Use of computed tomography and magnetic resonance imaging for occult neck of femur fractures: A single‐centre study

2020 ◽  
Vol 32 (6) ◽  
pp. 980-985
Author(s):  
Numan Kutaiba ◽  
Anthony Lamanna ◽  
Frank Malara ◽  
Lee‐Pheng Yap
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Single Centre ◽  
Neck Of Femur ◽  
Centre Study ◽  
Femur Fractures ◽  
Single Centre Study

Multiparametric Magnetic Resonance Imaging/Transrectal Ultrasound Fusion Targeted Biopsy of the Prostate: Preliminary Results of a Prospective Single-Centre Study

2015 ◽  
Vol 94 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Daniel Junker ◽  
Georg Schäfer ◽  
Isabel Heidegger ◽  
Jasmin Bektic ◽  
Michael Ladurner ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Transrectal Ultrasound ◽  
Targeted Biopsy ◽  
Resonance Imaging ◽  
Single Centre ◽  
Centre Study ◽  
Multiparametric Magnetic Resonance Imaging ◽  
Single Centre Study ◽  
Systematic Biopsy

Purpose: To evaluate multiparametric magnetic resonance imaging/transrectal ultrasound (mpMRI/TRUS) fusion targeted biopsy (TB) of the prostate for prostate cancer (PCa) diagnosis. Patients and Methods: From April 2013 to January 2014, 53 men were included in this prospective single-centre study. The degree of PCa suspicion from mpMRI findings was classified according to the PI-RADS scoring system. Of these, 50 patients underwent both an mpMRI/TRUS fusion TB and a 10-core systematic biopsy (SB) of the prostate and were eligible for analysis. Results: 225 targeted and 500 systematic cores were included in this study. PCa was histologically confirmed in 52.0% of patients (26/50), whereas TB revealed PCa in 46.0% (23/50) and SB in 36.0% (18/50). TB identified PCa in 16.0% of all patients (8/50) that were missed by SB. All told, the targeted core was 2.8 times more likely to be PCa-positive than the systematic core (29.3 vs. 10.4%). Conclusions: mpMRI/TRUS fusion TB of the prostate is safe, practicable and may improve PCa diagnosis using fewer biopsy cores compared to SB.

Evaluation of Occult Femoral Neck Fractures – Computed Tomography or Magnetic Resonance Imaging?

2019 ◽  
Vol 1 ◽  
pp. 82-87
Author(s):  
Moomal Haris ◽  
Philip Robinson ◽  
Harun Gupta
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Femoral Neck ◽  
Plain Radiograph ◽  
Femoral Neck Fractures ◽  
Second Line ◽  
Resonance Imaging ◽  
Femur Fractures ◽  
Diagnostic Certainty

Aim: There is an increasing incidence of hip fracture with associated morbidity and mortality making accurate and timely diagnosis essential. The aim of this study was to compare computed tomography (CT) and magnetic resonance imaging (MRI) to ascertain the optimum second-line investigation in cases where plain radiograph is not diagnostic. Material and Methods: Using the radiology information system, a total of 168 patients were identified with the suspected occult neck of femur fractures over 24 months who had undergone CT or MRI as second-line investigation. All relevant imaging was reviewed and diagnosis, any third-line or follow-up imaging was documented. Results: About 16% of patients undergoing CT as second-line test had proven originally occult femoral neck fractures on plain radiograph compared with 13% of those having MRI. About 13% of patients underwent MRI following CT and in 1/13 case MRI detected an occult fracture that had not been detected on CT. The remaining 11 patients were either negative or MRI proved CT suspicions of fracture when extra diagnostic certainty was requested by the surgeons. CT detected more non femoral pelvic fractures 47% versus 37%. Conclusion: CT and MRI are comparable at detecting occult femoral neck fractures. Given the increased availability, improved patient tolerance and speed of CT imaging, we advocate its use as the main second-line imaging modality. MRI remains a valuable problem-solving tool in a select few cases following review with a musculoskeletal radiologist.

scholarly journals Does the Use of Magnetic Resonance Imaging Scan in Occult and Suspected Metastatic Pathological Neck of Femur Fractures Affect the Choice of Surgical Intervention?

2019 ◽  
Vol 10 ◽  
pp. 117956031984328
Author(s):  
Basil Budair ◽  
Mohammad Al-Tibi ◽  
Tarek Boutefnouchet
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Femoral Neck ◽  
Femoral Neck Fractures ◽  
Resonance Imaging ◽  
Occult Fracture ◽  
Mri Scan ◽  
Pathological Fractures ◽  
Neck Of Femur ◽  
Femur Fractures

Background: Magnetic resonance imaging (MRI) is often employed as the diagnostic modality of choice in occult and suspected pathological femoral neck fractures. We evaluated the clinical utility of MRI scan in this patient population. Method: Retrospective observational analysis of cases with a radiologically occult or suspected metastatic pathological neck of femur fracture. Results: From a total of 894 femoral neck fractures treated in our institution, 100 patients had and MRI scan pre-operatively for either occult fracture or suspected fracture secondary metastatic disease. Magnetic resonance imaging confirmed the presence of 13 simple fractures. A total of 14 patients had pathological features suggestive of metastasis, of which 12 were clearly visible on plain radiographs. Surgical plan did not change after MRI for any of these pathological fractures. Conclusion: Results of this study demonstrate that an MRI scan had an impact on treatment selection only when a simple but radiographically occult fracture is suspected and but not in the context of suspected metastatic pathological fractures.

scholarly journals Outcomes of Magnetic Resonance Imaging Detected Occult Neck of Femur Fractures: Do They Represent a Less Severe Injury with Improved Outcomes?

Hip & Pelvis ◽  
2019 ◽  
Vol 31 (1) ◽  
pp. 18 ◽  
Author(s):  
Pradyumna Raval ◽  
Alistair I.W. Mayne ◽  
Phey Ming Yeap ◽  
Thomas Barry Oliver ◽  
Arpit Jariwala ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Severe Injury ◽  
Resonance Imaging ◽  
Neck Of Femur ◽  
Femur Fractures ◽  
Improved Outcomes
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