Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Book ReviewBook Review

Neuroimaging Clinics of North America: Intracranial Aneurysms, Vol. 16, No. 3

American Journal of Neuroradiology August 2007, 28 (7) 1418-1419; DOI: https://doi.org/10.3174/ajnr.A0578
  • Article
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

A. Biondi, guest ed. Philadelphia: WB Saunders; 2006. 157 pages, $94.00.

In this short monograph, the major clinical, diagnostic, and therapeutic issues in intracranial aneurysms are considered. Biondi is the guest editor of this 157-page volume of the Neuroimaging Clinics of North America, and she has assembled an international group of authors who are known for their contributions to the field. The book spans nearly the entire clinical spectrum of the subject, taking the reader from an overview of intracranial aneurysms through subsequent chapters on imaging and treatment. There are 10 chapters, and all should be of interest to radiologists (neuroradiologists in particular), even including those chapters dealing with treatment regardless of whether the radiologist performs endovascular interventions.

The reader is first introduced to the basic aspects of intracranial aneurysms, including pathology, pathogenesis, hemodynamics, histology, epidemiology, and aneurysm classification/types. The author’s intent is sustained throughout the opening chapter, but the reader is jolted by strange wording and poor editing. For example, in speaking of hemodynamic factors, “blood blow” is mentioned instead of “blood flow,” or when the authors probably want to indicate that there was ventricular decompression before an arteriogram, the words “ventricular derivation” are used. One also gets bounced back and fourth between “aneurysm” and “aneurism.” In a chapter that is supposed to introduce the reader to the subject, a figure is shown where a Hunt and Hess Grade II and a Fischer Grade III subarachnoid hemorrhage is mentioned, but nowhere in that chapter are these grading systems described. In fact, if one then goes to the index in hopes of finding where this is discussed in other chapters, one comes up with nothing under those terms. Despite these editorial guffaws, there is good information here, and the imaging is of high quality.

Chapters on unruptured and ruptured intracranial aneurysms give the reader an understanding of aneurysm size and the subsequent chances of rupture/rerupture, along with treatment considerations. Both chapters are well written, and this reviewer likes the Socratic manner in which a portion of the material is presented: questions of importance asked and then answered.

The chapter on current diagnostic modalities should be of most interest to the reader. The images are good, and modern techniques (CT angiography, MR angiography, 3D angiography, and various display methods) are described; however, more specifics on CT angiography, for example, could have been included. There is no mention of delays in initiating imaging postinjection, nor is there a discussion of the value of the newer 64–128 multidetector CT scanners. To the author’s credit, they describe risks of angiography, importantly including radiation risks. Again, however, the manuscript editing is not up to what one would expect. The term “sensibility” is used time and again, and to this reviewer that is not a recognized statistical term. The probable intent was to use sensitivity, and one wonders why this was not changed. One is left with baffling statements such as, “All teams insisted on the inferior sensibility concerning diagnosis of aneurysms not responsible for the hemorrhage,” or “CT angiography, next to considerable improvement in spatial and temporal resolution, has become a high performance diagnostic tool.”

A relatively long (40 pages, nearly one quarter of the book) but very worthwhile chapter deals with the endovascular treatment of aneurysms. Here, the radiologist who is unfamiliar with advances in endovascular treatment gets a run down of the various devices used in therapy: different coil types, balloons and stents, liquid embolic material, microcatheters, and wires. What makes for good reading are the sections on the techniques for coiling and stent placement, the strategies and thought processes involved with common and uncommon situations, and the complications involved. There is much to be learned by virtue of this chapter, particularly if one is not involved in interventional neuroradiology–not that reading and digesting this chapter will make the noninterventionalist want to run out and start coiling aneurysms, but at least it will give that person a firm understanding of the field and where it is headed. To this reviewer, this chapter was most interesting, because many previously unappreciated (or forgotten) issues were discussed, among them the reason for the abandonment of tungsten coils, methods of detachment of coils from the pusher wire, the constituents and mechanism of action of bioactive coils, the different types of stents, and preprocedural/postprocedural care. Specific strategies for coiling large-necked aneurysms (as developed by Dr. Jacques Moret, who is one of the authors) and how to approach confounding or difficult cases are thoroughly described and illustrated. This is an excellent chapter; however, improvement could have been achieved by the use of diagrams, illustrating the devices and their configurations in deployed positions.

The remaining chapters deal with the less common or less frequently treated aneurysms, such as dissecting, atherosclerotic, and fusiform aneurysms; aneurysms seen in association with various disorders, such as neoplasms, trauma, infections, arteriovenous malformations (AVMs), radiation, polycystic kidneys, connective tissue disorders (Ehlers-Daulos and Marfan), vasculitis, and neurofibromatosis; the evaluation and treatment of aneurysmal subarachnoid hemorrhage; which aneurysms require surgery; and follow-up of treated aneurysms.

Most neuroradiologists will find the chapter dealing with nonsaccular aneurysms that arise in the context of accompanying disorders to be of great interest. The case material chosen by the author (Biondi) of this chapter is excellent (in fact, high-quality imaging is present throughout the book) and serves to emphasize the subject’s main point. More extensive labeling and an expanded legend in a number of cases would have been helpful, because to many not involved directly in intervention, such labeling and longer description would have cleared up a few figures, as for instance, in a figure that is said to show occlusion of an intranidal aneurysm in an AVM, it may have been helpful to say that the figure showed glue filling the pedicle and the aneurysm.

Although those performing endovascular surgery of intracranial aneurysms will have primary interest in this book, all neuroradiologists should be aware of the material in this book, and it, therefore, is highly recommended.

Figure
  • Copyright © American Society of Neuroradiology
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 28 (7)
American Journal of Neuroradiology
Vol. 28, Issue 7
August 2007
  • Table of Contents
  • Index by author
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Neuroimaging Clinics of North America: Intracranial Aneurysms, Vol. 16, No. 3
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
American Journal of Neuroradiology Aug 2007, 28 (7) 1418-1419; DOI: 10.3174/ajnr.A0578

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Neuroimaging Clinics of North America: Intracranial Aneurysms, Vol. 16, No. 3
American Journal of Neuroradiology Aug 2007, 28 (7) 1418-1419; DOI: 10.3174/ajnr.A0578
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Ischemia and Loss of Vascular Autoregulation in Ocular and Cerebral Disease: A New Perspective
  • HIV and the Brain: New Challenges in the Modern Era (Current Clinical Neurology)
  • EXPERT ddx Brain and Spine
Show more Book Review

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire