Books Briefly Noted

Top 3 Differentials in Radiology: A Case Review

Top 3 Differentials in RadiologyO’Brien WT. Top 3 Differentials in Radiology: A Case Review;Thieme;2018; 720 pp; 825 ill; $129.99

The 2nd edition of Top 3 Differentials in Radiology is a collation of 330 cases spread among all the subspecialty areas in radiology, such as:

  • Chest/Cardiac
  • GI
  • GU
  • MSK
  • Head and Neck
  • Brain/Spine
  • Pediatric (including fetal, ultrasound)
  • IR
  • Nuclear Medicine
  • Breast

The final chapter, entitled Roentgen Classic has 25 cases and is edited by Dr. William O’Brien (from the University of Cincinnati) and has contributions from 65 others radiologists.

Each case is shown with representation images and a brief history. Before continuing, one should proffer a diagnosis. Then, on the following page, one sees the top 3 diagnoses; which fit the imaging and have a description of each diagnosis. Often, there may be more than 3 diagnoses, with a few more differentials listed; however, the less likely diagnoses are mentioned with a brief explanation.

This would be an excellent book to have for review by house staff, but also for attending radiologists who may be involved in interpreting studies in different areas of radiology.…

Clinical Pathways in Neuro-Ophthalmology: An Evidence-Based Approach, 3rd Edition

Smith SV, Lee AG, Brazis PW. Clinical Pathways in Neuro-Ophthalmology: An Evidence-Based Approach, 3rd Edition; Thieme; 2018; 316 pp; 32 ill; $149.99.

neuro-opthalmologyThis highly informative book (316 pages), edited by Drs. Smith, Lee and Brazis, is written in an engaging manner because it poses questions that one would normally ask regarding a specific disease or entity. Each question is answered fully and follow-up questions are asked. The material also addresses a number of issues which arise in the daily practice of neuroradiology.

Twenty chapters survey the field of neuro-ophthalmology, and most intersect nicely with points often raised in consultation with neurologists, ophthalmologists, or in the education of house staff. Of the 20 chapters, most topics would be of interest to neuroradiologists, including:

  • Various cranial nerve palsies (3rd, 4th, 6th)
  • Papilledema, especially IIH (pseudo tumor)
  • Traumatic optic neuropathy
  • Optic neuritis
  • VF defects
  • Thyroid Eye Disease

There is no imaging included, so this is a textbook which features abundant discussions in a Socratic manner. Tables and charts abound with large differential diagnosis lists.

If your practice is associated with a large eye hospital that offers a substantial neuro-ophthalmology service, this would be a reasonable library purchase.…

The Physics of Clinical MR Taught Through Images

Runge VM, Nitz WR, Heverhagen JT. The Physics of Clinical MR Taught Through Images, 4th Edition. Thieme 2018; 336 pages; 706 illustrations; $69.99.

What is the best and most efficient way of learning the physics of MR and applying that knowledge to the daily interpretation of clinical images? The 4th edition of the 318-page soft cover book The Physics of Clinical MR Taught Through Images bridges the gap between imparting MR physics knowledge and demonstrating the consequences of varying protocols and image acquisition. This book is edited by Drs. Runge, Nitz, and Heverhagen with contributors from seven others (MDs and PhDs). One hundred and forty chapters cover virtually all parameters of MR, such as hardware; fundamental MR Principals, image acquisition (basic and advanced), effect of fluid flow and the use of flow diagnosis, outlining MR imaging of specific organs (breast, heart, liver, cartilage), various artefacts and how to overcome them, and techniques to improve image quality.

To acquire the most benefit from this book one needs to start with the basic chapters because it would be difficult to skip to a specific sequence (e.g. a VIBE series) and totally appreciate the underlying concepts. For example, understanding space and spatial frequencies without reading the pertinent prior chapters on that subject. This is a strength of the book—building on previously discussed concepts.

From coil technology, MR safety, and basic concepts (well described and illustrated) to frequently encountered artifacts and how to deal with them, to the entire panoply of MR techniques—this book is an invaluable source publication. There is much more available than neurological applications (myocardium, cartilage, mammo, liver).

There are so many positives about this book. Primarily, it offers the ability to quickly review certain concepts like BOLD, elastography, Arterial spin labeling, flow sequences, DTI, and others without having to …

Handbook of Cerebrovascular Disease and Neurointerventional Technique, Third Edition

Handbook of Cerebrovascular Disease and Neurointerventional Technique--Mark R. HarriganHarrigan MR, Deveikis JP. Handbook of Cerebrovascular Disease and Neurointerventional Technique, Third Ed. Humana Press; 2018;1,102 pp; 145 ill; $179.99.

The “Handbook of Cerebrovascular Disease and Neurointerventional Technique, Third Edition” written by Drs. Harrigan and Deveikis is an imposing, 1,102-page soft-covered book, covering all aspects of vascular neurointervention. This is not only a text that describes the guidelines and techniques in vascular interventions, but more importantly, beautifully describes and illustrates critical anatomy and the variants of that anatomy.

All the information one would read whether considering intracerebral or intraspinal lesions is included; such as equipment, catheters/guardwires, pre-procedural preparations, contract usage, functional testing, coils, diverters, etc.

This book is divided into 3 parts:

Part I
Fundamentals: Essentials Neurovascular Anatomy, Diagnostic Cerebral Angiography, Spinal Angiography and General Consideration for Neurointerventional Procedures;

Part II
Interventional hHTechniques: Intracranial Aneurysm Treatment, Intracranial Embolization, Extracranial and Spinal Embolization, Treatment of Acute Ischemic Stroke, Extracranial Angioplasty and Stenting, Endovascular Treatment of Intracranial Stenosis and Vasospasm and Venous Procedures;

Part III
Specific Diseases: Intracranial Aneurysms and Subarachnoid Hemorrhage, Arteriovenous Malformations, Dural Arteriovenous Fistulas, Venous Disorders and Cavernous Malformations, Ischemic Stroke, Intracerebral Hemorrhage and Extracranial Cerebrovascular Occlusive Disease.

With this text, one has at hand a complete compendium (including historical perspectives) of the current vascular neurointerventional world. Even those who might not themselves practice neurointerventional, insights into treatment strategies, complications, and outcomes are available in every area covered. This book is critical for all neurointerventionalists and should find a place in every neuroradiology section of the library.…

Imaging Anatomy: Ultrasound, 2nd Edition

imaging anatomyWoodard, PJ. Imaging Anatomy: Ultrasound. 2nd ed. Elsevier 2018; 1016 pp; 2200 ill; $249.99.

The first 200 pages of this 1,016-page book, “Imaging Anatomy” holds great interest specifically for neuroradiologists. This set of pages contain 2 sections on ultrasound imaging anatomy: (1) Brain and Spine and (2) Head and Neck.

Edited by Dr. Paula Woodard from the University of Utah, with co-editorship from 6 others and contributing authorship by 26 radiologists, the material follows a format which is familiar to all those involved with diagnostic imaging. The images, the drawings, the labeling/descriptions, and the succinct bullet points retain all of the superlative qualities held by many other publications in this series of books published by Elsevier.

Despite the fact that most neuroradiologists infrequently become involved with diagnostic ultrasound, valuable reference materials are included; such as the anatomic basis and imaging appearance, echoencephalography techniques, the orbit (a few pathologic examples are provided), transcranial Doppler (TCD), and the spine (the images are excellent).

The Head and Neck section of the book holds the greatest value to our specialty. The entire neck (with some pathological examples), lymph nodes, salivary glands, thyroid, parathyroid gland, larynx, hypopharynx, trachea, neck veins, and all other areas of the neck are covered in detail. Color Doppler augments the standard ultrasound imaging, and of course, color Doppler with spectral analysis allows the vascular assessment. Not only do the CTs, drawings, and ultrasound provide an excellent review of the anatomy, but the inclusion of pathology and the corresponding ultrasound allows strong correlations between normal and pathologic anatomy.

This important and excellently crafted textbook should be on the shelf of every departmental library and while it may not be a primary purchase for a neuroradiologists, it can serve as a strong resource.…

Neurosurgery Rounds: Questions and Answers, Second Edition

Shaya MR, Gragnaniello C, Nader R. Neurosurgery Rounds: Questions and Answers, 2nd Ed. Thieme; 2017; 520 pp; 160 ill; $59.99

Neurosurgery Rounds Questions and Answers--Mark R. Shaya, MDThis pocket-sized soft-covered book, Neurosurgery Rounds: Questions and Answers by Drs. Shaya, Gragnaniello, and Nader delivers information in a Socratic manner listing abundant questions, followed by short answers. It is obviously written with housestaff (residents and fellows in neurosurgery) in mind. Whether in preparation for board examinations, or for questions which could arise in the course of daily rounds, the book contains a wealth of information.

This easily portable book is divided into the following sections: neuroanatomy, neurophysiology, neuropathology, neuropharmacology, cranial neurosurgery, spine, peripheral nerves, neurology, and neuroradiology. Each section contains questions, some of which are pertinent to neuroradiology, and some are not. With that in mind, one can randomly go through many questions, the answers to which either reviews, reinforces, or is the source of information perhaps previously unknown to the reader.

The neuroradiology section contains questions/answers which are not challenging. For example, the questions in areas dealing directly with neurosurgery, which would be informative to neuroradiologists, include surgical approaches to spine (interesting information and warnings), tips on cranial neoplasm workup, important information on epilepsy, among other areas. Some chapters contain images and case histories which require answers by the reader and others have appropriate diagrams to supplement the material in each chapter.

While not a primary purchase by a radiologist, if it is available through a neurosurgical colleague or via their library, it would be worthwhile to read it through and answer the questions, as some of the material would add to discussions in any neuroradiology presentation.…

Spinal Instrumentation: Challenges and Solutions

Kim DH, Vacarro AR, Fessler RG, et al. Spinal Instrumentation: Challenges and Solutions. Thieme; 2017; 448 pp; 244 ill; $169.99

spinal instrumentation challenges and solutionsPublications which address what can go wrong, or what mistakes can be made in either diagnosis or in interventions/surgery, are often of greater value than demonstrations of what is done in standard procedures. Enter the newly published (December 2017), 448 page book Spinal Instrumentation: Challenges and Solutions, edited by Drs. Kim, Vaccaro, Fessler and Radcliff. With over 150 contributors, the book takes 60 spinal-instrumentation scenarios (both cervical and thoracolumbar) and describes with written text, drawings, and images what complications do occur.

So for example, in the chapters dealing with complications of anterior cervical fusions, the authors divide the material into introductory comments, followed by specific complications, properly illustrated — such as dysphagia, adjacent segment disease, pseudarthosis, kyphus deformity, and hardware failure. Relevant anatomic considerations, rationale for certain types of instrumentation, surgical techniques along with summaries and references are included. However, in many figures, far greater attention could have been paid to the quality of the radiographic images. Instances of improper grey scale windowing (level and width) distract in places from an adequate demonstration of the points being made.

The chapters take the reader from the top of spine instrumentation (occipital instrumentation complications) segmentally and step wise inferiorly to the sacral area. Specific complications or associated problem are addressed; such as infection, osteoporosis, use of BMP, vertebral cement augmentation. While obviously written for orthopedic spine surgeons in mind, there is material here which should be of interest to any radiologist, particularly those who deal, clinically, with a large volume of image interpretation of previously instrumented spine. Understanding the complications of importance to the spine surgeon, coupled with a large number of images showing those complications and why they may have …

Clinical Imaging of Spinal Trauma: A Case-Based Approach

clinical imaging of spinal traumaRumboldt Z. Clinical Imaging of Spinal Trauma: A Case-Based Approach. Cambridge Medicine 2018; 140 pp; $79.99

This short, case-based soft-covered book, “Clinical Imaging of Spinal Trauma” edited by Zoran Rumboldt, MD, is a compilation of over 50 cases involving spinal imaging. Sixteen others contributed material to this book; each case features imaging, imaging findings, differential, clinical findings/implications/treatment, and additional information.

The text starts with 8 cases of normal variants/mimickers of trauma (Section 1) and then moves to issues which are more controversial (Section 2), such as role of plain films, when to scan, or the significance of a negative CT. The remaining 4 sections deal with types of trauma in various locations (stable and unstable), injuries to the spinal cord/nerves/vasculature, and soft tissue; including ligaments, thoracic lumber injuries/classifications, pediatric spinal trauma, and miscellaneous trauma cases.

This text serves as an important review for any radiologist (since most radiologists deal with trauma imaging on a nearly daily basis), but it’s particularly helpful for neuroradiologists, and for those who primarily work in the ER due to the imaging shown and the descriptions that accompany them. Throughout the chapters, there are many gems of information and image depictions, such as a central and peripheral preganglionic nerve avulsion, differentiating hematomas in the SAS, the subdural space, and/or the epidural space, contrasting extension teardrop fracture’s from flexion fractures, among many others which are instructional.

There are areas which should have been discussed but were not—such as the often subtle findings of ligament injury at the C1 — C2 level (cruciate, transverse, apical ligaments) in addition to the pulse sequences most likely to show these lesions, or the use of DWI to distinguish between types of compression deformities/fractures and vertebral body collapse. Overall, this is a book which should be in the ER/trauma library for …

Radiography in the Digital Age

Carroll QB. Radiography in the Digital Age. 3rd Ed. Charles C Thomas; 2018; 904 pp; $109.95

RADIOGRAPHY in the DIGITAL AGE text book coverWritten primarily for students studying radiology technology, the 3rd edition of Radiography in the Digital Age (3rd edition), edited by Quin B. Carroll, with contribution by 9 other authors, packs vital information relative to performing and evaluating radiography.

This 904-page hardcover book reviews these basic areas: The Physics of Radiography; Production of the Radiographic Image; Digital Radiography; Radiation Biology, Radiation and Protection. The book is accompanied by a separate 336-page workbook, which tests the reader’s knowledge on all the points covered in the book. Specific answers to these numerous questions (1,500) are obtained through a CD; however, the answers can be determined by a careful reading of the book itself.

For radiology residents studying for the core examination, this book is a valuable resource to have in a departmental library. With the current increasing emphasis on MR physics, it is easy to lose connection with the basics of radiography, and other critical issues such as radiation biology, PACs and imaging informatics, radiology protection, and protocols.

This book has excellent drawings, tables, and creative ways of presenting material and can be a source for radiographers and residents in radiology training.…

Top Score for the Radiology Boards: Q&A for the Core and Certifying Exams

Weissman AF. Top Score for the Radiology Boards: Q&A for the Core and Certifying ExamsThieme; 2018; 752 pp; 924 ill; $129.99

Cover of Weissman

Written primarily with senior residents in mind, this 752-page softcover book makes a strong companion to another textbook, Core Radiology by Jacob Mandell. Top Score for the Radiology Boards presents the reader with the typical scenarios encountered in ABR examinations, specifically case presentations with multiple-choice answers for each case. Questions and answers are explained, along with why the choices other than the correct answers are incorrect. Proper references and what the authors call “top tips” follow each case discussion. The case material in each section is divided into 1) essentials, 2) details, 3) image-rich, and 4) more challenging, with a varying number of cases in each of those sections. In the neuroradiology section, the cases are well chosen and the information supplied for each case is succinct and important. Importantly, the imaging shown involves not uncommonly encountered situations, which makes the material even more germane.

It was a bit humbling for this reviewer to challenge himself with cases from sections other than neuroradiology. If your department library purchases this book, challenge yourself with the material not only in neuro but within other sections. Those sections include breast, cardiac, gastrointestinal, genitourinary, intervention, musculoskeletal, neuro, nuclear medicine, pediatrics, thoracic, ultrasound, vascular, physics/safety, artifacts, and noninterpretive skills (available online with an access code).

This book should be recommended to all residents and to program directors.…