Description

PREFACE

The First Edition of this Textbook was conceived in the 1960s syllabus for Specialist Radiologists, the change was highly and published in 1969. 1, like many of my contemporaries began successful from a purely practical point of view. Sales rose by my studies in Radiology at the end of the Second World War. 300°% (from 1000 to 4000 copies per annum).
My first post as an ex military service registrar was in the The first edition of this popular text-hook was published in Radiology Department of the National Hospitals for Nervous 1 969 and this seventh edition in still growing strongly at the
Disease at Queen Square. It was pure serendipity that I should mature age of thirty three years. Review of the last five editions thus become associated with James Bull, the only British cover a period of exponential growth in radiological facilities and radiologist trained in Scandinavian neuroradiological techniques, imaging. New fields were just beginning to open at the time of the including percutaneous angiography. and at that tine representing first edition and these included ultrasound and nuclear medicine. the most advanced aspects of radiology. Computer tomography began in the 1970s to he overtaken in the
My training in percutaneous cerebral angiography laid the 1 980s by magnetic resonance. It was generally felt that CT would foundation for other percutaneous techniques which I was able to soon be out-moded, but the last few years have seen a remarkable apply when appointed to St. Mary’s hospital in 1952. Here again comeback from CT in the form of multi-slice spiral CT. As a pioneer work had already begun exploiting the potential for new result the versatility, speed and scope of CT examinations has methods in vascular surgery. been transformed.
As a result of this background we were able to publish in 1962 In general, we hope this book reflects British Teaching Hospital the first personal monograph based on an experience of more than Practice in the field of Imaging. The ISE edition remains very ten thousand cases. (See Ch. I5). popular with non British readers and the 6th Edition has also been X-Rays were discovered by Roentgen in 1895, and though the translated into two further languages, Greek and Portuguese. We i mportance of the discovery was immediately realised and widely believe that much of its success is due to the decision to discussed the impact on medical practice was surprisingly slow. concentrate on Clinical rather than Technical aspects of our The diagnosis and treatment of fractures and lesions of bones and rapidly expanding and evolving specialty.
joints was the first area to be thoroughly studied and surveyed. At Whilst each new edition has emphasised clinical rather then the same tine, the dangers and potential hazards of the new rays technical progress, the student must also be aware of. and absorb. were becoming apparent for the first time, as was the therapeutic the technical advances. The new edition therefore includes a chapter
use of X-Rays. devoted to explaining this area. Other features of this new edition
In the Post war period, paining and experience of a specialist are the complete rewriting by mainly new authors of major sections radiologist was still a matter of considerable debate and concern. of the text. These include the Cardiac. GU. Paediatric, Small and Broadly speaking, there were those who favoured a technical Large bowel, Major Abdominal Trauma and Intcrventional approach and paining, usually pure scientists or physicists, and Neuroradiology chapters. Other chapters have been revised by others who preferred a largely clinical approach with a minimum deleting obsolete material or including new material. Recent clinical of technical training. Thus advanced paining in medicine or trends are also reflected in the revision. Thus imaging and Staging surgery was regarded by many as essential for high quality of malignant tumors has been revised and updated in many areas. radiology. The British Faculty of Radiologists was expanding and the opportunity has been taken to integrate the latest version of
rapidly and soon became the Royal College of Radiologists. The the World Health Organisation (WHO) reclassification on a FRCR thus became the essential higher radiological qualification histopatholigical basis of primary cerebral tumoii s. The expansion on a par with the MRCP or FRCS, and the DMRD was of non invasive and minimally invasive angioaraphy is monitored, downgraded to a qualifying diploma. and discussed. However, this is to some extent balanced by the
At the time of this controversy, I took the opportunity to broaden increasing use of interventional techniques. my experience and expertise with the MD thesis, Membership of Radiology is a graphic subject. and images and illustrations are
the Royal College of Physicians, London and Fellowship of the i ts vital tool. This edition contains no less then 5600 illustrations.

Faculty of Radiologists. This was undoubtedly the clinical, rather some 2000 of which are new. than technical approach to radiological expertise. As in previous