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Contemporary Physics
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Introduction to Medical Imaging – Physics, Engineering


and Clinical Applications, by Nicholas Dimakis
a
Nicholas Dimakis
a
University of Texas-Pan American
Published online: 01 Jun 2012.

To cite this article: Nicholas Dimakis (2012) Introduction to Medical Imaging – Physics, Engineering and Clinical Applications,
by Nicholas Dimakis, Contemporary Physics, 53:4, 382-383, DOI: 10.1080/00107514.2012.689340

To link to this article: http://dx.doi.org/10.1080/00107514.2012.689340

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382 Book reviews

engineers but also to theoretical fluid dynamicists and but none of this is present here. There is a decent
mathematicians who would like to relate the theore- bibliography given at the end of the book, but no
tical results to real life examples. citations to any of the texts in many body. The style of
More than two thirds of the book is devoted to a writing would suit a more mature student and someone
discussion of one-dimensional shocks and applications with a good introductory grasp of the subject, but not
to the study of steady and unsteady flows. There is also one who is learning about the subject for the first time.
a discussion of the method of characteristics and Nevertheless, there is a place for this book. The author
application to steady two-dimensional supersonic has pitched it at engineers and written it in a style
flows. One chapter gives a brief discussion of transonic which will appeal to engineers. As a mathematician, I
flows. The strengths of the book lie in the description certainly enjoyed the wonderful photographs and
of discontinuities and shock wave physics and the examples, but I would have to use the handbook in
explanations which link the theory with concrete conjunction with other more mathematically descrip-
examples taken from real flight situations. The sections tive texts for this book to be useful.
on oblique shocks, shock polars, and shock–shock
interactions are very informative, although concise Jitesh S.B. Gajjar
mathematically. There are some very nice and possibly University of Manchester
unique photographs in a book of this type, for instance j.gajjar@manchester.ac.uk
Downloaded by [University of Kent] at 12:30 20 November 2014

the wonderful photographs showing different inter- Ó 2012, Jitesh S.B. Gajjar
ference patterns for a flow at Mach 10. The depiction http://dx.doi.org/10.1080/00107514.2012.689339
of streaklines with a helicopter rotor blade movement
is fantastic and quite different from examples that one
would find in other books. The author’s expertise Introduction to Medical Imaging – Physics, Engineering
clearly shines in these sections. and Clinical Applications, by Nicholas Dimakis,
The one danger in labelling this book as a Cambridge, Cambridge University Press, 2010, 296
handbook on compressible aerodynamics is the im- pp., £45.00 (hardback), ISBN 978-0-521-19065-7.
pression that could possibly be created that the Scope: medical imaging. Level: advanced undergradu-
phenomena being discussed are the ones which are ates and graduate students in medical imaging and
the most important and relevant in this subject area. related disciplines.
The whole text is focused on inviscid flows and there is
scant discussion of viscous effects. There is no proper Medical Imaging is a set of techniques and procedures
discussion of boundary layers and its importance to for image generation and analysis related to the
many of the flows being discussed. The discussion on visualisation of internal structures for humans and
shock wave interactions near ramps and over curved animals. This visualisation is of significant assistance to
surfaces is incomplete without a proper discussion of the medical doctors and appropriate specialists, such as
flow separation and shock wave boundary layer radiologists, for diagnosis and disease treatment. The
interactions. There is no discussion of flow instabilities. number of images that have been obtained up to now is
The title of the book in my opinion is misleading and at the order of a few billions, which emphasises and
should have included the word inviscid somewhere. supports the significance of medical imaging. Imagining
The word handbook implies some kind of reference is obtained by using a source such as X-rays,
text and whilst the book does contain lots of useful ultrasound, sub atomic particles and magnetic fields.
reference type of material particularly in the appen- Nowadays, image reconstruction (which could be in
dices, it is not a reference text that one would 3D) is achieved by the use of sophisticated mathema-
immediately jump to find out about a topic in this tical algorithms, which are based on the well-known
area. For instance the transonic small disturbance Fourier transform method. Currently, there is tremen-
equation is written down in Appendix 4, but nowhere dous effort to improve these algorithms, thus suppres-
can one find any links to Kárman and Guderlay. sing image artefacts and increase image resolution.
There are many other very good books covering Radiography, computed tomography (CT), mag-
this type of material but geared more towards the netic resonance imaging (MRI) and ultrasound are
undergraduate market. among the few new terminologies that are already a
This book is different in this respect and is not one part of everybody’s life. There are no words to express
that one would recommend to an undergraduate. The the happiness that prospective mothers feel when they
style of writing may not appeal to some people. For see a 3D picture in real time of their baby to be born.
instance there is no historical perspective present in Obtaining a movie of the fetus just a decade ago would
many of the discussions. The books by Anderson give seem unrealistic. Moreover, ultrasound can be used for
an excellent account of how the subject has developed, needle guidance if amniocentesis is necessary to detect
Contemporary Physics 383

fetus disorders. Recently, advanced nuclear medicine recommendation. I am optimistic that in the future we
imaging techniques such as the positron emission may see another book by the authors in a closely related
tomography (PET) opened new horizons in cancer field.
detection. PET and CT imaging helped oncologists to
detect cancer at an earlier stage, thus significantly Nicholas Dimakis
increasing life expectancy for cancer patients. In some University of Texas-Pan American
cases, cancer detection at a very early stage may dimakis@utpa.edu
completely eliminate its re-occurrence for the life of the Ó 2012, Nicholas Dimakis
patient. Additionally, cardiac CT provides high-resolu- http://dx.doi.org/10.1080/00107514.2012.689340
tion 3D images of the heart, which can be used for
prevention or evaluation of serious heart diseases such
as the coronary heart disease and aneurysms. Their Arrows Will Darken the Sun – The Evolution and
A question that mostly arises is related to the safety Science of Ballistics, by Mark Denny, Baltimore, The
of these techniques. It must be mentioned, that not all Johns Hopkins Press, 2011, x þ 234 pp., £15.50
of the above techniques expose patients to ionising (paperback), ISBN 978-0-801-89857-0. Scope: general
radiation. For instance, MRI can provide high-quality interest, guide. Level: general readership, non-specia-
images comparable to CT without using harmful lists, undergraduate, teacher, specialist, scientist.
Downloaded by [University of Kent] at 12:30 20 November 2014

radiation. However, in case of whole body CT scan,


where radiation levels are about two to three orders of The aim of this book is to provide an extensive and
magnitude greater than conventional radiography, the detailed exposition of the science of ballistics through
possible risk of cancer due to radiation exposure the ages. Of course warfare is one of the very oldest of
cannot be neglected. In these cases, the CT image pursuits, at least in its practical effect, and its
resolution may be reduced, thus reducing radiation development has largely occurred via empirical meth-
exposure. Low-resolution CT scans are necessary when ods – at least until fairly modern times. Except in
a child is the patient. Alternatively, MRI or ultrasound hand-to-hand combat, the design drive has been to
may be employed. Research on low-radiation high- promote action at a distance via projectiles of
quality CT imaging is underway. increasing sophistication and accuracy. Naturally the
The Introduction to Medical Imaging is more than aim (!) has been to cause damage/death and destruc-
simply a textbook used by undergraduates and first- tion with minimal risk to one’s own side.
year graduates: It contains important information that Projectile motion under gravity, with or without
would be used also as a reference by specialists. The resistance, features in all beginning courses in Me-
book is written in a form that is easy to follow: It chanics – at School and at University – with the detail
consists of five chapters and covers the basics of image given largely dependent on the level of mathematical
reconstruction, radiography and CT, nuclear medicine, maturity of the students. In such courses, motivations
and MRI. Additionally, it includes the necessary in warfare (or for that matter in sport) are frequently
theory in physics, which is behind the imaging not emphasised – that is if given at all. This is surely
techniques presented here. The authors did an excellent mistaken, since Physics/Applied Mathematics – while
job by including the recent developments in the area: often beautiful in their own right – have as a main
4D ultrasound, cardiac CT and PET/CT are covered selling point the understanding of our World or all
here. Solved examples and end-of-chapter problems possible worlds (!), as they are and have been.
are included, which help students to test their knowl- There is a division into three main sections –
edge and master the theory behind these techniques. labelled BANG!, WHIZZ!, THUD!.
The solutions to these problems and the colour version The BANG! Section deals with ‘internal’ ballistics,
of the figures that appear as black and white in the which describes the generation of a desired speed of
book reside in a complementary website. In the future, projectile propulsion. The historical development
this website may include additional material such as starts before gunpowder – with rock, bow and arrow
copies of the code that is used for image reconstruction (and with the archer’s paradox), the Roman onager,
of CT scans. and the trebuchet of the Middle Ages. Then things
Clinical applications are included in the book; they progress through gunpowder to bullet and cannonball,
serve as a bridge between theory and practicality to the and then on to the sophisticated modern weaponry of
medical field. A bibliography list at the end of each today.
chapter may be used as a source for additional reading The WHIZZ! Section deals with ‘external’ ballistics
and in search for specialised knowledge. Overall, the work and describes how the projectile of choice flies through
by Smith and Webb here is of outstanding quality: Their the air on a trajectory towards its target. Again there is
impressive and dedicated work deserves a strong discussion of the historical development through the

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