Magnetic Resonance Imagmg. Vol. I I, p. 1077. 1993 Printed in the USA. All righrs reserved.
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0730-725X/93 $6.00 + .OO 1993 Pergamon Press Ltd.
0 Book Review MAGNETIC RESONANCE IMAGING OF THE KNEE (SECOND EDITION) BY JERROLDH. MINK, MURRAY A. REICHER,JOHNV. CRUESIII, AND ANDREW L. DEUTSCH Raven Press, New York, 1993, 474 Pages Reviewed by Robert C. Smith, MD Department of Diagnostic Radiology Yale University School of Medicine New Haven, CT 06.510, USA
Since the first edition of this book was written, magnetic resonance imaging has dramaticaliy altered the noninvasive diagnosis of abnormalities of the knee. It is therefore important that a text, which covers basic image interpretation as well as the less common abnormalities that can be encountered, be available to the practicing radiologist. The scope of the earlier edition of this book was somewhat limited and it could not serve as a reference text in the field. The second edition of this work is vastly expanded and can serve well as both a clinical guide to the interpretation of knee MRI and a reference text. While the length of the text is somewhat intimidating (close to 500 pages), the clinical information required for interpretation of most clinical MRI is contained in chapters 4-8. The chapter on technical considerations is interesting but cannot serve as an introduction to the uninitiated. The authors briefly describe the basics of image generation for conventional spin-echo sequences. However, the authors quickly jump to a description of the relationship of phase encoding to image contrast/spatial resolution and the relationship of this to fast spin-echo sequences. This makes the discussion somewhat con-
fusing for the general reader, for whom this text is clearly intended. in addition, there are some minor errors in the discussion of the effect of different imaging parameters on the signal-to-noise ratio. The chapter on biological effects and safety is excellent and the tables therein are a useful resource for determining which implantable devices are safe. The chapter on normal anatomy should be expanded to include a more detailed discussion of the choice of imaging parameters for routine knee MRI. The discussion of meniscal abnormalities and the cruciate ligaments is outstanding. The discussion of the collateral ligament complexes is somewhat confusing and lengthy. Terminology is used in this discussion without proper definitions being given. The discussion of the patellofemoral joint, as well as patellar tracking abnormalities, is enhanced by the authors’ own experience and observations. The chapter on the postoperative knee is extremely useful for the practicing radiologist. Overall, the second edition of this text is excellent and is a timely update of all aspects of knee MRI. It should be useful to both radiology residents and practicing radiologists.