Handbook Of Clinical Neuroradiology 2026: A Clinical Textbook Covering Neuroimaging Interpretation, Differential Diagnosis, and Evidence-Based Reporting for ABR Certifying Candidates

At 2:00 in the morning, you are staring at a ring-enhancing lesion, a bilateral thalamic DWI abnormality, or a spine MRI in a patient with known malignancy — and the clinical team needs an answer now. Generic pattern recognition fails when the stakes are highest, producing missed abscesses called tumors, spinal dural AVFs diagnosed eighteen months too late, and perineural spread discovered only after the window for cure has closed. This handbook gives you the pattern-first reasoning framework that experienced neuroradiologists use at the workstation — named, anchored, and immediately deployable. • Pattern before signal — the location-first differential construction method that narrows the diagnosis before a single T1 characteristic is analyzed, applied to every major entity from bilateral thalamic T2 signal to ring-enhancing lesions to intramedullary cord disease. • The Neuroradiology Pattern Anchor System — sixty-plus named patterns across all twenty-two chapters, each with its defining signature, location logic, primary look-alike trap, and the single locking anchor finding that drives the management decision. • 2026 current throughout — WHO 2021 molecular tumor classification, DAWN and DEFUSE 3 thrombectomy criteria, updated McDonald and NMOSD treatment safety data, and Boston Criteria v2.0 for cerebral amyloid angiopathy. • The report that protects patients — structured frameworks for acute stroke, tumor surveillance, and lumbar spine MRI, plus the eight reporting pitfalls most likely to cause harm or legal exposure. • From abscess to zebra — DWI-ADC discrimination for ring-enhancing lesions, perimedullary flow void recognition, CJD cortical ribboning, and prion precaution notification — the high-stakes diagnoses that textbooks describe but rarely anchor. • The Pattern Anchor Atlas — every pattern indexed, cross-referenced, and formatted for rapid retrieval during call, not just during study. Written for radiology residents, neuroradiology fellows, practicing radiologists, neurologists, and neurosurgeons who interpret or act on neuroimaging every day.