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Radiologic Clinics of North America

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https://www.readbyqxmd.com/read/28774460/imaging-in-rheumatology-an-update
#1
EDITORIAL
Giuseppe Guglielmi
No abstract text is available yet for this article.
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774459/computed-tomography-and-mr-imaging-in-rheumatoid-arthritis
#2
REVIEW
Antonio Barile, Francesco Arrigoni, Federico Bruno, Giuseppe Guglielmi, Marcello Zappia, Alfonso Reginelli, Piero Ruscitti, Paola Cipriani, Roberto Giacomelli, Luca Brunese, Carlo Masciocchi
The clinical diagnosis of rheumatoid arthritis is supported by imaging findings. MR imaging, in particular, can allow an early diagnosis to determine a target therapy that can stop or at least slow the disease progression.
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774458/ultrasound-in-arthritis
#3
REVIEW
Iwona Sudoł-Szopińska, Claudia Schueller-Weidekamm, Athena Plagou, James Teh
Ultrasound is currently performed in everyday rheumatologic practice. It is used for early diagnosis, to monitor treatment results, and to diagnose remission. The spectrum of pathologies seen in arthritis with ultrasound includes early inflammatory features and associated complications. This article discusses the spectrum of ultrasound features of arthritides seen in rheumatoid arthritis and other connective tissue diseases in adults, such as Sjögren syndrome, lupus erythematosus, dermatomyositis, polymyositis, and juvenile idiopathic arthritis...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774457/conventional-radiology-in-crystal-arthritis-gout-calcium-pyrophosphate-deposition-and-basic-calcium-phosphate-crystals
#4
REVIEW
Thibaut Jacques, Paul Michelin, Sammy Badr, Michelangelo Nasuto, Guillaume Lefebvre, Neal Larkman, Anne Cotten
This article reviews the main radiographic features of crystal deposition diseases. Gout is linked to monosodium urate crystals. Classic radiographic features include subcutaneous tophi, large and well-circumscribed paraarticular bone erosions, and exuberant bone hyperostosis. Calcium pyrophosphate deposition (CPPD) can involve numerous structures, such as hyaline cartilages, fibrocartilages, or tendons. CPPD arthropathy involves joints usually spared by osteoarthritis. Basic calcium phosphate deposits are periarticular or intraarticular...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774456/conventional-radiology-in-spondyloarthritis
#5
REVIEW
Alberto Bazzocchi, Maria Pilar Aparisi Gómez, Giuseppe Guglielmi
Spondyloarthritides are of a group of inflammatory rheumatic diseases, with negative rheumatoid factor, associated with the HLA-B27 gene. They comprise ankylosing spondylitis, psoriatic arthritis, reactive arthritis, and enteropathic-related spondylitis. The presence of sacroiliitis represents the most characteristic feature of these disorders and is an important criterion in diagnosis. Nonradiographic axial spondyloarthritis is a new classification concept. Conventional radiography is recommended as the first imaging method to diagnose sacroiliitis and different entities and to monitor established structural changes...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774455/conventional-radiology-in-rheumatoid-arthritis
#6
REVIEW
Eva Llopis, Herman M Kroon, Jose Acosta, Johan L Bloem
In clinical practice, the conventional radiography is still the radiologic method for the diagnosis of rheumatoid arthritis (RA). Moreover, it provides a quick overview of the symptomatic joints to narrow the differential diagnosis and to evaluate progression. RA is a polyarticular disease with bilateral and symmetric involvement of the peripheral joints, especially small joints, and less frequently, the cervical spine. The radiologic features are soft tissue swelling, periarticular osteoporosis, erosions, loss of joint space, and in advanced disease, osteolysis and typical subluxations or deformities, such as ulnar deviation...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774454/what-the-rheumatologist-is-looking-for-and-what-the-radiologist-should-know-in-imaging-for-rheumatoid-arthritis
#7
REVIEW
James Teh, Mikkel Østergaard
This article outlines what the rheumatologist is looking for and wants to know in the clinical diagnosis and imaging of rheumatoid arthritis, and what the radiologist should know to facilitate this.
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774453/imaging-of-childhood-vasculitis
#8
REVIEW
Claudio Granata, Maria Beatrice Damasio, Federico Zaottini, Sonia Airaldi, Clara Malattia, Giovanna Stefania Colafati, Paolo Tomà, Gianmichele Magnano, Carlo Martinoli
Pediatric vasculitides are rare conditions that can represent a diagnostic challenge because symptoms are usually aspecific and variable. Symptoms are related to the size of the involved vessel, extension of disease, and organs affected. The outcome is closely linked to an early diagnosis and proper treatment. Diagnostic imaging allows visualization of the involvement of large-size and medium-size vessels and assesses end-organ changes and response to therapy, thus playing a pivotal role in the diagnosis and treatment...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774452/imaging-of-posttraumatic-arthritis-avascular-necrosis-septic-arthritis-complex-regional-pain-syndrome-and-cancer-mimicking-arthritis
#9
REVIEW
Andrey Rupasov, Usa Cain, Simone Montoya, Johan G Blickman
This article focuses on the imaging of 5 discrete entities with a common end result of disability: posttraumatic arthritis, a common form of secondary osteoarthritis that results from a prior insult to the joint; avascular necrosis, a disease of impaired osseous blood flow, leading to cellular death and subsequent osseous collapse; septic arthritis, an infectious process leading to destructive changes within the joint; complex regional pain syndrome, a chronic limb-confined painful condition arising after injury; and cases of cancer mimicking arthritis, in which the initial findings seem to represent arthritis, despite a more insidious cause...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774451/interventions-and-therapy-in-rheumatology
#10
REVIEW
Mario Muto, Francesco Giurazza, Giulia Frauenfelder, Stefano Marcia, Salvatore Masala, Gianluigi Guarnieri
Patients affected by rheumatic conditions frequently present with spine degeneration and vertebral compression fractures, mainly related to the long-term therapies with glucocorticosteroids. A mini-invasive approach provided by interventional radiology techniques, especially vertebroplasty, plays a relevant role in the pain management of these patients; vertebroplasty represents the symptomatic treatment of fracture pain, so patients must always be included in a specific therapeutic workup of the rheumatic condition...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774450/imaging-in-osteoarthritis
#11
REVIEW
Daichi Hayashi, Frank W Roemer, Mohamed Jarraya, Ali Guermazi
With technologic advances and the availability of sophisticated computer software and analytical strategies, imaging plays an increasingly important role in understanding the disease process of osteoarthritis (OA). Radiography has limitations in that it can visualize only limited features of OA, such as osteophytes and joint space narrowing, but remains the most commonly used modality for establishing an imaging-based diagnosis of OA. This article describes the roles and limitations of different imaging modalities and discusses the optimum imaging protocol, imaging diagnostic criteria of OA, differential diagnoses, and what the referring physician needs to know...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774449/imaging-of-juvenile-idiopathic-arthritis
#12
REVIEW
Christos Dimitriou, Grammatina Boitsios, Valérie Badot, Phu-Quoc Lê, Laurence Goffin, Paolo Simoni
Juvenile idiopathic arthritis is an umbrella term covering several distinct categories that share common features. The European League Against Rheumatism and the Pediatric Rheumatology European Society have published a consensus article with recommendations to guide radiologists and clinicians in choosing the best imaging technique for each particular clinical setting. A reproducible, accurate, validated, and long-established scoring system to use in everyday practice for monitoring and predicting long-term response to therapy is still to be developed on MR imaging for each joint...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774448/imaging-of-myopathies
#13
REVIEW
Lukas Filli, Sebastian Winklhofer, Gustav Andreisek, Filippo Del Grande
This article clarifies the current role of MR imaging in the assessment of myopathies. Typical MR imaging findings are discussed for different forms of myopathies, including idiopathic inflammatory myopathies, muscular dystrophies, and congenital myopathies. The last section deals with advanced MR imaging techniques and their potential role in further characterization of muscular disease.
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774447/sapho-and-recurrent-multifocal-osteomyelitis
#14
REVIEW
Simon Greenwood, Antonio Leone, Victor N Cassar-Pullicino
SAPHO and recurrent multifocal osteomyelitis are complex inflammatory conditions that clinical radiologists play an essential part in diagnosing. They present with a wide range of musculoskeletal and skin manifestations, and exhibit several key diagnostic features that, when present, make the diagnoses unequivocal. The overall population group is young. Diagnostic delay is common with a relapsing and remitting clinical course and often subtle early radiologic findings. This article provides an up-to-date insight into both conditions, including their multifaceted pathogenesis, effective therapeutic options, and advanced imaging features, to arm radiologists with the knowledge required to make the diagnoses confidently in a timely manner...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774446/computed-tomography-and-mr-imaging-in-crystalline-induced-arthropathies
#15
REVIEW
Constantinus Franciscus Buckens, Maaike P Terra, Mario Maas
Crystalline-induced arthropathies impose substantial morbidity but can be challenging to diagnose, especially in early phases. The most common crystalline arthropathies are gout (monosodium urate deposition), calcium pyrophosphate dihydrate deposition, and hydroxyapatite deposition disease. Computed tomography (CT) and MR imaging provide 3-dimensional information on osseous structures, periarticular soft tissue, and tophi with superior spatial resolution. Dual-source CT (dual-energy CT [DECT]) offers the further advantage of selectively identifying crystalline deposits...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28774445/computed-tomography-and-mr-imaging-in-spondyloarthritis
#16
REVIEW
Antonio Leone, Victor N Cassar-Pullicino, Paola D'Aprile, Michelangelo Nasuto, Giuseppe Guglielmi
This article provides an overview of the computed tomography (CT) and MR imaging appearances suggestive of spondyloarthritis, with a specific emphasis on the MR imaging findings of vertebral and sacroiliac involvement, and presents relevant clinical features that assist early diagnosis. CT is a sensitive imaging modality for the assessment of structural bone changes, but its clinical utility is limited. MR imaging is the modality of choice for early diagnosis, because of its ability to depict inflammation long before structural bone damage occurs, for monitoring of disease activity, and for evaluating therapeutic response...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28601184/practical-pediatric-imaging
#17
EDITORIAL
Edward Y Lee
No abstract text is available yet for this article.
July 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28601183/spectrum-of-syndromic-disorders-associated-with-pediatric-tumors-evolving-role-of-practical-imaging-assessment
#18
REVIEW
Shreya Sood, Anastasia L Hryhorczuk, Julia Rissmiller, Edward Y Lee
Although pediatric tumors are largely sporadic in cause, continued advancements in science have elucidated a growing body of tumors that are associated with syndromes. Early identification of these syndromic disorders associated with developing tumors can alter the course of disease and potentially save lives. Medical imaging has a pivotal role in screening surveillance, diagnosis, and management of these tumors. Understanding characteristic manifestations of these syndromes is important to optimize image utilization...
July 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28601182/practical-imaging-evaluation-of-foreign-bodies-in-children-an-update
#19
REVIEW
Bernard F Laya, Ricardo Restrepo, Edward Y Lee
Foreign bodies (FBs) may be unintentionally ingested, inhaled, or inserted into a body cavity or tissue, or may be due to traumatic or iatrogenic injury. They are frequently detected in clinical practice and emergency rooms. Early detection and prompt management are mandatory to avoid severe and life-threatening complications. Imaging plays an important role in confirming the presence and characterization of the FB, and its relationship with any affected organs. This article reviews commonly encountered FBs with regard to incidence, risk factors, mechanisms of entry, clinical presentation, associated complications, and typical imaging appearance in children...
July 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28601181/practical-indication-based-pediatric-nuclear-medicine-studies-update-and-review
#20
REVIEW
Neha S Kwatra, Asha Sarma, Edward Y Lee
Pediatric nuclear medicine imaging presents unique challenges and requires a thorough understanding of the patients' developmental stages and physiology to optimize study protocols. This article provides an overview of the current practice of diagnostic pediatric nuclear medicine, including the common clinical applications and imaging protocol considerations.
July 2017: Radiologic Clinics of North America
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