Naidich: Imaging of the Spine (Expert Radiology Consult Series)

Over the years, the imaging of spinal disease has evolved from plain film diagnosis and polytomography to advanced computed tomography (CT) and magnetic resonance (MR) imaging (I). Year by year, what is considered to be “modern imaging” morphs from advanced techniques to basic diagnostic tests to quaint old studies. Year by year, cruder and more invasive procedures are replaced by safer, faster, and more precise methods for detecting and characterizing spinal disease.

Through all of these changes, however, the constants of medical diagnosis have remained the anatomy, physiology, and pathology of the spinal column and cord. The human body has evolved more slowly than the techniques used to display it, so the anatomy, physiology, and pathology of the spine remain the foundation of all medical diagnosis.

To be useful, the data derived from the imaging studies need to be communicated concisely and effectively to the clinicians who care for the patient. Too often, imaging reports are cluttered with technical details about the study but limited in their discussion of the key pathophysiologic data needed to direct patient management toward one or another path. The generations-long debate: “Who reads the studies better, the clinician or the imager?” is resolved when it is appreciated that these physicians read the studies for two fundamentally different sets of data. Useful interpretation of the images provides the pertinent positive and negative data clinicians need to make their management decisions as well as the detailed physical data imagers need to reach their diagnoses and to understand the limitations of their studies.

In successive chapters, therefore, this text addresses imaging techniques for the spine, the paraspinal soft tissues, the normal anatomy of the spinal column and cord, age-related changes of the spine, degenerative disorders of the spine, the normal vascularization of the spinal cord, spinal ischemia and vascular malformations, spinal trauma, spinal tumors and cysts, metabolic disorders of the spine, inflammation and infection of the spine, preoperative mapping of spinal pathology, intraoperative monitoring of spinal physiology, vertebroplasty-kyphoplasty, and the complications of surgery for decompressing spinal stenosis and disc disease. Three final chapters address the brachial plexus, the sacral plexus, and peripheral nerve compression at the carpal tunnel. The congenital malformations of the spine will be presented in a companion volume on pediatric neuroimaging.

In successive chapters, this text also provides strategies for efficiently analyzing spinal images and includes sample reports to illustrate one way to convey key findings to the clinicians and achieve “useful reporting” of our studies.

The increasingly sophisticated imaging techniques require of us increasingly sophisticated knowledge of how to perform the studies effectively, how to recognize their limitations, and how to interpret them to understand the state of the patient in health and disease. For this volume, therefore, the editors have selected a group of highly skilled physician-authors who know their subject and who can present it concisely and thoroughly. These authors specifically include neuropathologists, whose contributions underlie our imaging appreciation of neuropathology.

This volume, then, is intended to provide a concise but thorough review of the imaging diagnosis of spinal disease. It emphasizes the constant anatomy and physiology of the spinal column and cord in the detail that is now required to understand “modern” imaging. It illustrates how pathology affects the spine and reviews which patterns of pathology lead to secure imaging diagnosis. It also deliberately includes selected data that we feel may aid us in interpreting the “modern” imaging of the future.

We hope that the readers will enjoy learning about the spine as much as we have in researching this text and in making the anatomic and pathologic images that illustrate the text. It is hoped further, that the readers may discern defects in our knowledge, be stimulated by them to pursue their own investigations, and thus join us to “Perform an act whereof what's past is prologue; what to come, [is] in your and my discharge.” William Shakespeare, The Tempest Act 2, scene 1, 245-254.

- The Authors -

Key Features

• View 1300 digital quality images of both radiographic images and cutting edge modalities---MR, multislice CT, ultrasonography, and nuclear medicine.
• Consult the expertise of a diverse group of experts from around the globe on the imaging of the spine.
• Tap into comprehensive coverage that includes diagnostic and therapeutic options, with an emphasis on cost-effective imaging.
• Find information quickly and easily thanks to consistent and tightly focused chapters, a full color design, and key points boxes.

Website Features

• Consult the book from any computer at home, in your office, or at any practice location.
• Instantly locate the answers to your clinical questions via a simple search query.
• Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
• Supplemental Images: Browse a Library of additional images. Easily select, organize, and download your images into a presentation.

Contents

PART ONE - INTRODUCTION

• CHAPTER 1 - Imaging Techniques in the Adult Spine

PART TWO - PARASPINAL STRUCTURES

• CHAPTER 2 - Paraspinal Soft Tissues

PART THREE - NORMAL SPINAL COLUMN AND CORD

• CHAPTER 3 - The Normal Spinal Column: Overview and Cervical Spine
• CHAPTER 4 - The Normal Spinal Column: Thoracic, Lumbar, Sacral, and Coccygeal Segments
• CHAPTER 5 - The Normal Spinal Cord and Meninges

PART FOUR - NORMAL SPINAL AGING AND DEGENERATION

• CHAPTER 6 - Age-Related Changes in the Spine
• CHAPTER 7 - Degenerative Disorders of the Spine

PART FIVE - NORMAL VASCULARIZATION AND ISCHEMIA

• CHAPTER 8 - Spinal Vascular Anatomy
• CHAPTER 9 - Spinal Cord Arterial Ischemia

PART SIX - SPINAL TRAUMA

• CHAPTER 10 - Extra-axial Hemorrhages
• CHAPTER 11 - Trauma to the Spinal Column
• CHAPTER 12 - Trauma to the Spinal Cord

PART SEVEN - SPINAL VASCULAR MALFORMATIONS

• CHAPTER 13 - Spinal Vascular Malformations

PART EIGHT - SPINAL CYSTS AND TUMORS

• CHAPTER 14 - Spinal Cysts
• CHAPTER 15 - Spinal Tumors

PART NINE - METABOLIC CONDITIONS

• CHAPTER 16 - Metabolic Conditions Affecting the Spinal Column
• CHAPTER 17 - Metabolic Conditions Affecting the Spinal Cord

PART TEN - SPINAL INFECTION

• CHAPTER 18 - Infections of the Spinal Column
• CHAPTER 19 - Infections of the Spinal Cord

PART ELEVEN - SPINAL INFLAMMATION

• CHAPTER 20 - Inflammation of the Spinal Column
• CHAPTER 21 - Inflammation of the Spinal Cord

PART TWELVE - OPERATIVE CONSIDERATIONS

• CHAPTER 22 - Imaging Preparation for Surgery
• CHAPTER 23 - Intraoperative Neurophysiologic Monitoring
• CHAPTER 24 - Vertebral Body Augmentation Procedures: Vertebroplasty and Kyphoplasty
• CHAPTER 25 - Complications of Surgery for Decompression of Spinal Stenosis and Disc Disease

PART THIRTEEN - THE BRACHIAL AND SACRAL PLEXUSES

• CHAPTER 26 - Imaging of the Brachial Plexus
• CHAPTER 27 - Imaging of the Sacral Plexus
• CHAPTER 28 - Peripheral Nerve Imaging: The Carpal Tunnel

About the Authors

• Thomas P. Naidich, MD, FACR, Professor of Radiology and Neurosurgery, Irving and Dorothy Regenstreif Research Professor of Neuroscience (Neuroimaging); Director of Neuroradiology, Mount Sinai School of Medicine, New York, New York
• Mauricio Castillo, MD, Professor of Radiology, Chief and Program Director, Neuroradiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
• Soonmee Cha, MD, Associate Professor of Radiology, University of California, San Francisco; Attending Neuroradiologist, University of California, San Francisco Medical Center, San Francisco, California.
• Charles Raybaud, MD, FRCPC, Professor of Radiology, University of Toronto, Division Head of Neuroradiology, Hospital for Sick Children, Toronto, Ontario, Canada.
• James Smirniotopoulos, MD, Professor of Radiology and Radiological Sciences, University Services University of the Health Sciences, Bethesda, Maryland.
• Spyridon Kollias, MD, Professor of Radiology, Chief of Magnetic Resonance Imaging and MR Research, Institute of Neuroradiology, University Hospital Zurich, Zurich, Switzerland.
• George M. Kleinman, MD, Associate Professor of Pathology, Mount Sinai School of Medicine, New York, New York.

Product Details

• Hardcover: 632 pages
• Publisher: Saunders; 1 Har/Psc edition (2011)
• Language: English
• ISBN-10: 1437715516 
• ISBN-13: 978-1437715514
• Product Dimensions: 11.1 x 8.6 x 1.1 inches

List Price: $262.00