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Diagnosis of Bone and Joint Disorders
412
CLINICAL RADIOLOGY
doi:10.1016/S0009-9260(02)00542-1, available online at www.sciencedirect.com Diagnostic and Interventional Neuroradiology: A Multimodality Approach. By Klaus Sartor, Stuttgart: Thieme, 390 pp 2002. e99.00. The book is a translation of the 2nd edition of ‘Neuroradiologie’ a German textbook, which was completely revised and updated after its first edition in 1996. It is a multi-author book of junior and senior neuroradiologists, most of them working in teaching hospitals. The goal of the textbook is to give a short, but substantial overview, predominantly of diagnostic, but also interventional neuroradiology with emphasis on computed tomography (CT) and magnetic resonance imaging (MRI). The book is divided in a diagnostic part covering cerebral and spinal diseases (370 pp). In addition, there is a shorter chapter covering interventional procedures (nearly 50 pp). The diagnostic chapter of ‘Craniocerebral Diseases’ comprises: methods and normal findings (including normal brain maturation in MRI), malformation and developmental abnormalities, traumatic lesions, tumours and tumour-like diseases, vascular diseases, infections and inflammation, demyelinating and degenerative diseases, iatrogenic lesions and effects of medical conditions. The chapter on spinal diseases comprises: methods and normal findings, malformations and developmental abnormalities, traumatic lesions, spinal tumours and tumour-like diseases, vascular diseases, infections and inflammations, demyelinating and degenerative diseases of the spinal cord, degenerative diseases of the spine, other diseases of the spinal column and spinal cord. A shorter chapter covers neuromuscular diseases. ‘Endovascular Treatment of Craniocerebral Diseases’ and ‘Endovascular Therapy and other minimally invasive treatment for spinal diseases’ cover treatment of AV malformations, AV fistulas, cerebral aneurysms, pre-operative devascularization of hypervascular tumours. Thrombolysis and angioplasty are also included. In general, the individual chapters contain a short concise introduction, a list of differential diagnosis and illustrations of good and high quality. There are brief tables that list highlights and summarize features of a particular disease. There are extended overviews covering cerebral ischaemia and haemorrhage, aneurysms and vascular malformations, demyelinating diseases and neuro-degenerative disorders including dementias. Due to the multi-authorship there is inevitablely some
overlap, e.g. the basic principals of CT are covered in the introduction to both cerebral and spinal CT technique chapters. Some important general radiographic landmarks are mentioned such as the orbitomeatal line—but no reference is made to the AC –PC line despite its importance in MRI. Chamberlain and McGregor lines are not described regardless of their importance in imaging disorders at the craniocervical junction. The identification of the side of neuroforamen on oblique plain radiographs of the spine is not only of importance in orthopaedics (Basic Principles of Spinal Diseases). Standard projections in neuroangiography could usefully be included a future edition. The chapter on spinal tumour explains myelographic patterns of spinal masses with nice schematic drawings. In the future an additional chapter on emergency neuroradiology imaging and the important findings of cerebral and spinal studies in these situations might be added. This area often causes trouble for the trainees on-call. This could also then include advice on how to deal at night with the common requests ‘Is it safe to perform a lumbar puncture?’ The chapter on interventional neuroradiology procedures is obviously less important for registrars, but covers general abnormality and treatment principles of this particular field. Thrombolytic agents in treatment of stroke reflect their use, predominantly in multi-centre studies. It might be worth to knowing that rt-PA is not licensed in the U.K. for intra-arterial thrombolysis in other than the coronary circulation. In the chapter on angiography (Basic Principles and Applications), in addition to the coagulation values described, the prothrombin time and partial thromboplastin time, the INR is used in daily U.K. practice and could be mentioned in a future edition. In summary, the textbook, ‘Diagnostic and Interventional Neuroradiology, a Multimodality Approach’ is recommended for registrars/residents and fellows working in the field of radiology and neurosciences, and it targets their needs in daily life. The book largely achieves the authors’ objectives. It is, therefore, worthwhile to have it in a departmental library for younger colleagues in radiology but also in departments of neurology and neurosurgery. T. Wilhelm
doi:10.1016/S0009-9260(02)00578-0, available online at www.sciencedirect.com Diagnosis of Bone and Joint Disorders. By D. Resnick. 4th Edition. WB Saunders, Philadelphia, 2002. £590.00. The latest edition of Resnick’s magnificent textbook comes in five volumes rather than six. This is deceptive as each is significantly longer than it predecessor and the overall size is roughly the same. The editor, now Donald Resnick alone with new assistants, says that the content has changed by about 30% whilst about the same proportion of illustrations are new. Material relating to older imaging methods such as myelography has been removed. Rather than a full index in each volume there is a synopsis in the first four and the full version in the fifth volume. Although the editor says that magnetic resonance imaging is now heavily emphasized I am pleased to see that some weight has been placed on other imaging methods. There is a chapter on ultrasound, which means that I now have a reference in this section. Conversely in the chapter on rotator cuff disease ultrasound is mentioned only to refer the reader to the section on technique in the first volume. Indeed throughout the book there is little attempt to critically appraise methods and techniques. The book is centred on methods and pathology. There is much less on clinical management; for example, I find it strange that transient synovitis and irritable hip are only considered as a subsection of Perthe’s disease. The strength of the publication is that it is extensive and covers most of
the topics that I can think of in musculoskeletal imaging. Only rarities and the latest techniques are absent, for example Kyphoplasty. I used the previous editions heavily especially when refereeing case reports. If the disease is not in Resnick it is probably worth publishing as a case report. Overall it is difficult to praise the team that wrote these volumes strongly enough. The basic science is particularly sound and the coverage of degenerative disorders is excellent. Departments who practice even a modicum of musculoskeletal imaging should have ready and every day access to this volume. It is important to have the latest edition as there has been rapid and substantial change in many fields within the specialty. Most of us who practise skeletal radiology as a main subject will wish to possess our own copy. In his preface to the fourth edition Donald Resnick says how much he learnt from editing the book and suggests that those who read the five volumes in their entirety would achieve the same. I concur but must confess that unlike other reviews that I have written I have not yet achieved this goal. I have been pressed by the editorial office to finish this review and each stalling has resulted in another reading binge, all to my considerable benefit. If you are a skeletal imager you need this book!
D. Wilson
CLINICAL RADIOLOGY
doi:10.1016/S0009-9260(02)00542-1, available online at www.sciencedirect.com Diagnostic and Interventional Neuroradiology: A Multimodality Approach. By Klaus Sartor, Stuttgart: Thieme, 390 pp 2002. e99.00. The book is a translation of the 2nd edition of ‘Neuroradiologie’ a German textbook, which was completely revised and updated after its first edition in 1996. It is a multi-author book of junior and senior neuroradiologists, most of them working in teaching hospitals. The goal of the textbook is to give a short, but substantial overview, predominantly of diagnostic, but also interventional neuroradiology with emphasis on computed tomography (CT) and magnetic resonance imaging (MRI). The book is divided in a diagnostic part covering cerebral and spinal diseases (370 pp). In addition, there is a shorter chapter covering interventional procedures (nearly 50 pp). The diagnostic chapter of ‘Craniocerebral Diseases’ comprises: methods and normal findings (including normal brain maturation in MRI), malformation and developmental abnormalities, traumatic lesions, tumours and tumour-like diseases, vascular diseases, infections and inflammation, demyelinating and degenerative diseases, iatrogenic lesions and effects of medical conditions. The chapter on spinal diseases comprises: methods and normal findings, malformations and developmental abnormalities, traumatic lesions, spinal tumours and tumour-like diseases, vascular diseases, infections and inflammations, demyelinating and degenerative diseases of the spinal cord, degenerative diseases of the spine, other diseases of the spinal column and spinal cord. A shorter chapter covers neuromuscular diseases. ‘Endovascular Treatment of Craniocerebral Diseases’ and ‘Endovascular Therapy and other minimally invasive treatment for spinal diseases’ cover treatment of AV malformations, AV fistulas, cerebral aneurysms, pre-operative devascularization of hypervascular tumours. Thrombolysis and angioplasty are also included. In general, the individual chapters contain a short concise introduction, a list of differential diagnosis and illustrations of good and high quality. There are brief tables that list highlights and summarize features of a particular disease. There are extended overviews covering cerebral ischaemia and haemorrhage, aneurysms and vascular malformations, demyelinating diseases and neuro-degenerative disorders including dementias. Due to the multi-authorship there is inevitablely some
overlap, e.g. the basic principals of CT are covered in the introduction to both cerebral and spinal CT technique chapters. Some important general radiographic landmarks are mentioned such as the orbitomeatal line—but no reference is made to the AC –PC line despite its importance in MRI. Chamberlain and McGregor lines are not described regardless of their importance in imaging disorders at the craniocervical junction. The identification of the side of neuroforamen on oblique plain radiographs of the spine is not only of importance in orthopaedics (Basic Principles of Spinal Diseases). Standard projections in neuroangiography could usefully be included a future edition. The chapter on spinal tumour explains myelographic patterns of spinal masses with nice schematic drawings. In the future an additional chapter on emergency neuroradiology imaging and the important findings of cerebral and spinal studies in these situations might be added. This area often causes trouble for the trainees on-call. This could also then include advice on how to deal at night with the common requests ‘Is it safe to perform a lumbar puncture?’ The chapter on interventional neuroradiology procedures is obviously less important for registrars, but covers general abnormality and treatment principles of this particular field. Thrombolytic agents in treatment of stroke reflect their use, predominantly in multi-centre studies. It might be worth to knowing that rt-PA is not licensed in the U.K. for intra-arterial thrombolysis in other than the coronary circulation. In the chapter on angiography (Basic Principles and Applications), in addition to the coagulation values described, the prothrombin time and partial thromboplastin time, the INR is used in daily U.K. practice and could be mentioned in a future edition. In summary, the textbook, ‘Diagnostic and Interventional Neuroradiology, a Multimodality Approach’ is recommended for registrars/residents and fellows working in the field of radiology and neurosciences, and it targets their needs in daily life. The book largely achieves the authors’ objectives. It is, therefore, worthwhile to have it in a departmental library for younger colleagues in radiology but also in departments of neurology and neurosurgery. T. Wilhelm
doi:10.1016/S0009-9260(02)00578-0, available online at www.sciencedirect.com Diagnosis of Bone and Joint Disorders. By D. Resnick. 4th Edition. WB Saunders, Philadelphia, 2002. £590.00. The latest edition of Resnick’s magnificent textbook comes in five volumes rather than six. This is deceptive as each is significantly longer than it predecessor and the overall size is roughly the same. The editor, now Donald Resnick alone with new assistants, says that the content has changed by about 30% whilst about the same proportion of illustrations are new. Material relating to older imaging methods such as myelography has been removed. Rather than a full index in each volume there is a synopsis in the first four and the full version in the fifth volume. Although the editor says that magnetic resonance imaging is now heavily emphasized I am pleased to see that some weight has been placed on other imaging methods. There is a chapter on ultrasound, which means that I now have a reference in this section. Conversely in the chapter on rotator cuff disease ultrasound is mentioned only to refer the reader to the section on technique in the first volume. Indeed throughout the book there is little attempt to critically appraise methods and techniques. The book is centred on methods and pathology. There is much less on clinical management; for example, I find it strange that transient synovitis and irritable hip are only considered as a subsection of Perthe’s disease. The strength of the publication is that it is extensive and covers most of
the topics that I can think of in musculoskeletal imaging. Only rarities and the latest techniques are absent, for example Kyphoplasty. I used the previous editions heavily especially when refereeing case reports. If the disease is not in Resnick it is probably worth publishing as a case report. Overall it is difficult to praise the team that wrote these volumes strongly enough. The basic science is particularly sound and the coverage of degenerative disorders is excellent. Departments who practice even a modicum of musculoskeletal imaging should have ready and every day access to this volume. It is important to have the latest edition as there has been rapid and substantial change in many fields within the specialty. Most of us who practise skeletal radiology as a main subject will wish to possess our own copy. In his preface to the fourth edition Donald Resnick says how much he learnt from editing the book and suggests that those who read the five volumes in their entirety would achieve the same. I concur but must confess that unlike other reviews that I have written I have not yet achieved this goal. I have been pressed by the editorial office to finish this review and each stalling has resulted in another reading binge, all to my considerable benefit. If you are a skeletal imager you need this book!
D. Wilson