Differentiation of Antemortem and Postmortem Appendicular Fractures Using Magnetic Resonance Imaging Signal Intensity Changes in Bone and Soft Tissues,

2020 ◽  
Vol 65 (5) ◽  
pp. 1524-1529
Author(s):  
Garrett Oetelaar ◽  
Hock Gan Heng ◽  
Chee Kin Lim ◽  
Abigail Cox ◽  
Hsin‐Yi Weng
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Signal Intensity ◽  
Soft Tissues ◽  
Resonance Imaging ◽  
Magnetic Resonance Imaging Signal ◽  
Intensity Changes

EXTENSIVE WHITE MATTER CHANGES AFTER STEREOTACTIC RADIOSURGERY FOR BRAIN ARTERIOVENOUS MALFORMATIONS

Neurosurgery ◽  
2008 ◽  
Vol 63 (6) ◽  
pp. 1064-1070 ◽  
Author(s):  
René van den Berg ◽  
Dennis R. Buis ◽  
Frank J. Lagerwaard ◽  
Geert J. Lycklama à Nijeholt ◽  
W. Peter Vandertop
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Signal Intensity ◽  
Arteriovenous Malformations ◽  
High Signal Intensity ◽  
High Signal ◽  
Resonance Imaging ◽  
White Matter Changes ◽  
Intensity Changes ◽  
Brain Avms

Abstract OBJECTIVE Perinidal high-signal-intensity changes on T2-weighted magnetic resonance imaging can be seen surrounding radiosurgically treated brain arteriovenous malformations (AVM). Occasionally, these signal intensity changes develop far beyond the irradiated volume. A retrospective analysis of both the pre- and postradiosurgery magnetic resonance imaging and angiographic studies was performed to analyze the cause of these extensive perinidal white matter changes. METHODS The pre- and postradiosurgical magnetic resonance imaging and angiographic studies of 30 patients with T2 high-signal-intensity changes surrounding a brain AVM were analyzed retrospectively. Patients were divided into 2 groups on the basis of the extension of the signal intensity changes within or beyond the 10-Gy isodose area. The angiographic analysis was focused on the venous drainage pattern (deep versus superficial), venous stenosis, and the number of draining veins before and after radiosurgery. In addition, the obliteration rate was determined for the 2 subgroups. RESULTS Fourteen patients (47%) showed high-signal-intensity changes far beyond the 10-Gy isodose area. A single draining vein was more often present in these patients with extensive T2 hyperintensity signal changes than in the other group. Obliteration was achieved in 12 (88%) of 14 patients with extensive signal intensity changes, as opposed to 8 (50%) of 16 patients in the other group. CONCLUSION High-signal-intensity changes after radiosurgery for brain AVMs, far beyond the 10-Gy isodose area on T2-weighted images, are especially seen in brain AVMs draining through a single vein. The higher occlusion rate of brain AVMs under these circumstances is well appreciated.

Magnetic Resonance Imaging in Retropharyngeal Tendinitis

Cephalalgia ◽  
1994 ◽  
Vol 14 (4) ◽  
pp. 266-269 ◽  
Author(s):  
K Ekbom ◽  
J Tothall ◽  
K Annell ◽  
J Träff
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cervical Spine ◽  
Magnetic Resonance ◽  
Soft Tissue ◽  
Signal Intensity ◽  
Soft Tissues ◽  
Resonance Imaging ◽  
X Ray ◽  
Soft Tissue Swelling ◽  
Retropharyngeal Tendinitis

Seven consecutive patients with acute retropharyngeal tendinitis underwent plain X-ray and magnetic resonance imaging (MRI) of the cervical spine. All seven had marked soft tissue swelling anterior to C1 and C2 on plain X-ray, and soft tissue calcification at this level was present in five of them. On MRI, there was markedly increased signal intensity on T2-weighted images in the acute phase and intermediate signal intensity on T1-weighted images, anterior to the level of C1 and C2, often extending as far down as C6. These changes correlated well with the soft tissue swelling seen on conventional X-ray of the cervical spine. The maximum mid-sagittal thickness of the soft tissues was significantly greater in the tendinitis patients ( p < 0.001) than in 12 control subjects free of symptoms from the pharynx or the cervical spine. Treatment with non-steroidal anti-inflammatory drugs rapidly alleviated symptoms, and at follow-up MRI showed regression or complete restitution of the changes. In conclusion, MRI can visualize the edematous changes in the longus colli muscle and adds useful diagnostic information in suspected cases of acute retropharyngeal tendinitis.

Does collagenase injection disrupt or digest the Dupuytren’s cord: a magnetic resonance imaging study

2016 ◽  
Vol 41 (6) ◽  
pp. 614-620 ◽  
Author(s):  
K. M. Crivello ◽  
H. G. Potter ◽  
E. S. Moon ◽  
S. K. Rancy ◽  
Scott W. Wolfe
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Signal Intensity ◽  
Imaging Study ◽  
Resonance Imaging ◽  
Level Of Evidence ◽  
Collagenase Injection ◽  
Intensity Changes ◽  
Full Correction ◽  
Magnetic Resonance Imaging Mri

Collagenase clostridium histolyticum has been extensively studied as a treatment modality for Dupuytren’s contracture. Its mechanism of action has been documented. It is unknown whether injected collagenase weakens the Dupuytren’s cord sufficiently to cause failure during manipulation or if there is digestion and reduction in cord volume. We examined five patients with isolated contractures of the ring or middle metacarpalphalangeal (MP) joint using magnetic resonance imaging (MRI) prior to injection with collagenase and again 1 month following injection. All patients had full correction after manipulation which was maintained at follow-up. The Dupuytren’s cord was evaluated with respect to volume, signal intensity, inflammatory changes and continuity. Additionally, signal intensity changes of the flexor tendons and neurovascular structures were recorded. MRI demonstrated cord discontinuity, significant reduction of cord volume and a significant increase in cord signal intensity after treatment with collagenase. There was a slight increase in flexor tendon signal intensity that was not significant. These findings suggest that there may be local chemical dissolution of the cord. Future studies may establish whether or not this will have prognostic implications in terms of correction and recurrence following collagenase injection. Level of evidence: IV

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