CT and MR Angiography: Comprehensive Vascular Assessment
Geoffrey D. Rubin, MD, and Neil M. Rofsky, MD, eds.
1316 pages. Philadelphia, USA: Lippincott Williams & Wilkins, 2009. $275.00. ISBN 0-7817-4525-X
CT and MR Angiography: Comprehensive Vascular Assessment is a thorough, up-to-date textbook covering all areas of cross-sectional imaging of vascular disease. Dr Rubin and Dr Rofsky are both leading authorities on cardiovascular imaging, and their intention was to write a textbook that would be equally useful both for practitioners with expertise in cardiovascular anatomy and pathophysiology, and those with expertise in cardiovascular computed tomography (CT) and magnetic resonance imaging (MRI), bridging the gap between these 2 knowledge bases. In addition to their direct contributions, they have recruited an impressive array of authors at the forefront of vascular imaging. For such an expansive project, they have succeeded admirably, and this book will serve as a useful reference for the wide range of specialists in vascular disease including neurologists, neurosurgeons, cardiologists, vascular and cardiovascular surgeons, cardiothoracic radiologists, neuroradiologists and interventional radiologists.
The book is divided into 3 sections: imaging principles, essentials of vascular disease, and vascular anatomy and pathology. Imaging principles is well organized into 6 sections covering basic principles of CT and MRI angiography, conventional angiography, CT and MRI contrast media and postprocessing and data analysis. For a textbook of this scope, these areas are very well presented and have a level of thoroughness, detail and simplicity of explanation that will be appreciated by those with both advanced and rudimentary knowledge of these subjects. For instance, the chapter on CT angiography includes explanations and illustrations of basic and advanced CT concepts, nuances of multi-detector CT technology including the latest 128 detector and dual source scanners, and CT perfusion techniques. This is the most current and concise review of this subject that we have seen in a textbook. Likewise, the chapters on MRI angiography and postprocessing and data analysis are excellent, with detailed explanations of subjects that will not overwhelm clinicians lacking an exhaustive background in these areas. The review of gadolinium and iodine contrast agents and kinetics is superb and provides a complete basis for a fundamental understanding of contrast-based vascular imaging. The second part of the book is devoted to the essentials of vascular disease, including the epidemiology, pathophysiology, and in vivo characterization of atherosclerosis, thromboembolism and vasculitides, and connective tissue disorders. These chapters are well researched and present a fundamental and thorough review of the scope and causes of vascular disease. The chapter on plaque imaging presents an up-to-date review of this novel area of vascular imaging, including discussion on intravascular ultrasound, CT, MRI, and molecular plaque imaging. The remainder and largest part of the book is dedicated to vascular anatomy and pathology, tying together imaging principles and techniques with the organ specific disease processes. This part is organized anatomically, with 14 chapters covering brain, neck, cardiac, pulmonary, abdominal and extremity vascular disease, as well as venous and pediatric imaging. Each of these chapters reviews MRI and CT imaging techniques, vascular anatomy, and pathology. Each chapter is written by renowned subspecialists in these fields and is reminiscent of review articles in leading journals. They are complemented by excellent images, illustrations, and tables and could independently form the basis for a textbook in those areas.
CT and MR Angiography: Comprehensive Vascular Assessment has succeeded superbly in its ambitious goal of being a useful resource for clinicians and imagers; neither will be disappointed by either its level of sophistication nor its depth and breadth. The text is beautifully and amply illustrated with numerous recent MRI and CT images as well as novel illustrations and diagrams. We are particularly impressed with how up-to-date the material is for a textbook of this complexity and interdisciplinary subject matter. We highly recommend this book for anyone who practices or refers patients for vascular imaging. We thoroughly enjoyed reading it and will recommend it for our residency and fellowship programs.