Diagnostic Use of Magnetic Resonance Imaging and Magnetic Resonance Arthrography for Intra-Articular Pathologies of the Hip Joint

2019 ◽  
Vol 158 (06) ◽  
pp. 586-596
Author(s):  
Solveig Lerch ◽  
Janne Lorenz ◽  
Andreas Kasperczyk ◽  
Oliver Rühmann

Abstract Introduction In no other country magnetic resonance imaging (MRI) is as frequently used as in Germany. The studyʼs aim is to analyse a daily referral procedure for hip MRI in German healthcare and to estimate ineffective costs for the healthcare system. Material and Methods Over one year 203 consecutive MRIs of the hip joint were analysed retrospectively. Referrals were reviewed for their indications, e.g. prevalence of MRIs to detect intra-articular pathologies in the German population was estimated with data of three health insurances. Results No indication was noted on 21% of the referrals to MRI. On 66% of the referrals a reasonable indications could be identified. There were more uncertainties of the indications for arthrographies. Collecting data concerning the prevalence of MRI for intra-articular hip pathologies is difficult due to the lack of precise diagnosis and procedure coding. The expendable costs caused by MRI of the hip joint amount from 800,000 to 2.4 million € during a one year period. Discussion Medical referrals should be used thoroughly for communication between referrers and radiologists. Contribution of the letter of referral to health economics is underestimated. To improve estimation of prevalences in the diagnostics of intra-articular hip pathologies, precise diagnosis and procedure codings are needed.

2009 ◽  
Vol 56 (3) ◽  
pp. 39-44
Author(s):  
R.M. Maksimovic ◽  
B.A. Banko ◽  
J.P. Milovanovic

Computed tomography (CT) and magnetic resonance imaging (MRI) are enabling more precise diagnosis and treatment planning in patients with diseases of the larynx. The aim of this article is to describe the role of these methods in assessment of the laringeal diseases and key local anatomic characteristics important for spread of the disease. CT and MRI have a valuable contribution to the staging of the tumors due to the possibility to show the relationship to the ventricular complex, involvement of the subumucosal spaces, defining craniocaudal and anterposterior extension, laringeal cartilage invasion, as well as regional lymph node metastases.


2019 ◽  
Vol 87 (September) ◽  
pp. 3227-3238
Author(s):  
MOHAMMED A. HAMMAD, M.Sc.; HANAN A. NAGY, M.D. ◽  
DINA MOGHAZY MOHAMED, M.D.; MOHAMMED F. DAWOUD, MD.

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Tuan Phung ◽  
Thach Nguyen ◽  
Dung Tran ◽  
Nga Phan ◽  
Hung Nguyen

A 22-year-old woman with myasthenia gravis (MG) presented with ptosis and mild muscle weakness symptoms for one year. Computed tomography (CT) presented a diffuse bilobulate enlargement gland with a high density of soft tissue. Magnetic resonance imaging (MRI) showed the gland with no suppression on the opposed-phase chemical shift. After the thymic tumor diagnosis, she underwent thoracoscopic surgery for tumor resection. The postoperative histopathological finding was thymic lymphoid hyperplasia. This case suggests chemical shift MRI is not enough in distinguishing, and supplementary examination is essential to avoid unnecessary thymic biopsy and surgery.


2021 ◽  
Vol 10 (40) ◽  
pp. 3543-3547
Author(s):  
Smitha H. ◽  
Meena Devi V. N. ◽  
Sreekanth K. S. ◽  
Vinoo Jacob

BACKGROUND Magnetic resonance imaging (MRI) provides structural characterization of brain lesions, by measuring volume of axial, sagittal and coronal planes through two dimensional slices. The purpose of this study was to characterize and identify the orthogonal imaging planes to detect non tumour lesions of brain through MRI. METHODS This study included 81 patients, both males and females, suspected of brain lesions and underwent MRI for diagnosis. The variations in the volume of the anatomical structures were measured and compared the planes as axial and sagittal, axial and coronal and coronal and sagittal for non-tumour brain lesions. RESULTS The present study revealed the differences in the measurement of volume in nontumour lesions (N = 81) in axial, sagittal and coronal planes. It was found that the volume of axial planes (9.2) is more dominant than the sagittal (9.1) and coronal planes (8.8) in non-tumour lesions. Statistical analysis was done by Statistical Package for Social Sciences (SPSS version 16 software). Two way/Friedman test were used for comparing the three groups. CONCLUSIONS This study concluded that, in most of the brain lesions irrespective of the type of tumours, axial planes helps more in the detection of tumour volume as compared to sagittal and coronal planes for precise diagnosis of brain lesions. KEY WORDS Axial Plane; Coronal Plane; Magnetic Resonance Imaging; Non-Tumour Brain Lesions; Sagittal Plane.


2006 ◽  
Vol 64 (4) ◽  
pp. 1033-1035 ◽  
Author(s):  
Emerson L. Gasparetto ◽  
Juliana Mecunhe Rosa ◽  
Taísa Davaus ◽  
Arnolfo de Carvalho Neto

OBJECTIVE: To report a case of childhood cerebral X-linked adrenoleukodystrophy (X-ADL), emphasizing the magnetic resonance imaging (MRI) findings at initial evaluation and at the follow-up. CASE REPORT: Five year-old boy, who was asymptomatic, presented with diagnosis of X-ADL for MRI evaluation. The initial brain MRI showed a focal area of enhancement at the splenium of the corpus calosum. One year later, the follow-up MRI showed a progression of the corpus calosus lesion, as well as other lesions in the parietal and occipital lobes. CONCLUSION: The brain MRI follow-up of patients with X-ADL is important to show the progression of the lesions.


2017 ◽  
Vol 32 (2) ◽  
pp. 133
Author(s):  
F. P. Raditya

This case study aims to apply the processes of decision-making for magnetic resonance imaging (MRI) as a diagnostic examination for a patient with cardiac pacemaker admitted to a private hospital in the capital of Indonesia. It also aims to examine and evaluate the case of a 53-year-old mother who had a heart abnormality that has a pacemaker for one year and was diagnosed to do an MRI examination because of a suspected tumor on the wrist area.The three basic models of decision-making — the descriptive, prescriptive and normative — were applied. The prescriptive used the information processing theory, while the normative used decision trees as decision options and lastly, the descriptive used intuition and pattern recognition.Dominantly, the prescriptive model for decision-making is more appropriate for this case.  The descriptive decision-making model, using intuition however, helped in supporting the intuitive hypothesis.  Lastly, the normative model of decision-making played an important role but was not likely effective.


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