Full Reviews

Neuroimaging Clinics of North America: Update on Temporal Bone Imaging with Emphasis on Clinical and Surgical Perspectives

Moonis G, Juliano AF, Mukherji S. Neuroimaging Clinics of North America: Update on Temporal Bone Imaging with Emphasis on Clinical and Surgical Perspectives; Elselvier; 2019; 202 pp; $397.00.

The February 2019 edition of the Neuroimaging Clinics discusses one of the most detailed areas of neuroradiology — temporal bone imaging. Edited by Drs. Moonis and Juliano, Update on Temporal Bone Imaging with an Emphasis on Clinical and Surgical Perspectives consists of the following 13 chapters:

  • Inflammation
  • Meniere Disease
  • Ostosclerosis
  • Tinnitus
  • Third Window
  • Arterial Abnormalities
  • Pediatric Hearing Loss
  • Syndromic Temporal Bone Abnormalities
  • Temporal Bone Trauma
  • Management of Vestibelar Schwannomas
  • Otologic Surgical Procedures
  • Advanced MR Imaging

Thirty authors have contributed to this 200 page issue. Throughout the text there is an attempt to correlate — as well as possible — important clinical and surgical aspects of the topic under consideration. For example: audiograms of a number of abnormalities, tables for clinical classification of hearing loss, diagrams of aberrant arterial connections, sound conduction diagrams in normal and abnormal situations. The imaging quality is excellent throughout the book and the chapters are formatted in a similar manner.

This edition starts with a chapter on inflammation and it is particularly well done with an abundance of illustrations, tables, and well-outlined and described entities. Because of the myriad inflammatory diseases that affect the temporal bone, close attention to this material is appropriate, considering neuroradiologists’ daily evaluation of this area.

Updates on topics less frequently encountered include Meniere Disease and Third Window Lesions; however, the other topics are also important and well designed. Again, what is nice about this volume in general are the clinical correlations. In the trauma chapter, for example, many facts are emphasized and illustrated (like otic capsule involvement or sparing), the mechanism of force to cause these, and the otologic consequences. Side by …

Surgical Anatomy of the Lumbar Plexus

Tubbs RS, Loukas M, Hanna AS, et al. Surgical Anatomy of the Lumbar Plexus; Thieme; 2018; 220 pp; 130 ill; $99.99.

Surgical Anatomy of the Lumbar Plexus, edited by a chief science officer, a chair of a department of anatomical sciences, and 2 neurosurgeons provides a nice mix of editors for a book on this topic. There are a variety of disciplines represented by 43 contributors — the overwhelming majority of whom are in anatomical departments comprised of both PhDs and MDs. There are also contributions from neurosurgeons, neurologists, internists, a molecular medicine specialist, anesthesiologists, general surgeons, oral maxillofacial surgeons, and 4 radiologists; there is also 1 short chapter dedicated to diagnostic imaging.

This book is organized by 27 chapters:

  • An overview of the lumbar plexus
  • Subcostal nerve
  • Iliohypogastric nerve
  • Ilioinguinal nerve
  • Lateral femoral cutaneous nerve
  • Genitofemoral nerve
  • Femoral nerve
  • Obturator nerve
  • Furcal nerve
  • Accessory obturator nerve
  • Variations of the lumbar plexus
  • High-Resolution magnetic resonance neurography of the lumbar plexus
  • Lesions involving the lumbar plexus
  • Injury to the lumbar plexus following lateral lumbar spine fusion procedures
  • Lumbar plexus anatomy with application to lateral approaches to the lumbar spine
  • The subcostal nerve during lateral approaches to the lumbar spine
  • Surgical techniques for approaching the lumbar plexus
  • Nerve root anomalies with application to the lumbar plexus
  • Lumbar dorsal root ganglia
  • History of the dermatomes with focus on the contributions from the lumbar plexus
  • Dermatomes and the lumbar plexus
  • Anesthetic blockade of the femoral nerve
  • Anesthetic blockade of the lateral femoral cutaneous nerve
  • Anesthetic blockade of the iliohypogastric, ilioinguinal, and genitofemoral nerves
  • Microanatomy of the lumbar plexus
  • Surgical anatomy of the lumbar plexus with emphasis on landmarks and Comparative anatomy of the lumbar plexus

The sections within each chapter are not arranged in a consistent fashion, even among those that focus on …

RadCases Plus Q&A Thoracic Imaging

Restrepo CS, Zangan SM. RadCases Plus Q&A Thoracic Imaging; Thieme;2018;260 pp;550 ill.;$69.99.

RadCases Plus Q&A Thoracic Imaging offers a case-based, minimalist review of thoracic imaging covering the necessary thoracic basics for radiologists at all levels of training. This updated version brings more detail, as well as opportunity, for exam preparation with a newly added question bank. Beyond that, the book offers the expected formula which has made it a popular, go-to source for radiologists and radiologists in training.

This second edition offers several welcome changes. The most appreciated change is the inclusion of a greater variety of imaging modalities for some cases when compared to the prior. Several cases have added plain film accompaniment to CT images or vice versa. Offering these correlates increases the utility of this book as a tool to improve a radiologist’s skills at the workstation rather than only practicing test taking skills. Room for improvement remains in image size and contrast. Subtle findings require high levels of lighting or prolonged close inspection, as the small images often reach the limits of the printed resolution, especially for nuanced interstitial patterns.

Additionally, the printing method seems to diminish contrast which is most often apparent on the plain films where it is common to only see findings once they have been pointed out on the subsequent page. Interestingly, some of the image labels [arrows] have been revised for this version; simplified in some cases or completely reworked in others. These changes may or may not be an improvement, but the presence of these annotations is once again appreciated.

Another area of update includes the case explanations. Overall, the book offers the most salient points of each pathology for a given case including concise description of common imaging findings. The cases are reviewed in three sections following the …

Ultrasound of the Hand and Upper Extremity: A Step-by-Step Guide

common upper extremity conditionsFowler JR, Rawool NM. Ultrasound of the Hand and Upper Extremity: A Step-by-Step Guide; Thieme;2017;202 pp;340 ill.;$129.99.

Ultrasound of the Hand and Upper Extremity: A Step-by-Step Guide is a well-organized, concise text geared toward “hand surgeons and the radiologists who work with them.” It is designed as a quick reference to guide the reader through the ultrasound-assisted diagnosis and treatment of common upper extremity conditions and is organized into 5 sections:

  • Introduction – Covers the basic tents of musculoskeletal ultrasound
  • Fingers and Wrist
  • Forearm and Elbow
  • Shoulder
  • Masses

Sixteen short chapters are covered within these sections and include topics such as trigger finger, carpal tunnel, lateral epicondylitis, and ultrasound-guided shoulder injections. Each chapter progresses from patient and probe positioning, to normal anatomy, to the sonographic appearance of pathology and ultrasound-guided injection. The content of each chapter is presented in bullet-point format with photographs, labeled sonograms, and illustrations on nearly every page. In addition, 13 accompanying videos are available online and provide examples of ultrasound scanning and dynamic evaluations.

This book effectively accomplishes its goal of being a step-by-step guide for the practicing clinician. It has a cookbook-like approach, with instructional text presented alongside photographs, demonstrating probe-placement and corresponding sonograms, which enables the reader to progress from positioning, scanning, and injection in just a few pages. The anatomic structures depicted are clearly marked and the legends are easy to read. A brief overview of the normal and pathologic anatomy is also presented in each chapter. While these anatomic sections provide a good synopsis, they are best suited as a review for the reader who has additional background experience with ultrasound of the upper extremity. Likewise, while some injection technique descriptions provide guidance for needle and injectate selection, familiarity with musculoskeletal injections for the upper extremity is needed beyond this text. The …

RadCases Plus Q&A: Neuro Imaging, 2nd Edition

neuro imagingRiascos RF, Bonfante E, Calle S. RadCases Plus Q&A: Neuro Imaging, 2nd Edition;Thieme; 2018;264 pp;776 ill;$69.99

The 2nd edition of “Neuro Imaging” contains 100 cases, all of which could be considered radiographic classics. Edited by Drs. Riascos, Bonfante, and Calle (all from the University of Texas, Houston), the cases are well chosen. Along with the information that accompanies them (Differential Diagnosis, Essential Facts, Other Imaging Findings, Pearls and Pitfalls), each case prepares the reader (resident/fellow/attending) for any possible exam, such as a core or re-certifying exam.

The material concentrates on brain and spine imaging – both pediatric and adult. However, the lack of head and neck imaging (that is, after all, part neuro imaging in most practices) is an omission which should rectified in future additions.

There are 2 issues in the routine evaluation of neuro imaging; one is knowing the diagnosis or differential diagnosis of a classic presentation, while the other is identifying subtle abnormalities. This book, along with other publications in this genre, do not get involved in the latter issue. Since there are many websites where one can test oneself, the utility of quiz books as represented by this publication have become less important over time. However, hopefully one day someone will create a digital quiz with multiple images to choose between (for the same patient) where the challenge would be to find the abnormality, as opposed to suggesting a diagnosis of an obvious abnormality.

This book includes a supplementary section in which 2 follow-up questions are asked for each of the cases shown (200 questions total). There are some less common cases which are well demonstrated; examples include CLIPPERS, HOA, Duret hemorrhage alar/transverse ligament injury, PML in IRIS and non-IRIS situations, hepatic encephalopathy, radiation necrosis, and post seizure MTT/perfusion.

The images chosen are adequate teaching …

Emergent Neuroimaging: A Patient Focused Approach

Mukherji SK, Nunez DB. Emergent Neuroimaging: A Patient Focused Approach. Theclinics.com; 2018; 318-536 pp; $386.90.

emergent neuroimagingThe August 2018 issue of the Neuroimaging Clinics, edited by Dr. Diego Nunez deals with very practical issues in neuroimaging, specifically Emergent Neuroimaging: A Patient Focused Approach.

The concept here is a good one because most chapters concern a particular symptom or symptoms. This is after all, how patients present to an emergency department. Thirteen chapters cover the more common situations in neuro-emergencies, although one could come up with scenarios, which have not been covered in separate discrete chapters, such as an acute cauda equina syndrome or thoracic lumber trauma. Thirty-eight authors contributed to this 216-page issue. The imaging is of high quality and the text is supplemented with important tables.

The chapters cover the following topics:

  • Acute neurologic impairments, including adults with stroke with acute neurologic deficit (which includes the MGH stroke imaging algorithm);
  • Thunderclap headaches (TCH);
  • Non traumatic intracranial hemorrhage;
  • Acute deficits other than stroke;
  • Immunosuppressed patients;
  • Pregnancy and the post-partum period;
  • The unconscious/found down;
  • Patients with special circumstances in the pediatric population (trauma/non-trauma);
  • Head/neck injuries in the older age group;
  • CT/MR in cervical spine trauma;
  • Blunt neck trauma and associated vascular injury;
  • Maxillofacial trauma;
  • Radiation dose considerations.

Even for the seasoned neuroradiologist, the material in this issue deserves a studied reading since some approaches and concepts change over time. The chapter on stroke (chapter one) is important because it offers an update on imaging and criteria one can employ in assessing the ischemic brain and the suitability for treatment. One does wonder, however, why the authors, when discussing CBF and MTT maps, refer the reader to a catheter angiogram showing a MCA clot.

Discussion and illustrations of patients with thunderclap headaches and with spontaneous intracranial hemorrhage allow the reader …

Decision Making in Neurovascular Disease

Rangel-Castilla L, Nakaji P, Siddiqui AH, et al. Decision Making in Neurovascular Disease. Thieme; 2018; 528 pp; 310 ill; $249.99.

neurovascular diseaseDecision Making in Neurovascular Disease is a 71-chapter single-volume reference with information, illustrations, and treatment algorithms on neurovascular pathologies that may be encountered in the brain or spine.

This comprehensive book is organized into seven sections:

  • Ischemic stroke and vascular insufficiency;
  • Aneurysms (anterior circulation, posterior circulation, other);
  • Arteriovenous malformations;
  • Fistulas;
  • Cavernous malformations;
  • Hypervascular tumors.

Each chapter includes pathophysiology, clinical and radiographic imaging evaluation, differential diagnoses, decision-making algorithms, as well as considerations in surgical and endovascular treatments.

Treatment of neurovascular disease has become a multi-disciplinary field including neurology, radiology, and neurosurgery. The value of this book is that it summarizes the most up-to-date and important evidence in the literature for management of each specific condition. Using this information, the authors construct a simplified decision tree to facilitate evidence-based treatment.

The operative nuances section briefly mentions the various techniques within each modality (surgery, endovascular, radiosurgery) that may be used. In this way, it serves as a catalog of the contemporary technology and techniques within each modality at this time, which is particularly useful in the rapidly evolving endovascular field. However, other texts may serve as a more useful guide for the specific detailed technical aspects of how to perform the surgical or endovascular procedure.

Each chapter also contains key neuroimaging with case examples or illustrations of important anatomical relationships. The beautiful color illustrations of the spinal arteriovenous malformations are particularly noteworthy in detail and clarity.

As most of the chapters are written by neurosurgeons or neurointerventionalists, it is important to recognize that there may exist a slight bias towards treatment over observation. Nevertheless, the expert commentary at the conclusion of each chapter provides additional thoughtful counterpoints as well as reflections of …

Seven Bypasses: Tenets and Techniques for Revascularization

Lawton MT. Seven Bypasses: Tenets and Techniques for Revascularization. Thieme; 2018; 698 pp; 1,519 ill; $279.99.

cerebrovascular surgeryIt was a real pleasure reviewing Seven Bypasses: Tenets and Techniques for Revascularization by Michael T. Lawton, MD. This is the third installation in Dr. Lawton’s trilogy of cerebrovascular surgery textbooks, the other two being Seven Aneurysms and Seven AVMs. Continuing a tradition of excellence, this work is another masterpiece. Although this book is highly technical and primarily geared towards neurosurgeons, this treasure of knowledge will occupy a special place in the library of every practitioner dealing with cerebrovascular disease.

Neuroradiologists, in particular, are called upon to evaluate and “unravel” complex post-operative images, which often involve bypasses. In these complex scans, whether it is angiograms, CTs, MRIs, etc., normal anatomy and imaging findings are distorted on multiple levels by the original pathology, the surgical procedure, and the potential surgical complications. This layered complexity may challenge even neuroradiologists who are used to these cases, let alone practitioners who are called to evaluate such patients infrequently. Dr. Lawton’s textbook covers everything that a neuroradiologist may need to intelligently interpret nearly every case.

True master surgeons are often very busy clinically, resulting in little or no time for writing a textbook themselves. As such, in today’s time, most textbooks have become a collage of different authors, each one with varying degrees of experience, knowledge, and commitment. Frankly, most chapters are written by residents and fellows with little or no experience, and who, in the end, receive little (if any) supervision by the experts. One of the unique aspects of this textbook is that it is written from cover to cover by Dr. Lawton himself. Dr. Lawton is not only one of the most well regarded cerebrovascular neurosurgeons of this era, but is also a notorious …

ExpertDDX: Musculoskeletal, 2nd Edition

Davis KW, Blankenbaker DG. ExpertDDX: Musculoskeletal, 2nd Edition. Elsevier; 2018;968 pp;3,100 ill; $299.99.

Expert DDX: Musculoskeletal, 2nd EditionExpert DDX: Musculoskeletal, 2nd Edition is the second book in the ExpertDDX series. The series addresses a challenge inherent to reference books of differential diagnoses. The authors, Kirkland W. Davis, MD, and Donna G. Blankenbaker, MD, provide a resource that balances conciseness and comprehensiveness.

Dr. Davis and Dr. Blankenbaker are both professors of radiology and prolific researchers at the University of Wisconsin School of Medicine and Public Health. By writing a volume of ExpertDDX series specific to the musculoskeletal system, the authors have produced a user-friendly and specialized compendium.

This book is divided into 3 parts, all based on anatomy, imaging, and clinical. The first part is divided by anatomic location, the second part by imaging modality, and the third by clinical complaint (i.e. “shoulder and arm,” “spine,” and “systemic.” All modalities including radiography, CT, MRI, and ultrasound are covered.

The way the text is organized allows the reader to use different origins of inquiry and cross-reference their findings. For example, a novice user may begin with a specific anatomic location and correlate with clinical complaint. Alternatively, in a particularly difficult case, the reader may benefit from beginning with the clinical complaint and cross-referencing with imaging by modality.

Over 200 differential diagnosis lists are presented. Each list is divided between common, less common and rare, but important diseases. Following the differential diagnosis list, key differential diagnosis issues and helpful clues are provided. The former provides details differentiating the factors pertinent to a correct diagnosis, such as age, location, or pattern of spread. The latter describes defining features of specific diagnoses such as common, less common and rare.

The inclusion of “key differential issues” and “helpful clues” is particularly thoughtful. While lists of differential diagnoses can be found …

MRI of the Musculoskeletal System: 2nd Edition

Vahlensieck M, Reiser M. MRI of the Musculoskeletal System: 2nd Edition. Thieme; 2017; 696 pp; 2,062 ill; $274.99.

MRI of the Musculoskeletal System--Dr. VahlensieckThe second edition of MRI of the Musculoskeletal System provides a comprehensive and well-illustrated overview of MRI in the evaluation of the joints. This 677-page hardcover textbook is edited by Martin Vahlensieck and Maximilian Reiser and includes 22 contributors, the majority of whom are affiliated with German institutions. This edition contains new and updated content, references to websites for further information on specific topics, and research tips for more effective use of keyword search terms. As would be desired for any radiological resource, the highlight of the book is the more than 2,000 high-quality, large-sized MR images.

Overall, the textbook is complete, accurate, and well structured. The book chapters are organized according to an anatomic region of the body. The subject in each chapter is logically laid out and comprehensively reviewed. A precise outline with the page numbers of the corresponding sections is displayed at the beginning of each chapter, in addition to the main table of contents and the subject index, which will be of value for quick references while reading a case, preparing educational lectures, and teaching in a one-on-one environment.

The chapters follow a similar format with a discussion of specific imaging techniques, anatomy, related pathologies, relevant post-treatment findings, and potential sources of mistakes when interpreting images. Most of the chapters conclude with a section on clinical relevance that incorporates a noteworthy “clinical Interview” with a field specific expert aimed at providing insight into the perceived role of MRI in practice, as well as the disorders that result in the most false-positive and false-negative MRI results. A comprehensive list of clearly enumerated references is provided after each chapter, which facilitates correlation with the chapter contents.

Although written primarily for …