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British Journal of Radiology (2005) 78, 1065
© 2005 British Institute of Radiology
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Book review

CT teaching manual (2nd edn). Edited by M Hofer, pp. 208, 2004 (Thieme Medical Publishers, Stuttgart, Germany), \#8364;44.95 ISBN 3 13 124352 X

R H Corbett

As the title states, this is the second edition of this manual, but this comment hides four German, two Spanish and one Brazilian editions. For this is the second edition in the English language, and has benefited from the other language revisions.

The Manual is described as "A Systematic Approach to CT Reading". This is indeed true. A vast collection of CT images from the top of the head to the feet are presented in order. Although there are over 200 images presented, each image has several associated images or diagrams. There must be well over 1000 images for the reader's consideration. The manual makes its mark in that each CT slice is accompanied by a highly detailed drawing of all structures and features to be found in that slice. These are numbered directly rather than arrowed or named, avoiding crowding and unreadable data. The lists of numbers and names are presented in a useful manner inside a foldout page attached to the front (for brain) and back pages (for body) for very easy reference.

The text accompanying the images is very short and sweet, detailing exactly what a reviewer should gain from each slice. The anatomical sections are followed by brief but pertinent pathology sections. The reader is not allowed to skim or skip sections, as there are some 47 exercises scattered throughout the text. I particularly appreciated the guidance as to where to search for the information to answer the exercises rather than just skipping to the answer pages.

The Manual includes several useful check lists for reporting/reviewing CT studies, both embedded in the text and provided as loose leaf cards.

Example protocols for single/4/16 slice spiral acquisitions are provided. Unfortunately no comment was made about dose reduction for children here, though the protocols were immediately followed by a very useful discussion on CT dose. This section alone should be mandatory reading – sadly there were no exercise questions on this topic!

This manual is described as being for the undergraduate, the radiology technician, the referrer or new radiology resident. I would suggest that many a consultant radiologist would do well to read this book and keep a copy at their reporting station. I for one wish that it had been available when I first commenced CT examinations 20+ years ago. Even now, I find myself referring to it not infrequently. At \#8364;45, every radiologist should have their own copy. Thank you, Matthias Hofer for all your hard work.





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