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Medical Imaging of Normal and Pathologic

Anatomy, by Joel A. Vilensky, Edward C. Weber,
Thomas E. Sarosi, and Stephen W. Carmichael

Article in Clinical Anatomy May 2011

DOI: 10.1002/ca.21163


0 87

1 author:

Geoffrey Guttmann
University of Medicine and Health Sciences St Kitts


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Clinical Anatomy 24:525 526 (2011)


Medical Imaging of Normal and Patho- listed next to the pathologic condition under consideration.
logic Anatomy, by Joel A. Vilensky, Edward C. Also, each heading for the anatomical regions is color coded
Weber, Thomas E. Sarosi, and Stephen W. Carmichael, Phil- and reected in the text with the same color coding. The
adelphia, PA: Saunders/Elsevier, 2010, 192 pages (331 text has 8 sections representing the regions of the body,
images), $39.95, ISBN-13: 978-1-4377-0634-5. head and neck, thorax, abdomen, pelvis and perineum,
back, upper and lower limbs, and the eighth is Other,
Medical Imaging of Normal and Pathologic Anatomy is a which shows a whole body radionuclide bone scan. With
timely and useful book for medical students, students of color coding for each anatomical section at the top of the
clinical anatomy, and anatomy faculty. The book opens with page, a reader can easily discern in which region of the
an engaging forward by David Macaulay, who is the author body they are looking at. The format for the text provides
of The Way We Work, a brief acknowledgement page, and for a pleasant and useful learning environment, because it
an introduction that gives the raison detre for this book presents a normal image next to an abnormal image for a
and how it is set up. Before proceeding to describe the text particular region or cross-sectionusing the same imaging
of this book, readers will enjoy using this Table of Contents. technique in both images (Fig. 1a and 1b). The side-by-side
Beside the breakdown of the pathologic conditions into placement of the images also allows for easier labeling and
their anatomically relevant regions, the medical imaging indication of the abnormality or pathology. At the bottom of
technique, such as radiographic, CT, MRI, or ultrasound, is the page, there are usually color-coded references to Grays

Fig. 1. a: Axial CT scan depicts an epidural hemor- porosis, especially in elderly women. (Presented by cour-
rhage, which usually results from a skull fracture that lac- tesy of and with permission from Saunders/Elsevier,
erates a branch of the middle meningeal artery. b: AP hip 2010.) [Color gure can be viewed in the online issue,
radiographs (normal on the left, fractured femur on the which is available at]
right). Femoral neck fractures are associated with osteo-

*Correspondence to: Geoffrey D. Guttmann, Windsor, ON Canada.

Received 22 January 2011; Accepted 3 February 2011
Published online 18 April 2011 in Wiley Online Library
( DOI 10.1002/ca.21163

C 2011
V Wiley-Liss, Inc.
526 Book Review

Anatomy for Students (2nd edition) or Clinically Oriented white space on many of the text pages. If the book has a land-
Anatomy (6th edition), or both. It nishes with an 11-page scape orientation instead of portrait, the images could be larger
index, which is thorough and complete. or more images could be arranged side by side.
The authors do well to keep the number of leader lines to a The authors intention, as stated in the introduction, is to
minimum. The lines only indicate the important anatomical help medical students develop their skills in pattern recogni-
structures or landmarks one can easily see on the radiological tion, especially in its application to radiologic images. They
image and use correlating leader lines on the abnormal image have denitely accomplished this task. The learner now has an
to truly help the student see the correlations. An issue for this excellent text to learn not only normal radiologic anatomy but
reviewer is the use of red leader lines on the radiological the reason to understand the normal by observing some of the
images. It would be more prudent and also provide better visu- more prevalent abnormal anatomy or pathology on radiologic
alization if the leader lines are in a bright color, such as orange, images. Medical students in their preclinical or clerkship years
sky blue, or a color that is distinguishable from the black and would nd this book exceedingly useful when they are correlat-
gray of the medical images. Examples of good use of color in ing their newly learned pathology or clinical knowledge to their
identication of structures are the yellow arrows on page 102, recently acquired anatomical knowledge. Medical Imaging of
Epididymitis, or the dashed yellow line on page 112, Spondylo- Normal and Pathologic Anatomy is a worthwhile addition to
listhesis (Secondary to Pars Defect). Research shows that red anyones collection of anatomical reference books.
and black can become indistinguishable for some peoples color
vision. Another concern is the use of black text on a light green
background. It would be better to use a white background and Geoffrey D.Guttmann*
outline the box in maybe forest green. Lastly, there is a lot of Windsor, Ontario, Canada

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