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Book and Media Reviews
February 15, 2012

Diagnostic Ultrasound

Author Affiliations

Author Affiliation: Department of Radiology, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania (rick.feld@jefferson.edu).

JAMA. 2012;307(7):730-731. doi:10.1001/jama.2012.162

This 2-volume text is an outstanding clinical ultrasound reference for the radiology resident-in-training as well as the practicing radiologist. It covers almost every current clinical application of ultrasound in an easy-to-read format.

Its strengths include the breadth of expertise evident in each subspecialty area. The text includes contributions from 95 chapter authors, overseen by 4 book editors who are acknowledged leaders in the field. Key words and terms are highlighted in bold font throughout, and box charts outline key concepts. The advantage of including authors representing different areas of ultrasound subspecialization is clear. The text exhaustively covers the basics for the radiology resident as well as advanced areas of interest for the practicing radiologist, such as fetal bioeffects and likelihood ratios of trisomy, and reaches toward new horizons, including contrast agents and elastography. Examples of its completeness include an entire chapter devoted to the parathyroid and an entire chapter devoted to fetal hydrops. Three separate chapters discuss ultrasound imaging of the brain, each with varying emphasis, including neonatal brain imaging, Doppler imaging of the neonatal brain, and imaging of the brain during childhood. An entire chapter is devoted to the pediatric spine. Other highlights include a “Physics of Ultrasound” chapter that clearly explains physics and artifacts, with clinical relevance. An entire chapter is devoted to the physics of contrast agents and harmonic imaging. Sections devoted to clinical management are particularly useful, such as organ transplantation and management of thyroid nodules, including the current role of thyroid fine needle biopsy. The liver chapter includes a useful schematic on contrast-enhanced ultrasound patterns of liver masses, in addition to standard grayscale features. A chart on the different sonographic appearances of renal cell carcinoma is well done. The sonographic diagnosis of various hernias is covered extensively.

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