Prospective comparison of magnetic resonance imaging and computed tomography in diagnosing occult scaphoid fractures

2021 ◽  
pp. 028418512110645
Author(s):  
Ajay Sahu ◽  
Dorothy KC Kuek ◽  
Andrew MacCormick ◽  
Charles Gozzard ◽  
Tishi Ninan ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Scaphoid Fracture ◽  
Hand Surgery ◽  
Resonance Imaging ◽  
Scaphoid Fractures ◽  
Prospective Comparison ◽  
Bone Bruising ◽  
Magnetic Resonance Imaging Mri

Background Suspected scaphoid fracture (SF) after a fall on an outstretched hand is a common presentation in the emergency department. Magnetic resonance imaging (MRI) or computed tomography (CT) has been suggested to assist in the diagnosis or exclusion of SF. Purpose To compare MRI and CT at diagnosing occult SFs. Material and Methods We routinely perform CT scans in patients with clinically suspected occult SF, after 7–10 days of injury following two negative radiographs. All eligible patients with a clinically suspected SF, but negative radiographs and a negative CT, underwent an MRI scan to assess further for evidence of occult fracture. Results A total of 100 patients were included in our study. MRI showed fractures in 16% of the time (in 15 patients) when plain radiographs and CT did not. Of these fractures, 8% were SFs. In addition to fractures, 10% had bone bruising. A total of 25% of patients with fractures and bone bruising were referred to the hand surgery team for further follow-up. Conclusion The study demonstrated that MRI would identify a radiographically occult SF more often than CT. This supports NICE guidelines which recommend MRI as the best early diagnostic tool for occult SFs.

scholarly journals A243 A RETROSPECTIVE REVIEW OF THE RADIOGRAPHIC DIAGNOSIS AND SURGICAL RESECTION RATES OF PANCREATIC SEROUS CYSTS

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 300-301
Author(s):  
M Monachese ◽  
S Li ◽  
M Salim ◽  
L Guimaraes ◽  
P D James
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Surgical Resection ◽  
Predictive Value ◽  
Resected Specimen ◽  
Cystic Lesions ◽  
Resonance Imaging ◽  
Guided Biopsy ◽  
Magnetic Resonance Imaging Mri

Abstract Background Pancreatic cystic lesions are increasingly identified in persons undergoing abdominal imaging. Serous cystic neoplasms (SCNs) have a very low risk of malignant transformation. Resection of SCNs is not recommended in the absence of related symptoms. The accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) to identify SCNs is not known and may impact clinical care. Aims To evaluate the accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) for the diagnosis of SCN. To see how this can impact the decision to resect suspected SCNs. Methods Retrospective cohort study of patients from the University Health Network with suspected SCNs from 2017–2020 who underwent either a CT or MRI of the abdomen. Reports noting pancreatic cystic lesions were identified and reviewed. Only cases with suspected SCNs were included. Clinical (age, sex, symptoms, treatment) and radiographic (type of imaging, reported cyst characteristics) data was collected. Pathology was reviewed for all cases where the cysts was biopsied or resected during follow-up. The gold standard for the diagnosis for SCN was pathology of resected specimen or EUS-guided biopsy cytopathology showing no evidence of a mucinous lesion, CEA level below 10ug per L and amylase level below 50 U/L. Results 163 patients were included in the study. 99 (61%) were female and 98 (60%) underwent CT scan. EUS-guided biopsy was performed in 24 (15%) of patients and 8 (5%) had surgical resection. Multidisciplinary review was performed in 6 of the 8 cases that went to surgery. Of the resected specimens, 5 (63%) were SCN, 1 was a mucinous cystic lesion, 1 was a neuroendocrine tumor and 1 was a carcinoma. Two patients underwent EUS evaluation prior to surgical resection. In one case SCN was resected when EUS reported an undetermined cyst type. Reasons for surgical resection were: the diagnosis of serous cyst was not definitive (n=5), symptoms (n=2), and high-risk mucinous cystic neoplasm identified on EUS (n=1). Of 30 patients with pathology available, 15 (50%) were confirmed to have a SCN. CT and MRI had a sensitivity, specificity, positive predictive value and negative predictive value of 93%, 25%, 52% and 80%, respectively. Conclusions Surgical resection for SCN lesions is driven by diagnostic uncertainty after cross-sectional imaging. Multidisciplinary review and EUS evaluation may improve diagnostic accuracy and should be considered prior to surgical resection of possible SCN lesions. Funding Agencies None

scholarly journals Imaging of larynx: Diagnostic value of computed tomography and magnetic resonance imaging

2009 ◽  
Vol 56 (3) ◽  
pp. 39-44
Author(s):  
R.M. Maksimovic ◽  
B.A. Banko ◽  
J.P. Milovanovic
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Regional Lymph Node ◽  
Diagnostic Value ◽  
Resonance Imaging ◽  
Precise Diagnosis ◽  
Node Metastases ◽  
Magnetic Resonance Imaging Mri

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.

Neurogenic Stuttering: Further Corroboration of Site of Lesion

1996 ◽  
Vol 75 (3) ◽  
pp. 161-168 ◽  
Author(s):  
Reinhardt J. Heuer ◽  
Robert Thayer Sataloff ◽  
Steven Mandel ◽  
Nancy Travers
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Past Century ◽  
Unilateral Lesion ◽  
Resonance Imaging ◽  
The Past ◽  
Magnetic Resonance Imaging Mri

Cases of neurogenic stuttering have been reported in the literature throughout the past century. Site(s) of lesion(s) have been documented usually by association of symptoms, EEG studies and occasionally by computed tomography (CT). The authors present three cases in which the site(s) of lesion(s) are documented by CT, magnetic resonance imaging (MRI) and SPECT. This study supports previous findings of neurogenic stuttering following either bilateral diffuse lesions or a unilateral lesion. In at least one case, the actual site of the lesion would have been missed without the use of SPECT testing. EEG studies were not helpful in identifying the site of the lesion.

MRI Assessment of the Proximal Pole of the Scaphoid after Internal Fixation with a Titanium Alloy Herbert Screw

2001 ◽  
Vol 26 (4) ◽  
pp. 326-329 ◽  
Author(s):  
M. GANAPATHI ◽  
R. SAVAGE ◽  
A. R. JONES
Keyword(s):  
Magnetic Resonance Imaging ◽  
Titanium Alloy ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Proximal Pole ◽  
Postoperative Magnetic Resonance Imaging ◽  
Herbert Screw ◽  
Scaphoid Fractures ◽  
Magnetic Resonance Imaging Mri ◽  
Marrow Signal

We report a series of scaphoid fractures fixed with titanium alloy Herbert screws in which postoperative Magnetic Resonance Imaging (MRI) was used to assess the marrow signal in the proximal pole of the scaphoid and thus detect the presence of avascular necrosis. The artefact produced by the titanium alloy Herbert screw did not preclude this assessment.

scholarly journals Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison

The Lancet ◽  
2007 ◽  
Vol 369 (9558) ◽  
pp. 293-298 ◽  
Author(s):  
Julio A Chalela ◽  
Chelsea S Kidwell ◽  
Lauren M Nentwich ◽  
Marie Luby ◽  
John A Butman ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Acute Stroke ◽  
Resonance Imaging ◽  
Prospective Comparison

Endocrine ophthalmopathy

2019 ◽  
Vol 44 (2) ◽  
pp. 22-27
Author(s):  
T. L. Pavlova ◽  
G. A. Kotova ◽  
G. A. Gerasimov
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Objective Assessment ◽  
The State ◽  
Resonance Imaging ◽  
Treatment Methods ◽  
Ultrasound Computed Tomography ◽  
Endocrine Ophthalmopathy ◽  
Magnetic Resonance Imaging Mri

The urgency of the problem of endocrine ophthalmopathy (EOP) is currently in no doubt. This is due to the fact that relatively recently methods of objective assessment of the state of the eyeball and orbital tissues using ultrasound (ultrasound), computed tomography (CT) and magnetic resonance imaging (MRI) have appeared. At the same time, the etiology and pathogenesis of EOP are not well understood, which undoubtedly affects the validity and effectiveness of various treatment methods.

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