Chesneys' Equipment for Student Radiographers (4th edn). Ed. by
P H Carter, pp.xix+315, 1994 (Blackwell Scientific Publications, Oxford), 19.99. ISBN 063202724X This is the fouth edition of a well known standard text devoted specifically to radiographic equipment originally designed for diploma students of radiography. Much of the text has been re-ordered and truncated. The last edition comprised 630 pages devoted to conventional imaging equipment. The same area is covered in 181 pages in 12 chapters in this text. The preface states that the book aims to meet the need for "comprehension and intelligent appreciation of physical principles which have a direct bearing on safe, accurate and efficient use of equipment". Thus there are sections on the X-ray tube and generators, general, multipurpose and specialized radiographic equipment. There is a much needed addition on the computer-based imaging modalities. Each item has a clear statement of the purpose of the equipment, includes appropriate diagrams and concludes with some suggested follow up practicals. Chapters or major sections which have been eliminated include the preparatory physical principles, the electrical system and mains supply, fuses and interlocks, logics, equipment for rapid serial radiography and care maintenance and tests. Radiography and radiographic education have both changed so radically since the Chesneys wrote their last text that basic changes were undoubtedly required. However with the increasing use of digital equipment it is difficult to justify the continued separation in the literature between the image and the equipment which produces that image. This was caused initially by the format of the Diploma examination which no longer exists. Thus the quality of the image produced by the equipment is barely touched upon. Quality control tests are now integrated into the appropriate chapters but treated in the main in a somewhat cursory fashion. It seems illogical to give detail of tests on conventional tomographic equipment and light beam diaphragms whereas the more important ones on kilovoltage and the accuracy of performance of automatic exposure devices are merely mentioned. Although the need to minize radiation dose and use protective devices is stressed there is little reference to the specific requirements of the equipment or the regulations. The suggestions for follow up practicals were a little variable in their detail ranging from a suggestion to observe the use of the equipment or undertake an extended visit to some very detailed and useful guidelines. Within the new computer based imaging modalities section there is a useful introduction to image digitization. However the treatment of the specialized modalities was very variable, ranging from a seven page overview for radionuclide imaging to a 65 page detailed description for ultrasound imaging. This latter chapter was the only one which included a bibliography; a very welcome addition and one which could be used to advantage in other less substantial chapters. I found the sections on CT and MRI interesting and unthreatening. Given the nature of the subject and the rapid changes within imaging still taking place, it is well nigh impossible for a book on equipment to meet the curent needs of radiography education. The usefulness of this text to student radiographers will vary according to the importance that their course places on going beyond an understanding of equipment and its safe and efficient use towards optimization of information obtained and a critical examination of performance. It is a useful introductory text. I suspect that the book will be more appreciated by the students than by their lecturers. A V FINCH
Vol. 68, No. 807
MRI of Head andNeckAna tomy. By W T C Yuh, E T Tah, A K Afifi,
K Sahinoglu, F Gao and R A Bergman, pp. 388, 1994 (Churchill Livingstone, Edinburgh), 140.00. ISBN 0443088926 The key to the use of MRI in solving clinical problems in the head and neck is the understanding of anatomy. MRI can produce images that approach cadaver sections in quality. The more the reader can see the more he/she needs to know. MRI ofHead and Neck Anatomy is an attempt to produce an atlas sufficiently well labelled to aid the interpretation of complex and difficult MR images. Each page consists of the MRI image, a small localizer image and a short description of the main anatomical features seen. The book succeeds because it is helpful and as such meets the objectives of its authors. There is comprehensive coverage in all three imaging planes of the brain and extra cranial head and neck. I especially liked the combination of text and image. As a bench book however, one might wish that the designers oiMRIofHead and NeckAnatomy had overcome the difficulties in overlying relatively small MRI images with 40 plus black dotted lines on an obtrusive white background. The reader has to work rather hard to extract the information available from the atlas in the face of these overpowering lines. G R CHERRYMAN
Quality Assurance in Dental Radiography (IPSM Report 67). pp.
26,1994 (Institute of Physical Sciences in Medicine, York), 14.00. ISBN 0904181677. This booklet in the IPSM Report Series describes techniques for the physical assessment of dental radiology equipment both simple intraoral and panoramic X-ray equipment. The first chapter describes methods and gives expected results for measurement of tube output, exposure time, kilovoltage, filtration and focal spot size. It also includes additional tests on film processing systems, and comments on some "Postal Pack" test systems and dental phantoms. The second and third chapters describe mechanical and electrical safety testing, and surveys for radiation protection purposes respectively. There are six appendices which give details of relevant IEC/ BS publications, useful test equipment and suppliers, sample survey forms and protection check lists etc. Anyone involved in radiation protection or QA measurement on dental radiology equipment will find this booklet very useful, although "old hands" may prefer to retain their own techniques e.g. this book recommends 50 cm for most measurements where it might sometimes be better to use a different distance e.g. 30-40 cm for kVp measurements on some lower kV units. A fairly major ommision is that nowhere did I see a mention of the need to allow adequate cooling between exposures (typically 1 min s"1 exposure time). This seems an oversight when the booklet is likely to be used as a bible by relatively inexperienced physicists, trainee MTOs etc. From the radiation protection viewpoint the survey checklist should also include the question as to who clinically and physically directs exposures and whether they have received POPUMET training. Apart from these minor gripes this booklet is essential reading for any RPA, QA physicist or MTO involved in dental radiology, and would be useful to radiographers and DSAs responsible for X-ray equipment. It is a pity that the format has been changed to one slightly larger than the earlier HPA/IPSM reports and the DoH Radiation in Dental Practice, to which it is an ideal companion. A ROBINSON