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https://www.readbyqxmd.com/read/29782595/the-clinical-value-of-xspect-ct-bone-versus-spect-ct-a-prospective-comparison-of-200-scans
#1
Iain Duncan, Nicholas Ingold
Purpose: To prospectively evaluate the clinical utility of xSPECT/CT Bone, a new reconstruction algorithm for single photon emission tomography (SPECT), and compare it with standard SPECT/CT reconstruction. Methods: Sequential reporting of SPECT/CT followed by xSPECT/CT images in 200 sequential cases commencing August 2015. Differences between the initial SPECT/CT and the final report (after xSPECT/CT reconstruction) were documented and analysed. 12-18 months after the initial study follow-up, clinical data was sought from a subset of cases in which xSPECT/CT changed the primary diagnosis and imaging correlation undertaken in all patients who subsequently had MRI or CT scans of the same region...
2018: European journal of hybrid imaging
https://www.readbyqxmd.com/read/29774172/moebius-syndrome-with-hypoglossal-palsy-syndactyly-brachydactyly-and-anisometropic-amblyopia
#2
Muhammad Hassaan Ali, Samreen Jamal, Muhammad Ather Rashid, Usman Javaid, Nadeem Hafeez Butt
Moebius syndrome is a rare cause of congenital facial and abducens palsy.  It is sometimes associated with musculoskeletal abnormalities and other cranial nerve palsies. Genetics and ischemic insults to the fetus are considered to be the cause of this syndrome. We report here a 12-year-old female patient who was presented to us with poor cosmesis of her face, with associated decreased vision and lagophthalmos in her left eye. She didn't have any signs of exposure keratopathy in the affected eye. Her best-corrected vision was 20/20 and 20/60 in right and left eyes respectively...
March 16, 2018: Curēus
https://www.readbyqxmd.com/read/29770333/diagnosis-and-incidence-of-spondylosis-and-cervical-disc-disorders-in-the-university-clinical-hospital-in-olsztyn-in-years-2011-2015
#3
Małgorzata Kolenkiewicz, Andrzej Włodarczyk, Joanna Wojtkiewicz
Background: Disorders connected with the musculoskeletal and central nervous system dysfunction are the most significant clinical problem worldwide. Our earlier research has shown that back and spinal disorders and lumbar disc disorders were most frequently diagnosed using MRI scanner at the University Clinical Hospital (UCH) in Olsztyn in years 2011-2015. We have also observed that another two diseases of spinal column, spondylosis and cervical disc disorders, were also very prevalent...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29769017/a-cross-sectional-investigation-of-the-health-needs-of-asylum-seekers-in-a-refugee-clinic-in-germany
#4
Laura F Goodman, Guy W Jensen, Joseph M Galante, Diana L Farmer, Stephanie Taché
BACKGROUND: Over one million asylum seekers were registered in Germany in 2016, most from Syria and Afghanistan. The Refugee Convention guarantees access to healthcare, however delivery mechanisms remain heterogeneous. There is an urgent need for more data describing the health conditions of asylum seekers to guide best practices for healthcare delivery. In this study, we describe the state of health of asylum seekers presenting to a multi-specialty primary care refugee clinic. METHODS: Demographic and medical diagnosis data were extracted from the electronic medical records of patients seen at the ambulatory refugee clinic in Dresden, Germany between 15 September 2015 and 31 December 2016...
May 16, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29759125/common-soft-tissue-musculoskeletal-pain-disorders
#5
REVIEW
Matthew J Hubbard, Bernard A Hildebrand, Monica M Battafarano, Daniel F Battafarano
Soft tissue musculoskeletal pain disorders are common in the primary care setting. Early recognition and diagnosis of these syndromes minimizes patient pain and disability. This article gives a brief overview of the most common soft tissue musculoskeletal pain syndromes. The authors used a regional approach to organize the material, as providers will encounter these syndromes with complaints of pain referring to an anatomic location. The covered disorders include myofascial pain syndrome, rotator cuff tendinopathy, bicipital tendinopathy, subacromial bursitis, olecranon bursitis, epicondylitis, De Quervain disease, trigger finger, trochanteric bursitis, knee bursitis, pes anserine bursitis, Baker cyst, plantar fasciitis, and Achilles tendinopathy...
June 2018: Primary Care
https://www.readbyqxmd.com/read/29756581/musculoskeletal-involvements-in-sarcoidosis-a-narrative-review
#6
Roshanak Salari, Somayeh Shariatmaghani, Maryam Sahebari, Payman Shalchiantabrizi, Masoumeh Salari
Sarcoidosis is a multisystem inflammatory disease with an etiology that is not clearly understood. Amongst the different organs that may be affected, the lungs are the most common. Musculoskeletal manifestations of the disease are uncommon. They include arthropathy, bone lesions, or myopathy, all of which may occur as initial symptoms or develop during the course of the disease. Articular involvement my present as arthralgia or arthritis. Skeletal complications usually develop in the chronic state of the disease...
May 14, 2018: Current Rheumatology Reviews
https://www.readbyqxmd.com/read/29752819/post-polio-syndrome-and-the-late-effects-of-poliomyelitis-part-1-pathogenesis-biomechanical-considerations-diagnosis-and-investigations
#7
REVIEW
Julian K Lo, Lawrence R Robinson
Post-Polio Syndrome (PPS) is characterized by new muscle weakness and/or muscle fatigability that occurs many years following the initial poliomyelitis illness. There are many theories that exist on the pathogenesis of PPS, which remains incompletely understood. In contrast, the Late Effects of Poliomyelitis are often a consequence of biomechanical alterations that occur as a result of polio-related surgeries, musculoskeletal deformities or weakness. Osteoporosis and fractures of the polio-involved limbs are common...
May 12, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/29740660/differentiation-between-malignant-and-benign-musculoskeletal-tumors-using-diffusion-kurtosis-imaging
#8
Masaki Ogawa, Hirohito Kan, Nobuyuki Arai, Taro Murai, Yoshihiko Manabe, Yusuke Sawada, Yuta Shibamoto
OBJECTIVE: The purpose of this study was to evaluate differences in parameters of diffusion kurtosis imaging (DKI) and minimum apparent diffusion coefficient (ADCmin ) between benign and malignant musculoskeletal tumors. MATERIALS AND METHODS: In this prospective study, 43 patients were scanned using a DKI protocol on a 3-T MR scanner. Eligibility criteria were: non-fatty, non-cystic soft tissue or osteolytic tumors; > 2 cm; location in the retroperitoneum, pelvis, leg, or neck; and no prior treatment...
May 9, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29736570/surgical-treatment-paradigms-of-ankle-lateral-instability-osteochondral-defects-and-impingement
#9
Hélder Pereira, Gwendolyn Vuurberg, Pietro Spennacchio, Jorge Batista, Pieter D'Hooghe, Kenneth Hunt, Niek Van Dijk
Ankle sprain is amongst the most frequent musculoskeletal injuries, particularly during sports activities. Chronic ankle instability (CAI) resulting from an ankle sprain might have severe long-lasting consequences on the ankle joint. Despite the fact that most patients will respond favourably to appropriate conservative treatment, around 20% will develop symptomatic CAI with sense of giving away and recurrent sprains leading to functional impairment. "Classical" surgical repair by Brostrom-like surgery in one of its many modifications has achieved good results over the years...
2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29731459/-diagnosis-and-treatment-of-rheumatoid-arthritis-toward-the-best-practice-the-utility-of-mri-for-clinical-practice-in-rheumatoid-arthritis
#10
Mami Tamai
Imaging is important and essential for clinical practice in rheumatoid arthritis(RA). MRI and musculoskeletal ultrasonography(MSUS)are helpful to detect early as well as accurate joint injury of RA patients, and thus, potentially useful in early diagnosis, evaluating disease activity, therapeutic outcome and prediction of joint outcome. Articular synovitis, tenosynovitis and bone marrow edema are useful to predict RA progression. Bone marrow edema is closely associated with radiographic bone erosion. In addition, we are necessary to pay attention to the influence of aging that increases of MRI-detected joint changes, especially in hand and foot joints...
2018: Clinical Calcium
https://www.readbyqxmd.com/read/29724426/acr-appropriateness-criteria-%C3%A2-chronic-wrist-pain
#11
David A Rubin, Catherine C Roberts, Jenny T Bencardino, Angela M Bell, R Carter Cassidy, Eric Y Chang, Soterios Gyftopoulos, Darlene F Metter, William B Morrison, Naveen Subhas, Siddharth Tambar, Jeffrey D Towers, Joseph S Yu, Mark J Kransdorf
Radiographs are indicated as the first imaging test in all patients with chronic wrist pain, regardless of the suspected diagnosis. When radiographs are normal or equivocal, advanced imaging with MRI (without or without intravenous contrast or following arthrography), CT (usually without contrast), and ultrasound each has a role in establishing a diagnosis. Furthermore, these examinations may contribute to staging disease, treatment planning, and prognostication, even when radiographs are diagnostic of a specific condition...
May 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29724421/acr-appropriateness-criteria-%C3%A2-soft-tissue-masses
#12
Mark J Kransdorf, Mark D Murphey, Daniel E Wessell, R Carter Cassidy, Gregory J Czuczman, Jennifer L Demertzis, Leon Lenchik, Kambiz Motamedi, Jennifer L Pierce, Akash Sharma, Eric A Walker, Elizabeth Ying-Kou Yung, Francesca D Beaman
Imaging is an integral component of the evaluation of patients with a suspected soft-tissue mass. Imaging can not only confirm the presence of a mass but can provide essential information necessary for diagnosis, local staging, and biopsy planning. Although the objectives of the evaluation have not changed, the choices available for imaging of musculoskeletal masses have evolved dramatically in recent years. The purpose of this document is to identify the most common clinical scenarios and the most appropriate imaging for their assessment on the basis of the current literature and to provide general guidance for those scenarios that are not specifically addressed...
May 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29721697/spectrum-of-systemic-lupus-erythematosus-in-oman-from-childhood-to-adulthood
#13
Asma Al Rasbi, Eiman Abdalla, Rabab Sultan, Nasreen Abdullah, Juma Al Kaabi, Ibrahim Al-Zakwani, Reem Abdwani
SLE is a disease that mainly affects women of childbearing age, however, a total of 15-20% of cases present in children. Although adult onset SLE (aSLE) and childhood onset SLE (cSLE) share the same diagnostic criteria, differences have been identified. The aim of this study is to compare the similarities and differences in between cSLE and aSLE in an Arab population from Oman. We evaluated 225 SLE patients, 139 adults and 86 children, who fulfilled the criteria for diagnosis. At disease onset, 99% of SLE cohort fulfilled the SLICC criteria; however the ACR 1997 criteria were fulfilled in 66% aSLE and 80% cSLE...
May 2, 2018: Rheumatology International
https://www.readbyqxmd.com/read/29717682/review-abnormalities-of-the-bull-occurrence-diagnosis-and-treatment-of-abnormalities-of-the-bull-including-structural-soundness
#14
D F Wolfe
Selecting bulls for reproductive soundness requires that the bull be structurally sound, free of abnormalities that impair his ability to produce adequate numbers of motile, morphologically normal spermatozoa, and be able to successfully complete coitus. This review discusses the diagnosis and etiology of abnormalities of the penis, prepuce as well as common musculoskeletal conditions that prevent normal pasture breeding soundness. A review of testicular and thermoregulation addresses the potential impact of musculoskeletal disorders on normal sperm production...
May 2, 2018: Animal: An International Journal of Animal Bioscience
https://www.readbyqxmd.com/read/29715222/alpha-defensin-lateral-flow-test-for-diagnosis-of-periprosthetic-joint-infection-not-a-screening-but-a-confirmatory-test
#15
Nora Renz, Katsiaryna Yermak, Carsten Perka, Andrej Trampuz
BACKGROUND: Determination of alpha defensin in synovial fluid has shown promising results for diagnosing periprosthetic joint infection (PJI). The purposes of our study were to assess the performance of alpha defensin lateral flow (ADLF) test for the diagnosis of acute and chronic PJI using 3 classification systems and to compare its performance with the synovial fluid leukocyte count. METHODS: Patients in whom aspiration of a prosthetic hip or knee joint was performed before revision arthroplasty were prospectively included...
May 2, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29707061/the-efficacy-of-16s-ribosomal-dna-sequencing-in-the-diagnosis-of-bacteria-from-blood-bone-and-synovial-fluid-samples-of-children-with-musculoskeletal-infections
#16
S Hashavya, I Gross, A Michael-Gayego, N Simanovsky, R Lamdan
Background: Musculoskeletal infections are among the most common bacterial infections in children leading to hospitalization, invasive procedures and prolonged antibiotic administration. Blood, synovial and sometimes tissue cultures are essential for the diagnosis and treatment of musculoskeletal infections; 16S ribosomal DNA (rDNA) sequencing is a novel diagnostic tool for the detection of bacteria.While the yield of 16S rDNA sequencing in synovial fluid was previously assessed, data regarding the efficacy of this method from blood samples or partially treated children with suspected musculoskeletal infections is lacking...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29696053/psychological-signs-as-the-only-presentation-of-wilson-s-disease-in-an-11-year-old-boy
#17
Mehran Beiraghi Toosi, Javad Akhondian, Farah Ashraf Zadeh, Nahid Donyadideh, Asma Javid
Wilson's disease (WD) is a rare autosomal recessive disease due to copper metabolism disturbance. The clinical presentation spectrum of Wilson's disease is wide and initial findings of the disease depend on the organ involved. Neurologic disorders can develop insidiously or precipitously with intention tremor, dysarthria, rigid dystonia, Parkinsonism, deterioration in school performance or behavioral changes. This article is presenting an 11-yr old boy with chief complaint of falling and upper limb spasm. He referred to the Neurology Department, Ghaem Hospital, Mashhad, northeastern Iran in 2016...
2018: Iranian Journal of Child Neurology
https://www.readbyqxmd.com/read/29693032/survey-of-medical-students-attitude-and-knowledge-toward-physical-medicine-and-rehabilitation-in-isfahan-university-of-medical-sciences
#18
Saeed Khosrawi, Hadis Ramezanian, Roya Mollabashi
CONTEXT: Physical medicine and rehabilitation (PMR) is a specialized clinical field of musculoskeletal diseases and physical impairment that is unknown for most of the medical students. AIMS: This study aimed to assess medical students' attitude and knowledge toward PMR and its role in the diagnosis and treatment of musculoskeletal diseases. SETTING AND DESIGN: This cross-sectional study was done on 175 medical students of Isfahan University of Medical Sciences from 2015 to 2016...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/29692254/musculoskeletal-manifestations-of-sarcoidosis-a-review-article
#19
Somayeh Shariatmaghani, Roshanak Salari, Maryam Sahebari, Payman Shalchiantabrizi, Masoumeh Salari
Sarcoidosis is a multisystem inflammatory disease with an etiology that is not clearly understood. Amongst the different organs that may be affected, the lungs are the most common. Musculoskeletal manifestations of the disease are uncommon. They include arthropathy, bone lesions, or myopathy, all of which may occur as initial symptoms or develop during the course of the disease. Articular involvement my present as arthralgia or arthritis. Skeletal complications usually develop in the chronic state of the disease...
April 24, 2018: Current Rheumatology Reviews
https://www.readbyqxmd.com/read/29691690/-biomarkers-and-imaging-for-diagnosis-and-stratification-of-rheumatoid-arthritis-and-spondylarthritis-in-the-bmbf-consortium-arthromark
#20
REVIEW
T Häupl, A Skapenko, B Hoppe, K Skriner, H Burkhardt, D Poddubnyy, S Ohrndorf, P Sewerin, U Mansmann, B Stuhlmüller, H Schulze-Koops, G-R Burmester
Rheumatic diseases are among the most common chronic inflammatory disorders. Besides severe pain and progressive destruction of the joints, rheumatoid arthritis (RA), spondyloarthritides (SpA) and psoriatic arthritis (PsA) impair working ability, reduce quality of life and if treated insufficiently may enhance mortality. With the introduction of biologics to treat these diseases, the demand for biomarkers of early diagnosis and therapeutic stratification has been growing continuously. The main goal of the consortium ArthroMark is to identify new biomarkers and to apply modern imaging technologies for diagnosis, follow-up assessment and stratification of patients with RA, SpA and PsA...
May 2018: Zeitschrift Für Rheumatologie
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