Books Briefly Noted

Digital Radiography in Practice

Carroll QB, M.Ed.,R.T. (R). Digital Radiography in Practice. Charles C. Thomas 2019; 220 pp; 173 ill; $39.95.

digital radiographyFor those departments that have a radiology technologist training program, Digital Radiography in Practice, would be extremely valuable to their students. Even for residents in a diagnostic radiology program, the information and details contained in this 220-page book would be of help as they prepare for their core examinations in radiology.

This book combines well written chapters with proper radiographs and drawings. The text explains the basics of digital radiographs, illustrations, and drawings, in addition to the fundamentals of digital imaging and acquisition, image evaluation, processing information, display, and quality control, among other key topics. This would be a good addition to any departmental library.…

Neuroimaging Clinics of North America: Headache and Chiari Malformation

Mukherji SK, Salamon N. Neuroimaging Clinics of North America: Headache and Chiari Malformation. Theclinics.com 2019;29:203-324;$386.90.

While the title of the issue of Neuroimaging Clinics: Headache and Chiari Malformation doesn’t sound like the issue would contain new information, many chapters contain usable and practical points. Edited by Dr. Noriko Salamon with 34 contributors, there are 9 chapters (123 pages) with subject material that neuroradiologists deal with on a near daily basis. Of particular interest, are the chapters on intracranial hypotension and CSF leaks, where the imaging findings are reviewed, and importantly, where techniques such as DSM are described to detect small leaks. Excellent images are included in this chapter to show leaks into paraspinal veins— a finding probably not identifiable on other imaging studies. Described and illustrated are clinical management tools such as conservative/ non-interventional blood patching, targeted interventions with fibrin glue, and if other approaches fail, open surgery with the latter, in addition to classifications of types of leaks and how they may be dealt with.

Headaches are common, and sinus disease is also common, so the dilemma is to determine in any one given patient if these are related. The chapter on this subject goes into potential neural pathways involved where they are accompanied by proper drawings and images.

Other chapters will be of interest, particularly one which correlates the presence of a patent foramen ovale with migraines. The topics adequately cover the subject at hand via an economic and appropriateness overview of neuroimaging and headaches, the Chiari I Malformation and pattern of headaches, aneurysms, pediatric headaches, brain tumors, and advanced imaging techniques in migraine evaluation.

For those who are interested in seeing the key work that has been done in this area, three tables are available in the latter chapter, encompassing 15 pages.…

PET and PET CT: A Clinical Guide, Third Edition

Lin EC, Alavi A. PET and PET CT: A Clinical Guide, Third Edition; Thieme 2019; 410 pp; 335 ill; $99.99.

While most of the clinical portion of this 400-page book, PET and PET CT: Clinical Guide, Third Edition, edited by Drs. Lin and Alavi concerns non-CNS abnormalities, there is important information and guidelines for those who are involved in evaluating PET/CTs, either primarily, or as part of an overall image sequence review.

As one might expect, the first portion of the book deals with the basic physics of PET scanners and with the physiologic considerations with PET agents (primarily FDG). The clinical aspects of PET scanning consumes the next 100 pages and precedes the individual chapters on specific areas of oncologic imaging. Within this section, separate chapters deal with brain, head and neck, and thyroid tumors.

Additionally, there are 6 non-oncological chapters and 3 of them are germane to neuroradiology (infection/inflammatory, neurological applications of FDG, and non FDG PET). Among the latter are applications in Alzheimer’s disease/dementia, seizures, brain tumors, and cerebrovascular disease.

This short, well-illustrated, concise text is recommended as an adjunct to the more popular neuroradiology textbooks.…

Spine Essentials Handbook: A Bulleted Review of Anatomy, Evaluation, Imaging, Tests, and Procedures

Singh K. Spine Essentials Handbook: A Bulleted Review of Anatomy, Evaluation, Imaging, Tests, and Procedures; Thieme 2019; 262 pp; 165 ill; $79.99.

This handbook provides general and basic clinical information related to the spinal axis. For neuroradiologists who wish to review clinical signs, muscular/ligamentous anatomy, plexal composition both brachial and lumbosacral, this would be a handy reference.

Also outlined are commonly used radiographic measurements, many of which spine surgeons use frequently, but ones which radiologists often times do not measure; such as balance lines or pelvic tilt. However, this is not a publication which deals with spine imaging in any significant way. In fact, 1 noteworthy figure (10.2), an oblique radiograph of the cervical spine, is described as a T1 MRI axial (this makes one concerned about accuracies elsewhere).

By and large, this is a potentially useful handbook which can serve as a quick, basic reference to spinal/paranasal anatomy and the associated clinical issues.…

Pocketbook of Clinical IR: A Concise Guide to Interventional Radiology

Warhadpande S, Lionberg A, Cooper KJ. Pocketbook of Clinical IR: A Concise Guide to Interventional Radiology;Thieme 2019; 240 pp; 165 ill; $54.99.

This short 240-page soft-cover handbook on interventional radiology (IR), written with residents, fellows, and younger attendings in mind, has only a small portion devoted to neuro IR (16 pages), which appears at the very end of the book. Topics specifically covered are:

  • Ischemic stroke
  • Carotid artery stenosis
  • Cerebral aneurysms
  • AVMs
  • Bleeds of the head and neck
  • VB compressive fractures

This is a short, valuable resource for a general radiology library or as a personal copy for those engaged in a significant IR volume.…

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.…