Neuroradiology

Editors: M. Stoopen. R. García Mónaco.
Guest editor: Enrique Palacio Ediciones Journal, 2010. ISBN 978-987-1259-35-9. 260 pages.

No doubt the quick development of imaging technologies of the last 30 years has allowed the anatomic and functional understanding of numerous neurological diseases. This gave rise to the possibility of successfully modifying the natural course of many pathological processes.
In this wonderful issue, the editor introduces an update of diagnostic and interventional techniques used nowadays in a wide range of neurological pathologies and he highlights what the contribution of functional imaging techniques has meant. This book brings together a select group of authors, leaders of prestigious academic institutions and many of who are worldwide known for their contributions to neuroradiology.
The different chapters deal with updated reviews of a great variety of topics, such as neurodegenerative, infectious and tumor diseases, and epilepsy, among others. The author puts special emphasis on the advances on diagnosis techniques. There are other chapters that focus on functional techniques and their present applications. The chapter dealing with Multiple Sclerosis shows a short but very complete review of the conventional and advanced study of imaging in the diagnosis and follows up of this pathology. There is also a very interesting chapter that includes brain and facial vascular malformations where you can find a new classification based on embryologic and genetic concepts of several vascular syndromes. The chapter dedicated to the study of acute cerebrovascular accidents reviews the present protocols for neuroimaging. There is also a chapter dealing with neuro interventional, which shows a wide variety of endovascular procedures available in the neuroradiology field. Finally, one of the last chapters is dedicated to the PET/CT of SNC, which is an emerging way of imaging in our environment and which has important applications in our specialty.
*This new neuroradiological version is easy-reading and entertaining, and it is an important contribution for specialists in the filed as well as for radiologists in general, interns and clinical doctors related to neurology.

No doubt this new book of the collection “Advances in Imaging Diagnosis” of ICR is, once more, a high-leveled publication for the Latin-American medical community.

Dr. Patricia Orellana P.
Chief Doctor of Neuroradiology
Imaging Service
Hospital Clínico Universidad de Chile

Key representatives of the world's leading medical imaging societies have recommended that a common set of global referral guidelines for appropriate use of medical imaging be produced, in the first such global meeting of experts convened under WHO auspices in nearly two decades.

Experts from international, regional and national professional societies as well as the International Atomic Energy Agency and the European Commission, met in the WHOhosted consultation in Geneva, 1-3 March, 2010. The consultation, "Referral Guidelines for Appropriate Use of Radiation Imaging", was held in the context of the WHO Global Initiative on Radiation Safety in Health Care Settings (Global Initiative), launched in December 2008.

Their call comes in the wake of trends that have seen diagnostic imaging and interventional radiology procedures being used more and more to accurately diagnose a wide range of illnesses and injuries and provide life-saving treatment.

At the same time, however, appropriate use of such technologies is becoming an important health policy concern, particularly since medical radiation exposure constitutes the main source of radiation exposures in many countries and inappropriate use can lead to unnecessary exposures.

The 36 experts, representing 23 agencies and professional societies from across WHO's six regions, agreed upon a roadmap to develop an international set of evidence-based referral guidelines and facilitate their implementation. Plans also call for monitoring the use and evaluation of the impact of the use of such guidance in different clinical settings.

The consultation recommended development of a global set of referral guidelines under the umbrella of WHO, and in collaboration with other relevant international bodies. This would include review, adaptation and expansion, as necessary, of evidence-based guidelines that exist nationally and regionally.

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