Diagnosis of diseases of the breast, 2nd edition

Diagnosis of diseases of the breast, 2nd edition

Book reviews / Journal of Clinical Imaging 29 (2005) 294 – 297 The second deals with technical aspects of different scanning modalities, including el...

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Book reviews / Journal of Clinical Imaging 29 (2005) 294 – 297

The second deals with technical aspects of different scanning modalities, including electron beam CT (EBCT), multislice CT, with or without ECG gating, and ECG triggering. It also deals with the important issue of radiation exposure. The third is devoted entirely to the subject of coronary calcium, including screening, detection, scoring and quantification. The fourth is under then heading of bContrast-Enhanced CT of the HeartQ. This section deals with other cardiac structures, including the pericardium, heart valves, congenital diseases, cardiac masses, ventricular viability, function and microcirculation. Sections 5 and 6 are devoted almost exclusively to the coronary circulation, including coronary anatomy, coronary anomalies, angiography, grafts, stents and plaques. CT versus MRI in imaging of the coronary arteries is discussed in Section 5, and multidetector-row CT versus MRI in plaque characterization in Section 6. Otherwise, no other imaging modality besides CT was discussed. The book is an excellent reference on the current status of CT technology in the study of cardiac function and disease. The lion’s share is devoted to the role of CT in the investigation of coronary arteries, covering a wide spectrum of topics that range from calcium deposition to atherosclerotic plaques, as well as grafts stents and congenital anomalies. While such emphasis on the coronary arteries is understandable, as it reflects the preponderance of coronary artery disease in clinical practice, there were redundancies (in discussing coronary calcium for instance) that could have been avoided without sacrifice of substance. The expansive discussion of the coronary disease was also, to a certain extent, at the expense of other entities, such as cardiac masses, congenital diseases and diseases of the aorta, heart valves and the pericardium. Limitations in the size of the book may have been a factor in such constraint. All in all, however, this is a well-written book on CT scanning of the heart, with excellent pictures and illustrations that appeal to those working in the field as well as to outsiders interested in learning about it. As such, it is a significant contribution to providing up-to-date information on vital and rapidly changing diagnostic modalities in cardiovascular disease. Therefore, it should be of considerable value to a broad spectrum of readers. Anis Obeid, MD, FACC doi:10.1016/j.clinimag.2005.04.005

Diagnosis of diseases of the breast, 2nd edition Lawrence W. Bassett, Valerie P. Jackson, Karin L. Fu, and Yao S. Fu (Eds). Philadelphia, PA: Saunders, imprint of Elsevier Science, 2005, 645 pages, 651 illustrations. The book represents a comprehensive reference for those involved in the clinical management of breast disorders. The


text is divided into 7 sections. Of the 33 chapters, the most extensive illustrations and discussions pertain to breast imaging, associated technology and its ramifications. The chapters are authored by 41 guests, the majority of whom are imaging specialists. Pathology, surgery, treatment modalities and other subjects are included in substantial depth, but the presentation is richest in its review of the spectrum of radiographic, sonographic, nuclear scanning and other diagnostic and management maneuvers utilizing imaging. Section One is an interesting history of breast imaging beginning at its inception in the early 20th century with fine pictures of early leaders and a thorough bibliography. It serves as a proper foundation for the remainder the text. An extraordinary exposition of mammography is quickly positioned in chapters within Section Two. This section also includes a series of very practical, extremely worthwhile chapters regarding quality control, coding, billing, reporting, medico legal and other issues that impact on breast related medical practice. Factors associated with the issue of screening appears some 300 pages later, in Section Five. Current guidelines for screening of mammography, as well as related controversies, are analyzed in detail. There is an impressive review of epidemiology. Section Three, labeled b Other Diagnostic Tool Q, includes a brief chapter, without illustrations, on the clinical examination of the breast. Subsequent chapters in this section include breast ultrasonography, digital mammography, magnetic resonance, and the application of nuclear scanning. These are thorough, clearly illustrated, and with a highly informative and supportive text. Illustrations of localization, guidance and biopsy techniques are beautifully depicted and very understandable in the section of interventional procedures. In its completeness, this reference includes discussions of specimen handling, galactography, the male breast, and visualization of the surgically reduced as well as augmented breast. The text mentions positron emission, node and lymphatic mapping. Surgery, breast pathology, radiation, hormonal factors, chemotherapy and other such features are succinctly considered in this volume focused on imaging and diagnosis. In some of these areas the details modest, but always with good directional bibliographies. Enough information is provided to adequately familiarize the reader with these subjects. For those searching for a more scholarly and intensive statement of themes peripheral to imaging, the writers provide comprehensive guidance. It should be stressed these limits in no way distract from the value of this excellent reference. Each section, and to some case the individual chapter, would require its own book to fully surround the subject. This presentation should be accepted as an exceptional single volume which superbly addresses disease diagnosis emphasizing imaging. A tremendous amount of material is concentrated and covered. The text gives the reader an


Book reviews / Journal of Clinical Imaging 29 (2005) 294 – 297

excellent overview providing for high diagnostic standards through imaging techniques. The expert knowledgeable in the field of breast diagnosis and imaging will use this as a desktop reference which may be quickly turned to in daily clinical practice. It would most likely be added to the experienced specialist’s library of full dimensional texts and literature. The book is readable balanced, and nicely encompasses the subject addressed. It is an excellent and valuable reference. It makes a desirable addition to the library of any of those involved in the current management of breast disease. Armand Cortese, MD, FACS doi:10.1016/j.clinimag.2005.04.003

Breast cancer – the art and science of early detection with mammography La´szlo Taba´r, Tibor Tot, and Peter B. Dean. StuttgartNew York: Thieme, 2005, 476 pages, 1590 illustrations, US$ 199.95. In the Introduction to the second edition of the bTeaching Atlas of Mammography Q, the authors [L.T. and P.B.D.], write: bThe purpose of this Atlas to teach radiologists how to analyze mammograms and arrive at the correct diagnosis through proper evaluation of the findingsQ, and their object was definitely reached by successfully introducing many junior radiologists to the understanding of mammography, and at the same time helping more senior mammographers in the correct interpretation of a questionable finding. In this comprehensive textbook, the same authors, who are joined by Tibor Tot, write in the Introduction: b This book is dedicated to the task of finding breast cancer when it is still curable, and to the more difficult task of ruling out the presence of breast cancer in those women who do not have the disease Q. I am quite sure that any mammographer who will have enjoyed this book will agree that the purpose of the authors has been most completely attained. The book is divided into 9 Chapters and begins with an introduction to the mammography of the Normal Breast in which the interrelationship between Histology and Mammography, the Correlative Mammographic-Histological Demonstration of its Four Building Blocks, and the overview of Mammographic Parenchymal Patterns are discussed and described. In Chapter 1, first presented are the characteristics of Pattern I: radiopaque densities, radiolucent areas and involution, then reviewed are the pathological lesions observed in a breast characterized by a Pattern 1 Type, In particular discussed are the lesions which may change this Pattern and how they can be perceived. Chapter 2 reviews the characteristics of Pattern II. linear densities, fibrous strands and blood vessels, and then discussed are the lesions which will alter this Pattern.

In Chapter 3 briefly Illustrated are the characteristics of Pattern III: prominent retroareolar ducts surrounded by adipose tissue. The characteristics of Pattern IV are presented in Chapter 4: predominance of numerous, enlarged nodular densities; prominent linear densities caused by periductal fibrosis, and fibrous connective tissue in varying amount. Chapter 5 illustrates the characteristics of Pattern V: boverrepresentation of fibrous connective tissue and the underrepresentation of adipose tissue Q. The b Rationale and the Scientific Evidence Q of b Finding Breast Cancer When It Is Still SmallQ are presented in detail is Chapter 6, and in Chapter 7 the b Use of Systematic Viewing Methods" is also addressed in detail. b The Rationale for Large –Section Histology of the Breast Q and its Prerequisites are discussed in Chapter 8. Chapter 9, and one could use the expression b finis coronat opus Q, is a complete presentation of b MammographyPosition TechniqueQ with excellent, demonstrative illustrations for the proper positioning of the patient, in order to obtain the most successful mammographic images. The book closes with the bibliography which provides the readers with the most important references, given for each chapter, from 1. to 8, and a list of Suggested Texts for Further Reading is also included. The chapters are accompanied by a rich iconography of excellent quality, and one should mention in particular the reproduction of histologic specimens, which when compared with their related mammographic images lead to a better understanding of the normal and/or pathological findings. The role of other imaging modalities is not discussed, since the purpose of the authors was to present to the radiologist the bArt and Science Q of mammography. In closing, it was a pleasure to read and analyze this textbook, which leads the reader step by step to a better understanding of the mammographic images when compared with their histo-pathological aspects and, therefore, to correlating the two findings and obtaining a definite diagnostic conclusion. Appreciated also was the chapter dedicated to the positioning of the patient, a particular which often is not considered of primary importance but on which many times the performance of a successful mammography depends. The publisher should also be congratulated for the typography and superb image-presentation of the topics discussed. Antonio F. Govoni, MD doi:10.1016/j.clinimag.2005.04.002

Teaching manual of color duplex sonography, 2nd edition Matthias Hofer (Ed). Stuttgart-New York: Thieme, 2004, 116 pages, 456 illustrations. It may seem out-of-date to present today a color-duplex manual, when the new high technology as CT, MR and the