O’Brien Sr WT. Top 3 Differentials in Neuroradiology: A Case Review. Thieme; 2015; 624 pp; 697 ill; $129.99
While many great neuroradiology texts exist, Top 3 Differentials in Neuroradiology offers a unique and engaging approach to learning and reviewing neuroradiology. A total of 300 interesting cases are presented, organized into 3 sections: Brain, Head and Neck, and Spine. While, as the title suggests, most cases offer a differential diagnosis, each section concludes with approximately 30 “Aunt Minnies” for which no differential is offered or needed. For each case, one page has the images (without arrows), history, and, off to the side, a concise description of the key imaging findings. On the opposing page the “Key Imaging Finding” is clearly stated so that the reader knows what the discussion and differential will be referring to. This is followed by “Top 3 Differential Diagnoses”. After each diagnosis, there is a description, which is concise yet laced with imaging and clinical pearls. Most cases provide additional differentials (with descriptions), which are less likely but should also be considered. The final diagnosis is then given. Sometimes, this final diagnosis is somewhat of a surprise, underscoring the need for a differential diagnosis in most cases we see. The case is concluded with 3–4 bulletpoint ‘Pearls’.
The reader can and should approach each case as if it were a case they were reading or consulted on and try to formulate a differential based on the imaging findings and provided history. The provided cases are interesting, and the images are high-quality. Dr. O’Brien is able to near perfectly walk the line between too little and too much information/discussion for each case. All sections of the book are strong.
Overall, this book is highly recommended for senior radiology residents, neuroradiology fellows, practicing radiologists, and non-radiology clinicians who are interested in learning more about neuroimaging. Of note, while the boards and neuroradiology CAQs have moved away from an oral format, where a book like this would be ideally suited to prepare, trainees should still approach cases as unknowns, formulating differentials, or recognizing Aunt Minnies. This book is ideally suited to hone these skills.
