Neuroradiology of Brain Tumors: Practical Guide based on the 5th Edition of WHO Classification

Brain tumour imaging is a vast and dynamically changing discipline. The advancement of imaging techniques, such as perfusion and spectroscopy, has enabled radiologists to further discriminate between tumour sub-types, adding significant value to the multidisciplinary management of tumours and subsequent patient care.

A current challenge for the (neuro)radiologist is keeping abreast of the World Health Organization Classification, which is updated periodically to reflect the latest emerging imaging, genetic and histopathological features of brain tumours. The classification now emphasises molecular markers to provide an integrated diagnosis. This text aims to bridge this gap by offering a practical step-by-step approach to the recognition and interpretation of brain tumours in light of this updated classification.

Each chapter is concisely divided into individual tumour sub-types, systematically covering important details categorised by epidemiology, location, clinical features, prognosis and imaging characteristics. Several high quality images are provided for each tumour type, with further relevant figures and annotations illustrating the most pertinent radiologic findings. Furthermore, multiple MRI sequences are provided for the majority of cases, which is a clear strength of the text. This not only offers readers excellent and comprehensive representative examples but also enables a systematic approach to interpretation and differentiation from other tumour types and pathology.

The concise image legends and accompanying explanatory text emphasise key features that facilitate quick revision and retention, making this an excellent reference for routine reporting and preparation for multidisciplinary meetings. It would also serve as a useful benchbook for training (neuro)radiologists when encountering such cases on-call or out of hours.

While this is a very clear text outlining tumour sub-types and their expected imaging findings, it assumes prior neuroradiological knowledge.  As such, it is more useful as a ‘technical manual’ for the neuroradiologist, whereas a more definitive introductory neuroradiological text would be required for junior or training radiologists to supplement the advanced technical knowledge contained within this resource.

Overall, this is an excellent, clinically relevant publication for those new to reporting brain tumour imaging and for more experienced reporters seeking to refresh and refine their neuro oncology practice.