Janet E. Husband — Husband and Reznek’s Imaging in Oncology (Third edition)
Автор: Janet E. Husband
Название книги: Husband and Reznek's Imaging in Oncology (Third edition)
Качество: Изначально компьютерное, E-book
In recent years there has been recognition of the central role of imaging in the management of patients with cancer. The third edition of this widely acclaimed book builds on the foundations laid down by the first edition, the 1998 winner of the Royal Society's award for the Multi-author Textbook of the Year, and the second (2004). The core of the book deals with the application of imaging in all tumours. An extensively referenced, evidence-based analysis is given of the role of imaging in planning treatment. Experienced opinion is provided as to the advantages and limitations of all relevant imaging modalities including ultrasound, CT, MRI, PET/CT and other nuclear medicine techniques.
Imaging in the recognition of metastatic disease is covered in detail with chapters detailing the range of appearances of deposits in each organ. Much attention is given to the differential diagnosis of focal pathology in each organ in patients with underlying malignancy and useful protocols for the performance of the study provided.
While including a section on new horizons in cancer imaging, such as the imaging of angiogenesis, MR lymphography and the rapidly evolving field of molecular imaging, the editors have not neglected the more traditional general principles of cancer behaviour and imaging. Hence, an outline of cancer surgery, chemotherapy and radiotherapy is provided by experts. As therapy becomes more successful, increasingly important issues for the radiologist such as the assessment of response, the effect of treatment on normal tissues, the complications of treatment, and the risk of second malignancies are presented.
There are several outstanding features to this book: the colour diagrams of the staging systems are exquisite and allow the often complex systems to be understood easily and memorized; the organization of the book into different, clearly defined sections allow it to be used not only as a reliable reference text, but also to be read easily; key points and summaries in point form are provided throughout for quick revision.
Over the past several years, it has become clear that the optimal
management of patients with cancer is best achieved by healthcare
professionals working in a multidisciplinary team. During this evolution
in cancer management, imaging technology has advanced
markedly, largely but not wholly driven by expansion of computing
power. Thus, multidetector computed tomography (CT) has
become standard practice, allowing elegant, accurate 3D displays
of anatomy and pathology, and new software for the accurate
monitoring of treatment response has been introduced. In magnetic
resonance (MR) imaging, new sequences and faster gradients
have been developed, and in positron emission tomography-CT
(PET-CT) refinements in technology have made a major impact
on cancer assessment. These two latter developments have combined
to make the specialist radiologist central to the multidisciplinary
team; an individual who understands the clinical questions posed
by the clinician, is skilled in cancer imaging interpretation, and is
familiar with all the relevant recent technological advances.
As with previous editions, the aim of Imaging in Oncology is to
provide an up-to-date text that addresses all these aspects of cancer
imaging. All chapters included in the third edition of Imaging in
Oncology have been revised, often extensively, to include the application
of state-of-the-art imaging and to review its application to
modern approaches in the management of patients with cancer.
References have been updated to provide the reader with a current
As with previous editions, Imaging in Oncology is divided into
nine sections. The first section covers the general principles of the
management of patients with cancer. As allied disciplines have
become more aware of the importance of imaging in patient management,
this section now includes separate chapters on cancer
surgery, chemotherapy, and radiotherapy. Current thinking on
trends in cancer incidence and the development of second malignancies
has been addressed and particular focus has been placed
on new developments in the assessment of treatment response.
Section 2, Staging Disease, is the largest section of Imaging in
Each tumor site is dealt with separately in a set format that
includes a diagrammatic illustration of the staging system together
with an explanation followed by an evaluation of the role of
imaging in demonstrating the extent of the disease. As a thorough
understanding of the diagnostic performance of different imaging
techniques is a crucial component of the radiologist’s role in the
multidisciplinary team, this aspect is stressed throughout the text.
The introduction of new and more successful therapies for
many different types of cancer has encouraged earlier recognition
of recurrent disease and therefore each chapter includes a section
on the patterns of recurrence and their characteristic findings.
Equally, with more aggressive management of metastatic disease,
great reliance is now placed on imaging for the accurate detection
and delineation of metastases. Hence, this section has been
updated to reflect modern imaging strategies and performance.
Since the second edition of Imaging in Oncology, great strides have
been made in the localized treatment of tumors including targeted
radiotherapy and percutaneous tumor ablation. These topics are
considered in a separate section on “Imaging and Treatment.”
Functional imaging is now becoming established as a valuable
tool in the non-invasive assessment of metabolic and molecular
processes, not only in the measurement of changes in response to
therapy but also in the assessment of tumor aggressiveness and for
targeting local therapies. MR imaging, CT, PET, and contrastenhanced
ultrasound have all been developed to assess functional
processes, and several protocols are now moving from the research
setting into routine clinical practice where they can be of real
practical benefit. In this edition of Imaging in Oncology the final
section is devoted to the principles of functional imaging because
we believe that it is critically important for all cancer radiologists
to become familiar with functional imaging techniques, and to
have a broad understanding of their current benefits and limitations
in the evaluation of various tumor types.
As in previous editions, salient points within the text have been
highlighted as “Key Points” and a short summary is included at the
end of each chapter in the same format as the Key Points. Several
chapters include, where appropriate, color diagrams produced by
Dee McLean to whom we owe a great debt of gratitude for her
outstanding work. No one has worked harder to bring this third
edition to fruition than Mrs. Maureen Watts, Mrs. Julie Jessop,
and Mrs. Janet Macdonald. All found time in their busy working
lives to contribute outstandingly to this project. Mrs. Watts
co-ordinated the project from start to finish for Janet Husband,
Mrs. Jessop did the same for Rodney Reznek. Mrs. Macdonald
scrutinized all the images, working tirelessly to ensure that the
highest possible quality has been achieved throughout the book.
Finally, we would like to acknowledge the enormous contribution
of all the authors, and would like to thank them for sharing with
us their valuable expertise and extensive experience. The high
quality of their work has made the editing of this text informative,
interesting, and a great pleasure.
We hope that this book will build on the previous editions of
Imaging in Oncology to provide a useful reference text for all radiologists
interested in cancer imaging. We hope too that it will
make a contribution to the wider understanding of the ever
increasing and constantly changing role that imaging plays in the
management of patients with cancer.
Janet E Husband