MR Imaging of the Lumbar Spine: A Teaching Atlas

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Two-thirds of degenerative diseases of the vertebral column involve the lumbar spine. Magnetic resonance imaging plays a pivotal role in diagnosis and treatment. With more than 450 illustrations and 78 case studies illustrating various constellations of findings, this book provides a wealth of illustrations that guide the reader through the MR imaging of lumbar disk herniations and spinal stenosis:

  • Impressive series of MR images illustrate both common and unusual findings, helping to enhance conceptual understanding and sharpen diagnostic perception.
  • Clinical findings and progression are covered in addition to MRI findings, helping the reader to appreciate the correlations between clinical and imaging findings.
  • The role of diagnostic imaging is addressed for specific disorders, helping to foster the more discriminating use of imaging procedures in the lumbar spine.

The book concludes with a chapter on the current technique of performing CT-guided injections at the lumbar level.

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Editorial Reviews

From the Publisher
..the images are beautifully reproduced. The other illustrations, which include line drawings and tables, are also done well. It is easy to identify the abnormalities in the cases. Each case study contains subsections that provide clinical presentation, illustrated findings, diagnosis, treatment, clinical course, and brief comments.This book can be of use to sports medicine physicians, and family physicians, as well as to some neurosurgeons and orthopedic surgeons who treat patients with lumbar spinal stenosis and herniated disks. —Radiology May 2004—clear and very well presented. . .high-quality MR images. . .highly recommended for residents, neuroscience fellows, and those interested in disc protrusion and extrusion. . .This book is truly a teaching atlas. — Journal of Clinical Imaging
Doody's Review Service
Reviewer: P Anondo Stangl, MD (University of Colorado Health Sciences Center)
Description: This teaching atlas is a new English translation of a German text first published in 2001. It primarily consists of a collection of lumbar spine cases with brief discussions of the clinical and imaging findings. A compact but fairly comprehensive review of anatomy, terminology, pathology, imaging and image guided procedures serves as an introduction.
Purpose: The authors set out to present the spectrum of lumbar spine pathology and imaging findings in a format with high information content. The introductory review and numerous image-based cases produce a high yield text that is quickly readable. Although the book is a valuable and comprehensive contribution in the area of degenerative spine disease, coverage of other forms of pathology is notably lacking.
Audience: The presentation and content are ideal for radiology residents and perhaps radiologists without a great deal of experience with MR of the lumbar spine. Familiarity with anatomy, MR imaging parameters, and patterns is assumed, making the size of the book more manageable but inappropriate for students or those without imaging experience.
Features: Through extensive case examples, the full range of degenerative pathology of the lumbar spine is covered. Quality images show relevant findings in multiple planes and MR sequences. Each level of the lumbar spine is sequentially discussed, with varying degrees of pathologic change including post-surgical appearances. The logical and thorough presentation makes for a complete atlas that allows anyone new to MR spine imaging to quickly assimilate the important findings and their interpretation. A particular emphasis on the treatment and clinical outcomes of the presented cases is a unique and welcome feature. Information provided about image-guided and minimally invasive procedures is helpful and frequently may not come to the attention of practitioners in other ways. The restriction of discussion to degenerative disease greatly limits the utility of the book. Its value as a way to learn the imaging and pathology of the spine for the first time remains excellent, but quality as a reference when actively reading lumbar spine MRI falls short. Coverage of degenerative disease is complete to the level of redundancy, and some of this space could have been better used on other pathologic processes such as inflammatory, infectious or neoplastic disease.
Assessment: For more junior residents first becoming familiar with MR imaging of the spine, this teaching atlas is a great resource. For more advanced residents, particularly those preparing for boards, the restricted scope of the content is a major limitation. For these residents, many other more comprehensive, case-based reviews of spinal imaging are available.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781588901378
  • Publisher: Thieme
  • Publication date: 1/1/2003
  • Edition description: Illustrate
  • Pages: 202
  • Product dimensions: 7.70 (w) x 10.60 (h) x 0.60 (d)

Meet the Author

Professor, formerly Orthopedic University Clinic, St. Josefs Hospital, Bochum, Germany

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