Visibility of foreign bodies in soft tissue in plain radiographs, computed tomography, magnetic resonance imaging, and ultrasound

1993 ◽  
Vol 22 (2) ◽  
pp. 119-124 ◽  
Author(s):  
K.S. Oikarinen ◽  
T.M. Nieminen ◽  
H. Mäkäräinen ◽  
J. Pyhtinen
2017 ◽  
Author(s):  
Emily Alanna Aherne ◽  
Sinchun Hwang

Medical imaging plays a pivotal role in the detection, diagnosis, and clinical management of primary soft tissue tumors. Various imaging modalities have been used, and each modality offers unique advantages in the workup of soft tissue tumors by localizing the lesions in different compartments of the body and characterizing macroscopic tissue composition of the lesions in a noninvasive and safe manner. We review the clinical role and technical aspects of the frequently used imaging modalities, including magnetic resonance imaging (MRI), computed tomography, ultrasonography, positron emission tomography, and plain radiography with an emphasis on MRI as a mainstay imaging modality and a brief discussion of advanced techniques. We also review imaging features of common soft tissue tumors that can be detected and characterized using current imaging techniques. This review contains 54 figures, 1 table and 37 references.   Key words: computed tomography, diffusion-weighted imaging, imaging, magnetic resonance imaging, positron emission tomography, soft tissue, technique, tumor, ultrasonography


1996 ◽  
Vol 6 (3) ◽  
pp. 119-123 ◽  
Author(s):  
D. Lazovic ◽  
J. Franke ◽  
C.J. Wirth

In treatment of congenital dislocation of the hip, a main aim is to achieve concentricity of reduction. Control by plain x-ray lacks accuracy in determining anteroposterior position. Arthrography and sonography cannot be used when a spica cast is in place. After April 1988, therefore, as an alternative in 16 hips, we have used computed tomography to determine femoral head position, acetabular angle, and extent and integrity of posterior rim. However, the presence of any metallic artefacts, unossified cartilage and the general poor-quality imaging of soft tissue associated with the technique reduce its usefulness. Since January 1990, we have instead used magnetic resonance imaging to control treatment. This technique, in 34 hips, proved accurate in determinating the femoral head position. MRI also gave better images than computed tomography of osseous and cartilaginous structures of the acetabulum and the surrounding soft tissue. Spica casting does not affect the quality of imaging. The effect of metal artefacts can be minimized by using, where necessary, implants of titanium alloy.


1994 ◽  
Vol 15 (8) ◽  
pp. 437-443 ◽  
Author(s):  
Mark S. Mizel ◽  
Neil D. Steinmetz ◽  
Elly Trepman

An experimental study was performed to compare computed tomography (CT), magnetic resonance imaging (MRI), and real-time, high resolution ultrasonography (US) for the detection of wooden foreign bodies in muscle tissue. Wooden splinters were prepared, measured for size, soaked in saline, and placed in porcine muscle distant from and adjacent to bone. The specimens were then examined using roentgenography, CT and MRI in planes parallel and perpendicular to the splinters, and US. The largest wooden foreign bodies (minimum smallest width = 10 mm) were easily detected by CT, MRI, and US. Almost all splinters of various sizes, small and large, soaked in saline for 5 months were easily detected by MRI. Smaller splinters (minimum smallest width = 1–4 mm) soaked for only 3 days and placed distant from bone were most easily detected by US; those soaked for 5 months were most easily detected by either US or MRI. The smaller splinters soaked for only 3 days and placed near bone were not reliably detected by any of the imaging methods; CT and MRI were both more sensitive than US in this situation. MRI scanning was more sensitive perpendicular than parallel to the long axis of the splinters. Therefore, either US or MRI may be the best initial imaging modality for evaluation of a suspected wooden foreign body, depending on availability of imaging method, chronicity of symptoms, and proximity to bone.


2021 ◽  
Vol 8 (10) ◽  
pp. 532-536
Author(s):  
Abhishek Biswas ◽  
Nihar Ranjan Sarkar ◽  
Alak Pandit

BACKGROUND The craniovertebral junction is a complex articulation between occiput, atlas, axis and supporting ligaments enclosing the soft tissue structures of cervicomedullary junction which includes medulla, spinal cord and lower cranial nerves. The incidence of different types of CVJ anomalies varies with demographic environment & ill-defined genetic factors. CVJ anomalies are more frequently found in Indian subcontinent than anywhere else in the world. Even in India, these anomalies are more frequently documented from Bihar, Uttar Pradesh, Rajasthan and Gujarat. The reason for this geographical clustering is more speculative. The CVJ anomalies can be either due to bony or soft tissue anomalies. They are common in all age groups and almost equal in both sex groups. The anomalies can be due to congenital or acquired causes. There has been a renewed interest in the normal anatomy & pathological lesions of CVJ anomalies with dynamic xrays, computed tomography (CT) and magnetic resonance imaging (MRI). The clinical features are often delayed up to 2 nd or 3rd decade, since they are subtle and often missed. Various congenital anomalies and acquired disease processes can affect the craniovertebral junction. They often cause diagnostic dilemmas. Only few studies have been conducted in this regard. This study is an attempt to define importance of precise diagnosis for pre-treatment evaluation and systematic classification of CVJ abnormalities with MRI and multi-detector computed tomography (MDCT). METHODS We conducted this cross-sectional descriptive study with 55 patients, who had been referred to us for CT / MRI from Department of Neurology. 3 Tesla MRI (GE Healthcare) and 16 slice MDCT (Philips) were used in this study. RESULTS In our study, congenital anomalies were the most common type of CVJ abnormality followed by degenerative changes and trauma. MRI proved to be better at detecting soft tissue abnormalities and assessing spinal cord compression, although CT was very much accurate at demonstrating bony lesions with short scan times and ability to reconstruct in three orthogonal planes. CONCLUSIONS CT and MRI cannot be compared in imaging the craniovertebral junction and should be complementary to each other. KEYWORDS Craniovertebral Junction, MRI, MDCT


2009 ◽  
Vol 133 (5) ◽  
pp. 806-810 ◽  
Author(s):  
Lars Oesterhelweg ◽  
Stephan A. Bolliger ◽  
Michael J. Thali ◽  
Steffen Ross

Abstract Context.—Death from corpora aliena in the larynx is a well-known entity in forensic pathology. The correct diagnosis of this cause of death is difficult without an autopsy, and misdiagnoses by external examination alone are common. Objective.—To determine the postmortem usefulness of modern imaging techniques in the diagnosis of foreign bodies in the larynx, multislice computed tomography, magnetic resonance imaging, and postmortem full-body computed tomography–angiography were performed. Design.—Three decedents with a suspected foreign body in the larynx underwent the 3 different imaging techniques before medicolegal autopsy. Results.—Multislice computed tomography has a high diagnostic value in the noninvasive localization of a foreign body and abnormalities in the larynx. The differentiation between neoplasm or soft foreign bodies (eg, food) is possible, but difficult, by unenhanced multislice computed tomography. By magnetic resonance imaging, the discrimination of the soft tissue structures and soft foreign bodies is much easier. In addition to the postmortem multislice computed tomography, the combination with postmortem angiography will increase the diagnostic value. Conclusions.—Postmortem, cross-sectional imaging methods are highly valuable procedures for the noninvasive detection of corpora aliena in the larynx.


2012 ◽  
Vol 118 (2) ◽  
pp. 303-310 ◽  
Author(s):  
N. Pattamapaspong ◽  
T. Srisuwan ◽  
C. Sivasomboon ◽  
M. Nasuto ◽  
P. Suwannahoy ◽  
...  

2015 ◽  
Vol 129 (9) ◽  
pp. 852-859 ◽  
Author(s):  
F D Lesser ◽  
S G Derbyshire ◽  
H Lewis-Jones

AbstractBackground:Central skull base osteomyelitis is clinically difficult to distinguish from malignancy.Method:The computed tomography and magnetic resonance imaging scans of six patients with central skull base osteomyelitis were compared with scans from patients with a range of skull base conditions.Results and conclusion:Computed tomography scans of central skull base osteomyelitis show much less bony destruction relative to the magnetic resonance imaging changes, whereas malignancy cases were associated with similar bony destruction on computed tomography and magnetic resonance imaging. In magnetic resonance imaging scans, it was possible to confirm previous findings of clival hypointensity on T1-weighted images relative to normal fatty marrow. In addition, there were signs of pre- and para-clival soft tissue infiltration, with the obliteration of normal fat planes and frank soft tissue masses in all six central skull base osteomyelitis patients. Signal intensity on T2-weighted images of the clivus was high in five central skull base osteomyelitis patients. With intravenous contrast, fascial plane anatomy appeared restored in central skull base osteomyelitis cases, almost in keeping with that of non-involved areas. This was not a feature in any of the malignant conditions.


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