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Digital signatures do nothing to encrypt the contents of a message the process of signing a message is designed to prove the sender s identity, and to ensure that the contents of the message haven t been altered since the message was sent. In a public key cryptographic system, messages are signed via a process whereby the contents of a message are run through an algorithm that always produces a fixed-length output known as a hash value. This hash value is signed with the sender s private key and sent along with the message. When the signed message reaches its destination, the recipient uses the sender s public key to decrypt this signed hash value (in actual fact, the client e-mail program does this on the user s behalf). This process only succeeds if the real sender s private key was used to sign the hash. If the process fails and the hash value cannot be decrypted, the recipient knows that the message is not from the sender specified. Assuming that the public key can decrypt the hash value, the sender s system runs the message through the same algorithm to produce its own hash of the message. If the results are the same as those included with the original message, the recipient knows that the message has not been altered in any way since it was originally signed. If so much as a single character in the message was changed in transit, the hash value calculated by the recipient s computer would produce a different result, and the recipient would know that the message had been tampered with.

20A, B ) and 2-D ultrasound (see Section 38) have been used for further detecting, identifying, characterizing, and measuring cancer in dense breasts CE-MRI is a very costly procedure (US$1000), and it has a high rate of false positives 2-D US is operator-dependent, and the image quality is inconsistent Volumetric (3-D) automated full-breast US (AFBUS) is an emerging technology and has shown to have better image quality and consistent results than the 2-D US, since it is automatic, systematic, and operator independent The combination of the four different imaging modalities, 2-D US, DM, AFBUS, and CE-MRI could be crucial in helping to improve the detection, identi cation, and characterization of abnormalities in dense breasts.

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This section brie y describes the imaging component of an integrated multimodality paradigm by bringing all four imaging modality data together to guide diagnostic and treatment paths for detection and characterization of abnormalities in dense breast The imaging informatics component with decision-support and quanti ed knowledge will be presented in Part IV 5312 Use of Volumetric 3-D Automated Full-breast US (AFBUS) and Dedicated Breast MRI for De ning Extent of Breast Cancer 3D AFBUS As a potential adjunct to mammography in evaluating breast abnormalities, 3-D AFBUS has similar clinical bene ts to 2-D US However, use of a targeted conventional handheld US produces inconsistent image quality and ndings due to operator dependency even with the potential bene ts that US has in imaging of dense breast cases.

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Because it is automatic and operator-independent, 3-D AFBUS provides repeatable US image data that are similar to traditional volumebased imaging, such as MRI, in yielding accurate volumetric (3-D) and multislice and multiplanar US image data The added bene t of low cost and its non-invasive nature as compared to CE-MRI (contrast-enhanced) makes it a potentially significant imaging alternative for identifying and characterizing abnormalities in dense breast tissue 3-D AFBUS has been used for clinical research as a screening tool and demonstrated concordance with known benign breast conditions and the capability to provide documentation of new benign ndings Because 3-D AFBUS is an emerging technology, its sensitivity and speci city have not yet been properly de ned and validated Figure 54 shows a 3-D AFBUS image.

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DB MRI Dedicated breast 3-D MRI differs from the whole body CE-MRI in that the design of the DB MRI is for examining the breasts only The MRI technology used is normally 15 T with a smaller bore gantry compared with the whole body MRI The system has a specially designed patient bed and breast coils Because this.

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You can turn on the Grid in this dialog box by clicking the On check box, but it s easier to click GRID on the status bar (or press F7). In the following exercise, you practice using polar and grid snap points as well as grid dots.

You learned earlier in the chapter that you can create form fields that send multiple values, rather than a single value. For example, the following form fields are capable of sending multiple values to the server: