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Radiology Illustrated: Gynecologic Imaging

University of Michigan Health Center Ann Arbor, MI 48109

 
By Seung Hyup Kim, Bruce L. McClennan, and Eric K. Outwater. Philadelphia, PA: Elsevier Saunders, 912 pp., 2005. $175

This elaborate text atlas contains a comprehensive teaching file of female pelvic imaging. Targeted mainly toward radiologists involved in gynecologic imaging, this atlas also addresses gynecologists and follows a multitechnique approach. As the preface states, the value of this book depends on "how often the readers open it on the working table"; thus, it is intended to be used as a reference.

This book is the second publication of the Radiology Illustrated series and follows the same format as Uroradiology, the first publication of this series. It is available as a hardcover book and contains 29 chapters. Four chapters focus on specific imaging techniques: transvaginal and abdominal sonography, CT, MRI, and hysterosalpingography and sonohysterography. The remaining chapters cover variations and congenital anomalies of the female genital tract, diseases of the uterus (eight chapters, including gestational trophoblastic disease and a chapter about posttreatment changes and recurrence of uterine malignancies), ovarian pathology (seven chapters), endometriosis, pelvic inflammatory disease, ectopic pregnancy, vascular diseases of the female pelvis, and nongynecologic conditions that may mimic gynecologic disease. Special chapters focus on pediatric gynecology, imaging of the vagina and vulva, and gynecologic vascular and non-vascular interventions.

Each chapter is organized into a relatively short (2-4 pages) introductory overview, followed by a large and comprehensive section of illustrations. Emphasis is clearly on illustration sections and imaging examples are abundant. For instance, there are 22 cases of ovarian torsion alone, each case with multiple illustrations, including gray-scale and Doppler sonograms, CT and MR images, and even the operative specimen. The chapter about cervical cancer contains more than 50 cases. The reader's understanding of the complex topic of congenital anomalies is facilitated by schematic drawings. The overall number of images in this book is amazing, exceeding 3,000.

Introductory overviews at the beginning of each chapter focus on clinical background information with some emphasis on imaging criteria. Although these are concise and easily understood by the reader, their quality is slightly heterogeneous. There are a few typographic errors (e.g., in chapter 13), which will hopefully disappear with the next edition. However, despite the multitechnique approach and the importance of clinical background information, more focus on imaging criteria and differential diagnosis would have been preferable. Organization of chapters could also be reconsidered; for example, it is unclear why technique-specific chapters about sonography, CT, and MRI are at the beginning, but those focusing on hysterosalpingography and sonohysterography are at the end of the book.

The major strength of this text atlas is its elaborate format that includes the generous size of its illustrations and its excellent image quality. The depiction of pathology is facilitated by excellent figure legends. Illustrations are not limited to gray-scale, and the book includes a color section. Also, illustration of anatomic specimens is frequently provided.

This atlas does not intend to replace technique-specific textbooks but is an excellent and comprehensive teaching file that will complement individual radiology case collections. It is definitely worth its price and will serve as a valuable educational tool for residents and fellows. Because of the abundance of imaging examples, Radiology Illustrated: Gynecologic Imaging definitely accomplishes its goal to serve as a reference tool and is highly recommended to the general and subspecialty radiologist, as well as the gynecologist.

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This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Fisseha, S. Articles by Mueller, G. Search for Related Content PubMed Articles by Fisseha, S. Articles by Mueller, G. Social Bookmarking                      What's this?