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Atlas of Bone Scintigraphy in the Pathological Paediatric Skeleton. By Isky Gordon, Sibylle Fischer, and Klaus Hahn. (Pp 343; £94.50 hardback.) Springer-Verlag, 1996. ISBN 3-540-60471-5 .
As a radiologist with an interest in paediatric radiology and therefore also an interest but no great expertise in paediatric nuclear medicine, I welcomed the opportunity to review this book and see what I learned from it. It contains mainly images of bone scintigrams and descriptions of the findings. These are presented in sections on infection, tumours, trauma, etc. The similarity in appearance of a number of different pathological conditions is noted confirming the high sensitivity but lower specificity of skeletal scintigraphy, a fact which is readily acknowledged by the authors. Some of the descriptions of the images are accompanied by ‘teaching points’ and ‘technical comments’. The teaching points deal with the interpretation of the images and highlight the pitfalls of that interpretation as well as dealing with some of the less usual appearances of certain conditions. The technical comments are mostly confined to comments on positioning and misleading appearances where isotope has extravasated at the injection site. In places there are useful cross references to other conditions where similar appearances may also be seen.
I did learn something from reading this book but its main value to me will be in the future when I will use it as a reference to confirm whether a particular appearance is consistent with a particular pathological process or not. It will also allow me to be more confident in including or excluding other processes which may give similar appearances. I can foresee this book being used in a similar way by many general nuclear medicine departments which undertake paediatric bone scintigraphy in the context of a larger adult workload. It will also be useful as a teaching aid for nuclear medicine trainees. An atlas is not intended to provide large amounts of factual information but is dependent on the quality of its images and in this text these are mostly of a high standard. This atlas complements well theAtlas of Bone Scintigraphy in the Developing Paediatric Skeleton previously published by the same authors and produced under the auspices of the Paediatric Committee of the European Association of Nuclear Medicine.
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