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Doody's Review ServiceReviewer: Dan Capampangan, MD (Mayo Clinic Arizona)
Description: This is a welcome update of a book on the neuroimaging of acute ischemic stroke. The previous edition was published in 2006.
Purpose: The purpose is to provide various neuroimaging modalities for acute ischemic stroke. However, the authors' success lies in providing a combination of neuroimages and supportive research studies to help guide clinicians in making sound decisions when caring for acute ischemic stroke patients. This book is definitely needed as the field of acute stroke management is progressing with studies showing the effectiveness of intravenous thrombolysis and endovascular recanalization.
Audience: Although primarily written by neuroradiologists from Massachusetts General Hospital, this book appeals to more than just other neuroradiologists. Stroke neurologists and neurointerventional radiologists will find this book useful. Fellows in the field of vascular neurology and neuroradiology also will find this book helpful in their educational curriculum.
Features: The first section describes the basic pathophysiology and causes of ischemic stroke. The second section covers the various neuroimaging modalities used for acute ischemic stroke, such as unenhanced computed tomography, CT angiography, and CT perfusion. Chapters are dedicated to MRI, MR angiography, and other MR sequences including diffusion weighted imaging and perfusion MRI. The third section centers more on the clinical management of acute stroke with intravenous (IV) thrombolysis, intraarterial (IA) thrombolysis and mechanical thrombectomy. The appendix has helpful protocols such as inclusion/exclusion criteria for IA tPA and management of symptomatic hemorrhage after thrombolysis. Several sections discuss the physics and theory behind different neuroradiology sequences.
Assessment: This is a well-written book. Another book to consider, and one which is probably more geared to stroke neurologists, is Practical Neuroimaging in Stroke: A Case-Based Approach, Rabinstein and Resnick (Elsevier, 2009). This book takes a case-based approach to neuroimaging of stroke. Nevertheless, Gonzalez and colleagues deliver successfully once again, providing up-to-date information on neuroimaging and management of acute ischemic stroke. What sets this book apart from others is the discussion of outcome studies using neuroimaging. This may help guide clinicians when caring for ischemic stroke patients in the acute setting.