Interventional Bronchoscopy Edited by C.T. Bolliger and P.N. Mathur. Switzerland: Karger, 2000, 257 pp., $172.25. The field of interventional bronchoscopy is rapidly progressing. With this new growth, pulmonologists, especially interventional bronchoscopists, must keep abreast of the rapid developments in technology and the various techniques of therapeutic modalities. Because most of the indications, contraindications, and techniques of endobronchoscopic modalities are still evolving, together with a new generation of pulmonologists trying to gain experience in this field, this book by Bolliger and Mathur could not have come at a better time. It is an excellent, concise monograph encompassing the field of interventional bronchoscopy from the days of development of the bronchoscope to its modern use in various endobronchial diseases.emtpy The book is organized into five sections. The first section begins with the general aspects of bronchoscopy starting from its inception, from the days of Killian to the present day of modern bronchoscopy. With the forgotten art of rigid bronchoscopy, Dr. John Beamis has written an outstanding review on the modern use of the rigid bronchoscope. The various techniques of performing rigid bronchoscopy are supplemented with stepwise illustrations of the actual technique. The next chapter deals with the expertise, personnel, and equipment required as well as the maintenance of this equipment, making this chapter a must-read for the technical support staff of a bronchoscopy suite. The last two chapters in this section deal with the functional evaluation of the patient before and after endoscopy. This includes administration of anesthesia and preoperative evaluation for interventional bronchoscopy. How these investigations impact interventional strategies, technical success rates, and outcome is discussed at length.emtpy The second section deals with diagnostic bronchoscopy, including techniques of transbronchial needle aspiration and endobronchial ultrasound. The technique of transbronchial needle aspiration is very well explained by leading authorities in this field. Color figures and line diagrams add a great deal to this chapter. The authors think that the reader would acquire a better understanding, greater confidence, and improved yield with this important diagnostic tool. The evolving role of endobronchial ultrasound in airway and mediastinal diseases is depicted beautifully in the figures, which are very well described in the legends. The description clearly illustrates the addition of a new technique in pulmonologists' armamentarium and its research potential.emtpy The third section consists of thorough discussions of various therapeutic endobronchoscopic techniques, including foreign body removal, laser therapy, electrocautery, argon plasma coagulator, cryotherapy , brachytherapy, photodynamic therapy, and placement of tracheobronchial stents. All these techniques are very well described by well-known authorities on these techniques. The precise description of techniques is complemented with color photographs and references. The concluding chapter, which is certainly a highlight of this section, deals with the multimodality treatment of lung cancer, and it gives a concise and excellent review of managing terminal cancer by combining the traditional methods, like radiotherapy and chemotherapy, with the new endobronchial therapeutic modalities. The chapter adequately illustrates the role of endoscopic procedures in the management of advanced lung cancer. Although the authors briefly describe the role of flexible bronchoscopy in endoscopic procedures, better-detailed descriptions of actual techniques and safeguards would have been more appropriate because most of the centers still lack the expertise of using the rigid bronchoscope.emtpy The fourth section deals with the new techniques coming into the realm of pulmonologists and intensivists. The chapter on percutaneous dilatational tracheostomy and long-term transtracheal oxygen therapy are precise, easy to read, and supported by properly placed figures and tables that are helpful to the beginner. The reader will also be happy to see the chapter on image-guided interventional procedures in the thorax, which also adequately compares the yield of these procedures to those of traditional procedures.emtpy The last section deals with the potential future uses of bronchoscopy and includes autofluorescence bronchoscopy, virtual bronchoscopy, and the use of optical, diagnostic, and therapeutic technologies in pulmonary medicine and gene therapy in lung cancer. The illustration of virtual bronchoscopic images provides the reader with a practical approach, which in the future may take the place of conventional bronchoscopy as the standard of evaluating bronchial lesions.emtpy Apart from the lack of an adequate description of the use of flexible bronchoscopes in endobronchial therapeutic techniques, this book really provides a comprehensive and up-to-date overview of endobronchial therapeutic modalities and is highly recommended for those individuals who are currently performing the interventional procedures or who are planning to learn them in the future. This book is also recommended for pulmonologists who are not in the field of interventional bronchoscopy, but who want to learn about the various ways in which they can help their patients. Sandeep Mehrishi, M.D. Interventional Pulmonary Unit,Nassau University Medical Center,East Meadow, New York, U.S.A. Suhail Raoof, M.D. Pulmonary and Critical Care Medicine,Nassau University Medical Center,East Meadow, New York, U.S.A.