โ Scribed by L S Friedman
No coin nor oath required. For personal study only.
HEPATOLOGY welcomes books for review and invites two chapters review controversial and experimental applications such as tumor analysis and ultrasound its readers both to identify books of hepatological interest and to serve as book reviewers. Books of note should contrast. An appealing feature is a 10-page glossary of Doppler terms at the end of the text. be called to the attention of the Book Editor, and potential reviewers should indicate their areas of interest.
Overall, the writing style is direct and understandable. There is a nice balance between text and figures. The Book Editor nonetheless reserves the right to select appropriate reviews for publication on these pages. The color plates are state-of-the-art, superb, and numerous. The Doppler findings are well integrated with real time sonographic images, figures, and correlative studies. Although the references are adequate, the Clinical Application of Doppler Ultrasound. Ed most recent are scattered listings from 1993. Unfortu-2. Edited by Kenneth J. W. Taylor, Peter N. Burns, nately, this can result in important omissions in the and Peter N. T. Wells, 415 pp. New York: Raven, fast-changing field of Doppler ultrasound. In particu-1995. $129 lar, the chapter entitled ''Liver and Portal Hypertension'
' discusses the evaluation of surgical portosystemic Since the first edition of Clinical Application of Doppshunts but fails to even mention the more prevalent ler Ultrasound, Doppler and color flow capabilities transjugular intrahepatic portosystemic shunt, let have progressed from an ancillary novelty to a frontalone the important role Doppler evaluation plays in line technique. There has been a profound surge in the follow-up with these patients. spectrum of clinical applications primarily because of Overall, this text will be of interest to anyone inadvances in technology. The current edition is a comvolved in the use of Doppler techniques. The authors prehensive, superbly illustrated 415-page text deditarget a general audience ranging from technologists to cated specifically to the clinical applications of Doppler practicing radiologists and surgeons. The text is highly and color-flow ultrasound. The text contains 18 chaprecommended as a general reference in any practice, ters written by 20 authors from both North America including hepatology. Finally, the authors and the puband Europe. Chapters 1 and 2, written by Peter N. T. lisher are to be commended for the high quality with Wells, address basic principles, physics, and instruwhich this text has been bound and printed. Compared mentation. Dr. Wells clearly and simply elucidates this with many other texts, the price of $129 is very reasoncomplex and often daunting subject. These chapters able. are not merely obligatory for completeness. Unlike standard imaging, the correct application and interpre-SANDRA MONDRO, M.D. tation of Doppler technique requires a practical under-Department of Radiology standing of both physical and physiological principles.
Massachusetts General Hospital The latter is addressed in a chapter devoted to hemody-Boston, MA namic theory. Whereas fluid dynamics is an extremely complex topic, this chapter relies too heavily upon mathematical example rather than practical concept.
Atlas of Clinical Hepatology. By Norman Gitlin and This is unfortunate, because Doppler and color-flow Robert M. Strauss, 192 pp. Philadelphia: Saunders, technique define vascular physiology. Chapter 4 re-1995. $125. views the practical application of a Doppler examination, interpretation, and analysis. This chapter includes a nice outline and discussion of typical duplex Although one may arbitrarily designate gastroenterology as a ''visual'' subspecialty, with its basis in endos-scanner controls along with some explanation for their use. This is followed by a good explanation of Doppler copy, and hepatology as a ''nonvisual'' subspecialty, the distinction is, in fact, naive. Indeed, the practice of hep-spectrum and methods of analysis. Chapter 5 is a short but very important summary of Doppler artifacts. The atology has traditionally been grounded in interpretation of liver histopathology, an entirely visual en-remaining 300 pages discuss clinical application, specifically, cerebrovascular disease, liver and portal deavor. Despite the advent of numerous biochemical and serological tests to evaluate all sorts of liver dis-hypertension, kidneys, scrotum and penis, organ transplants, gynecology, pregnancy, venous imaging, lower-eases, the gold standard for diagnosis in many cases still rests with the results of a liver biopsy. Visual data extremity ischemia, and pediatric patients. The last 934
๐ SIMILAR VOLUMES