MRI of Gynaecological Diseases

MRI of Gynaecological Diseases: Illustrations and Cases

Description

Practical reference for differential MRI diagnosis of gynecological diseases.
Key points to facilitate rapid and accurate diagnosis.
Describes uncommon MRI imaging features of gynecological diseases.

Additional information

Author(s):
Zhang
Zhang
ISBN:
978-981-99-3643-4
978-981-99-3643-4
Publisher:
Springer
Springer
Reviewed by:
Dr Chukwumobi Ihezue, consultant radiologist with an interest in gynaecological cross-sectional imaging, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust
Dr Chukwumobi Ihezue, consultant radiologist with an interest in gynaecological cross-sectional imaging, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust

Publisher price: £128.99

This book is divided into 12 parts with 49 illustrated cases covering common gynaecological diseases (benign and malignant) and rare diseases. The first part, which describes female pelvic MRI examination techniques, unfortunately contains several grammatical errors. However, the outline of the different MRI protocols for the various gynaecological conditions is very commendable.

Parts two to six show various illustrated cases of benign and malignant gynaecological tumours with the MR images of varying quality, from very good to not so good quality images. It would have been useful to have arrows showing the abnormalities on the MR images (this would be very beneficial for radiology trainees, gynaecologists and general radiologists). The MRI example of a leiomyosarcoma shows homogenous appearance on diffusion-weighted imaging at odds with the expected heterogeneity in this condition. The images used to illustrate the leiomyosarcoma also do not show intratumoural necrosis or haemorrhage (which were mentioned in the text as distinguishing features from uterine leiomyoma). However, it is worth highlighting the impressive mention in part five of ways to differentiate borderline ovarian tumours from malignant and benign ovarian tumours Part seven shows excellent MRI illustrations of gestational trophoblastic disease with good descriptions of the different types. The histological illustrations of the cases in this book are also very good. Part nine shows very good descriptions of uterine artery embolisation and its indications, merits and demerits, with very good before and after embolisation MR images of fibroids and adenomyosis.

Part 10 is very commendably dedicated to illustrating gynaecological diseases in young women and there is a very good overview of pelvic inflammatory diseases in Part 11. Part 12 shows very good MRI illustrations of the rare angular pregnancy and caesarean scar pregnancy. There is very good mention of pelvic floor dysfunction. The rectosigmoid endometriosis MR images could have benefitted from arrows depicting the bowel endometriosis.

Overall, this book is a fairly decent attempt at bringing together the complex world of gynaecological disease interpretation on MRI scans. It covers a lot of ground and, while some of the images could be of better quality along with the inclusion of arrows to better highlight the abnormalities on the MR images, this book would be good for radiology trainees and general radiologists looking to get a basic knowledge of gynaecological diseases on MR imaging.

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