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Book Review: Diagnostic Radiology

The scope of this attractive volume is to present a synopsis of the state of the art in the field of diagnostic radiology, based upon the vast experience and sometimes pioneering work from the Department of Radiology of the University of California Medical Center in San Francisco. The book contains 545 pages with an index at the end and numerous illustrations, including traditional radiographs, as well as CT, ultrasound, MRI, and isotope scans. Altogether 64 chapters are written by 71 authors. The contents are divided into ten main subjects. The first section deals with gastrointestinal radiology, including interesting chapters on magnetic resonance imaging of the almentary tract, and an overview of small bowel imaging. In the chapter on double contrast imaging of inflammatory bowel disease it is somewhat desappointing not to find basic references on the methodology developed by the group in Malmo, Sweden. It would also seem that the role of CT in the diagnosis of inflammatory as well as malignant disease of the bowel has been overemphasized. The following chapters deal with mammography, pulmonary radiology and there is a section devoted to ultrasound. It may be noted that the chapter on 'Pitfalls of adrenal imaging with sonography and computed tomography' lacks illustrating CT scans. In other chapters interest has been focused on pediatric radiology, cardiovascular radiology, neuroradiology, and uroradiology. The last two chapters deal with skeletal radiology and nuclear medicine. Of particular interest to the reviewer were the chapters on MRI of the musculoskeletal system, where a full account is given on the impact of this new imaging modality. Most of the illustrations are of excellent quality. However, it should be mentioned that some of the urograms and retrograde studies in the section on uroradiology are poor. In conclusion, this is an impressive presentation of the state of the art. However, due to the disparity of topics and to the shortcomings of some of the chapters, it could not be used as a regular textbook of radiology. On the other hand, it can be recommended to all those interested in the role of diagnostic radiology in contemporary medicine, who wish to form an opinion on the possibilities and limitations of diagnostic radiology today.