- Email: [email protected]
Radiological Management of Musculoskeletal Tumours
228
CLINICAL RADIOLOGY
LiPuma, JP (1984). Magnetic resonance imaging of the kidney. Radiological Clinics of North America, 22, 925-941. Schultze Kool LJ, te Strake, L, Paul, LC, Tegzess, AM, Bloem, JL, Doornbos, J et al. (1985). Magnetic resonance imaging renal transplants. Proceedings of the European Dialysis and Transplant Association, 22, 609--613. Sibley, RK, Rynasiewicz, J, Ferguson, RM, Fryd, D, Sutherland, DER, Simmons, RL et al. (1983). Morphology of cyclosporine nephrotoxicity and acute rejection in patients immuno-suppressed with cyclosporine and prednisone. Surgery, 94, 225-234. Smith, FW, Reid, R, Mallard, JR, Hutchison, JMS, Power, DA & Catto, G R D (1982). Nuclear magnetic resonance tomographic imaging in renal disease. Diagnostic Imaging, 51, 20%213.
te Strake, L, Blickman, JR, van der Hem, GK, Hooykaas, JAP, Poppema, S & Brouwer-van Herwijnen, AA (1984). lmagerie RMN du rein. Journal de Radiologie, 65, 631-635. Taube, DH, Williams, DG, Hartley, B, Rudge, CJ, Neitd, GH, Cameron, JS et al. (1985). Differentiation between allograft rejection and cyclosporin nephrotoxicity in renal transplant recipients. Lancet, ii, 171-174. Thickman, D, Kundel, H & Biery, D (1984). Magnetic resonance evaluation of hydronephrosis in the dog. Radiology, 152, 113-116. Young, IR, Bailes, DR, Bud, M, Collins, AG, Smith. DT, McDonell, MJ et al. (1982). Initial clinical evaluation of a whole body nuclear magnetic resonance (NMR) tomograph. Journal of Computer Assisted Tomography, 6, 1-18.
Book Reviews Radiological Management of Musculoskeletal Tumours. By H. Pettersson, D. S. Springfield and W. F. Enneking. Springer-Verlag, Berlin, 153 pp. 112 figs. s Bone tumours are rare and most radiologists are only occasionally exposed to the diagnostic challenge that these lesions evoke. Definitive diagnosis and treatment requires a team approach of pathologist, radiologist, surgeon and radiotherapist. In recent years, specific tumour centres have developed in order that the necessary expertise can be achieved. This book is a result of such collaboration in one of the largest and most eminent musculoskeletal centres in the United States. The concept of the book is particularly valuable as it relates the radiological pattern to the likely course and treatment of the tumour. The explosion of new imaging techniques has also had a profound effect on diagnosis and prognostication and the chapter relating to the technical merits of the various techniques provides a useful overview. Scintigraphy and ultrasound, however, receive a rather truncated coverage. The importance of the radiologists' role in determining the local behaviour of the turnout is very well covered and should prove informative to all radiologists as it addresses the main decision: is this lesion harmful to the patient or not? The following chapter discusses the radiological diagnostic work-up and stresses the systematic approach. The section on specific radiological patterns of tumour matrix discusses the role of computed tomography and magnetic resonance and is well referenced. The value of magnetic resonance for interosseous tumour spread, computed tomography for cortical breakthrough, and both for extra-osseous extension is highlighted, albeit with a warning on the differentiation of oedematous inflammatory reaction and tumour. The dismissal of ultrasound even for soft tissue lesions and soft tissue extension is disappointing for British radiologists. This probably reflects the relative availability of magnetic resonance imaging in the USA as compared to Britain. This book is easy to read with high quality illustrations. It does not provide the differential lists which form such an integral part of any examiner's life. It does, however, achieve its objective as a concise discussion of the modern radiologic approach to pre-operative work-up of musculoskeletal tumours and will be valuable to tumour teams and referring radiologists alike. I. W. McCall
tomy of the kidney. This second edition of the well-known textbook by Dr Weill and his team of French sonologists aims to expound and explain these and apply recent knowledge to enhance the value of ultrasound in nephrology and urology. It also reviews the classical applications of ultrasound in dilatation of the collecting system and in renal tumours. An extensive section covers the practicalities of ultrasound scanning, emphasising the value of coronal views and the flexible approach that real-time scanning allows. The chapter on normal appearances includes a useful and salutory discussion on artefacts and interpretative pitfalls. Practicality is the hallmark of this book, with diagnostic problems and differentials emphasised throughout, supported by useful tables that remind one of the diagnostic possibilities to be considered in difficult cases. Cystic disease, tumours (benign and malignant) and hydronephrosis are thoroughly covered as well as diffuse renal disease, trauma and para-renal problems including the adrenals. The section on the lower urinary tract is less detailed and does not really compete with monographs specialising in the bladder and prostate. The text is copiously illustrated with real-time sonograms that are well reproduced, though not always state-of-the-art, high resolution images. Superimposed arrows indicate the salient points to be discussed in the captions. The orientation of real-time sections is often confusing because of the infinite freedom to display tomograms in any plane: the omission of scan position diagrams from this book is a problem with some of the more unusual projections illustrated. The text is written in Dr Weill's inimitable and refreshingly informal style so that reading a chapter leaves the impression of having attended a professorial seminar. Some odd terms creep in; mostly their meaning is clear, but some are likely to raise a smile or an eyebrow, e.g. 'refractive shadows arising from intrasinusal elements are fugaceous'. A few are confusing such as the use of 'nephron' or 'a pyelon' for one moiety of a duplex kidney. The term "dysplastic' is used to mean any renal malformation, a wider sense than is usual in English. This is the most up-to-date text on ultrasound of the kidney. It makes entertaining and informative reading and forms an essential reference work for departments involved in renal investigation. D . O . Cosgrove
Renal Sonography. By F. S. Weill, E. Birh, P. Rohmer and F. Zeltner, Springer-Verlag, Berlin, 1987, 210 pp., 355 figs. (in 836 separate illustrations). Improvements in ultrasound image quality have provided a much more detailed display of the complex and sometimes confusing ana-
Erratum Clinical Radiology, 39, 158. Book review. Diagnostic Imaging. By Peter Armstrong and Martin Wastie. The price of this book is s
and not s
as stated in the review.
CLINICAL RADIOLOGY
LiPuma, JP (1984). Magnetic resonance imaging of the kidney. Radiological Clinics of North America, 22, 925-941. Schultze Kool LJ, te Strake, L, Paul, LC, Tegzess, AM, Bloem, JL, Doornbos, J et al. (1985). Magnetic resonance imaging renal transplants. Proceedings of the European Dialysis and Transplant Association, 22, 609--613. Sibley, RK, Rynasiewicz, J, Ferguson, RM, Fryd, D, Sutherland, DER, Simmons, RL et al. (1983). Morphology of cyclosporine nephrotoxicity and acute rejection in patients immuno-suppressed with cyclosporine and prednisone. Surgery, 94, 225-234. Smith, FW, Reid, R, Mallard, JR, Hutchison, JMS, Power, DA & Catto, G R D (1982). Nuclear magnetic resonance tomographic imaging in renal disease. Diagnostic Imaging, 51, 20%213.
te Strake, L, Blickman, JR, van der Hem, GK, Hooykaas, JAP, Poppema, S & Brouwer-van Herwijnen, AA (1984). lmagerie RMN du rein. Journal de Radiologie, 65, 631-635. Taube, DH, Williams, DG, Hartley, B, Rudge, CJ, Neitd, GH, Cameron, JS et al. (1985). Differentiation between allograft rejection and cyclosporin nephrotoxicity in renal transplant recipients. Lancet, ii, 171-174. Thickman, D, Kundel, H & Biery, D (1984). Magnetic resonance evaluation of hydronephrosis in the dog. Radiology, 152, 113-116. Young, IR, Bailes, DR, Bud, M, Collins, AG, Smith. DT, McDonell, MJ et al. (1982). Initial clinical evaluation of a whole body nuclear magnetic resonance (NMR) tomograph. Journal of Computer Assisted Tomography, 6, 1-18.
Book Reviews Radiological Management of Musculoskeletal Tumours. By H. Pettersson, D. S. Springfield and W. F. Enneking. Springer-Verlag, Berlin, 153 pp. 112 figs. s Bone tumours are rare and most radiologists are only occasionally exposed to the diagnostic challenge that these lesions evoke. Definitive diagnosis and treatment requires a team approach of pathologist, radiologist, surgeon and radiotherapist. In recent years, specific tumour centres have developed in order that the necessary expertise can be achieved. This book is a result of such collaboration in one of the largest and most eminent musculoskeletal centres in the United States. The concept of the book is particularly valuable as it relates the radiological pattern to the likely course and treatment of the tumour. The explosion of new imaging techniques has also had a profound effect on diagnosis and prognostication and the chapter relating to the technical merits of the various techniques provides a useful overview. Scintigraphy and ultrasound, however, receive a rather truncated coverage. The importance of the radiologists' role in determining the local behaviour of the turnout is very well covered and should prove informative to all radiologists as it addresses the main decision: is this lesion harmful to the patient or not? The following chapter discusses the radiological diagnostic work-up and stresses the systematic approach. The section on specific radiological patterns of tumour matrix discusses the role of computed tomography and magnetic resonance and is well referenced. The value of magnetic resonance for interosseous tumour spread, computed tomography for cortical breakthrough, and both for extra-osseous extension is highlighted, albeit with a warning on the differentiation of oedematous inflammatory reaction and tumour. The dismissal of ultrasound even for soft tissue lesions and soft tissue extension is disappointing for British radiologists. This probably reflects the relative availability of magnetic resonance imaging in the USA as compared to Britain. This book is easy to read with high quality illustrations. It does not provide the differential lists which form such an integral part of any examiner's life. It does, however, achieve its objective as a concise discussion of the modern radiologic approach to pre-operative work-up of musculoskeletal tumours and will be valuable to tumour teams and referring radiologists alike. I. W. McCall
tomy of the kidney. This second edition of the well-known textbook by Dr Weill and his team of French sonologists aims to expound and explain these and apply recent knowledge to enhance the value of ultrasound in nephrology and urology. It also reviews the classical applications of ultrasound in dilatation of the collecting system and in renal tumours. An extensive section covers the practicalities of ultrasound scanning, emphasising the value of coronal views and the flexible approach that real-time scanning allows. The chapter on normal appearances includes a useful and salutory discussion on artefacts and interpretative pitfalls. Practicality is the hallmark of this book, with diagnostic problems and differentials emphasised throughout, supported by useful tables that remind one of the diagnostic possibilities to be considered in difficult cases. Cystic disease, tumours (benign and malignant) and hydronephrosis are thoroughly covered as well as diffuse renal disease, trauma and para-renal problems including the adrenals. The section on the lower urinary tract is less detailed and does not really compete with monographs specialising in the bladder and prostate. The text is copiously illustrated with real-time sonograms that are well reproduced, though not always state-of-the-art, high resolution images. Superimposed arrows indicate the salient points to be discussed in the captions. The orientation of real-time sections is often confusing because of the infinite freedom to display tomograms in any plane: the omission of scan position diagrams from this book is a problem with some of the more unusual projections illustrated. The text is written in Dr Weill's inimitable and refreshingly informal style so that reading a chapter leaves the impression of having attended a professorial seminar. Some odd terms creep in; mostly their meaning is clear, but some are likely to raise a smile or an eyebrow, e.g. 'refractive shadows arising from intrasinusal elements are fugaceous'. A few are confusing such as the use of 'nephron' or 'a pyelon' for one moiety of a duplex kidney. The term "dysplastic' is used to mean any renal malformation, a wider sense than is usual in English. This is the most up-to-date text on ultrasound of the kidney. It makes entertaining and informative reading and forms an essential reference work for departments involved in renal investigation. D . O . Cosgrove
Renal Sonography. By F. S. Weill, E. Birh, P. Rohmer and F. Zeltner, Springer-Verlag, Berlin, 1987, 210 pp., 355 figs. (in 836 separate illustrations). Improvements in ultrasound image quality have provided a much more detailed display of the complex and sometimes confusing ana-
Erratum Clinical Radiology, 39, 158. Book review. Diagnostic Imaging. By Peter Armstrong and Martin Wastie. The price of this book is s
and not s
as stated in the review.