MR/CT Atlas of Anatomy (CD ROM) Decision making in Vascular Surgery

The utilisation of additional learning (including CD This book comprehensively addresses the subject of RoMs) is becoming increasingly important within vascular surgery and does so in an original and usermedicine. This CD aims to depict a digital section of friendly way. Within each chapter a topic is presented anatomy from MRI and CT scans in a comprehensive in the form of an algorithm, showing the management and logical fashion. The CD is routinely loaded and pathway that is taken when faced with a particular has two main sections, one describing CT and the clinical situation. The decision pathway is acother MRI anatomy. Access to the various sections and companied by text, which explains each step to be the images within are generally of very high quality taken, and the reason for the decision. Background and easy to use. There is the ability to scroll up and information is provided on each subject and references down various images and to change direction from are given where these decisions are based on research axial to coronal or sagittal planes. There is a very good evidence. The book has been split into a progressive and extensive labelling of the structures identified, sequence of chapters. The initial topics discuss the which is supplemented by a quiz function where the pre-operative evaluation and management of a patient student is asked to click on the appropriate area of with vascular disease. This is followed by chapters on anatomy listed by the side. A successful click is accerebrovascular disease, aneurysms, extremity occompanied by the sound of a gong whilst an error clusive disease, renovascular disease, venous disease causes a dog to bark! Overall the layout and iland finally miscellaneous topics that include lymphlustrations are of very high quality particularly of the oedema and trauma. central nervous system, spine and musculo-skeletal The chapters are concise and well written. The diasystem. However, the angio anatomy of the abdomen grams are clear and easy to follow. They highlight and thorax is very poorly demonstrated. The images the decisions that are routinely made and break the are of low definition with only very large vessels decision process into small and manageable stages. visible. In addition there are several factual errors Unfortunately, the evidence for these decisions is not including mislabelling of some muscles in the shoulalways explicit. Most chapters reference their sources der. There are some individual peculiarities in labelling but some do not provide a clear evidence-base for secondary to translation from German but overall the their decisions and relate them instead to the authors’ labelling is of a very high quality. This CD would be own practice. If the evidence does not exist then it useful to postgraduate trainees particularly in rawould be helpful for this to be explicitly stated. diology but also in other specialities such as orthoThe book explores difficult problems that are faced paedics, neuroradiology and general surgery. It would in vascular practice such as co-existing carotid and not have much benefit to those interested in vascular coronary disease. By using the algorithm approach anatomy. one can easily follow each step in the decision path, Overall the wealth of high quality easily archived and making the problem seem simpler and more images outweighs these minor problems and I would logical. This may be especially useful for the inexrecommend this as part of the digital library for diagperienced vascular surgeon. Exploring a subject in this nostic radiology trainees. It would need to be supmanner also highlights areas of uncertainty and issues plemented by other material particularly in vascular that require further research. anatomy. There are several interesting chapters that cover