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MDCT: From Protocols to Practice

MK Kalra, S. Saini, GD Rubin, Springer, 2008
Book Review by C. Catalano
Radiological Sciences “La Sapienza”, University Umberto I Hospital, Rome, Italy

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The revised edition of MDCT: From Protocols to Practice has just been published.  The first edition was extremely successful and popular among young residents and radiologists.  Experienced staff radiologists worldwide also appreciated the value of this book.  
The new edition is not a mere reprint; extensive revision work has been done by the editors and authors with excellent results.  In this new edition, the authors have further improved the quality of the contents, by updating existing chapters and adding new topics. In fact, the continuous technical developments in the field of MDCT required that all protocols be revised and that new information be added, especially concerning improvements in scanners and systems for dose reduction. The extensive revision of the chapter on contrast media and the management of at-risk patients was also appropriate and needed, due to the importance and practical relevance of the topic. Since the last edition, new systems for dose reduction have been developed by all CT manufacturers; these are described in the revised chapter together with strategies that can be applied in routine practice.   
New chapters have been devoted to technical aspects that concern dual-source CT, contrast considerations in pregnancy, and imaging the obese patient. New chapters have also been prepared for specific clinical applications, such as CT urography, MDCT of the pancreas and spleen, imaging of patients with acute coronary syndrome or coronary stents, and the use of CT in the pediatric population. An extensive chapter deals with the role of PET/CT in abdominal and pelvic malignancies, with all the information needed for diagnostic radiology, regarding advantages and limitations in different clinical indications.
Throughout the book, the quality of the black and white and colour images is impressive.  The images are above all explicative of the most relevant diseases and technical aspects.
An important section of this book is the appendix, which contains all acquisition protocols for all CT scanners on the market. This information should be available in every CT unit, as a reference for daily practice and to permit operators to compare their own protocols with those suggested by renowned, experienced radiologists.
I personally found the book extremely interesting and useful with much information otherwise difficult to find in such a concise manner. I therefore wish to personally congratulate the editors and authors for their work, and I strongly recommend the book to radiologists in training and also to experienced colleagues.

 
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