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Musculoskeletal radiology

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https://www.readbyqxmd.com/read/28424850/incidence-and-mri-characterization-of-the-spectrum-of-posterolateral-corner-injuries-occurring-in-association-with-acl-rupture
#1
Eduardo Frois Temponi, Lúcio Honório de Carvalho Júnior, Adnan Saithna, Mathieu Thaunat, Bertrand Sonnery-Cottet
OBJECTIVE: To determine the incidence and MRI characteristics of the spectrum of posterolateral corner (PLC) injuries occurring in association with anterior cruciate ligament (ACL) rupture. MATERIALS AND METHODS: We carried out a level IV, retrospective case series study. All patients clinically diagnosed with an ACL rupture between July 2015 and June 2016 who underwent MRI of the knee were included in the study. In addition to standard MRI knee reporting, emphasis was placed on identifying injury to the PLC and a description of involvement of these structures by two musculoskeletal radiologists...
April 20, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28382631/imaging-in-chronic-kidney-disease-metabolic-bone-disease
#2
Anup J Alexander, David Jahangir, Martin Lazarus, Stuart M Sprague
Musculoskeletal manifestations in chronic kidney disease (CKD) are the result of a series of complex alterations in mineral metabolism, which has been defined as chronic kidney disease - mineral and bone-related disorder (CKD-MBD). Biochemical assessment and, at times, bone biopsy remains the mainstay of disease assessment, however, radiological imaging is an important adjunct in evaluating disease severity. This review aims to illustrate the radiological features of CKD-MBD, such as secondary hyperparathyroidism, osteomalacia, adynamic bone disease, osteopenia, and extra-skeletal calcifications...
April 5, 2017: Seminars in Dialysis
https://www.readbyqxmd.com/read/28366223/radiologic-approach-to-musculoskeletal-infections
#3
REVIEW
Claus S Simpfendorfer
Imaging is often used to establish a diagnosis of musculoskeletal infections and evaluate the full extent and severity of disease. Imaging should always start with radiographs, which provide an important anatomic overview. MRI is the test of choice in most musculoskeletal infections because of its superior soft tissue contrast resolution and high sensitivity for pathologic edema. However, MRI is not always possible. Alternative imaging modalities including ultrasound scan, computed tomography, and radionuclide imaging may be used...
March 30, 2017: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/28360488/musculoskeletal-colloquialisms-based-on-weapons
#4
REVIEW
Anuj Agrawal
Eponyms and colloquialisms are commonly used in orthopaedic literature and convey a great deal of information in a concise fashion. Several orthopaedic conditions have characteristic clinical or radiologic appearances, mimicking the appearance of certain arms or weapons. Most of these are easy to memorise and recognise, provided the orthopaedic surgeon is aware of the colloquialism and familiar with the appearance of the weapon on which it is based. Unfortunately, many such colloquialisms are based on traditional weapons no longer in current use, and their appearances are not familiar to most orthopaedists, creating confusion and difficulty in understanding them...
January 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28355987/acute-acalculous-cholecystitis-in-patients-with-systemic-lupus-erythematosus-a-unique-form-of-disease-flare
#5
H Yang, S Bian, D Xu, F Zhang, X Zhang
Objective We aimed to investigate the clinical features of acute acalculous cholecystitis (AAC) in patients with systemic lupus erythematosus (SLE). Methods SLE patients with AAC hospitalized in the Peking Union Medical College Hospital (PUMCH) from January 2001 to September 2015 were retrospectively analyzed. Their medical records were systematically reviewed. The diagnosis of AAC was based on clinical manifestations and confirmed by radiologic findings including a distended gallbladder with thickened wall, pericholecystic fluid and absence of gallstones...
January 1, 2017: Lupus
https://www.readbyqxmd.com/read/28342291/advances-in-mri-around-metal
#6
REVIEW
Pia M Jungmann, Christoph A Agten, Christian W Pfirrmann, Reto Sutter
The prevalence of orthopedic metal implants is continuously rising in the aging society. Particularly the number of joint replacements is increasing. Although satisfying long-term results are encountered, patients may suffer from complaints or complications during follow-up, and often undergo magnetic resonance imaging (MRI). Yet metal implants cause severe artifacts on MRI, resulting in signal-loss, signal-pileup, geometric distortion, and failure of fat suppression. In order to allow for adequate treatment decisions, metal artifact reduction sequences (MARS) are essential for proper radiological evaluation of postoperative findings in these patients...
March 25, 2017: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/28341410/emotional-wellness-of-current-musculoskeletal-radiology-fellows
#7
Jack Porrino, Michael J Mulcahy, Hyojeong Mulcahy, Annemarie Relyea-Chew, Felix S Chew
RATIONALE AND OBJECTIVES: Burnout is a psychological syndrome composed of emotional exhaustion, depersonalization, and sense of lack of personal accomplishment, as a result of prolonged occupational stress. The purpose of our study was to determine the prevalence of burnout among current musculoskeletal radiology fellows and to explore causes of emotional stress. MATERIALS AND METHODS: A 24-item survey was constructed on SurveyMonkey using the Maslach Burnout Inventory...
March 21, 2017: Academic Radiology
https://www.readbyqxmd.com/read/28337506/24th-annual-scientific-meeting-of-the-european-society-of-musculoskeletal-radiology-essr-bari-italy-june-15-17-2017
#8
(no author information available yet)
No abstract text is available yet for this article.
March 24, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28331952/diagnostic-strategies-for-posttraumatic-osteomyelitis-a-survey-amongst-dutch-medical-specialists-demonstrates-the-need-for-a-consensus-protocol
#9
G A M Govaert, A W J M Glaudemans, J J W Ploegmakers, A R Viddeleer, K W Wendt, I H F Reininga
INTRODUCTION: Posttraumatic osteomyelitis (PTO) is a feared complication after surgical fracture care. Late diagnosis can result in interrupted and prolonged rehabilitation programmes, inability to work, medical dependency, unnecessary hospital admissions, and high medical and non-medical costs. Primary aim of this study was to assess preferred diagnostic imaging strategies for diagnosing PTO amongst orthopaedic and trauma surgeons, radiologists, and nuclear medicine physicians. Secondary aims were to determine the preferred serum inflammatory marker for diagnosing PTO and the existence of a local hospital protocol to diagnose and manage PTO...
March 22, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28315143/unclassified-mr-arthrography-pattern-evaluation-in-patients-with-episodes-of-recurrent-antero-inferior-shoulder-dislocation
#10
Luca Saba, Massimo De Filippo
PURPOSE: To evaluate prospectively the incidence of unclassifiable MR arthrography patterns of glenoid anterior-inferior labrum lesions, in patients with at least two episodes of recurrent antero-inferior shoulder dislocation. MATERIALS AND METHODS: The MR shoulder Arthrography images of 36 patients, with at least two episodes of recurrent antero-inferior dislocation, were prospectively evaluated, during a period between November 2015 and Mai 2016. All patients were contacted after 6 months of the MR arthrography to evaluate their course of treatment...
March 17, 2017: La Radiologia Medica
https://www.readbyqxmd.com/read/28301213/academic-radiologist-subspecialty-identification-using-a-novel-claims-based-classification-system
#11
Andrew B Rosenkrantz, Wenyi Wang, Danny R Hughes, Luke A Ginocchio, David A Rosman, Richard Duszak
OBJECTIVE: The objective of the present study is to assess the feasibility of a novel claims-based classification system for payer identification of academic radiologist subspecialties. MATERIALS AND METHODS: Using a categorization scheme based on the Neiman Imaging Types of Service (NITOS) system, we mapped the Medicare Part B services billed by all radiologists from 2012 to 2014, assigning them to the following subspecialty categories: abdominal imaging, breast imaging, cardiothoracic imaging, musculoskeletal imaging, nuclear medicine, interventional radiology, and neuroradiology...
March 16, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28301204/impact-of-an-interactive-diagnostic-case-simulator-on-a-medical-student-radiology-rotation
#12
Michael V Friedman, Jennifer L Demertzis, Travis J Hillen, Jeremiah R Long, David A Rubin
OBJECTIVE: The objective of our study was to assess the short-term impact of adding an interactive simulator to a medical student radiology clerkship. We hypothesized that transitioning students from passive observers to active participants in the reading room would create an appealing and effective learning experience for the current generation of students. MATERIALS AND METHODS: An interactive workstation that provided diagnostic simulations of 84 cases selected to maximize exposure to important diagnoses in musculoskeletal (MSK) radiology was created...
March 16, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28298051/a-systematic-review-and-appraisal-of-clinical-practice-guidelines-for-musculoskeletal-soft-tissue-injuries-and-conditions
#13
Daniel Pincus, John E Kuhn, Ujash Sheth, Katie Rizzone, Kristi Colbenson, Tim Dwyer, Ashley Karpinos, Paul H Marks, David Wasserstein
BACKGROUND: Clinical practice guidelines (CPGs) are published by several sports medicine institutions. A systematic evaluation can help identify the highest quality CPGs for clinical use and identify any deficiencies that remain. PURPOSE: To identify and appraise CPGs relevant to clinical sports medicine professionals. STUDY DESIGN: Systematic review. METHODS: Predetermined selection criteria were utilized by 2 reviewers who independently identified published CPGs before January 1, 2014...
October 1, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28289785/-incidental-findings-in-musculoskeletal-radiology
#14
F Wünnemann, C Rehnitz, M-A Weber
BACKGROUND: Increasing numbers of conventional X‑rays, computed tomography and magnetic resonance imaging in the inpatient, outpatient and scientific routine leads to an increasing number of incidental findings. The correct interpretation of these incidental findings with respect to the relevance and the evaluation concerning further work-up is an important task of radiologists. OBJECTIVE: Description of common incidental findings in musculoskeletal imaging and their clinical classification...
March 13, 2017: Der Radiologe
https://www.readbyqxmd.com/read/28286523/interobserver-agreement-in-magnetic-resonance-of-the-sacroiliac-joints-in-patients-with-spondyloarthritis
#15
Juan C Rueda, Sofia Arias-Correal, Andres Y Vasquez, Enrique Calvo, Paola Peña, Marlon Porras, Jose-Ignacio Angarita, Eugenia-Lucia Saldarriaga, Ana M Santos, John Londono
Background. Clinical, laboratory, and radiologic parameters are used for diagnosis and classification of spondyloarthritis (SpA). Magnetic resonance imaging (MRI) of sacroiliac (SI) joints is being increasingly used to detect early sacroiliitis. We decided to evaluate the interobserver agreement in MRI findings of SI joints of SpA patients between a local radiologist, a rheumatologist, and an expert radiologist in musculoskeletal diseases. Methods. 66 MRI images of the SI joints of patients with established diagnosis of SpA were evaluated...
2017: International Journal of Rheumatology
https://www.readbyqxmd.com/read/28253532/using-cost-effectiveness-analysis-to-measure-value-in-musculoskeletal-imaging
#16
Jacob J Visser, Edwin H G Oei, M G Myriam Hunink
In the era of value-based health care, adding value is a key element in providing care. The choice of appropriate imaging modality and protocol should be based on consideration of patients' values, health care outcomes, and cost-effectiveness, taking into account the perspective of the decision maker, the health care system, and society at large. This article provides an overview of the available tools to measure value, outcomes, and cost-effectiveness in musculoskeletal radiology, illustrated with relevant examples...
February 2017: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/28253529/comparative-effectiveness-research-in-musculoskeletal-imaging
#17
Shadpour Demehri, Michael P Recht, Christoph I Lee
The primary goal of comparative effectiveness research (CER) is to define the optimal choice among alternative diagnostic and interventional strategies for a given clinical scenario among major stakeholders in the health care system. In an era where health care decision makers are demanding greater evidence of improved patient outcomes from the use of medical technologies, musculoskeletal (MSK) imagers must be more engaged in generating quality CER. We provide an overview of CER and its expanding role in U...
February 2017: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/28253528/appropriate-use-criteria-in-musculoskeletal-imaging
#18
Jennifer L Demertzis, David A Rubin
In the United States, health care costs are spiraling upward at an unsustainable rate. Concurrently, medical specialties, legislatures, and the population each recognize the need to prove that current medical practices are effective, measured by outcomes. These forces necessitate a change in radiology's role, from emphasizing interpretation and reporting to maintaining and demonstrating quality and value. An important part of this task involves establishing the appropriateness of imaging tests by application of objective data and expert opinion in an effort to optimize resource utilization and modality selection...
February 2017: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/28253527/the-pursuit-of-value-in-musculoskeletal-imaging-policy-and-clinical-practice-intersect
#19
Paul Harkey, Richard Duszak
Rapidly rising health care costs coupled with variability in pricing and patient service have led to intense public scrutiny and pressure for health care providers to demonstrate value. Recent changes in legislation and payment models have intensified a shift from volume-based to value-based care, transferring risk from payers to providers. The American College of Radiology's Imaging 3.0 initiative encourages radiologists to become leaders in this changing health care landscape, helping to redefine value relative to health outcomes that matter to patients...
February 2017: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/28236103/minimally-invasive-treatments-of-painful-bone-lesions-state-of-the-art
#20
REVIEW
Antonio Barile, Francesco Arrigoni, Luigi Zugaro, Marcello Zappia, Roberto Luigi Cazzato, Julien Garnon, Nitin Ramamurthy, Luca Brunese, Afshin Gangi, Carlo Masciocchi
The role of the interventional radiology (IR) in the musculoskeletal system, and in particular in the bone, is a field of knowledge that is growing significantly in the last years with indications for treatment of both benign and malign lesions. In this paper, we review the state of the art of this application of the IR in the bone (bone metastasis and benign bone lesions) with discussion about all the techniques today used.
April 2017: Medical Oncology
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