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guidelines for training in general radiology, issued by the European Association of Radiology. Udo Hoffmann Department of Radiology, Uni6ersity of Vienna, Waehringer Guertel 18 – 20, A-1090 Vienna, Austria
Missing color information in the images (despite addressed in the text) (page 134). Various contributions show different fonts, layouts (block, right-adjusted), and structure (p 339). In conclusion, this book reflects the endeavor to transform the continuous advances in imaging-related technology into (substantial) improvements in computer-aided diagnosis and provides an overview of the variety of techniques and systems used or designed to this end.
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Computer-Aided Diagnosis in Medical Imaging, by K. Doi, H. MacMahon, M.L. Giger and K.R. Hoffmann, Elsevier Science, B.V., 1999. ISBN 0-444-50058-8 The book contains the contributions to the First International Workshop on Computer-Aided Diagnosis which was held September 20 – 23, 1998 at the University of Chicago Downtown Center in Chicago, IL. The total of 81 articles is organized in seven sections and provides a good overview of the status in Computer-Aided Diagnosis related to medical images some 1 and a half year ago. It encompasses both works from academic institutions (for more basic studies) and industrial organizations for commercialization efforts. More than half of these articles (45) are on chest and breast imaging, respectively. It is striking that in the field of chest imaging the Japanese contributions (13, two in collaboration with the USA) outnumber the American contributions (9), whereas in breast imaging the USA had a clear lead of 14 contributions compared to nine from mainly Europe (one from Brazil and one from Japan). All other sections were dominated by the USA. As with all workshops there are contributions of varying quality. Among some very informing and illustrative ones are some rather general articles (page 339) which are probably of rather limited practical use. Most articles capitalized on advances in at least one of roughly six disciplines such as computer and networking technologies, virtual reality environments or software techniques (e.g. texture analysis, artificial neural network, fast volume rendering).With some articles I would have preferred a more in depth treatment of the underlying technical procedure but this would be most likely quite boring and distracting for medical people who are more interested in the potentials of the methods than their detailed functionality. Due to the probably standard time pressure to produce the book in time for the workshop there are some minor imperfections: Keywords do not start with a new line (page 3). Incomplete sentences (page 65).
E. Schuster Department of Medical Computer Sciences, Uni6ersity of Vienna, Spitalgasse 23, A-1090 Vienna, Austria PII: S 0 7 2 0 - 0 4 8 X ( 0 0 ) 0 0 1 9 1 - 1
Spiral CT of the Abdomen, Edited by Terrier F., Grossholz M., Becker C.D., Springer; Berlin Heidelberg New York: 2000. ISBN 3-540-63463-0. DM 449 This new volume of the ‘Medical Radiology–Diagnostic Imaging’ series contains 47 chapters with contributions from 71 authors covering all relevant issues of spiral CT in the diagnostic work-up of diseases of the abdomen. Each chapter is clearly arranged with its contents on the first page. The technical part is dealing with basic principles of spiral CT compared to sequential CT from the introduction in the early 1990s to the develpoment of multislice CT scanners. New reconstruction techniques like MIP, SSD or VRT for CT Angiography are clearly described in chapter 3, which is highlighted with excellent examples of reconstructions of vascular diseases. Data and Image processing is covered from the introduction of Houndsfield Units to 3D pointing, digitizing and navigation as well as multimodality imaging. Particular attention is paid how spiral technology made true multiphasic organ imaging and thus further differentiation possible. The liver, pancreas and biliary ducts, the urinary tract, renal tumors, the GI-tract, the abdominal aorta and abdominal vessels are covered. For each of these organ systems imaging protocols are tailored including slice collimation, pitch, reconstruction index, scan direction, amount of contrast and injection rate to obtain the maximum benefit. Each organ system is similarly structured and consists of a logical sequence of chapters followed by chapters discussing the value of US and MRI compared to spiral CT. The potential advantages and limitations of helical CT are also addressed. All relevant liver lesions are dealt with and their characteristic features during arterial and portal venous
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phase are described including numerous high-quality images. Chapter 10 emphasizes perfusion disorders of the liver which could yield to serious difficulties in interpretation if they were not taken into account. Concerning pancreatic diseaeses CT is still the ‘workhorse’ in the diagnostic work-up but rivalled by MRCP in imaging of biliary duct disorders as clearly discussed in Chapter 23. It is emphasized that the nonenhanced CT will become more and more imortant in patients with renal colics due to volumetric covering of the region of interest and the possibility of MPR. The value of CT Enteroclysis in diagnosing morphologigal disorders of the small bowel is clearly described in Chapter 34. Virtual colonoscopy and ist place in GI-radiology is summarized with superb 3D surface rendering images and endoscopic views. A comprehensive overview is given on the CTA of the aorta and visceral arteries which will be further pushed forward by modern multislice technology which eventually will offer near-isotropic imaging and hence substitutes intra-arterial DSA. At the end of this book the role of spiral CT in abdominal trauma and interventional pro-
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cedures is described. Chapter 46 contains information about new contrast media for liver CT with possible further improvement in differential diagnosis. The last Chapter offers 22 protocols for spiral CT of all relevant abdominal regions which is actually a useful guideline. The book provides a wonderful source of references which are up-to-date and extensive. It offers superb images including SSR, MIP and VRT. It can be highly recommended to radiologists performing helical CT in abdominal imaging and should be a standard reference in any department‘s library. The price of DM 449 is worth the investment. Christian Krestan Uni6ersitatklinik fur Radiodiagnostik, AKH Wien, Wahringer Gurtel, 18 -20, 1090 Vienna, Austria PII: S 0 7 2 0 - 0 4 8 X ( 0 0 ) 0 0 1 9 2 - 3