Give me facts but above all give me understanding.
The objective of this book is to provide a practical
tool for those wanting to quickly acquire a broad base of knowledge in
thoracic imaging. The content is limited to the essentials of chest
radiology so as not to overwhelm the novice, yet provides enough detail
that it can serve as a quick review for residents or practicing
radiologists, a guide for those who teach thoracic imaging, and a
reference for internists, pulmonologists, thoracic surgeons, critical
care physicians, family practitioners, and other health care
professionals whose patients undergo thoracic imaging procedures. What
sets this book apart from other similar texts are (a) it is compact and
of practical size for a resident to read during an initial 4-week chest
radiology experience, (b) it closely follows an established
cardiothoracic radiology curriculum, and (c) it provides an exercise
This second edition carries over the pattern approach,
use of mnemonics, and emphasis on chest radiograph/CT correlation.
However, several changes were made to the first edition to reflect
current technology (in particular, the introduction of fast
multidetector CT scanning) and updated curricular guidelines. The
specific behaviorally based learning objectives at the beginning of
each chapter follow the 2005 revised curriculum on cardiothoracic
radiology for diagnostic radiology residency developed by the Education
Committee of the Society of Thoracic Radiology (1). A new chapter devoted to cardiac imaging reflects the increased cardiac content in the revised curriculum.
Nearly 800 new images were added to the second edition,
many replacing those from the first edition that reflected older
technology. All of the new figures were acquired and transferred to the
publisher in digital format.
The content of the second edition was expanded to
include the new classification of the idiopathic interstitial
pneumonias, current techniques used to evaluate solitary pulmonary
nodules, guidelines for management of small incidental nodules detected
on chest CT, new World Health Organization classification of lung
tumors, and numerous new imaging cases for self-assessment.
Many comments from readers of the first edition,
particularly residents, were considered in preparing the second
edition. Those parts of the first edition that were positively
regarded, such as the self-assessment chapter, were expanded. A new
section was added on "Patterns of Lung Disease" to provide a one-stop
guide to the recognition and understanding of the findings of honeycomb
lung, cystic lung disease, interstitial nodules, mosaic lung
attenuation, ground-glass opacification, and "tree-in-bud" opacities on
thin-section chest CT.
To address the inherent limitations in a book of
"essentials," selected scientific literature and larger comprehensive
textbooks are referenced at the end of each chapter for readers who
want to broaden their foundation of knowledge. The interpretation of
chest radiographs and CT scans does not always lend itself to a
"cookbook" approach, but as much as possible, this book attempts to
provide a logical approach to learning that will not only prepare
readers for but also stimulate them to pursue lifelong learning in
J, Abbott GF, Holbert JM, et al. Revised curriculum on cardiothoracic
radiology for diagnostic radiology residency with goals and objectives
related to general competencies. Acad Radiol. 2005;12:210–223.
Jannette Collins MD, MEd, FCCP
Eric J. Stern MD