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Doody's Review ServiceReviewer: Christopher Loiselle, MD (University of Washington Medical Center)
Description: This is a focused yet thorough review of the diagnosis and management of primary optic nerve sheath meningiomas, a rare neoplasm accounting for approximately 2 percent of intraorbital tumors. The book presents information in a well organized framework of 10 chapters.
Purpose: The authors' goal is to pull together into a single source the expertise of physicians and surgeons across medical disciplines for this rare disease. As information on this topic in the medical literature is relatively sparse compared to more common neoplastic diseases, this is a noteworthy objective. The book successfully incorporates the previously published literature on this topic with the current approaches and technical strategies of experienced centers into a single work that is accessible and valuable to an inquiring practitioner.
Audience: The potential audience is broad, from medical students to experienced attending physicians across the fields of primary care, ophthalmology, pathology, radiology, surgery, and radiation oncology. This is an excellent reference for anyone in contact with patients presenting with this uncommon disease. In intent and in utility, the book succeeds in presenting the talents of a distinguished group of clinicians to a wide readership.
Features: It covers the gamut of information about this disease, from the epidemiology and genetics of optic nerve sheath meningiomas to very specific guidelines and information on diagnosis and management. A highlighted box at the beginning of each chapter summarizes key points. Excellent representative images show how this tumor appears on CT scans and MRI, highlighting the unique features which may appear on imaging to best characterize lesion extent and/or help clinch a diagnosis. The book thoroughly outlines published outcomes with surgery and the varying possible forms of radiation therapy. It discusses the role of these varying therapies depending upon the state of a patient's visual acuity, and key considerations for the impact of therapies on healthy surrounding tissues and vision preservation. The book also provides technical information about patient setup and dosimetry for multiple radiation delivery techniques, a feature of great interest to radiation oncologists.
Assessment: This is an excellent reference, highly worthy of space on any desk or bookshelf. I would readily use the information in this book when called to assess patients who have been diagnosed with this disease or for whom the diagnosis is a consideration. The book successfully delivers a concise yet comprehensive overview of the diagnosis and management of this disease. The format is an excellent model for books on neoplastic diseases. I look forward to reading further books in this series, Medical Radiology - Radiation Oncology.