTH EDITION
 EDITED
BY 
DAVID SUTTON
MD, FRCP, FRCR, DMRD,
FCan.AR(Hon)
Consulting RadiologistSt Mary's Hospital and Medical School, London
Director, Radiological Department (1963-1984)
Consulting Radiologist, The National Hospital for Neurology
and Neurosurgery, London, UK.
 ASSOCIAtE 
EDITORS
Nuclear Medicine
PHILIP J.A. ROBINSON
FRCP, FRCR
MRI
JEREMY P.R. JENKINS
FRCP DMRD, FRCR
CT
RICHARD W. WHITEHOUSE
BSc, MB ChB, MD, FRCR
Ultrasound
PAUL L. ALLAN
MSc, MBBS, DMRD, FRCR, FRCP(Ed)
Cardiac Radiology
PETER WILDE
BSc, MRCP, FRCR
Neuroradiology
JOHN M. STEVENS
MBBS, DRACR, FRCR
I
CHURCHILL
LIVINGSTONE
TEXTBOOK OF RADIOLOGY 
 ND IMAGING
Noordanesh Medical Publication
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CHURCHILL LIVINGSTONEAn imprint of Elsevier Science Limited2003, Elsevier Science Ltd. All rights reserved.The right of David Sutton to be identified as editor of this work has beenasserted by him in accordance with the Copyright, Designs and Patent Act
1
988.
No part of this publication may be reproduced, stored in a retrieval system,or transmitted in any form or by any means, electronic, mechanical,photocopying, recording or otherwise, without either the prior permissionof the publishers (Elsevier Science Limited, Robert Stevenson House,1-3 Baxter's Place, Leith Walk, Edinburgh EH 13AF) or a licence permittingrestricted copying in the United Kingdom issued by the Copyright Licensing
Agency Ltd, 90 Tottenham Court Road, London W I T 4LP.
First Edition 1969Second Edition 1975Third Edition 1980
Fourth Edition 1987
Fifth Edition 1993Sixth Edition 1998
I
SBN 0 443 071098
I
nternational Student Edition ISBN 0 443 07108X
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record from this book is available from the Library of Congress
Note
Medical knowledge is constantly changing. As new information becomesavailable, changes in treatment, procedures, equipment and the use of drugsbecome necessary. The editors, contributors and the publishers have, as far asit is possible, taken care to ensure that the information given in this text isaccurate and up to date. However, readers are strongly advised to confirm thatthe information, especially with regard to drug usage, complies with the latest
l
egislation and standards of practice.The Publishers have made every effort to trace the copyright holders forborrowed material. If they have inadvertently overlooked any, they will bepleased to make the necessary arrangements at the first opportunity.
Thepublisher's
policy is to usepaper manufactured
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Commissioning Editor:
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Project Development Manager:
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Project Manager:
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Noordanesh Medical Publication
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