Neuroimaging in Ophthalmology / Edition 2

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Ophthalmologists are often the first clinicians to evaluate a patient harboring an underlying intraorbital or intracranial structural lesion. This unique position makes it particularly important for them to understand the basic mechanics, indications, and contraindications for the available orbital and neuroimaging studies (e.g., CT and MR imaging), as well as any special studies that may be necessary to fully evaluate the suspected pathology. It is equally important for them to be able to communicate their imaging questions and provide relevant clinical information to the interpreting radiologist. Since the publication of the original edition of this American Academy of Ophthalmology Monograph in 1992, new techniques and special sequences have improved our ability to detect pathology in the orbit and brain that are significant for the ophthalmologist. In this second edition of Monograph 6, Johnson, Policeni, Lee, and Smoker have updated the original content and summarized the recent neuroradiologic literature on the various modalities applicable to CT and MR imaging for ophthalmology. They emphasize vascular imaging advances (e.g., MR angiography (MRA), CT angiography (CTA), MR venography (MRV), and CT venography (CTV) and specific MR sequences (e.g., fat suppression, fluid attenuation inversion recovery (FLAIR), gradient recall echo imaging (GRE), diffusion weighted imaging (DWI), perfusion weighted imaging (PWI), and dynamic perfusion CT (PCT)). They have also included tables that outline the indications, best imaging recommendations for specific ophthalmic entities, and examples of specific radiographic pathology that illustrate the relevant entities. The goal of this Monograph is to reinforce the critical importance of accurate, complete, and timely communication—from the prescribing ophthalmologist to the interpreting radiologist—of the clinical findings, differential diagnosis, and presumed topographical location of the

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Editorial Reviews

Doody's Review Service
Reviewer: John H Pula, MD (University of Illinois College of Medicine at Peoria)
Description: This book provides a basic and essential review of the neuroradiology of neuro-ophthalmologic conditions. The first edition was published in 1992.
Purpose: The purpose is to assist clinicians in understanding the mechanics of imaging techniques.
Audience: Ophthalmologists are the intended audience.
Features: The book covers the physics and clinical applications of MRI, CT, angiography, and other specialized imaging. It includes an especially succinct review of the physics of MRI.
Assessment: This book offers good quality information on neuroradiology for ophthalmologists.
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Product Details

Meet the Author

Michael C. Johnson, M.D., F.R.C.S.C. is an Assistant Professor in the Department of Ophthalmology at the University of Alberta, Edmonton, Alberta, Canada.

Bruno Policeni, MD, Clinical Assistant Professor of Diagnostic Radiology—Neuroradiology, University of Iowa

Andrew G. Lee, M.D. is chair of the Department of Ophthalmology at The Methodist Hospital in Houston, Texas and is Professor of Ophthalmology in Neurology and Neurological Surgery at Weill Cornell Medical College. Dr Lee serves on the Editorial Board of 12 journals including the American Journal of Ophthalmology, the Canadian Journal of Ophthalmology, and Eye and he has published over 270 peer-reviewed articles, 40 book chapters, and three full textbooks in ophthalmology.

Wendy K. Smoker, MD, is a Professor of Radiology, Neurology, and Neurosurgery, and Division Director of Neuroradiology at the University of Iowa Hospitals and Clinics. Dr. Smoker has served on the Editorial Board of multiple Radiology journals, previously a Deputy Editor of Radiology. She has authored or coauthored 144 scientific publications, presented 282 invited lectures, and authored or co-authored 47 book chapters.

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Table of Contents

Chapter 1 Magnetic Resonance Imaging
1-1 Physical Principles
1-2 Extraction of Spatial Information
1-3 T1 and T2 Defined
1-4 TR and TE Defined
1-5 T1 and T2 Relaxation
1-6 Factors Determining the Appearance of MRI Scans
1-7 T1-weighted Images
1-8 T2-weighted Images
1-9 CT versus MRI of Hemorrhage
1-10 Diffusion Weighted Imaging
1-11 Perfusion Weighted Imaging
1-12 High Resolution 3D Rapid Imaging
1-13 Paramagnetic Contrast Agents
1-14 Surface-Coil Techniques
1-15 Magnetic strength
1-16 Contraindications
Chapter 2 Computed Tomography
2-1 Physical Principles
2-2 Clinical Imaging Devices
2-3 Windows
2-4 Axial-Plane Imaging
2-5 Multiplanar Reconstruction
2-6 Computer Analysis
2-7 Contrast Enhancement in CT
2-8 Perfusion Computed Tomography
2-9 X-Ray Dosage
Chapter 3 Angiography and Other Specialized Imaging
3-1 MR and CT angiography and venography
3-2 MR spectroscopy
3-3 Functional MRI
Chapter 4 Ordering and Interpreting Images
4-1 Selection of Technique
4-2 Interpreting Images
4-3 Examination of Images
Suggested Readings

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