CT- and MR-Guided Interventions in Radiology is a book covering the rapidly evolving topic of interventions performed under CT or MR guidance. It is edited by Andreas Mahnken from Aachen, Germany, and by Jens Ricke from Magdeburg, Germany, and written by multiple authors from a variety of international institutions.
In the first part of the book, the authors cover the basic aspects and principles of CT- and MR-guided interventions, including typical indications, technical considerations and pitfalls. They describe typical approaches to reach the respective target, discuss the techniques of and indications for navigation, and also cover the medical management of the patient. In addition, the authors address the important issue of radiation protection during CT-guided interventions and discuss special considerations for image-guided interventions in children.
The second part of the book pertains to diagnostic interventions. In this section, CT- and MR-guided biopsy taking is discussed in-depth, including aspiration biopsy, punch biopsy and drill biopsy. A separate chapter focusses on MR-guided breast biopsies. In addition, this section of the book also addresses the placement of drainages, in cases such as abscess, pneumothorax and nephrostomy, even though strictly speaking not all of these interventions are first and foremost diagnostic.
In the third part of the book, the authors focus on therapeutic interventions. They cover the broad field of interventional oncology including radiofrequency ablation, laser-induced thermotherapy (LITT), percutaneous ethanol injection, CT-guided brachytherapy and high intensity focused ultrasound. In addition, a separate chapter focusses on interventional pain management, including neurolysis of facet joints, image-guided nerve blocs and infiltrations in pain management, thoracic and lumbar sympathicolysis, trigeminal ablation, peridural injection therapy, CT-guided periradicular therapy and discography (even though the latter procedure is rather diagnostic in nature). A separate chapter focusses on musculoskeletal interventions, including the treatment of osteoid osteoma, vertebroplasty and osteoplasty, percutaneous osteosynthesis of the pelvis and acetabulum, and CT- and MR-guided arthrography. In addition, special techniques are covered, including sclerosing therapy for cysts and parasites, percutaneous management of endoleaks, percutaneous gastrostomy, as well as interventions using C-arm computed tomography.
The fourth part of the book pertains to economics in interventional radiology, covering important topics such as quality management and cost effectiveness in interventional radiology. In addition, a separate chapter addresses how to build an interventional department.
In summary, CT- and MR-Guided Interventions in Radiology is a well written book covering an extensive range of topics pertaining to the rapidly emerging field of nonvascular interventional radiology. It is highly recommended both for radiologists aspiring to become familiar with the topic and for interventional radiologists striving for a more in-depth knowledge of a specific topic.