Books Briefly Noted

Expert DDx: Brain and Spine, 2nd Edition

Jhaveri MD, Salzman KL, Ross JS, et al. Expert DDx: Brain and Spine. 2nd ed. Elsevier; 2018; 1096 pp; 3500 ill; $329.99

Cover of Jhaveri

There are different ways to present imaging material in a textbook or online. One is to index diseases and refer the reader to the proper pages; another is to show the imaging related to a specific set or sets of clinical findings/symptoms. A third is to group images according to the observed imaging findings and describe/illustrate multiple cases showing those findings. This last approach is generally the one taken by the authors of the second edition of Expert DDx: Brain and Spine. By doing this, most entities encountered in a neuroradiology practice are seen.

When confronted with a certain finding or findings, one may not recall or think of the multiple differential possibilities. This book allows them to do exactly that. Divided into 2 parts (skull/brain and spine), this 1000-page hardcover book edited by Drs. Jhaveri, Salzman, Ross, Moore, Osborn, and Ho covers in Part 1 the skull, meninges, ventricles/periventricular region, extra-axial space, brain parenchyma (infratentorial and supratentorial), sella, pineal gland, vasculature, and cranial nerves; in Part 2, the CV junction, vertebral segments, disc/end plates, and extradural, intradural, and intramedullary areas are covered. The vast collection of cases on both MR and CT is remarkable for its completeness and for the quality of the images.

This second edition is far more expensive than the first edition (published in 2009). It includes more descriptive material and a greater number of images, and it uses a smaller font size so there is more information available to the reader. The details accompanying the images allow one to rapidly assimilate essential information for each disease.

This volume is highly recommended for both seasoned neuroradiologists and those in training.…

Neurosurgical Emergencies, 3rd Edition

Loftus CM. Neurosurgical Emergencies. 3rd ed. Thieme; 2017; 420 pp; 400 ill; $169.99

Cover of Loftus

As neuroradiologists, we deal daily with neurosurgical emergencies of one sort or another. While many of the decisions regarding patient management are clear, there are others about which the criteria for intervention or nonintervention are less well-appreciated. Examples abound: criteria for operating on an SDH, timing for operating or intervening on an aneurysm, treatment/decompression of acute spinal cord injury, etc.

This third edition of Neurosurgical Emergencies, edited by Dr. Christopher Loftus of the Temple University School of Medicine, is a 420-page hardcover book with contributions from 86 authors. It is divided into 37 chapters, nearly every one of which is pertinent to the practice of neuroradiology. Chapter subjects include: loss of consciousness, ICP monitoring, acute hydrocephalus, herniations, cerebral trauma, intracranial hemorrhage, pituitary apoplexy, SAH, acute stroke, venous thrombosis, cerebral infections, emergency treatment of brain tumors, decompression of the optic/facial nerves, status epilepticus, multisystem trauma, acute disc disease, vertebral column fractures/dislocations, spine and spinal cord injury, cord compression due to metastatic disease, spinal vascular malformations, infection of the spine, guidelines for treatment of spine injuries, treatment of peripheral nerve injuries, treatment of compressive peripheral neuropathies, acute shunt malfunction, and myelomeningoceles.

There is adequate imaging in these chapters, and the descriptive information in the subsections in each chapter adds a level of information that will be of value when reading studies, preparing educational lectures, or teaching in a one-on-one environment. We all realize that it is extremely beneficial to read material that is outside our exact areas of subspecialty but is related clinically; doing so brings out information with which one may not be familiar but is nonetheless germane. This book is such an example. It is recommended to readers of the AJNR and members of the ASNR.…

Diagnostic Imaging: Pediatrics, 3rd Edition

Merrow AC Jr. Diagnostic Imaging: Pediatrics. 3rd ed. Elsevier; 2017; 1312 pp; 2500 ill; $442.00

Cover of Quencer

Although written primarily for pediatric radiologists, the third edition of Diagnostic Imaging: Pediatrics, published by Elsevier, contains an abundance of material for the neuroradiologist. In fact, there are 3 sections (brain, spine, and head and neck) totaling 220 pages that are strictly neuro-based, and if one considers other areas where there is an overlap with neuroradiology, such as multicentric diseases or airway disease, there is appeal to those who interpret neuro-based cases.

In keeping with the style of the many other books in this remarkable series, the case material is presented in a format that is well-known to all radiologists. This hardcover volume, edited by Dr. Merrow from Cincinnati Children’s Hospital with contributions from 25 other authors, includes—in addition to the neuroradiology sections mentioned above—the following sections: airway, chest, cardiac, gastrointestinal, genitourinary, and musculoskeletal.

While topics in the brain, spine, and head and neck are covered in other, more specialized books in this series, having all pediatric imaging together in 1 volume is an educational plus. Of course, the e-version may be obtained with a scratch-off code when the book is purchased. As expected, each section begins with “The Approach to…”. For example, there are pages for normal myelination in the brain section and a review of cardiac anatomy in the cardiac section.

Throughout, the book lives up to the extremely high standards associated with this series. Every radiologist practicing a great deal of pediatrics imaging should have rapid access to the book either through their own copy or through one in a departmental/sectional library.

The quality of images and drawings, the completeness of imaging findings, and the all-inclusive nature of this publication makes it a highly recommended purchase.…

Interdisciplinary Management of Orbital Diseases: Textbook and Atlas

Welkoborsky H-J, Wiechens B, Hinni ML. Interdisciplinary Management of Orbital Diseases: Textbook and Atlas. Thieme; 2017; 354 pp; 689 ill; $169.99

Interdisciplinary Management of Orbital Diseases--Welkoborsky et al

Although written with ophthalmologists in mind, this beautifully illustrated and practical textbook, Interdisciplinary Management of Orbital Diseases, edited by Drs. Welkoborsky, Wiechens, and Hinni, has information to offer to neuroradiologists, particularly those who deal with a large volume of imaging of orbital disease. It is not the 20-page chapter on orbital imaging that would make this book appealing to our specialty (this specific material is covered more extensively in radiology texts); rather, it is the wealth of clinical material, patient photographs, histopathology, ophthalmoscopic images, genetics, and in some cases treatment including operative photographs, that could be of value.

This 340-page hardcover book covers orbital anatomy, pathophysiology, clinical examination, imaging, eye/eyelid disease, orbital complications from diseases primarily outside the orbit, endocrine disease, trauma, pathology, tumors (of the orbit and skull base), surgery, radiotherapy, and reconstructive orbital surgery.

This book can be recommended to your ophthalmology colleagues but is not considered a primary purchase for a radiologist.…

Diagnostic Imaging: Interventional Procedures

Walker TG. Diagnostic Imaging: Interventional Procedures. Amirsys; 2016; 800 pp; 800 ill; $339.00

Diagnostic Imaging Interventional Procedures 2nd Edition

This nearly 900-page hardcover book is not only a “how to do it” guide, but also covers key medical and surgical information related to the procedures under consideration.

The book was edited by Dr. Wicky from the University of Missouri, and there are 29 authors and 12 others listed as contributors. Clearly written for body interventionalists, there are only 4 chapters dealing with neuroradiology: stroke therapy, carotid/vertebral stenting, LPs and CSF leaks, and vertebral augmentation/sacroplasty.

There are no chapters devoted to the more classic neurointerventions such as coiling of intracerebral aneurysms or embolization of AV dural fistulas (spine or brain). Nonetheless, for those in a department where interventional radiologists may have a copy, one can read the latest thoughts regarding those 4 topics and how to deal with them. Actually, neuroradiologists ought to recommend this book to their body interventional colleagues.

In the manner of all the brilliant textbooks in this legendary series, the graphics/drawings are outstanding, the images are well-chosen, and the legends are complete with clear and unambiguous labeling.

Seven sections are included: general principles; venous, portal, and lymphatic procedures (covered in the chapters indicated above); posttransplant procedures; and nonvascular procedures. Each follows the same general pattern. For example, the chapter on varicoceles starts off with the key facts, followed by images (ultrasound and venography) taken before and after embolization, definitions/terminology, preprocedural steps (including indications/contraindications, equipment, medications, and assessing access), the procedure itself and specifics on what agents are used, postprocedural steps, outcomes, a clinical rating system, a wealth of well-selected images (4 pages worth), and selected references. This highly instructive format is repeated in every chapter—some chapters being more extensive than others—resulting in uniform clarity. As with all volumes in this series, the …

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.…