Radiographic imaging

2015 ◽  
Author(s):  
Emma L. Rowbotham ◽  
Andrew J. Grainger
Keyword(s):  
Imaging Modality ◽  
Plain Film ◽  
Conventional Radiography ◽  
Radiographic Imaging ◽  
Connective Tissue Disorders ◽  
Early Disease ◽  
Neuropathic Arthropathy ◽  
Cross Sectional ◽  
Plain Film Radiography ◽  
Cross Sectional Imaging

Plain film radiography is often the first imaging modality employed in the assessment of patients with a rheumatological condition. More recently this has been superseded by cross-sectional imaging, in particular ultrasound and MRI, which have improved sensitivity in detection of early disease when compared with plain film imaging. However, there remains a role for conventional radiography in both the initial diagnosis and monitoring of disease progression. A standard approach to assessing radiographs in the context of arthropathy is usually employed by radiologists; by following this structured review a diagnosis or narrow differential may be reached on plain film imaging alone. Plain film radiograph findings of the most common rheumatological disorders are covered in detail in this chapter including osteoarthritis, the inflammatory arthritides, and crystal arthropathy. Findings in the connective tissue disorders are then covered, followed by less commonly encountered conditions such as SAPHO, neuropathic arthropathy, and haemochromotosis.

Radiographic imaging

2013 ◽  
Author(s):  
Emma L. Rowbotham ◽  
Andrew J. Grainger
Keyword(s):  
Imaging Modality ◽  
Plain Film ◽  
Conventional Radiography ◽  
Radiographic Imaging ◽  
Connective Tissue Disorders ◽  
Early Disease ◽  
Neuropathic Arthropathy ◽  
Cross Sectional ◽  
Plain Film Radiography ◽  
Cross Sectional Imaging

Plain film radiography is often the first imaging modality employed in the assessment of patients with a rheumatological condition. More recently this has been superseded by cross-sectional imaging, in particular ultrasound and MRI, which have improved sensitivity in detection of early disease when compared with plain film imaging. However, there remains a role for conventional radiography in both the initial diagnosis and monitoring of disease progression. A standard approach to assessing radiographs in the context of arthropathy is usually employed by radiologists; by following this structured review a diagnosis or narrow differential may be reached on plain film imaging alone. Plain film radiograph findings of the most common rheumatological disorders are covered in detail in this chapter including osteoarthritis, the inflammatory arthritides, and crystal arthropathy. Findings in the connective tissue disorders are then covered, followed by less commonly encountered conditions such as SAPHO, neuropathic arthropathy, and haemochromotosis.

Radiographic imaging

2013 ◽  
pp. 477-491
Author(s):  
Emma L. Rowbotham ◽  
Andrew J. Grainger
Keyword(s):  
Connective Tissue ◽  
Disease Progression ◽  
Imaging Modality ◽  
Plain Film ◽  
Conventional Radiography ◽  
Connective Tissue Disorders ◽  
Cross Sectional ◽  
Plain Film Radiography ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Plain film radiography is often the first imaging modality employed in the assessment of patients with a rheumatological condition. More recently this has been superseded by cross-sectional imaging, in particular ultrasound and MRI, which have improved sensitivity in detection of early disease when compared with plain film imaging. However, there remains a role for conventional radiography in both the initial diagnosis and monitoring of disease progression. A standard approach to assessing radiographs in the context of arthropathy is usually employed by radiologists; by following this structured review a diagnosis or narrow differential may be reached on plain film imaging alone. Plain film radiograph findings of the most common rheumatological disorders are covered in detail in this chapter including osteoarthritis, the inflammatory arthritides, and crystal arthropathy. Findings in the connective tissue disorders are then covered, followed by less commonly encountered conditions such as SAPHO, neuropathic arthropathy, and haemochromotosis.

State-of-the-art aortic imaging: Part II - applications in transcatheter aortic valve replacement and endovascular aortic aneurysm repair

VASA ◽  
2014 ◽  
Vol 43 (1) ◽  
pp. 6-26 ◽  
Author(s):  
Fabian Rengier ◽  
Philipp Geisbüsch ◽  
Paul Schoenhagen ◽  
Matthias Müller-Eschner ◽  
Rolf Vosshenrich ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Replacement ◽  
Surgical Repair ◽  
Imaging Modality ◽  
Open Surgical Repair ◽  
Cross Sectional ◽  
Transcatheter Aortic Valve ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Transcatheter aortic valve replacement (TAVR) as well as thoracic and abdominal endovascular aortic repair (TEVAR and EVAR) rely on accurate pre- and postprocedural imaging. This review article discusses the application of imaging, including preprocedural assessment and measurements as well as postprocedural imaging of complications. Furthermore, the exciting perspective of computational fluid dynamics (CFD) based on cross-sectional imaging is presented. TAVR is a minimally invasive alternative for treatment of aortic valve stenosis in patients with high age and multiple comorbidities who cannot undergo traditional open surgical repair. Given the lack of direct visualization during the procedure, pre- and peri-procedural imaging forms an essential part of the intervention. Computed tomography angiography (CTA) is the imaging modality of choice for preprocedural planning. Routine postprocedural follow-up is performed by echocardiography to confirm treatment success and detect complications. EVAR and TEVAR are minimally invasive alternatives to open surgical repair of aortic pathologies. CTA constitutes the preferred imaging modality for both preoperative planning and postoperative follow-up including detection of endoleaks. Magnetic resonance imaging is an excellent alternative to CT for postoperative follow-up, and is especially beneficial for younger patients given the lack of radiation. Ultrasound is applied in screening and postoperative follow-up of abdominal aortic aneurysms, but cross-sectional imaging is required once abnormalities are detected. Contrast-enhanced ultrasound may be as sensitive as CTA in detecting endoleaks.

Imaging of Pediatric Chronic Neck Infections

2017 ◽  
Vol 15 (05) ◽  
pp. 294-304
Author(s):  
Santhosh Gaddikeri ◽  
Murali Nagarajan ◽  
Surjith Vattoth ◽  
Ahmed El Beltagi
Keyword(s):  
Imaging Modality ◽  
Pediatric Population ◽  
Cross Sectional ◽  
Complex Anatomy ◽  
Cross Sectional Imaging ◽  
Ear Infections ◽  
Sectional Imaging ◽  
Primary Modality

AbstractChronic neck infections in the pediatric population can have an indolent presentation that can mimic more serious conditions including neoplasia. Ultrasound remains a reliable primary modality for imaging of sialadenitis and infected congenital cystic neck lesions in children, whereas cross sectional imaging is needed if intervention is contemplated, to better evaluate multispatial involvement, lymph nodal morphology and distribution, and as the primary imaging modality to study more complex anatomy in case of ear infections.

Soft Tissue Infections

2019 ◽  
pp. 102-108
Author(s):  
Sumer N. Shikhare ◽  
Wilfred C. G. Peh
Keyword(s):  
Soft Tissue ◽  
Early Diagnosis ◽  
Disease Process ◽  
Conventional Radiography ◽  
Diagnostic Value ◽  
Soft Tissue Infections ◽  
Cross Sectional ◽  
Clinical Presentations ◽  
Cross Sectional Imaging ◽  
Diagnostic Capabilities

Chapter 88 outlines the key radiologic features of soft tissue infections and the diagnostic value of the different imaging modalities such as conventional radiography, US, CT, and MRI. Soft tissue infections present in various forms that involve varying depths from skin to deeper tissues. Early diagnosis may be challenging because of nonspecific clinical presentations, resulting in delay in management. The advent of cross-sectional imaging has improved diagnostic capabilities dramatically, with US, CT, and particularly MRI being the pillars of evaluation. Prompt and appropriate imaging workup of the various MSK soft tissue infections aids early diagnosis and in demonstrating the extent of the disease process, as treatment delay significantly reduces the cure rate and increases the risk of complications.

Teeth in the maxillary sinus – imaging and management

1997 ◽  
Vol 111 (9) ◽  
pp. 820-824 ◽  
Author(s):  
Lipa Bodner ◽  
Ferit Tovi ◽  
Jacob Bar-Ziv
Keyword(s):  
Maxillary Sinus ◽  
Maxillary Antrum ◽  
Treatment Plan ◽  
Three Dimensional ◽  
Plain Film ◽  
Diagnosis And Treatment ◽  
Cross Sectional ◽  
Plain Film Radiography ◽  
Sinus Wall ◽  
Prediction Of Prognosis

AbstractPurposeTo evaluate the images obtained by CT in diagnosis and treatment plan of teeth in the maxillary sinus.MethodsTwelve patients with teeth in the maxillary sinus were studied by plain film radiography(PFR) and by CT with a dental software programme, which displays multiple panoramic and cross-sectional views of the mandible and maxilla. The three-dimensional morphology of the tooth, its inclination, proximity to the sinus wall, surgical planning and prediction of prognosis and complications were estimated on both PFR and on CT scans and scored.ResultsThe radiographical features interpreted from PFR were fair or poorly diagnosed whereas CT provided excellent features. The surgical approach of choice was based on CT interpretation.ConclusionCT is useful for diagnosis and treatment planning of teeth in the maxillary antrum.

scholarly journals The value of MRI compared to conventional radiography in analysing morphologic changes in the spine in axial spondyloarthritis

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Gabriel Adelsmayr ◽  
Andreas Haidmayer ◽  
Christopher Spreizer ◽  
Michael Janisch ◽  
Franz Quehenberger ◽  
...  
Keyword(s):  
Interobserver Agreement ◽  
Axial Spondyloarthritis ◽  
Sagittal Plane ◽  
Imaging Modality ◽  
Conventional Radiography ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Whole Spine ◽  
Vertebral Endplates ◽  
Morphologic Changes

Abstract Background Imaging of morphologic changes in the vertebral spine in axial spondyloarthritis (SpA) is routinely performed with conventional radiography limited by superposition in the thoracic segments and radiation exposure. The objective was to assess the reliability of MRI compared to conventional radiography in depicting morphologic vertebral lesions in patients with axial SpA. Forty patients diagnosed with axial SpA were included in this cross-sectional study. Patients underwent MRI of the whole spine with T1-weighted and TIRM sequences in the sagittal plane and conventional radiography of the cervical and lumbar spine in lateral projections. Morphologic changes (syndesmophytes and erosions) in the anterior vertebral endplates on MRI and conventional radiography were independently evaluated by two radiologists. Inter-modality and interobserver agreement were calculated using Cohen’s Kappa. Results Inter-modality agreement was low for cervical and lumbar syndesmophytes and erosions (κ ≤ 0.2 ± 0.07–0.1). Interobserver agreement on conventional radiography was highest for cervical and lumbar anterior syndesmophytes/bridging (κ = 0.92 ± 0.02–0.03). Syndesmophytes in thoracic anterior vertebral units were the most frequent MRI finding with a high interobserver agreement (κ = 0.83 ± 0.05). Conclusions In imaging morphologic changes in the spine in patients with axial SpA, MRI was shown to be not an equivalent substitute but a complementary imaging modality to conventional radiography. Conventional radiography seems superior to depict morphologic cervical and lumbar vertebral changes compared to MRI, whereas MRI may visualise morphologic lesions in the thoracic spine.

scholarly journals Simple vs ugly adnexal lesions: is ultrasonography alone good enough?

2019 ◽  
Vol 7 (8) ◽  
pp. 3020
Author(s):  
Rahul Dev Chauhan ◽  
Yashvir Mathur
Keyword(s):  
Histopathological Examination ◽  
Imaging Modality ◽  
Cross Sectional Study ◽  
Colour Doppler ◽  
Benign Lesions ◽  
Cross Sectional ◽  
Adnexal Masses ◽  
Cross Sectional Imaging ◽  
Ovarian Masses

Background: Ultrasound (USG) is easily available and effective imaging modality for adnexal lesions. A simple looking lesion on ultrasound is usually benign and an ugly looking adnexal lesion is either benign or malignant. This study aims to evaluate the varied appearance of simple and ugly benign adnexal lesions on USG and to find out any additional role of colour Doppler in such suspected benign lesions. The confirmation of diagnosis was done either by follow up appearance of lesions on USG or by histopathological evaluation.Methods: A total of 55 consecutive female patients with age between 18 to 50 years were enrolled in this prospective cross sectional study. USG and colour Doppler for all the lesions were done. The patients found to have malignant lesions on histopathological examination, were later excluded from the analysis. Follow up USG was done for all the cases. Those cases wherein there was no resolution of lesions even after 08 weeks, were given an option to undergo laparoscopy as next management step.Results: Out of 50 benign adnexal masses, 88% masses were ovarian in origin and 12% were tubal masses. Ovarian masses included hemorrhagic cysts, endometriosis, simple cysts, serous cystadenomas and ovarian dermoid. All extra-ovarian masses were hydrosalpinx. Colour Doppler did not add any additional finding. Some of the patients underwent diagnostic laparoscopy followed by excision of masses in majority of them.Conclusions: Benign adnexal lesions can have varied appearance ranging from simple to ugly on USG. Ultrasonographic features of benign lesions on USG can be appreciated very well even without further use of colour Doppler or cross sectional imaging. Follow up USG remains key modality for benign adnexal masses in absence of MRI.

Imaging in carpal instability

2015 ◽  
Vol 41 (1) ◽  
pp. 22-34 ◽  
Author(s):  
N. K. Ramamurthy ◽  
A. J. Chojnowski ◽  
A. P. Toms
Keyword(s):  
Magnetic Resonance ◽  
Computerized Tomography ◽  
Dynamic Instability ◽  
Imaging Techniques ◽  
Mr Arthrography ◽  
Plain Film ◽  
Carpal Instability ◽  
Accurate Identification ◽  
Cross Sectional ◽  
Plain Film Radiography

Carpal instability is a complex and heterogeneous clinical condition. Management requires accurate identification of structural injury with an understanding of the resultant movement (kinematic) and load transfer (kinetic) failure. Static imaging techniques, such as plain film radiography, stress views, ultrasound, magnetic resonance, MR arthrography and computerized tomography arthrography, may accurately depict major wrist ligamentous injury. Dynamic ultrasound and videofluoroscopy may demonstrate dynamic instability and kinematic dysfunction. There is a growing evidence base for the diagnostic accuracy of these techniques in detecting intrinsic ligament tears, but there are limitations. Evidence of their efficacy and relevance in detection of non-dissociative carpal instability and extrinsic ligament tears is weak. Further research into the accuracy of existing imaging modalities is still required. Novel techniques, including four-dimensional computerized tomography and magnetic resonance, can evaluate both cross-sectional and functional carpal anatomy. This is a narrative review of level-III studies evaluating the role of imaging in carpal instability.

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