List price: $11.00 (that's 20% off!)
List price: $12.00 (that's 20% off!)
Mack and Leeann have learned a LOT over the years about the beauties and pitfalls of short-term trips. This book is wonderful.
It's not a "what to pack" kind of book. Those are a dime a dozen. Instead, it digs much deeper -- into the theology/philosophy of short-term trips, how to prepare spiritually and how to return well, etc.
Perhaps most valuable is their culture-crossing advice. So much of the success and impact of a short-term trip depends upon one's ability to cross cultures, deal with culture shock, build trust, stretch yourself, and then return well. The advice here is priceless in this regard.
If you are going, read this book. If someone you love is going, read this book. If you are leading a trip, read this book and then make everyone you're taking read this book. It will save you so much trouble and may be the difference between an okay trip and an amazing trip.
After a short general part, introducing the concept of the book, and discussing the different diagnostic imaging techniques used in this field of radiology, each anatomic subregion is covered in a separate chapter. Each chapter begins with a (too) brief anatomic introduction, goes on with a short review of the pathology encountered, and the use of the imaging techniques in this specific subregion. The typical imaging findings for the different kinds of pathology are reviewed and a differential diagnostic list is presented in the form of one or more tables.
The images are generally of good quality, but it is striking that the majority are MR images; the few CT-images included are generally of less good quality. The authors have a definitive preference for MRI. Although there are very good indications for MRI in the head and neck, in my experience, CT is the most frequently performed imaging modality. In many indications (e.g. in neck and sinonasal pathology), CT provides sufficient information to take management decisions; often, MR images will not add crucial additional information. If it is the goal of this book to educate the reader, than CT should have been discussed and illustrated more thoroughly. In that light, it is amazing that the authors include examples of conventional radiographs (e.g. of the temporal bone), which are nowadays obsolete. Several 3D-MR reconstructions are shown, with a small window in the patient's surface, allowing to view the deeper lying pathology; such images may look impressive, but usually they do not add complementary information compared to the original images; inclusion of such images in a book advocating cost-effectiveness is not appropriate.
The legends accompanying the figures are not always that accurate. Images and corresponding text are sometimes pages apart.
Many tables containing differential diagnostic lists are presented. Some of them are well constructed, some are incomplete (e.g. the table on unilateral vocal cord paralysis does not mention 'idiopathic' as possibility, actually one of the most frequent conditions), while some others are lacking (e.g. a table or flow chart on tinnitus should have been included). The criteria used to come to a differential diagnosis are sometimes not well specified, so that the book may not be of great help in difficult cases. For example, a case of focal arachnoiditis with cochlear involvement is 'documented', but it is not clear which criteria are used by the authors to differentiate this from a small intracanalicular schwannoma with intracochlear extension.
Descriptions on several items are vague or incomplete; for example on imaging of laryngeal cancer, nothing is included on pathways of tumour extent, and how to recognize radiologically subclinical but relevant tumour extension - giving such information to the clinician is of utmost importance, and often the only reason why imaging is performed anyway. In the chapter on the paranasal sinuses, a description of the important anatomical variants and the ostiomeatal unit is lacking. Some entities are described in another chapter as one would expect (e.g. conductive hearing loss is not in the chapter on the middle ear, but in the chapter on the internal auditory canal, cerebellopontine angle and labyrinth).
Some inappropriate recommendations are made, e.g. on otosclerosis, where the axial CT-images 'should be supplemented with coronal scans or coronal reconstructions' - in my experience, axial CT-images are optimal for the diagnosis of otosclerosis. In the same book, posttraumatic 'prolapse of cerebral structures into the brain and middle ear' (sic) is illustrated on axial CT-images (I can't recognize such a prolapse on these images); this represents an indication where coronal reconstructions certainly may be useful.
The possibilities of MRI are sometimes frankly overestimated: e.g. in the chapter on soft tissues of the neck, the authors claim that a 'careful analysis of signal characteristics...' can 'reliably differentiate recurrent tumor from postoperative changes' and 'MRI is best for differentiating these [postirradition] changes from recurrent tumor'. Imaging plays a growing role in patient surveillance after treatment of a malignant head and neck tumor, but the limitations of CT and MRI have to be acknowledged correctly.
The references are rather limited in number.
Throughout the book, many small inaccuracies are present, both in the text as in the figures. Already on the cover, one of the figures is reproduced upside-down. 'Sarcoiditis', instead of 'sarcoidosis', 'Hoeve syndrome', instead of 'van der Hoeve's syndrome', are some other examples.
Overall, this book did not impress me in the positive sense. It is not detailled enough, and sometimes the vagueness and inaccuracies cause confusion. I can not recommend this book.