Faculty Opinions recommendation of A detailed comparative study of high-resolution ultrasound and micro-computed tomography for detection of arthritic bone erosions.

Author(s):  
Thomas Link ◽  
Janina Patsch
2011 ◽  
Vol 63 (5) ◽  
pp. 1231-1236 ◽  
Author(s):  
Stephanie Finzel ◽  
Sarah Ohrndorf ◽  
Matthias Englbrecht ◽  
Christian Stach ◽  
Janin Messerschmidt ◽  
...  

2016 ◽  
Vol 43 (10) ◽  
pp. 1914-1920 ◽  
Author(s):  
Andrea Scharmga ◽  
Michiel Peters ◽  
Astrid van Tubergen ◽  
Joop van den Bergh ◽  
Cheryl Barnabe ◽  
...  

Objective.Conventional radiographs (CR) of the hands are the gold standard for imaging bone erosions. The presence of bone erosions, reflected by the presence of cortical breaks, is a poor prognostic factor in patients with rheumatoid arthritis (RA). The availability of high-resolution peripheral quantitative computed tomography (HR-pQCT) enables detailed investigation of cortical breaks in rheumatic diseases. The aim of this image review is to show HR-pQCT images of the spectrum of cortical breaks with and without underlying trabecular bone changes in metacarpophalangeal (MCP) joints of healthy controls (HC) and patients with RA, with corresponding images on CR and magnetic resonance imaging (MRI).Methods.Second and third MCP joints of 41 patients (of which 10 were early RA with ≤ 2 years and 24 longstanding RA with ≥ 10 years of disease duration) and 38 HC were imaged by CR, MRI, and HR-pQCT (XtremeCT1, Scanco Medical AG). Representative images of the spectrum of cortical breaks were selected.Results.Cortical breaks were found in early and longstanding RA, but also in HC. They were heterogeneous in size, location, and number per joint, with a variety of surrounding cortical and underlying trabecular bone characteristics.Conclusion.Using HR-pQCT images of MCP joints, heterogeneous cortical breaks with and without surrounding trabecular bone changes were found, not only in RA but also in HC. The underlying mechanisms and significance of this spectrum of cortical breaks as found with high 3-D resolution needs further investigation.


2021 ◽  
Author(s):  
Eva Chatzinikolaou ◽  
Kleoniki Keklikoglou

Micro-computed tomography (micro-CT) is a high-resolution 3D-imaging technique which is now increasingly applied in biological studies focusing on taxonomy and functional morphology. The creation of virtual representations of specimens can increase availability of otherwise underexploited and inaccessible samples. This protocol aims to standardise micro-CT scanning procedures for embryos and juveniles of the marine gastropod species Hexaplex trunculus.


2018 ◽  
Vol 2 ◽  
pp. e25794
Author(s):  
Douglas Russell ◽  
Arianna Bernucci ◽  
Amy Scott-Murray ◽  
Duncan Jackson ◽  
Farah Ahmed ◽  
...  

High resolution X-ray micro-computed tomography gives the ability to research objects in unprecedented detail in 3D without damaging them but applying these new techniques to specimens can be complex. In 2017 the Natural History Museum (NHM), London embarked on a ground-breaking project with University of Sheffield to compare extinct Great Auk Pinguinus impennis eggshell microstructure to that of their extant relatives to gain new insight into their breeding ecology. NHM has a ZEISS Xradia 520 Versa X-ray microscope capable of submicron X-ray imaging in 3D but using it required supporting and moving complete eggshells within the confined, potentially harsh, mechanised environment of the microscope without risk. Ensuring the correct position and orientation of each egg to image nine distinct areas on the eggshell was also a challenge. Collaboration with colleagues in the NHM Conservation and Imaging & Analysis Centres developed a bespoke solution to hold and protect the eggs during scanning. All six NHM Great Auk eggshells and the inside of the microscope were surface scanned using a handheld structured light scanner. Scan data produced 3D models from which accurate 3D printed plastic replicas were made of the three Great Auk eggs prioritised for research. Each replica was used to mould a two-part, custom-built, case for each egg constructed from conservation grade epoxy putty and lined with polyethylene foam. This provided close-fitting, durable cases which could be used for the 6-month duration of the project. Each case enclosed its matching Great Auk egg entirely and had the advantage of being rock-hard, electrically insulating and water, heat and chemical resistant. A system of three, interchangeable, tailor-made mounting brackets were designed that married with the cases and held them safely and precisely inside the microscope at the correct angles and positions for imaging. The structured light scan of the inside of the microscope was used to model the necessary rotational movements of the cases and brackets inside the scanner, ensuring that all movements had sufficient clearance to avoid risk of impact. This system successfully protected the fragile c. 200 year old eggs throughout 70 scanning sessions. This provides a methodology for high resolution X-ray micro-computed tomography imaging of any similarly sized, fragile, object.


Author(s):  
Camille Figueiredo ◽  
Georg Schett

Psoriatic arthritis (PsA) is associated with a distinct pattern of bone pathology, which influences the clinical picture of the disease. High-resolution computed tomography (CT) has contributed to understanding structural bone changes in PsA. Periarticular bone erosions in PsA are characterized by periosteal responses around the cortical break, distinguishing them from bone erosions in rheumatoid arthritis. Furthermore, a large number of enthesophytes can be found in CT studies of joints of PsA patients and in psoriasis patients without clinical arthritis. This latter observation supports the idea that articular changes start in psoriasis before joint disease commences. Moreover, enthesophytes are not influenced by methotrexate treatment and tumour necrosis factor inhibition. Finally, studies of systemic bone loss by high-resolution CT revealed significant alterations of the bone architecture in PsA but not in patients with skin disease only. In summary, CT has made valuable contributions in understanding the structural bone changes in PsA.


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