This is an interesting and potentially useful book. It clearly occupies a niche, but it is not unique. There are other recent texts on interventional ultrasound, and ultrasound in surgery, with similar content. As the title suggests, the current text covers a broad range of topics in the use of ultrasound in surgery. There are two chapters that may be of value to neurosurgeons (brain and spinal canal), as well as chapters dealing with urologic topics including ultrasound of the genitourinary system, and endoluminal ultrasound of the prostate. Three chapters deal with intraoperative ultrasound of the gastrointestinal tract (liver, pancreas, and biliary system). Two other chapters discuss laparoscopic ultrasound and endoluminal ultrasound of the gastrointestinal tract. In addition, there are brief chapters on the use of ultrasound in thoracic surgery and surgery of the breast. In keeping with the text’s broad scope, there is also a chapter on intraoperative vascular ultrasound. This breadth of coverage probably enhances the value of the text for the radiologist/ultrasonographer, but diminishes its value for the practicing surgeon. I believe this is by design because the former group seems to be the intended audience. Although the book is devoted to “surgical” ultrasound, 20 of the 21 authors are radiologists and one is a gastroenterologist; no surgeons contributed to the chapters. There is, furthermore, no chapter on ultrasound principles, nor a basic science review of ultrasound physics; it is assumed that the reader already has a good knowledge of ultrasound techniques and interpretation. This makes the book less suited for the physician who uses ultrasound occasionally, or the clinician who wants to learn about the use of this modality in his practice. Some chapters have excellent descriptions of techniques to insure high-quality ultrasound studies, but the book is not a substitute for formal training in ultrasonography. Several chapters are quite comprehensive, with good coverage and plenty of references, including the chapters on intraoperative ultrasound of the liver, intraoperative vascular ultrasound, and endoluminal ultrasound of the rectum and anus. Other chapters are disappointingly brief, with very cursory coverage. In particular, coverage of intraoperative ultrasound of the pancreas and the breast and endoscopic ultrasound of the gastrointestinal tract would have benefited from expansion. Regardless of the extent of coverage of specific topics, this book should win an award for the highest quality image reproduction among medical textbooks. Although ultrasound images are notoriously “fuzzy,” those selected for inclusion in this text are remarkably clear and crisp. Occasionally, specific ultrasound findings were discussed, but corresponding images were not provided. Nonetheless, this is not an atlas of ultrasound findings, and does not pretend to be. Most surgeons will not want to buy this book, but it certainly deserves shelf space in their hospital or medical school library. The surgeon who is already familiar with ultrasound and uses this modality may want to add this book to his or her personal collection, after comparing it with one of the other available texts on surgical ultrasound to be certain of buying the one that will be most useful in his or her practice.
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