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The Tumor
"The Tumor" is a short story by John Grisham, telling about the focused ultrasound process through the case of a fictional character named Paul. This story was not released through Grisham's usual publisher, but instead was published for a free eBook on the website of the Focused Ultrasound Foundation, on whose board Grisham serves. Grisham's purpose in writing this short story was to increase awareness about the promising new medical therapy. The use of focused ultrasound is not yet approved for use on brain tumors, but ''The Tumor'' takes place in a time when the therapy is in regular use. Unlike most short stories, the story is as much informational as narrative, and includes medical illustrations and brain scan images. The book's cover includes the subtitle ''A Non-Legal Thriller''. On Grisham's website, in a letter introducing ''The Tumor'', Grisham states "It's the most important book I've ever written." Plot Paul is a 35-year-old man with a family, who is in good health. Hi ...
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John Grisham
John Ray Grisham Jr. (; born February 8, 1955 in Jonesboro, Arkansas) is an American novelist, lawyer and former member of the 7th district of the Mississippi House of Representatives, known for his popular legal thrillers. According to the American Academy of Achievement, Grisham has written 28 consecutive number-one fiction bestsellers, and his books have sold 300 million copies worldwide. Along with Tom Clancy and J.K. Rowling, Grisham is one of only three authors to have sold two million copies on a first printing. Grisham graduated from Mississippi State University and earned a Juris Doctor from the University of Mississippi School of Law in 1981. He practised criminal law for about a decade and served in the Mississippi House of Representatives from 1983 to 1990. Grisham's first novel, '' A Time to Kill,'' was published in June 1989, four years after he began writing it. Grisham's first bestseller, '' The Firm'', sold more than seven million copies. The book was adap ...
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Focused Ultrasound
High-intensity focused ultrasound (HIFU) is a non-invasive therapeutic technique that uses non-ionizing ultrasonic waves to heat or ablate tissue. HIFU can be used to increase the flow of blood or lymph or to destroy tissue, such as tumors, via thermal and mechanical mechanisms. Given the prevalence and relatively low cost of ultrasound generation mechanisms, The premise of HIFU is that it is expect a non-invasive and low-cost therapy that can at minimum outperform of care. The technology is different from that used in ultrasonic imaging, though lower frequencies and continuous, rather than pulsed, waves are used to achieve the necessary thermal doses. However, pulsed waves may also be used if mechanical rather than thermal damage is desired. Acoustic lenses are often used to achieve the necessary intensity at the target tissue without damaging the surrounding tissue. The ideal pattern diagram is the beam-focusing of a magnifying glass of sunlight; only the focal point of the ...
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Focused Ultrasound Foundation
The Focused Ultrasound Foundation (FUSF) is a 501(c)(3) non-profit organization based in Charlottesville, Virginia, United States, that promotes the use of image-guided focused ultrasound. The foundation is primarily funded through philanthropic donations. The Focused Ultrasound Foundation has received attention in part because of '' The Tumor'', a novella by legal thriller writer John Grisham about a future glioma patient who benefits from focused ultrasound treatment. Grisham is distributing the book at no cost to raise awareness about the therapy and the Foundation. Referencing the book and Foundation, Grisham states “This is the most important book I have ever written. I have found no other cause that can potentially save so many lives.”. History The Foundation was formed on the third of January in 2005, and received charity status in November of the same year. In October 2005 the Foundation hosted the 5th International Symposium on Therapeutic Ultrasound, at Harvard Med ...
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Medical Illustration
A medical illustration is a form of biological illustration that helps to record and disseminate medical, anatomical, and related knowledge. History Medical illustrations have been made possibly since the beginning of medicine in any case for hundreds (or thousands) of years. Many illuminated manuscripts and Arabic scholarly treatises of the medieval period contained illustrations representing various anatomical systems (circulatory, nervous, urogenital), pathologies, or treatment methodologies. Many of these illustrations can look odd to modern eyes, since they reflect early reliance on classical scholarship (especially Galen) rather than direct observation, and the representation of internal structures can be fanciful. An early high-water mark was the 1543 CE publication of Andreas Vesalius's ''De Humani Corporis Fabrica Libri Septum'', which contained more than 600 exquisite woodcut illustrations based on careful observation of human dissection. Since the time of the Leonardo ...
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Brain Scan
Neuroimaging is the use of quantitative (computational) techniques to study the structure and function of the central nervous system, developed as an objective way of scientifically studying the healthy human brain in a non-invasive manner. Increasingly it is also being used for quantitative studies of brain disease and psychiatric illness. Neuroimaging is a highly multidisciplinary research field and is not a medical specialty. Neuroimaging differs from neuroradiology which is a medical specialty and uses brain imaging in a clinical setting. Neuroradiology is practiced by radiologists who are medical practitioners. Neuroradiology primarily focuses on identifying brain lesions, such as vascular disease, strokes, tumors and inflammatory disease. In contrast to neuroimaging, neuroradiology is qualitative (based on subjective impressions and extensive clinical training) but sometimes uses basic quantitative methods. Functional brain imaging techniques, such as functional magnet ...
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Glioma
A glioma is a type of tumor that starts in the glial cells of the brain or the spine. Gliomas comprise about 30 percent of all brain tumors and central nervous system tumours, and 80 percent of all malignant brain tumours. Signs and symptoms Symptoms of gliomas depend on which part of the central nervous system is affected. A brain glioma can cause headaches, vomiting, seizures, and cranial nerve disorders as a result of increased intracranial pressure. A glioma of the optic nerve can cause visual loss. Spinal cord gliomas can cause pain, weakness, or numbness in the extremities. Gliomas do not usually metastasize by the bloodstream, but they can spread via the cerebrospinal fluid and cause "drop metastases" to the spinal cord. Complex visual hallucinations have been described as a symptom of low-grade glioma. A child who has a subacute disorder of the central nervous system that produces cranial nerve abnormalities (especially of cranial nerve VII and the lower bulbar nerv ...
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Chemotherapy
Chemotherapy (often abbreviated to chemo and sometimes CTX or CTx) is a type of cancer treatment that uses one or more anti-cancer drugs (chemotherapeutic agents or alkylating agents) as part of a standardized chemotherapy regimen. Chemotherapy may be given with a curative intent (which almost always involves combinations of drugs) or it may aim to prolong life or to reduce symptoms ( palliative chemotherapy). Chemotherapy is one of the major categories of the medical discipline specifically devoted to pharmacotherapy for cancer, which is called ''medical oncology''. The term ''chemotherapy'' has come to connote non-specific usage of intracellular poisons to inhibit mitosis (cell division) or induce DNA damage, which is why inhibition of DNA repair can augment chemotherapy. The connotation of the word chemotherapy excludes more selective agents that block extracellular signals (signal transduction). The development of therapies with specific molecular or genetic targets, wh ...
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Radiation Treatment
Radiation therapy or radiotherapy, often abbreviated RT, RTx, or XRT, is a therapy using ionizing radiation, generally provided as part of cancer treatment to control or kill malignant cells and normally delivered by a linear accelerator. Radiation therapy may be curative in a number of types of cancer if they are localized to one area of the body. It may also be used as part of adjuvant therapy, to prevent tumor recurrence after surgery to remove a primary malignant tumor (for example, early stages of breast cancer). Radiation therapy is synergistic with chemotherapy, and has been used before, during, and after chemotherapy in susceptible cancers. The subspecialty of oncology concerned with radiotherapy is called radiation oncology. A physician who practices in this subspecialty is a radiation oncologist. Radiation therapy is commonly applied to the cancerous tumor because of its ability to control cell growth. Ionizing radiation works by damaging the DNA of cancerous tissue ...
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Cancer
Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal bleeding, prolonged cough, unexplained weight loss, and a change in bowel movements. While these symptoms may indicate cancer, they can also have other causes. Over 100 types of cancers affect humans. Tobacco use is the cause of about 22% of cancer deaths. Another 10% are due to obesity, poor diet, lack of physical activity or excessive drinking of alcohol. Other factors include certain infections, exposure to ionizing radiation, and environmental pollutants. In the developing world, 15% of cancers are due to infections such as ''Helicobacter pylori'', hepatitis B, hepatitis C, human papillomavirus infection, Epstein–Barr virus and human immunodeficiency virus (HIV). These factors act, at least partly, by changing the genes of ...
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Glioblastoma
Glioblastoma, previously known as glioblastoma multiforme (GBM), is one of the most aggressive types of cancer that begin within the brain. Initially, signs and symptoms of glioblastoma are nonspecific. They may include headaches, personality changes, nausea, and symptoms similar to those of a stroke. Symptoms often worsen rapidly and may progress to unconsciousness. The cause of most cases of glioblastoma is not known. Uncommon risk factors include genetic disorders, such as neurofibromatosis and Li–Fraumeni syndrome, and previous radiation therapy. Glioblastomas represent 15% of all brain tumors. They can either start from normal brain cells or develop from an existing low-grade astrocytoma. The diagnosis typically is made by a combination of a CT scan, MRI scan, and tissue biopsy. There is no known method of preventing the cancer. Treatment usually involves surgery, after which chemotherapy and radiation therapy are used. The medication temozolomide is frequently used ...
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Outpatient Procedure
A patient is any recipient of health care services that are performed by Health professional, healthcare professionals. The patient is most often Disease, ill or Major trauma, injured and in need of therapy, treatment by a physician, nurse, optometrist, dentist, veterinarian, or other health care provider. Etymology The word wikt:patient, patient originally meant 'one who suffers'. This English noun comes from the Latin word ', the present participle of the deponent verb, ', meaning 'I am suffering,' and akin to the Ancient Greek, Greek verb (', to suffer) and its cognate noun (). This language has been construed as meaning that the role of patients is to passively accept and tolerate the suffering and treatments prescribed by the healthcare providers, without engaging in Shared decision-making in medicine, shared decision-making about their care. Outpatients and inpatients An outpatient (or out-patient) is a patient who attends an Outpatient clinic (hospital department), ...
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Clinical Trial
Clinical trials are prospective biomedical or behavioral research studies on human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, dietary choices, dietary supplements, and medical devices) and known interventions that warrant further study and comparison. Clinical trials generate data on dosage, safety and efficacy. They are conducted only after they have received health authority/ethics committee approval in the country where approval of the therapy is sought. These authorities are responsible for vetting the risk/benefit ratio of the trial—their approval does not mean the therapy is 'safe' or effective, only that the trial may be conducted. Depending on product type and development stage, investigators initially enroll volunteers or patients into small pilot studies, and subsequently conduct progressively larger scale comparative studies. Clinical trials can vary i ...
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