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CT and Magnetic Resonance of the Thorax, 3rd Edition FREE TO VIEW

David S. Mendelson, MD
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Mount Sinai Medical Center New York, NY

Chest. 2001;120(5):1757. doi:10.1378/chest.120.5.1757
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By DP Naidich, WR Webb, and NL Müller, et al, eds. Philadelphia, PA: Lippincott Williams & Wilkins, 1999; 784 pp; $155.00

CT and Magnetic Resonance of the Thorax, currently in its third edition, is quite deservedly a mainstay of radiologic texts, serving both as a reference for experienced imagers and a tutorial for those in training. The multiple authors, many of whom are leaders in the field of thoracic imaging, provide an exhaustive reference formatted to appeal to its major audience, radiologists. Thus, the text stresses techniques, anatomy, and radiologic patterns of disease, which are then integrated with indepth discussions of pathology and clinical syndromes.

While radiologists are the primary target audience, this book can be a valuable addition to the library of any physician evaluating patients with chest disease. There is little doubt as to the cardinal importance that good chest imaging plays in patient management. Clinicians well versed in the clinical and pathologic manifestations of disease may routinely find that it is helpful to have a reference written from the perspective of the radiologist to assist them in making the most of the imaging studies they order.

Sophisticated users of CT and magnetic resonance (MR) technology are aware that not all examinations are the same and that there are a variety of techniques that can enhance the value of a study in particular situations. The opening sections of this text summarize the physical principles of CT and MR, and explain how the radiologist can adjust various factors to emphasize and demonstrate pathology. This information, combined with well-illustrated discussions of cross-sectional anatomy, would provide sufficient justification for many to own this volume.

The great strength of this text is its lucid approach to CT patterns of disease. Clear diagrams of lung structure as shown on high-resolution CT and abundant sample images should help all understand the images in the context of the relevant diseases. The authors help to develop a coherent relationship between disease states and the expected imaging findings. All manifestations of chest disease, including mediastinal, vascular, and chest wall structures are discussed.

Although timely and up to date when published in 1999, the text is (not surprisingly) lacking in detail with regard to some of the newer techniques, most particularly in CT. Multislice CT scanners were just beginning to appear at the time of publication, and have subsequently made available some important techniques not fully developed in this volume. These would include low-dose CT screening for lung cancer and, to a lesser extent, CT and MR angiographic techniques. Obviously, all textbooks suffer from this deficiency, and in fact these authors were close enough to the forefront of the field of radiology that the fundamentals of these topics are discussed, providing an excellent background from which one can read the current literature.

CT and Magnetic Resonance of the Thorax, 3rdEdition is so thorough and clearly written in its description of radiologic patterns of disease, and particularly so with regard to cross-sectional imaging, that it leaves the reader well prepared to understand the evolving literature. Once on one’s bookshelf, I suspect it will be an often-referenced volume.




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