Oxford Handbook of Medical Imaging

Oxford Handbook of Medical Imaging

Ultrasound in Med. & Biol., Vol. 39, No. 5, pp. 930–931, 2013 Copyright Ó 2013 World Federation for Ultrasound in Medicine & Biology Printed in the US...

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Ultrasound in Med. & Biol., Vol. 39, No. 5, pp. 930–931, 2013 Copyright Ó 2013 World Federation for Ultrasound in Medicine & Biology Printed in the USA. All rights reserved 0301-5629/$ - see front matter



Book Review OXFORD HANDBOOK OF MEDICAL IMAGING Michael J. Darby, Dominic A. Barron, Rachel E. Hyland, Oxford University Press Inc., New York, USA, 2012; 440 pages. ISBN number: 978-0-19-921636-9

Medical imaging is now widely accepted in today’s general community and medical world, reaching a golden age of popularity. Traditional radiology techniques (e.g., x-ray, CT) have become universal front line diagnostic methods, portable technology is convenient (e.g., portable ultrasound system), and niche professional imaging education is now a very common addition to general training programs. The Oxford Handbook of Medical Imaging by Michael Darby, Dominic A. Barron and Rachel E. Hyland from Leeds Teaching Hospitals NHS Trust (Leeds, UK), is a laudable 440-page endeavor that condenses and summarizes common medical conditions, the differential diagnosis and the role medical imaging can play in connecting the medical condition with a diagnosis. The qualified authors recognize that it is not feasible to describe all medical conditions for a pocket guide (‘‘. a book of this size, it is impossible to include all known conditions.’’); therefore, they focus on providing an overview of current medical imaging techniques and the increasing role that imaging plays in making the diagnosis. Although not all inclusive, a text of this magnitude would be very helpful to promising, novice healthcare professionals as they learn to incorporate medical imaging techniques into their daily medical practice. The guide indexes for this handbook are well thought out and very useful for navigating the included subject matter. The content is introduced after the preface and acknowledgements, with chapter page numbers and corresponding light blue index markers along the fore-edge of the book for reference; however, the light blue is very subtle for the size of the manual and would benefit from a bolder color contrast. For useful, quick chapter reference, attached inside the spine of the book are two tassel book marks. Thoughtfully included after the chapter listing is a helpful directory of common medical abbreviations used throughout the medical language. At the end of the book is an extensive, thought out reference directory for easy search of headline terms used throughout the text. The authors start out with an overview of wellestablished and state-of-the-art medical imaging techniques, including plain film radiography, fluoroscopy,

angiography, ultrasound, computed tomography, nuclear medicine (traditional), PET-CT and magnetic resonance imaging interventional radiology. Without going into too much detail, each imaging technique is sufficiently summarized with basic introductory background principles, applications of each technique, contraindications, post-imaging complications and follow-up care. Also provided are examples of high resolution images for each modality, emphasizing typical findings from basic anatomy (e.g., carotid artery ultrasound) to pathology (e.g., nuclear medicine bone metastases) to surgical correction (e.g., angiography with endovascular stents). The images provided are black and white, which is satisfactory for grayscale modalities; images with diagnostic information embedded in color, e.g., ultrasound color flow Doppler, are difficult to understand. Considerations for future Oxford Handbook editions could include a section on bourgeoning techniques, such as 3D/4D ultrasound (general and cardiac), molecular imaging and hybrid combination modalities (CT/MRI/ ultrasound/angiography). Overall, the comprehensive yet concise summaries provided by this handbook are invaluable to the novice clinician as a basic introduction to widely established medical imaging technology. After the reader has been introduced to current medical imaging modalities, the authors turn to the anatomical system based approach and relevant imaging for each anatomical system. This anatomical system approach is logical and comprehensive, and each anatomical system is divided into three subset sections. The first section presents the differential diagnosis listed by impressions from radiological imaging studies. The second section reviews anatomical presenting syndromes or, possibly more appropriate, presenting symptoms, as a syndrome is a collection of symptoms that characterize a specific disorder. Each symptom in the second section is sufficiently defined in relation to specific anatomy, differential diagnoses and appropriate imaging tests for potential diagnosis. The third section yields the most information, covering presenting conditions, from condition definition, clinical presentation, imaging modality findings and useful information for the interpreting radiologist. 930

Book Review

Unquestionably, with the Oxford Handbook of Medical Imaging, authors Darby, Barron and Hyland, as well the 18 contributing co-authors, have shouldered a charge that has probably been pondered more than has been accomplished in a text of this size. Handbooks, traditionally, have encountered content issues from too little to too much, a Goldilocks effect, if you will. The content provided here was obviously gathered through many years


of diligent education and conscientious medical practice. Pertinently displayed in a concise and comprehensive format, this text will provide a valuable resource for any young healthcare professional’s early career and beyond. Scottsdale, AZ, USA


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