Although the title might be slightly misleading,
Oncologic Imaging is actually a compendium of information on the detection,
diagnosis, imaging, staging, and treatment of cancer. This is the second edition
of a multiauthor book that first appeared in 1985. Medicine, particularly the
diagnosis and treatment of neoplastic disease, has changed significantly since
then, and the new edition reflects these changes.
The first two chapters of Oncologic Imaging deal with detection, staging,
screening, and classification of common tumors. These chapters are particularly
helpful for the diagnostic radiologist. The next three chapters are devoted to
new imaging techniques, image guidance, and cellular imaging. Most of these
techniques are in their infancy and still evolving. These chapters provide the
reader with a valuable introduction to this technology but are not meant to be a
definitive text on the subject. For example, just one small paragraph is devoted
to fluorine-18 fluorodeoxyglucose positron-emission tomography (FDG-PET) imaging
in breast cancer. The newer technique of computed tomography (CT)-PET, which is
being used in some tertiary centers, is not covered at all. These chapters will
be very helpful to the clinician who orders the diagnostic exams, as opposed to
the radiologist, who may already have this knowledge.
I found the five chapters on techniques of radiation therapy to be very
general but extremely informative. As a diagnostic radiologist, I always
wondered what "tricks of the trade" my therapeutic colleagues were
using. These chapters offered insight into the inner workings of treatment
planning and verification.
Although there is only one chapter on brain and spinal cord tumors, there are
four chapters on tumors of the head and neck. These chapters give an overview of
different tumor types and their radiographic appearances. However, the book
contains radiographic examples of only a minority of these entities. Diffusion,
perfusion, and functional magnetic resonance imaging (MRI) are covered. The
value of MRI spectroscopy is also discussed.
Although there is a very informative chapter on interventional techniques for
the diagnosis of breast cancer, a discussion on biopsy techniques for malignancy
is much shorter. There is an in-depth chapter on chest wall malignancies (a
topic that is usually not highlighted), 120 pages of discussion on the
gastrointestinal tract, and a similar amount on genitourinary and gynecologic
cancers. Three chapters on the musculoskeletal system include an excellent
chapter on metastatic bone disease, and the four chapters on pediatric tumors
may be the most comprehensive discussion on this topic in a radiology text.
The broad scope of this book precludes it from being an atlas of imaging
findings in cancer. An additional limitation of this and any text on an evolving
field of medicine is that the book cannot possibly remain current for long. The
multitude of ongoing scientific advancements will quickly render some
information in the text obsolete.
This book is unique in that it elucidates detection, imaging, diagnosis,
staging, and treatment of cancer in adults and children in one text. I would
highly recommend this excellent text to all physicians who are involved in the
diagnosis and treatment of cancer patients. Diagnostic radiologists will benefit
from the all-inclusive discussions on staging, treatment, and prognosis of
oncologic disease. Therapeutic radiologists will get a better understanding of
the multimodality appearance of the neoplasm they treat. Medical oncologists
will find this book particularly helpful in determining which exams they should
order to best diagnose cancer.