scholarly journals Imaging Features of Periosteal Chondroma Manifesting as a Subcutaneous Mass in the Index Finger

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Hidetomo Kosaka ◽  
Jun Nishio ◽  
Taiki Matsunaga ◽  
Mikiko Aoki ◽  
Hiroshi Iwasaki ◽  
...  
Keyword(s):  
Signal Intensity ◽  
Index Finger ◽  
Proximal Phalanx ◽  
Left Index Finger ◽  
High Signal ◽  
Imaging Features ◽  
Palpable Mass ◽  
Intermediate Signal Intensity ◽  
Periosteal Chondroma ◽  
Subcutaneous Mass

Periosteal chondroma is a rare benign hyaline cartilage neoplasm that occurs most commonly in the metaphases of long tubular bones. We present a unique case of periosteal chondroma arising in the proximal phalanx of the left index finger in a 12-year-old boy. Physical examination revealed a slightly protuberant, subcutaneous mass. Plain radiographs and computed tomography scans showed a periosteal lesion producing saucerization of the cortex and subjacent cortical sclerosis, without internal matrix calcification. On magnetic resonance imaging, the lesion exhibited intermediate signal intensity on T1-weighted images and high signal intensity on T2-weighted images. Contrast-enhanced fat-suppressed T1-weighted images demonstrated peripheral and septal enhancement. The patient underwent a marginal excision with curettage of the underlying bone cortex. Histological examination confirmed the diagnosis of periosteal chondroma. There has been no evidence of local recurrence eight months after surgery. Periosteal chondroma can protrude into the subcutaneous soft tissue causing a palpable mass. Recognition of the typical radiological features can lead to an accurate diagnosis of this rare condition.

Assessment of Radiation Protection in Hand-Shielding Products With Mini C-Arm Fluoroscopy

Hand ◽  
2019 ◽  
pp. 155894471986593 ◽  
Author(s):  
Matthew B. Cantlon ◽  
Asif M. Ilyas
Keyword(s):  
Radiation Exposure ◽  
Index Finger ◽  
Proximal Phalanx ◽  
Left Index Finger ◽  
Surgical Glove ◽  
Thermoluminescent Dosimeters ◽  
Intraoperative Fluoroscopy ◽  
The Mean ◽  
The Right ◽  
Free Metal

Background: Previous studies have highlighted the particular risk of radiation exposure to the surgeon’s hands with intraoperative fluoroscopy. Although evidence exists that shielding equipment for the hands reduces exposure, the extent of protection is not well understood. Therefore, we set out to determine the degree to which radiation exposure to the surgeon’s hands is decreased with hand-shielding products. Methods: An anthropomorphic model was positioned to simulate a surgeon sitting at a hand table. Thermoluminescent dosimeters were placed on the proximal phalanx of each index finger. The right index finger dosimeter was covered with a standard polyisoprene surgical glove (control arm), whereas the left index finger dosimeter was covered with commercially available hand-shielding products (study arm): lead-free metal-oxide gloves, leaded gloves, and radiation-attenuating cream. Mini fluoroscope position, configuration, and settings were standardized. The model was scanned for 15 continuous minutes in each test run, and each comparative arm was run 3 times. Results: The mean radiation dose absorbed by the control and variable dosimeters across all tests was 44.8 mrem (range, 30-54) and 18.6 mrem (range, 14-26), respectively. Each hand-shielding product resulted in statistically lower radiation exposure than a single polyisoprene surgical glove. Conclusions: The mean radiation exposure to the hands was significantly decreased when protected by radiation-attenuating options. Each product individually resulted in a statistically significant decrease in hand exposure compared with the control. We recommend that in addition to efforts to decrease radiation exposure, surgeons consider routine use of hand-shielding products when using mini c-arm fluoroscopy.

Frontoethmoidal Mucoceles: CT and MRI Evaluation

2007 ◽  
Vol 20 (5) ◽  
pp. 586-596 ◽  
Author(s):  
I. Tsitouridis ◽  
M. Michaelides ◽  
A. Bintoudi ◽  
V. Kyriakou
Keyword(s):  
Signal Intensity ◽  
Treatment Plan ◽  
Correct Diagnosis ◽  
Brain Parenchyma ◽  
High Signal ◽  
Intermediate Signal Intensity ◽  
Multiplanar Imaging ◽  
Previous Trauma ◽  
Peripheral Enhancement ◽  
Ct And Mri

Paranasal sinus mucocele is an expanded, airless, mucus-filled sinus caused by obstruction of the sinus ostium. It is a benign slow growing epithelial lined lesion, bulging against adjacent anatomical structures, without infiltrating them. The purpose of our study is to describe the CT and MR findings in 19 patients (ten women, nine men, 18–72 years, mean age: 48.1) with surgically confirmed frontoethmoidal mucoceles between 1999–2005. CT scans displayed mucoceles as non enhancing soft tissue density lesions, generally isodense to the brain parenchyma, expanding the sinuses in most cases, eroding adjacent bones and extending intraorbitally or intracranially. Signal intensity in T2WI and T1WI MR images varied, but generally lesions had high signal intensity in T2WI and low to intermediate signal intensity in T1WI. Some of the lesions demonstrated regular linear peripheral enhancement after administration of contrast medium. The causes of mucoceles included mucosal thickening from chronic sinusitis, adhesions from previous operation in the nasal cavity, previous trauma, small nasal polyps and a small osteoma, while in six patients (31.5%) the cause of the mucocele remained unrecognized even after surgery. No underlying malignant tumor was found in any of the cases as the cause of obstruction. CT and MRI established the correct diagnosis in all patients. CT was more sensitive in determining bone erosions, while MRI had the advantage of multiplanar imaging and was much more sensitive for differentiating mucocele from a tumor on the basis of MR signal intensity characteristics. In conclusion, CT and MRI are the methods of choice for diagnosing mucoceles of the paranasal sinuses and are of major importance for the treatment plan. Each method seems to have its own advantages and should be used as complementary investigations of sinonasal pathology. Enhanced CT scan should only be performed in the absence or contraindication for enhanced MR imaging.

scholarly journals Polyorquidism: case report comparing ultrasonography and magnetic resonance imaging

2020 ◽  
Vol 20 (3) ◽  
pp. 899-903
Author(s):  
Lucas Ribeiro dos Santos ◽  
Márcio Luís Duarte ◽  
Élcio Roberto Duarte ◽  
Felipe Nunes Figueiras
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Signal Intensity ◽  
World Literature ◽  
High Signal ◽  
Resonance Imaging ◽  
Intermediate Signal Intensity ◽  
Imaging Characteristics ◽  
Initial Clinical Evaluation

Abstract Introduction: polyorchidism is an unusual pathology, about 200 cases in the world literature. Case report: we reported a case of polyorchidism in a 16-year-old male patient diagnosed by ultrasound and confirmed by magnetic resonance imaging. Discussion: most of the cases presented, there is a supernumerary testis, but there are reports on more than three, up to five testicles with supranumerical gonads on both sides of the scrotum. The diagnosis is usually performed in late puberty, incidentally, with a painless scrotal mass or at the emergency room, presenting a testicular torsion of the whole hemiscrotum or supernumerary testisalone, and the differential diagnosis should be made with epididymal cyst and spermatocele, besides other extra-testicular masses (hydroceles, varicoceles, lipomas, tumors.) and para-testicular masses (hernias, scrotal calculi). After the initial clinical evaluation, ultrasound is the first line subsidiary exam. Magnetic Resonance Imaging is very helpful, just in case the ultrasound diagnosis is uncertain. The supernumerary testishave the same Magnetic Resonance Imaging characteristics as the normal testes (intermediate signal intensity on T1- weighted images and high signal intensity on T2-weighted images).

scholarly journals Magnetic resonance imaging of the normal dromedary camel tarsus

2020 ◽  
Author(s):  
Usama Hagag ◽  
Zakriya Ali Almohamad ◽  
Mohamed Gomaa Tawfiek ◽  
Ayman El Nahas
Keyword(s):  
Magnetic Resonance Imaging ◽  
Articular Cartilage ◽  
Magnetic Resonance ◽  
Signal Intensity ◽  
High Signal ◽  
Proton Density ◽  
Dromedary Camel ◽  
Resonance Imaging ◽  
Intermediate Signal Intensity ◽  
Tarsal Bones

Abstract Background: Magnetic resonance imaging (MRI) is the most versatile and informative imaging modality for the diagnosis of locomotor injuries in many animal species; however, veterinary literature describing the MRI of the dromedary camel tarsus is lacking. Our purpose was to describe and compare the MRI images of twelve cadaveric tarsi, examined in a 1.5 Tesla MRI scanner, with their corresponding anatomical gross sections. Turbo spin-echo (TSE) T1-weighted (T1), T2-weighted (T2), proton density-weighted (PD), and short tau inversion recovery (STIR) sequences were obtained in 3 planes. Tarsi were sectioned in sagittal, dorsal, and transverse planes. MRI images from different sequences and planes were described and compared with the anatomical sections.Results: The soft and osseous tissues of the dromedary camel tarsus corresponded extensively with the gross anatomic sections. T1 and PD images provided high anatomical details and the synovial fluid had high signal intensity on T2, PD, and STIR sequences and intermediate signal intensity on T1 images. The tibial cochlea, tarsal bones, and the proximal metatarsus were evaluated in all planes. The sagittal and dorsal images were useful for the evaluation of articular cartilage and subchondral bone. Articular cartilage had homogenous intermediate signal intensity on the T1 images and low signal intensity on the T2 and PD images. The Subchondral and cortical bone had low signal intensity on all sequences, and the cancellous bone expressed heterogeneous signal intensity on PD, T1, and T2 images. The tarsal tendons and ligaments had low signal intensity in all sequences including: the tendons of fibularis tertius, long digital extensor, cranial tibial, fibularis longus, lateral digital extensor muscles; the common tendon of the caudal tibial and lateral digital flexor muscles; the medial digital flexor tendon; the long and short bundles of the medial and lateral collateral ligaments; the superficial and deep digital flexor tendons; and the long plantar ligament. Conclusions: MRI images provided a thorough evaluation of the normal dromedary camel tarsus. Information provided in the current study is expected to serve as a basis for interpretation in clinical situations.

scholarly journals Unusual Presentation of Popliteal Cyst on Magnetic Resonance Imaging

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Tsuyoshi Ohishi ◽  
Masaaki Takahashi ◽  
Daisuke Suzuki ◽  
Yukihiro Matsuyama
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Signal Intensity ◽  
Final Diagnosis ◽  
Magnetic Resonance Images ◽  
Popliteal Cyst ◽  
High Signal ◽  
Resonance Imaging ◽  
Intermediate Signal Intensity ◽  
T2 Weighted Images

Popliteal cyst commonly presents as an ellipsoid mass with uniform low signal intensity on T1-weighted magnetic resonance images and high signal intensity on T2-weighted images. Here, we describe a popliteal cyst with unusual appearance on magnetic resonance imaging, including heterogeneous intermediate signal intensity on T2-weighted images. Arthroscopic cyst decompression revealed that the cyst was filled with necrotic synovial villi, indicative of rheumatoid arthritis. Arthroscopic enlargement of unidirectional valvular slits with synovectomy was useful for the final diagnosis and treatment.

scholarly journals Magnetic resonance imaging of the normal dromedary camel tarsus

2020 ◽  
Author(s):  
Usama Hagag ◽  
Zakriya Ali Almohamad ◽  
Mohamed Gomaa Tawfiek ◽  
Ayman El Nahas
Keyword(s):  
Magnetic Resonance Imaging ◽  
Articular Cartilage ◽  
Magnetic Resonance ◽  
Soft Tissue ◽  
Synovial Fluid ◽  
Signal Intensity ◽  
High Signal ◽  
Dromedary Camel ◽  
Resonance Imaging ◽  
Intermediate Signal Intensity

Abstract Background The role of magnetic resonance imaging (MRI) in veterinary practice continues to grow. MRI is currently the most versatile and informative imaging modality for diagnosis of soft tissue injuries in many animal species; however, veterinary literature describing the MRI of the dromedary camel tarsus is lacking. Our purpose was to describe and compare the MRI images of twelve cadaveric tarsi, examined in 1.5 T MRI scanner, with their corresponding anatomical gross sections. Turbo spin-echo (TSE) T1-weighted (T1), T2-weighted (T2), proton density-weighted (PD) and short tau inversion recovery (STIR) sequences were obtained in 3 planes. Tarsi were sectioned into sagittal, dorsal and transverse planes. Relevant osseous and soft tissue structures on MRI images and corresponding cryosections were identified and labeled. Results The overall quality of MRI images was adequate and informative. The soft and osseous tissues of the dromedary camel tarsus corresponded well with the gross anatomic sections. The sagittal and dorsal images were the most valuable for evaluation of articular cartilage and subchondral bone. T1 and PD sequences provided high anatomical details. T2 and STIR images were valuable for evaluation of synovial fluid. Articular cartilage had homogenous intermediate signal intensity. Subchondral and cortical bone had low signal intensity and cancellous bone had heterogeneous signal intensity. Tendons and ligaments had low signal intensity. Synovial fluid had high signal intensity on T2, PD and STIR sequences and intermediate signal intensity on T1 images. Conclusions MRI images provided a thorough evaluation of the normal dromedary camel tarsus. Information provided in the current study is anticipated to serve as a basis for interpretation in clinical situations.

Atlantoaxial Subluxation

1989 ◽  
Vol 30 (2) ◽  
pp. 135-140 ◽  
Author(s):  
Y. Yamashita ◽  
M. Takahashi ◽  
Y. Sakamoto ◽  
R. Kojima
Keyword(s):  
Rheumatoid Arthritis ◽  
Signal Intensity ◽  
Conventional Radiography ◽  
Cord Compression ◽  
Atlantoaxial Subluxation ◽  
Os Odontoideum ◽  
Poor Correlation ◽  
High Signal ◽  
Intermediate Signal Intensity ◽  
T2 Weighted Images

Twenty-nine patients with atlantoaxial subluxation (18 with rheumatoid arthritis, 2 due to trauma, 4 with os odontoideum, and one each with polyarteritis nodosa, rheumatic fever, Klippel-Feil syndrome, achondroplasia, and cause unknown) were evaluated using a 0.22 tesla resistive MRI unit. Cord compression was classified into four grades according to the degree on magnetic resonance imaging. There were 7 patients with no thecal sac compression (grade 0), 10 with a minimal degree of subarachnoid space compression without cord compression (grade 1), 7 with mild cord compression (grade 2), and 5 with severe cord compression or cord atrophy (grade 3). Although the severity of myelopathy showed poor correlation with the atlantodental interval on conventional radiography, high correlation was observed between MR grading and the degree of myelopathy. The high signal intensity foci were observed in 7 of 12 patients with cord compression (grades 2 and 3) on T2 weighted images. Other frequently observed findings in rheumatoid arthritis included soft tissue masses of low to intermediate signal intensity in the paraodontoid space, erosions of the odontoid processes, and atlantoaxial impaction on T1 and T2 weighted images.

Rhabdomyosarcoma of the Petrous Ridge

1992 ◽  
Vol 33 (1) ◽  
pp. 76-78 ◽  
Author(s):  
V. Zampa ◽  
M. Mascalchi ◽  
G. P. Giordano ◽  
U. Bongini ◽  
G. Dal Pozzo
Keyword(s):  
Signal Intensity ◽  
Nerve Palsy ◽  
Bone Destruction ◽  
High Signal Intensity ◽  
High Signal ◽  
Proton Density ◽  
Soft Tissue Density ◽  
Intermediate Signal Intensity ◽  
Unenhanced Ct ◽  
Multiple Cranial Nerve Palsy

The CT and MR findings are reported in a case of biopsy proven rhabdomyosarcoma of the skull base. The tumor presumably originated in a pneumatized petrous ridge and had an atypical presentation of multiple cranial nerve palsy. The lesion exhibited a soft tissue density and a nonexpansile bone destruction on unenhanced CT. On MR imaging the lesion showed homogeneous intermediate signal intensity on T1 weighted images and a high signal intensity on proton density and T2 weighted images. The scanty literature on CT and MR features of rhabdomyosarcoma of the head and neck is reviewed.

scholarly journals Head and neck osteosarcoma: CT and MR imaging features

2020 ◽  
Vol 49 (2) ◽  
pp. 20190202
Author(s):  
Zhendong Luo ◽  
Weiguo Chen ◽  
Xinping Shen ◽  
Genggeng Qin ◽  
Jianxiang Yuan ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Giant Cell ◽  
High Signal ◽  
Imaging Features ◽  
Matrix Mineralization ◽  
Imaging Characteristics ◽  
Mri Features ◽  
Signal Intensities ◽  
Ct And Mri

Objective: This study aims to assess the CT and MRI features of head and neck osteosarcoma (HNO). Methods: 37 HNOs were identified, and the following imaging characteristics were reviewed on CT and MRI. Results: A total of 37 patients(age 41.5 ± 15.0 years old; 16 males, 21 females) were included in the study. Tumours occurred in the maxilla (16, 43.2%), mandible (8, 21.6%), skull base (6, 16.2%), calvarium (5, 13.5%), paranasal sinuses (1, 2.7%) and cervical soft tissue (1, 2.7%). 16 patients received radiotherapy for nasopharyngeal carcinoma. Three patients (8.1%) developed osteosarcomas related to a primary bone disease. 16 of the (43.2%) tumours demonstrated lytic density on CT scans, followed by 13 (35.1%) showing mixed density and 7 (18.9%) with sclerotic density. Matrix mineralization was present in 32 (86.5%). 3 out of 24 (12.5%) tumours showed lamellar periosteal reactions, 21 out of 24 (87.5%) showed spiculated periosteal reactions. 12 tumours showed low signal intensities on T1WI, with 16 having heterogeneous signal intensities. 10 tumours showed high signal intensities on T2WI, and 18 showed heterogeneous signal intensities. With contrast-enhanced images, 3 tumours showed homogeneous enhancement (2 osteoblastic and 1 giant cell-rich), 18 tumours showed heterogeneous enhancement (13 osteoblastic, 4 fibroblastic and 1 giant cell-rich), and 7 tumours showed peripheral enhancement (6 chondroblastic and 1 osteoblastic). These tumours were characterized by soft tissue masses with a diameter of 5.6 ± 1.8 cm. Conclusions: HNO is a rare condition and is commonly associated with previous radiation exposure. This study provides age, sex distribution, location, CT and MRI features of HNO.

scholarly journals The joint involvement in adult onset Still's disease is characterised by a peculiar magnetic resonance imaging and a specific transcriptomic profile

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Piero Ruscitti ◽  
Antonio Barile ◽  
Onorina Berardicurti ◽  
Sonia Iafrate ◽  
Paola Di Benedetto ◽  
...  
Keyword(s):  
Signal Intensity ◽  
Clinical Characteristics ◽  
High Signal Intensity ◽  
Adult Onset Still’S Disease ◽  
Joint Involvement ◽  
High Signal ◽  
Bone Erosions ◽  
Transcriptomic Profile ◽  
Synovial Tissues ◽  
Bone Oedema

AbstractAdult onset Still's disease (AOSD) is a rare systemic autoinflammatory disease, characterised by fever, arthritis, and skin rash, and joint involvement is one of its clinical manifestations. The aims of this work were to assess joint involvement, to describe main patterns of involvement, and associated clinical characteristics. In this work, we aimed at assessing the joint involvement in AOSD by using MRI, to describe main patterns and associated clinical characteristics. In addition, we aimed at assessing the global transcriptomic profile of synovial tissues in AOSD to elucidate possible pathogenic pathways involved. We also evaluated the global transcriptomic profile of synovial tissues to elucidate possible pathogenic pathways involved in the disease. Thus, AOSD patients, who underwent to MRI exam on joints, were assessed to describe patterns of joint involvement and associated clinical characteristics. Some synovial tissues were collected for RNA-sequencing purposes. The most common MRI finding was the presence of synovitis on 60.5%, mainly in peripheral affected joints, with low to intermediate signal intensity on T1-weighted images and intermediate to high signal intensity on T2-fat-saturated weighted and STIR images. Bone oedema and MRI-bone erosions were reported on 34.9% and 25.6% MRI exams, respectively. Patients with MRI-bone erosions showed a higher prevalence of splenomegaly, a more frequent chronic disease course, lower levels of erythrocyte sedimentation rate, and ferritin. In AOSD synovial tissues, a hyper-expression of interleukin (IL)-1, IL-6, and TNF pathways was shown together with ferritin genes. In conclusion, in AOSD patients, the most common MRI-finding was the presence of synovitis, characterised by intermediate to high signal intensity on T2-fat-saturated weighted and STIR images. MRI-bone erosions and bone oedema were also observed. In AOSD synovial tissues, IL-1, IL-6, and TNF pathways together with ferritin genes resulted to be hyper-expressed.

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