Clinical Ultrasound of the Breast. Toshiji Kobayashi, M.D., New York, Plenum Medical Book Co., 1978, 174 pages, $22.50
✍ Scribed by Catherine Cole-Beuglet
- Book ID
- 102328397
- Publisher
- John Wiley and Sons
- Year
- 1979
- Tongue
- English
- Weight
- 65 KB
- Volume
- 7
- Category
- Article
- ISSN
- 0091-2751
No coin nor oath required. For personal study only.
✦ Synopsis
This short text is a synopsis of Dr. Kobayashi's diagnostic criteria for ultrasound B-scan breast examinations based on his clinical experience using a water bag technique. In the preface the author declares his aim to be to present a pictorial atlas with minimal text as a graphic display of the state-of-the-art clinical experience. However, only half the images are gray scale illustrations, as 70 pages are devoted to illustrations of bistable images and the author's sensitivity-graded method of breast examination, which is no longer used with gray scale imaging.
The text contains a n excellent, concise history of the development of ultrasound breast scanning. A chronological review of the literature on breast sonography in the introduction is supplemented by a chronological bibliography a t the end of the text. The differential diagnostic criteria are reviewed in tabular form, both from the literature and the author's experience with 112 pathologically confirmed cases. Interesting work on the acoustic attenuation of tumors is correlated with the connective tissue content of 12 histologically confirmed malignant breast tumors. A discrepancy exists in the differential diagnosis of the internal echo pattern in cystosarcoma phylloides: on page 50, the entity is described as containing uniform-sized internal echoes and on page 130 as containing homogeneous internal echoes, but on page 98, the lesion is described as containing nonuniform internal echoes.
The 50-page section on gray scale echography includes normal and pathological states. Arrows and labels on the images or line drawings would have improved the display as would have measurement scales on the ultrasound images. The readers will be impressed with the small size of the Japanese breast. A few pages are devoted to expanded echography, the electronic magnification and display of the mass or target lesion. The author illustrates the usefulness of this in the diagnosis of small lesions.
This concise text with its historical review is of value for readers interested in the progress ultrasound imaging of the breast has taken from 1952 to the present.