scholarly journals Computed tomography versus magnetic resonance imaging versus bone scintigraphy for clinically suspected scaphoid fractures in patients with negative plain radiographs

Author(s):  
Wouter H Mallee ◽  
Junfeng Wang ◽  
Rudolf W Poolman ◽  
Peter Kloen ◽  
Mario Maas ◽  
...  
2008 ◽  
Vol 90-B (9) ◽  
pp. 1205-1209 ◽  
Author(s):  
F. J. P. Beeres ◽  
S. J. Rhemrev ◽  
P. den Hollander ◽  
L. M. Kingma ◽  
S. A. G. Meylaerts ◽  
...  

Author(s):  
David W. Nelms ◽  
Brian R. Kann

AbstractIt is essential for the colon and rectal surgeon to understand the evaluation and management of patients with both small and large bowel obstructions. Computed tomography is usually the most appropriate and accurate diagnostic imaging modality for most suspected bowel obstructions. Additional commonly used imaging modalities include plain radiographs and contrast imaging/fluoroscopy, while less commonly utilized imaging modalities include ultrasonography and magnetic resonance imaging. Regardless of the imaging modality used, interpretation of imaging should involve a systematic, methodological approach to ensure diagnostic accuracy.


2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Maimoona Siddique ◽  
Humayun Bashir ◽  
Imran K Niazi ◽  
Ahsan Shamim

An 11-year-old boy presented with painful swelling of leg following fracture of tibia. Osteo brous dysplasia (OFD) is an uncommon, benign, non-hereditary bone disorder in which brous tissue develops in place of normal bone that affects the young adults in their rst and second decade of life. Tc-99m MDP whole-body bone scintigraphy revealed increased tracer uptake in dense proximal tibia. On single-photon remission computed tomography-computed tomography (SPECT-CT), radiological features of cortical-based lesion superimposed on abnormal tracer uptake con rmed it to be a monostotic OFD. This case emphasises the role of SPECT-CT and magnetic resonance imaging in detecting osteo brous dysplasia and differentiating it from other benign bone conditions. Key words: Bone scintigraphy, magnetic resonance imaging, monostotic osteo brous dysplasia, single-photon emission computed tomography computed tomography, tibia


2009 ◽  
Vol 34 (7) ◽  
pp. 29-30 ◽  
Author(s):  
Wouter H. Mallee ◽  
Job N. Doornberg ◽  
Carel Goslings ◽  
David C. Ring ◽  
Niek Van Dijk ◽  
...  

2021 ◽  
pp. 028418512110645
Author(s):  
Ajay Sahu ◽  
Dorothy KC Kuek ◽  
Andrew MacCormick ◽  
Charles Gozzard ◽  
Tishi Ninan ◽  
...  

Background Suspected scaphoid fracture (SF) after a fall on an outstretched hand is a common presentation in the emergency department. Magnetic resonance imaging (MRI) or computed tomography (CT) has been suggested to assist in the diagnosis or exclusion of SF. Purpose To compare MRI and CT at diagnosing occult SFs. Material and Methods We routinely perform CT scans in patients with clinically suspected occult SF, after 7–10 days of injury following two negative radiographs. All eligible patients with a clinically suspected SF, but negative radiographs and a negative CT, underwent an MRI scan to assess further for evidence of occult fracture. Results A total of 100 patients were included in our study. MRI showed fractures in 16% of the time (in 15 patients) when plain radiographs and CT did not. Of these fractures, 8% were SFs. In addition to fractures, 10% had bone bruising. A total of 25% of patients with fractures and bone bruising were referred to the hand surgery team for further follow-up. Conclusion The study demonstrated that MRI would identify a radiographically occult SF more often than CT. This supports NICE guidelines which recommend MRI as the best early diagnostic tool for occult SFs.


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