OBITUARY 6 3 7

of MRI. This section is likely to be of more interest to the non-radiologist but does include a valuable review of dynamic contrast enhanced MRI. The second section of 30 pages reviews tumour staging and grading. The third section of 220 pages is the real meat of the book. Individual chapters are devoted to tumours that are grouped according to their tissue of origin; and there are chapters on pseudotumours and soft tissue metastases. The final section of seven pages deals with imaging assessment after treatment.

Most of the 36 contributors come from Continental Europe, one from England and the others are based in North America. Inevitably there is the occasional contradiction, duplication, or infelicity, but the structured format imposed by the editors overcomes most of the problems of multi- authorship. Production standards are high: attractive print on glossy paper and nearly 300 illustrations of good quality.

This is an excellent book. It deals extensively with soft tissue tumours. References are comprehensive and up to date. It is an easy read and is competitively priced. How does it compare with its rivals? Kransdorf and Murphey is similar in size and quality although it has a different format and some differences of emphasis. Enzinger and Weiss remains the definitive text on the pathology of soft tissue tumours. It contains a small amount of imaging but is decidedly a pathology, not a radiology, text. I am glad to have all three on my bookshelf. I can certainly recommend De Schepper to anyone with an interest in soft tissue tumours.

I. Beggs

Ultrasound Contrast Agents. By B. Goldberg. Martin Dunitz, UK, 1997. 216 pp. £75.00.

This book is dedicated to the rapidly developing sphere of ultrasonic contrast agents and has been edited by and contains contributions from many of the leading lights in this field. Our knowledge of these agents and their clinical applications is at a rudimentary stage and as such we are presented with a book based on current knowledge, but which also justifiably examines the potential applications and emerging techniques.

The book is logically organized and begins with a brief historical review of contrast in ultrasound, moves on to the physical basis of these new compounds, and discusses many of the different types of agents available, their areas of interest and potential uses. There are then specific chapters focusing upon GI contrast, assessment of tubal patency and oncological imaging. The book concludes with a futuristic theme and paints some of the many potential pathways these agents may follow including therapeutic and diagnostic applications, e.g. the treatment of thrombosis by a contrast- specific agent labelled with fibrinogen. Finally, the potential combined role of contrast, power Doppler and Harmonic imaging to improve image quality is addressed.

This book undoubtedly contains a large amount of information; however it is not a light bedtime read. It requires a quiet room - a rare commodity - and a significant amount of concentration as the introduction of many new concepts with numerous facts, figures and graphs, was at times a little overwhelming. The standard of illustrative prints, diagrams and graphs, however, was excellent.

The middle chapters sequentially deal with specific contrast agents, their physical properties and potential applications. I felt this would have been better condensed into fewer chapters with less specific details and a more general overview highlighting the advantages and disadvantages of each agent.

The last third of the book, I felt, was better and more appealing, dealing with potential clinical applications and future developments of these agents. It is clear, however, that we are only touching the tip of an iceberg and that our understanding of these microbubble agents lags behind our enthusiasm and ambition to find useful clinical roles for it, e.g. functional ultrasound tests. Indeed, these may be sometime away as many haemodynamic and physical factors of these agents are difficult to standardize. Further work is clearly required.

In conclusion, this is an extremely informative book on a new emerging

ultrasonic development. It is, however, in my opinion, not a basic introductory book and I feel it is primarily aimed at those individuals who are already au fait with the basics of microbubble agents and their potential and are keen to actively pursue more work in this field. I would therefore recommend this text as a reference book to departments and individuals as a state of the art resume of echo enhancing contrast ultrasound.

G. M. Baxter

MRI of the Brain: Normal Anatomy and Normal Variants. By Patel and Friedman. W. B. Saunders, USA, 1997. 467 pp. £61.00.

My first reaction upon opening this atlas, compiled by two radiologists from McMaster University in Hamilton, Ontario, was that, as is often the case when one has to compromise between completeness and brevity, many of the anatomical structures are demonstrated with sequences or planes of section not those commonly used in the real world. Thus, a large proportion of the illustrations appear to consist of heavily T 1-weighted - 1 think inversion-recovery - images, used even more infrequently in routine work on the other side of the Atlantic than in Britain. This approach may be didactic, but clearly detracts from the book's value in everyday practice.

That first reaction, however, soon became irrelevant. The main thing detracting from the value of this weighty volume is that it bristles with errors. This first came to my attention when I opened it at Figure 11.12: if I was surprised to see the body of the corpus callosum (correctly labelled elsewhere) identified as the 'genu', I was shocked to see the arrow said to indicate the 'anterior commissure" take a swerve and end up unequivocally on the terminal internal carotid artery! In Figure 5.25 (actually the identical image) that swerve does not occur and the arrow ends up much nearer the commissure. Indisputable errors of this kind are sufficiently numerous as to render the book unacceptable; to save space I will mention only the 'cavernous sinus lateral wall' which is actually the intradural internal carotid artery (Figure 6.4), the basilar artery labelled 'bright posterior pituitary' (Figure 19.58) and a coronal MR phlebogram which purports to show the 'inferior sagittal sinus' 1.5-2 cm from the midline.

At innumerable other points the authors' anatomy is debatable; thus. they seem confused as to the extent of the cingulate gyrus (Figures 5.10, 5.19) and gyrus rectus (5.3, 5.4) on the one hand, and as to the position of the parietal lobe in the coronal plane (3.4) and the insula on both axial (3.3) and sagittal (3.22) images on the other, i have no doubt that neuroscientists more anatomically orientated than I am would find many other things with which to argue. In places the anatomical terminology leans more towards radiological jargon 'prepontine' and 'suprasellar' cistern, for example, replacing 'pontine" and 'chiasmatic' and the occipital white matter lumped together as 'optic radiations'. There are also a number of incon- sistencies, the mamillary hypothalamus doubling as the posterior hypo- thalamus, the straight gyrus as the gyrus rectus, and the intertlemispheric fissure as the interhemispheric cistern.

A further major error concerns the genesis of complex signal alterations within the lateral ventricles (pp. 434, 437). These, as a moment 's examina- tion of MRI studies which show them makes clear, are due to jetting of cerebrospinal fluid through the foramen of Monro, a normal phenomenon (pace some prominent experts on MRI) and not to 'flow void signal of the neighboring vessel projecting into the body of the lateral ventricle' nor to 'partial volume averaging from the neighbouring normal choroid plexus or its small cyst projecting through the lateral ventricle'. Even disregarding this misinterpretation, the authors' suggestion - that, were this a lesion, the differential diagnosis would include an intraventricular tuberculoma - is astonishing.

There is certainly a need for a work of this kind, but 1 regret to say that this publication does not fulfil it.

1. Moseley

Obituary SIR T H O M A S L O D G E , M B ; C h B , M D ( H o n ) , F R C R ,

F R C P , F R C S , D M R D , F F R . R C S I ( H o n ) , F R A C R ( H o n ) ,

F A C R ( H o n ) , M S R ( H o n )

Sir T h o m a s L o d g e , b o r n 25 N o v e m b e r 1909 , s u f f e r e d a f a t a l

h e a r t a t t a c k w h i l s t a t t e n d i n g a C h u r c h S e r v i c e in L o n d o n o n

S u n d a y 16 F e b r u a r y 1997.

© 1997 The Royal College of Radiologists, Clinical Radiology, 52, 636-638.

U n i v e r s a l l y k n o w n a n d l o v e d as T o m m y L o d g e , h e w a s a

s t a l w a r t l e a d e r o f n a t i o n a l a n d i n t e r n a t i o n a l M e d i c a l D i a g -

n o s t i c R a d i o l o g y f r o m h i s b a s e s at t he U n i t e d S h e f f i e l d

H o s p i t a l s a n d t h e U n i v e r s i t y o f S h e f f i e l d . H e w a s l o v e d a n d

a d m i r e d b y e v e r y o n e w h o k n e w h i m as o n e o f t h e m o s t

a f f a b l e , a p p r o a c h a b l e a n d k n o w l e d g e a b l e p e r s o n s w o r k i n g

in th i s , o n e o f t h e m o s t e x c i t i n g a n d i n n o v a t i v e f i e lds o f

638 CLINICAL RADIOLOGY

Clinical Medicine. He was everyone's friend; he mixed as effortlessly with the troops as with the generals, always pleased to advise on personal or professional matters with a very sensitive, sympathetic, understanding approach based on sound common sense, wisdom, erudition and a wealth of personal experience.

As a clinical radiologist and as a leader of our profes- sional organizations he was superb, achieving international acclaim and honoured by many national and international distinctions.

Born and educated in Sheffield, he qualified MB;ChB in that city in 1934 and after further postgraduate training in Sheffield and Manchester (radiotherapy), he was appointed (1946) Consultant Radiologist to The United Sheffield Hospitals and Clinical Lecturer to The University of Shef- field, rendering unique service to these two institutions to which he was so deeply devoted, until his retirement in 1974. He was particularly proud to be honoured by The University of Sheffield by the award of Doctor of Medicine (hon causa) in 1985. He was appointed Knight Bachelor in the New Year Honours List of 1974.

During his many years in Sheffield, he specialized in paediatric radiology, contributing many articles, chapters and books on radiodiagnosis, particularly in children, and in the respiratory and skeletal systems. Perhaps his most valuable original research was his thesis on 'The radiologi- cal anatomy of the blood vessels of the human lung', which was awarded the Twining Medal in 1946 and which has provided the basis of many of our current concepts of heart and lung disease.

As a practising clinical radiologist, Tommy had a very sharp diagnostic eye, a wonderful retentive memory and a remarkable facility for accurate and rapid reporting of radiological examinations, capable of sustaining a very heavy work load over long periods.

For many years Tommy played a leading role at the Faculty of Radiologists which became the Royal College of Radiologists in 1975, serving as its President (1963-66), Honorary Editor of its journal Clinical Radiology (1954- 59), and he became its Gold Medallist (1986). He was devoted to the Faculty/College, serving in many capacities in addition to the above: he was regarded worldwide as its ambassador. His national reputation was acknowledged by his appointment by HM Government as Consultant Advisor to DHSS (1965-74).

His international reputation and the confidence that he inspired was so great that academic and professional distinctions were showered on him from all over the world, including Fellowships of the Royal College of Physicians (1967), the Royal College of Surgeons (1967), the Honorary Fellowships of the Royal Australasian College of Radiologists (1963), the American College of Radiology (1975), the Faculty of Radiologists of the Royal College of Surgeons in Ireland, the British Medical Association (1969), the Royal Society of Medicine, Honorary Member of the British Institute of Radiology (1989) for a lifetime of service to the oldest radiological institution in the world.

After his consultancy appointment in 1946, he became the third partner and he greatly enhanced the private

radiological practice of Grout, Wilkie and Lodge, which played a major role in teaching young radiologists (includ- ing this author), and in the development of radiological practice throughout South Yorkshire and North Derbyshire in the post-war years.

One of the major features of Tommy's leadership was the continual encouragement he gave to his junior colleagues to undertake research, to publish and to offer themselves for high office in their professional organisations and institutions. He derived great satisfaction from the many successes resulting from this stimulus, securing Sheffield's position as a con- tinuing major contributor to British and international radiology.

As a young doctor working in general practice in Shef- field, among his patients were leading members of the notorious violent Sheffield gangs, and Tommy would enter- tain us with his many stories about that very turbulent time in the city's history. He was a keen sportsman, excelling in swimming, water polo and cricket. He enjoyed many and diverse interests, academic, literary and social.

Tommy was one of the best conversationalists and after- dinner speakers in the entire country; whatever the occasion he entertained with a remarkable fluency, eloquence and articulation, presenting a host of relevant anecdotes and memories. He had a wonderful memory and repeatedly surprised his many friends and colleagues with a detailed recall of the names, personal details and histories of their children and families. He was a great supporter of Sheffield University and its students; with his fabulous memory, he followed the progress of very many graduates, always keen to support them whenever appropriate.

After retirement, Ailleen and Tommy moved south to Brighton, where they enjoyed many happy years, but there was never any doubt that Sheffield and its institutions were emotionally uppermost in their thoughts.

He lived life to the full. Despite his advancing years, Tommy remained very active and mobile, attending and contributing to many professional and social gatherings throughout the country until his final few weeks. It was quite typical of him that in March 1996 at the age of 86 and suffering from unstable angina, he made two separate (400 miles return) visits from Brighton/London to attend within one week, the Sheffield funeral of Sir Charles Stuart Harris, late Professor of Medicine in Sheffield, and the Chesterfield memorial service to one of his early students Leslie Ralph, Consultant Radiologist to Chesterfield.

Sir Thomas is remembered with great affection by all who knew him as a most charming, friendly, charismatic, erudite man with a wealth of various experiences in many fields - a real gentleman and personality who has contrib- uted so much to the people who loved and admired him, to radiology, to its institutions, to medicine, to Sheffield as a city, its people, his colleagues, its hospitals and universities and to life in general.

His wife Lady Ailleen died in 1990 after 50 years of very happy marriage. They are survived by one son Anton, Queen's Counsel, barrister, Recorder on the North East Circuit, mainly in Sheffield, and one daughter Creenagth, Company Director in London.

R. G. Grainger

© 1997 The Royal College of Radiologists, Clinical Radiology, 52, 636-638.