Books Briefly Noted

Neuroimaging Clinics of North America: Advances in Imaging of Multiple Sclerosis

Mukherji SK, ed. Rovira À, consulting ed. Neuroimaging Clinics of North America: Advances in Imaging of Multiple Sclerosis. Elsevier; 2017;27(2):195–370; $365.00

Neuroimaging Clinics of North America-Advances in Imaging of Multiple Sclerosis-ALex Rovira

MRI is often performed for a suspicion of multiple sclerosis or for follow-up in patients known to have MS. Enter the May 2017 volume of the Neuroimaging Clinics of North America, entitled Advances in Imaging of Multiple Sclerosis. This issue, edited by Dr. Àlex Rovira, consists of 12 chapters with 29 authors contributing to these chapters. Not only does this volume cover adult and pediatric brain and spine MS, but it contains an update on all of the new concepts in MR imaging, such as iron mapping, detecting cortical lesions, MR spectroscopy, PET imaging, and the detection of microstructural changes with ultra-high-field (7T) MR.

The volume also serves as a strong review of NMO spectrum disorders, which is immediately applicable to one’s daily work. The subdivision of NMO (or NMOSD, as it is now referred to) into seropositive/seronegative types bears study, as do the images contained in this chapter. The clinical necessity to distinguish NMOSD from MS because of treatment variations is pointed out in this chapter.

Of great additional interest is the chapter on monitoring treatment responses in MS because, as the authors point out, there should be a consistent, reproducible protocol so that therapeutic measures can be accurately assessed. This pertains not only to volumes of WM lesions and their enhancement, but also to associated brain atrophy (which is covered in a subsequent chapter).

This issue of the Neuroimaging Clinics of North America is one that should be available to all neuroradiologists and is a recommended purchase for one’s own personal library.


Diagnostic Imaging: Oral and Maxillofacial, 2nd Edition

Koenig LJ, Tamimi DF, Petrikowski CG, Perschbacher SE. Diagnostic Imaging: Oral and Maxillofacial. 2nd ed. Elsevier; 2017; 1072 pp; 2500 ill; $339.00

Cover of Koenig

Five years have passed since the first edition of Diagnostic Imaging: Oral and Maxillofacial was published. That edition has now been updated with this second edition; it is a larger book (over 1,000 pages), and while much of the material shown in the prior edition has been republished, some new material appears. Examples include a 53-page section on the cervical spine that covers developmental alterations, degenerative disorders, tumor and tumor-like conditions, fibro-osseous lesions, and tumoral calcinosis.

The purchase of this edition is recommended only for those who don’t already have a copy of the first edition. It covers virtually all of the abnormalities one would expect to encounter in the oral and maxillofacial regions. How the cervical spine snuck into a book with this title is a bit confounding, but consider it a bonus. The senior editor is (as for the prior edition) Dr. Lisa Koenig; she is a faculty member in the dental school at Marquette University, and 7 associate editors are likewise in schools of dentistry. Dr. Harnsberger is the diagnostic radiology editor, so one sees the usual, superior quality of diagnostic imaging, color drawings, and descriptive material from him and from other radiologists who contributed to this book. The book is divided into 3 major parts: anatomy, diagnoses, and differential diagnoses. Each consists of separate, well-defined chapters and makes looking up anatomy and diseases easy and straightforward. As we all know about this entire series, the layouts, graphics, and details in bullet point format make the material clear and digestible.

In the end, one recognizes there is more to the teeth, mandible, and maxilla than one imagined. Now when you look at a CT of …

SPECT and SPECT/CT: A Clinical Guide

Kim CK, Zukotynski KA. SPECT and SPECT/CT: A Clinical Guide. Thieme; 2017; 218 pp; 250 ill; $99.99

Cover of Zukotynski

While this 218-page softcover book is written for those primarily involved in nuclear medicine or for those in a general radiology practice who maintain some involvement in nuclear medicine, there are sections of the book that would be of interest to neuroradiologists. Two chapters encompassing 33 pages deal with SPECT and SPECT/CT in the neurosciences and in the thyroid/parathyroid glands. Throughout this volume, Drs. Kim and Zukotynski, along with 14 other contributing authors, have put together succinct and well-illustrated chapters. The format is similar across sections, with short descriptions of key diseases, radiopharmaceuticals used, images, and bibliographies.

In the chapter on SPECT in the neurosciences, a general overview is given in 7 pages. It would have been good to have had a normal SPECT shown in 2 planes in order to compare with the abnormals. Brain tumor imaging is only peripherally mentioned. The chapter on thyroid and parathyroid glands is more extensively dealt with (in 26 pages) and is a decent review of the benign and malignant lesions of both glands, along with some unusual variants.

Certainly this would not be a primary purchase for a neuroradiologist or for a neuroradiology sectional library. It would be a publication that could be borrowed from a colleague or from a department library, and the contents that pertain to neuroradiology could be quickly reviewed.




Questions and Answers in MRI

Elster AD. Questions and answers in MRI. MRI Questions Web site.

For radiologists who have devoted their lives and education to medical diagnosis, trying to grasp the advanced physics behind modern MR imaging is like a foray into another world with a completely exotic language. Resources and texts are numerous, but many are written by those who primarily have a formal physics education and write in a language unfamiliar to those without the same background. Out of all the available resources, one shining beacon lights the path to understanding.

With his website, Dr. Allen Elster, MD, FACR translates the language of MR imaging, beautifully explains complex concepts, and simply transforms the foreign into the familiar. Whenever I have a question about the physics of MR imaging as it relates to my daily radiology practice, I consult the website and almost always have an answer within 5 minutes of reading. While covering numerous topics in MR imaging, Dr. Elster strives to fill each article with practical information that is applicable to optimizing patient imaging. This is why his website stands out among all the others; he is able to take the complexity of MR imaging and distill the information to that which is most valuable for the daily practicing radiologist. Included at the end of each page are references, many of which are interesting historic and landmark papers in the development of MR imaging.

The site design is beautifully practical and it often feels as though he has anticipated the next questions of the reader and placed links to relevant information. All content is free to use and frequently updated with new sections.

The next time a question arises in the reading room about the principles behind an MR imaging sequence, the cause of an artifact, or the …

Noninterpretive Skills in Radiology: Q&A Top Score Prep Guide for the Boards

Weissman AF, Bartel TB. Noninterpretive Skills in Radiology: Q&A Top Score Prep Guide for the Boards. Thieme; 2016; 110 pp; 25 ill; $39.99

Weissman and Bartel cover

Familiarity with many of the issues raised in this succinct, softcover book entitled Noninterpretive Skills in Radiology is germane not only for those tested by the ABR, but also for those involved in any of the administrative aspects of hospital and clinical practice. While the ABR does disseminate material deemed to be useful in preparation for their examinations, it provides less of a study guide than this publication, which all radiologists will find useful.

After a 28-page introduction to noninterpretive skills, the remaining 54 pages are set up in a question and answer manner in which multiple choice questions are asked and immediately following are short, well-written answers and appropriate references.

Many important items are covered in the material, including (but not limited to) quality improvement, metrics used in assessing value and productivity, safety, errors, RCA, contrast allergies and nephropathy, statistics, professionalism, and more. Among all of this material are embedded buzzwords, such as the “Hawthorne effect” or the “Swiss cheese model,” of which we have little understanding. Within each section are excellent graphics, cartoons, and medical images which help to solidify each discussion point. The 175 questions cover most material with which one would be expected to be familiar.

This straightforward book should be of interest to all those in radiology, but should be particularly valuable to those anticipating sitting for the ABR exam. It is a recommended purchase for all departments and could be a good addition to one’s personal library.…

Neuroimaging Clinics of North America: Pediatric Brain Tumors Update

Brandão LA, ed. Mukherji SK, consulting ed. Neuroimaging Clinics of North America: Pediatric Brain Tumors Update. Elsevier; 2017;27(1):1–194; $365.00

Brandao cover

As a follow-up to the last issue (November 2016) of the Neuroimaging Clinics of North America, which dealt with adult brain tumors, the current issue, also edited by Dr. Lara Brandão, concerns an update on pediatric brain tumors. One hundred and ninety-four pages in length, the material covers not only standard imaging/findings in pediatric tumors, but also importantly includes advanced techniques both in the initial patient assessment and in posttherapy evaluation. The nine chapters of this issue are: posterior fossa tumors; supratentorial tumors; neonatal brain tumors; pineal region masses; sella and the parasellar region rumors; extraparenchymal lesions; tumors and tumor-like masses that involve multiple spaces; peptide-based vaccine therapies; and advanced MR imaging/clinical applications. For the seasoned neuroradiologist, the last two chapters will be of greatest interest; however, the entire volume addresses key imaging points in a wide spectrum of neoplastic brain disorders. Dr. Brandão has done a remarkable job (similar to the editorship of the prior volume) getting the 24 authors to contribute their experiences and expertise to this important issue. If one is not a Neuroimaging Clinics of North America subscriber, then this single issue is a recommended purchase for one’s personal collection or for a departmental library.…

Neuroimaging Clinics of North America: Adult Brain Tumors

Brandão LA, ed. Mukherji SK, consulting ed. Neuroimaging Clinics of North America: Adult Brain Tumors. Elsevier; 2016;26(4):493–694; $360.00

Brandao cover

This November 2016 issue of the Neuroimaging Clinics of North America consists of 9 chapters (nearly 200 pages in length) and covers a number of aspects of adult brain tumors. Edited by Dr. Lara Brandão with contributions from 21 international and national authors, this volume deals with (in order): posterior fossa tumors, lymphomas (2 chapters), the pre- and posttreatment evaluation of gliomas (2 chapters), metastasis, extra parenchymal tumors, advanced MR techniques, and interesting cases of pseudotumors. It is a bit surprising that there is not a chapter dedicated to the emerging brain tumor classifications based on molecular/genetic factors. While in our daily readings of brain MRs and CTs, we do not consider these molecular factors, these issues are discussed among members of neuro-oncology tumor boards, on which neuroradiologists are participants. With the increased emphasis on ICD types and their implications for therapy, some space on this subject is warranted. Had this been included, some of the terminology used elsewhere in the book might have been altered. Of course, the chapter on posttreatment of gliomas and the complexities in the analysis of such patients will be of great interest to the readers of this volume. The extensive material on lymphomas is important and noteworthy because of the increased incidence of disease and the multiple parameters that can be utilized in its detection and evaluation. Many important teaching points are raised in this 54-page (2-chapter) evaluation of lymphomas.

The images included in this volume are of high quality and are well-described, with important structural changes in brain tumors included. Even if one does not read the volume cover-to-cover, one can derive an understanding (providing a good review) of adult brain tumors and see …

Pediatric Radiology: The Requisites, 4th Edition

Walters MM, Robertson RL. Pediatric Radiology: The Requisites. 4th ed. Elsevier; 2016; 432 pp; 1200 ill; $109.99

Walters and Robertson cover

The 4th edition of Pediatric Radiology, edited by Drs. Walters and Robertson, along with 21 other contributors, covers the field of pediatric radiology in 420 pages. Of course, in a book this short that attempts to address a large subspecialty, only the highlights of every area can be covered. This is the overall intent of the book—to provide a foundation in pediatric radiology upon which one can build. The neuroradiology portion of the book is reserved for the last 3 chapters (brain, spine, head and neck) and includes 144 pages. For a seasoned neuroradiologist, there are certainly other texts that are more inclusive; however, for a resident or fellow beginning a rotation in pediatric radiology or in neuroradiology, this is a solid introduction to the field. The images are crisp and each chapter summarizes the key elements.

Brain: congenital anomalies; neurocutaneous syndrome; hydrocephalus infections/inflammation; tumors; vascular disease and vascular anomalies; trauma; metabolic disease

Spine: developmental abnormalities; vascular abnormalities; trauma infection; inflammation; tumors

Head and Neck: congenital and developmental abnormalities (including orbits, nasal cavity, face, temporal bone, neck/oral cavity); trauma; infection/inflammatory conditions; tumors

For those who do not practice or observe much pediatric neuroradiology, these 3 chapters provide a wonderful summary, and the last chapter in particular allows one to evaluate and read about abnormalities that are infrequently encountered.

This book is recommended for any radiology library, whether in a private or academic practice. Neuroradiologists will not consider this a primary personal purchase.…

Broken Bones: The Radiological Atlas of Fractures and Dislocations, 2nd Edition

Chew FS, Maldijan C, Mulcahy H. Broken Bones: The Radiological Atlas of Fractures and Dislocations. 2nd ed. Cambridge University Press; 2016; 406 pp; 1101 ill; $89.99

Chew et al cover

This is an atlas showing fractures and dislocations of many areas of the body. Two chapters (54 pages) deal with cervical and thoracolumbar spine injuries. It seems a bit unusual to have an atlas entitled Broken Bones and not include fractures of the skull, skull base, temporal bones, and facial bones. Are these not bones? Anyway, the spine imaging and the descriptions are adequate for the intended purpose of the book; however, when the authors describe entities such as atlantooccipital dislocations and mention associated tectorial membrane disruption, they fail to show that “disruption” with MR imaging. One recognizes that in modern-day spine trauma imaging, an analysis of the ligaments, in addition to bone imaging, is crucial. A neuroradiologist might consider the analysis in this book of spine trauma and acute fractures incomplete, even though some MRs are illustrated. There is not a sufficiently detailed analysis of ligamentous injuries associated with those fractures/dislocations to significantly advance our ability to precisely image these patients.

This book would be of limited interest to a neuroradiologist.…

AOSpine Masters Series, Volume 7: Spinal Cord Injury and Regeneration

Vialle LR, ed. Fehlings MG, Weidner N, guest eds. AOSpine Masters Series: Spinal Cord Injury and Regeneration. Vol 7. Thieme; 2016; 225 pp; 50 ill; $119.99

Vialle cover

The latest volume in the AOSpine Masters Series deals with spinal cord injury and regeneration. It should be a publication of interest to all neuroradiologists because it contains information that is not dealt with in common textbooks about spine radiology. The guest editors, Drs. Fehlings and Weidner, along with 25 contributors, address issues at the core of short-term and long-term care of patients with spinal cord injuries. The chapter on MR imaging covers important clinical/imaging correlates such as predicting outcomes based on MR and describing and annotating with technical factors the utility of advanced imaging protocol and more routinely employed MR protocols. The following chapters address topics other than pure imaging—such as the timing of surgery in acute spinal cord injury, the value of medical treatment, the potential role of neuroprotective schemes, materials used in attempts at neural repair and regeneration, the potential role of stem cell transplantation in SCI, and rehabilitative strategies for patients with spinal injuries—but are nonetheless of interest. Besides, the concepts of primary and secondary injury and the means of cord reconstitution are related to the very real, everyday issue of timing of possible surgery in acute SCI. The emphasis on the diminished effect of secondary injury (like vascular comprise/interruption) when decompressive surgery is performed within 24 hours posttrauma on a severely injured cord is summarized and discussed. Spinal Cord Injury and Regeneration is an important volume in this Spine Masters Series. It should appeal to all those who work closely with spine trauma surgeons, particularly in facilities where there is a sizeable rehab facility.…