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Musculoskeletal radiology

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https://www.readbyqxmd.com/read/29448291/subspecialized-radiological-reporting-expedites-turnaround-time-of-radiology-reports-and-increases-productivity
#1
Christoph Stern, Thomas Boehm, Burkhardt Seifert, Nadine Kawel-Boehm
INTRODUCTION: To assess the impact of changing from general to subspecialized reporting on turnaround time of radiology reports (TAT), the fraction of radiology reports available within 24 hours (R< 24 h) and productivity. MATERIALS AND METHODS: Reporting workflow in our radiology department was changed from general reporting (radiologists report imaging studies of all areas [neuroradiological, abdominal, musculoskeletal imaging et cetera]) to subspecialized reporting (radiologists solely report imaging studies of their subspecialty field [e...
February 15, 2018: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/29440209/to-what-extent-do-hospitalised-patients-receive-appropriate-ct-and-mri-scans-results-of-a-cross-sectional-study-in-southern-italy
#2
Aida Bianco, Rossella Zucco, Francesca Lotito, Maria Pavia
OBJECTIVES: The aim of this study was to assess the frequency of appropriateness of inpatient CT and MRI scans performed in Southern Italy. METHODS: The study was carried out by retrospectively reviewing medical records of adult patients admitted between 1 January and 31 December 2012 in two hospitals. The evaluation of appropriateness was performed according to the American College of Radiology Appropriateness Criteria, which assigns a score between 1 and 9. RESULTS: Eight hundred and fifty-three medical records were reviewed...
February 12, 2018: BMJ Open
https://www.readbyqxmd.com/read/29433178/radiological-evaluation-of-510-cases-of-basilar-invagination-with-evidence-of-atlantoaxial-instability-group-a-basilar-invagination
#3
Atul Goel, Sonal Jain, Abhidha Shah
OBJECTIVE: To evaluate the musculoskeletal and soft tissue neural alterations in cases with group A basilar invagination. METHODS: Between January 2007 and August 2016, 510 patients with group A basilar invagination were surgically treated. The radiologic images of these patients were reviewed retrospectively. The patients were divided into 4 groups: group A1, comprising 60 patients with syringomyelia; group A2, comprising 354 patients with "external syrinx," marked by excessive cerebrospinal fluid (CSF) in the extramedullary space; group A3, comprising 51 patients with both syringomyelia and external syrinx; and group A4, comprising 45 patients with no abnormality of CSF cavitation in the spinal canal...
February 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29409074/skeletal-dysplasias-radiologic-approach-with-common-and-notable-entities
#4
Anh-Vu Ngo, Mahesh Thapa, Jeffrey Otjen, Shawn E Kamps
Skeletal dysplasia is a heterogeneous group of abnormalities affecting growth and development of bone and cartilage characterized by disproportionate shortening of the limbs and/or spine. A systematic radiographic approach combined with pertinent clinical details can help guide specific genetic testing and treatment. We provide a discussion and examples of a few common and notable skeletal dysplasias to help familiarize general, pediatric, and musculoskeletal radiologists who do not commonly encounter children with these entities in their daily practices...
February 2018: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/29393532/effects-of-low-phosphorus-supply-on-the-availability-of-calcium-and-phosphorus-and-musculoskeletal-development-of-growing-dogs-of-two-different-breeds
#5
B Kiefer-Hecker, E Kienzle, B Dobenecker
To investigate the impact of a selective reduction in dietary phosphorus (P) supply on healthy growing dogs, a total of 23 Beagles and 30 Foxhound crossbreds (FBI) were used in a feeding trial between 6 and 24 weeks of age. Sixteen Beagles and 19 FBI were fed with selectively reduced P concentrations (low phosphorus, LP). The remaining puppies received a completely balanced control diet (CON). With these diets, the P supply in the Beagles at the age of 12 weeks added up to 2.5 ± 0.6 (LP) and 9.8 ± 1...
February 2, 2018: Journal of Animal Physiology and Animal Nutrition
https://www.readbyqxmd.com/read/29388931/-the-therapeutic-and-recreational-potential-of-the-%C3%A2-goryachy-plyazh%C3%A2-physiotherapeutic-facility-on-the-kunashir-island
#6
L V Veremchuk, B I Chelnokova, L S Barskova, T A Gvozdenko, I V Kukayev, N L Savochkina
The ever increasing attention to the further development of the health resort business and touristic activities in this country implies the necessity of the proper scientifically sound substantiation for the more efficient exploitation of the available spa and health resort resources of the Russian Far East as well as the ample recreational potential of this region taking into consideration that they have not been completely utilized during the preceding period. AIM: The objective of the present study was to evaluate the of the «Goryachy Plyazh (Hot Beach)» physiotherapeutic facility on the Kunashir island...
December 28, 2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29379060/automatic-knee-osteoarthritis-diagnosis-from-plain-radiographs-a-deep-learning-based-approach
#7
Aleksei Tiulpin, Jérôme Thevenot, Esa Rahtu, Petri Lehenkari, Simo Saarakkala
Knee osteoarthritis (OA) is the most common musculoskeletal disorder. OA diagnosis is currently conducted by assessing symptoms and evaluating plain radiographs, but this process suffers from subjectivity. In this study, we present a new transparent computer-aided diagnosis method based on the Deep Siamese Convolutional Neural Network to automatically score knee OA severity according to the Kellgren-Lawrence grading scale. We trained our method using the data solely from the Multicenter Osteoarthritis Study and validated it on randomly selected 3,000 subjects (5,960 knees) from Osteoarthritis Initiative dataset...
January 29, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29373209/automated-radiology-pathology-module-correlation-using-a-novel-report-matching-algorithm-by-organ-system
#8
Bari Dane, Ankur Doshi, Soterios Gfytopoulos, Priya Bhattacharji, Michael Recht, William Moore
OBJECTIVES AND RATIONALE: Radiology-pathology correlation is time-consuming and is not feasible in most clinical settings, with the notable exception of breast imaging. The purpose of this study was to determine if an automated radiology-pathology report pairing system could accurately match radiology and pathology reports, thus creating a feedback loop allowing for more frequent and timely radiology-pathology correlation. METHODS: An experienced radiologist created a matching matrix of radiology and pathology reports...
January 17, 2018: Academic Radiology
https://www.readbyqxmd.com/read/29367042/sagittal-orientation-and-uniform-entry-for-thoracic-pedicle-screw-placement-with-free-hand-technique-a-retrospective-study-on-382-pedicle-screws
#9
H Bahadir Gokcen, Sinan Erdogan, Sidar Ozturk, Gurkan Gumussuyu, Irem Bayram, Cagatay Ozturk
BACKGROUND: One of the most important factors in obtaining a successful outcome in spinal surgery is appropriate placement of the pedicle screw. A number of different techniques are used to achieve successful pedicle screw placement. The free-hand technique has the advantage of no requirement for radiation exposure, but its success is highly dependent on surgeon experience. Here, we describe our entry point and perioperative sagittal orientation method, and evaluate postoperative sagittal alignment of pedicle screws with the free-hand pedicle screw placement technique...
January 20, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29350633/diagnostic-imaging-and-intervention-of-the-musculoskeletal-system-state-of-the-art
#10
Antonio Barile, Alfonso Reginelli, Massimo De Filippo, Luca Brunese, Carlo Masciocchi
The study of the musculoskeletal system has always been one of the most important application for diagnostic imaging in radiology (1-4).
January 19, 2018: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29322318/total-knee-arthroplasty-with-unexplained-pain-new-insights-from-kinematics
#11
Célia Planckaert, Gabriel Larose, Pierre Ranger, Marc Lacelle, Alexandre Fuentes, Nicola Hagemeister
INTRODUCTION: Up to 20% of total knee arthroplasty patients remain unsatisfied post-surgery, and a large proportion of them report anterior knee pain. This study aims to verify whether patients who experience anterior knee pain after total knee arthroplasty (TKA) will exhibit kinematic characteristics similar to those associated with patellofemoral syndrome, including in the frontal and transverse planes. MATERIALS AND METHODS: Using four different assessment methods [radiological, patient-reported outcome, musculoskeletal assessment with functional performance testing, and a 3D kinematic assessment during gait], the clinical and 3D knee kinematic profiles of three groups were compared: a painful and an asymptomatic TKA group and a healthy control group...
January 10, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29320313/acute-radiologic-manifestations-of-america-s-opioid-epidemic
#12
David D B Bates, Katherine Gallagher, HeiShun Yu, Jennifer Uyeda, Akira M Murakami, Bindu N Setty, Stephan W Anderson, Mariza O Clement
The United States is in the midst of an opioid use epidemic, which has severe medical, social, and economic consequences. Addictions to and abuse of prescription and illicit opioids are increasing, and emergency department radiologists are increasingly being faced with the task of examining patients who present with opioid-related complications. These complications may be the result of direct drug toxicity or nonsterile injection of the drugs. Neurologic, musculoskeletal, cardiopulmonary, genitourinary, and gastrointestinal complications may be evident at diagnostic imaging in emergent settings...
January 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29318428/how-when-why-in-magnetic-resonance-arthrography-an-international-survey-by-the-european-society-of-musculoskeletal-radiology-essr
#13
Luca Maria Sconfienza, Domenico Albano, Carmelo Messina, Enzo Silvestri, Alberto Stefano Tagliafico
OBJECTIVES: To perform an online survey about the use of magnetic resonance arthrography (MRA) in clinical practice. METHODS: We administered an online survey to all 1,550 members of the European Society of Musculoskeletal Radiology (ESSR) about MRA asking ten different questions. Subgroup analysis was performed between general and orthopaedic hospitals using χ2 and Mann-Whitney U statistics. RESULTS: One-hundred forty-eight answers were included (148/1,550, 9...
January 9, 2018: European Radiology
https://www.readbyqxmd.com/read/29315595/mid-to-long-term-clinical-outcome-of-giant-cell-tumor-of-bone-treated-with-calcium-phosphate-cement-following-thorough-curettage-and-phenolization
#14
Akihiko Takeuchi, Prakrit Suwanpramote, Norio Yamamoto, Toshiharu Shirai, Katsuhiro Hayashi, Hiroaki Kimura, Shinji Miwa, Takashi Higuchi, Kensaku Abe, Hiroyuki Tsuchiya
BACKGROUND AND OBJECTIVES: Giant cell tumors of bone (GCTB) are intermediate and locally aggressive bone tumor. Calcium phosphate cement (CPC) is a bone void filler used in orthopaedic surgery. This study investigated the clinical outcome of GCTB treated with thorough curettage, phenolization, and CPC. METHODS: We investigated 26 patients with at least 36 months of follow-up. The mean age and follow-up were 37 years (range: 19-63) and 87 months (range: 38-169), respectively...
January 8, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29314669/vitamin-d-deficiency-is-associated-with-tibial-bone-pain-and-tenderness-a-possible-contributive-role
#15
Mansour Babaei, Mehdi Esmaeili Jadidi, Behzad Heidari, Hemmat Gholinia
BACKGROUND: Vitamin D deficiency is associated with osteomalacia and a variety of musculoskeletal pain. This study aimed to determine the association of vitamin D deficiency with tibial bone pain and tenderness. METHODS: Patients with leg pain, defined as local pain and tenderness over tibial bones for ≥ 6 weeks were consecutively selected. Secondary causes of pain were excluded by appropriate clinical, radiological and laboratory examinations. Serum 25-hydroxyvitamin D (25-OHD) was assessed by enzyme-linked immunosorbent assay method and levels < 20 ng/mL were considered as deficiency...
January 5, 2018: International Journal of Rheumatic Diseases
https://www.readbyqxmd.com/read/29302640/systematic-approach-to-musculoskeletal-benign-tumors
#16
REVIEW
Masood Umer, Obada H A Hasan, Dawar Khan, Nasir Uddin, Shahryar Noordin
The radiologic workup of musculoskeletal tumors can be both cost-efficient and extremely helpful to the referring clinician if one proceeds in a thoughtful and logical manner. It should be remembered that plain films remain the most reliable imaging method for assessment of both biological activity and probable histologic diagnosis of an osseous lesion. Further investigations are of help to determine the extent of lesion and to help in staging. In order to do this, we have found it useful to include an assessment of 10 determinants in the description of a tumor...
December 2017: International Journal of Surgery. Oncology
https://www.readbyqxmd.com/read/29285371/en-bloc-resection-intraoperative-extracorporeal-irradiation-and-re-implantation-of-involved-bone-for-the-treatment-of-limb-malignancies
#17
Shuai Zhang, Xu-Quan Wang, Jia-Jia Wang, Mei-Tao Xu
Reconstruction of the defect following limb-sparing resection of malignant bone tumors is controversial and extremely challenging. Extracorporeal irradiation (ECI) and re-implantation have been used for limb salvage surgery for patients, with major advantages, including biological reconstruction, ready availability and preservation of bone stock, over replacement with a megaprosthesis. The purpose of the present study was to present our experience and details of all patients treated with this surgery. Between June 2005 and December 2014, we followed-up 23 patients with limb malignancies who were treated with en bloc excision followed by 50-Gy single dose ECI and re-implantation of involved bone segments...
December 2017: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/29260259/academic-musculoskeletal-radiology-influences-for-gender-disparity
#18
Sadia R Qamar, Kiran Khurshid, Sabeena Jalal, Laura Bancroft, Peter L Munk, Savvas Nicolaou, Faisal Khosa
INTRODUCTION: Research productivity is one of the few quintessential gauges that North American academic radiology departments implement to determine career progression. The rationale of this study is to quantify the relationship of gender, research productivity, and academic advancements in the musculoskeletal (MSK) radiology to account for emerging trends in workforce diversity. METHODS: Radiology residency programs enlisted in the Fellowship and Residency Electronic Interactive Database (FREIDA), Canadian Resident Matching Service (CaRMS) and International Skeletal Society (ISS) were searched for academic faculty to generate the database for gender and academic profiles of MSK radiologists...
December 20, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/29249079/interventional-therapeutic-procedures-in-the-musculoskeletal-system-an-italian-survey-by-the-italian-college-of-musculoskeletal-radiology
#19
Enzo Silvestri, Antonio Barile, Domenico Albano, Carmelo Messina, Davide Orlandi, Angelo Corazza, Luigi Zugaro, Carlo Masciocchi, Luca Maria Sconfienza
PURPOSE: To perform an online survey among all members of the Italian College of Musculoskeletal Radiology to understand how therapeutic musculoskeletal procedures are performed in daily practice in Italy. METHODS: We administered an online survey to all 2405 members about the use of therapeutic musculoskeletal procedures in their institutions asking 16 different questions. Subgroup analysis was performed between general and orthopaedic hospitals with Mann-Whitney U and χ 2 statistics...
December 16, 2017: La Radiologia Medica
https://www.readbyqxmd.com/read/29246525/comparative-trends-in-utilization-of-mri-and-ultrasound-to-evaluate-nonspine-joint-disease-2003-to-2015
#20
Riti M Kanesa-Thasan, Levon N Nazarian, Laurence Parker, Vijay M Rao, David C Levin
PURPOSE: MRI and ultrasound (US) are effective diagnostic tools to evaluate extremities. In this study, we analyze utilization trends in musculoskeletal (MSK) US and MRI from 2003 to 2015 within the Medicare population. METHODS: Our data sources were the Medicare Part B Physician/Supplier Procedure Summary Master Files for 2003 to 2015. They cover all Medicare fee-for-service enrollees (37.5 million in 2015). Current Procedural Terminology codes for nonvascular, nonspine joint MRI and extremity US were selected and volumes within these codes were determined...
December 13, 2017: Journal of the American College of Radiology: JACR
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