Skeletal RadiologyPub Date : 2025-06-01Epub Date: 2024-11-18DOI: 10.1007/s00256-024-04818-w
Jina Park, Youngjune Kim, Sehyun Hong, Choong Guen Chee, Eugene Lee, Joon Woo Lee
{"title":"Regions of interest in opportunistic computed tomography-based screening for osteoporosis: impact on short-term in vivo precision.","authors":"Jina Park, Youngjune Kim, Sehyun Hong, Choong Guen Chee, Eugene Lee, Joon Woo Lee","doi":"10.1007/s00256-024-04818-w","DOIUrl":"10.1007/s00256-024-04818-w","url":null,"abstract":"<p><strong>Objective: </strong>To determine an optimal region of interest (ROI) for opportunistic screening of osteoporosis in terms of short-term in vivo diagnostic precision.</p><p><strong>Materials and methods: </strong>We included patients who underwent two CT scans and one dual-energy X-ray absorptiometry scan within a month in 2022. Deep-learning software automatically measured the attenuation in L1 using 54 ROIs (three slice thicknesses × six shapes × three intravertebral levels). To identify factors associated with a lower attenuation difference between the two CT scans, mixed-effect model analysis was performed with ROI-level (slice thickness, shape, intravertebral levels) and patient-level (age, sex, patient diameter, change in CT machine) factors. The root-mean-square standard deviation (RMSSD) and area under the receiver-operating-characteristic curve (AUROC) were calculated.</p><p><strong>Results: </strong>In total, 73 consecutive patients (mean age ± standard deviation, 69 ± 9 years, 38 women) were included. A lower attenuation difference was observed in ROIs in images with slice thicknesses of 1 and 3 mm than that in images with a slice thickness of 5 mm (p < .001), in large elliptical ROIs (p = .007 or < .001, respectively), and in mid- or cranial-level ROIs than that in caudal-level ROIs (p < .001). No patient-level factors were significantly associated with the attenuation difference. Large, elliptical ROIs placed at the mid-level of L1 on images with 1- or 3-mm slice thicknesses yielded RMSSDs of 12.4-12.5 HU and AUROCs of 0.90.</p><p><strong>Conclusion: </strong>The largest possible regions of interest drawn in the mid-level trabecular portion of the L1 vertebra on thin-slice images may yield improvements in the precision of opportunistic screening for osteoporosis via CT.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"1225-1232"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Skeletal RadiologyPub Date : 2025-06-01Epub Date: 2024-11-22DOI: 10.1007/s00256-024-04828-8
Mariana Helena do Carmo, Taísa Melo Guarilha, Thainá de Araújo Rodrigues, Marcelo Dos Santos Bandeira Filho, Adham do Amaral E Castro, Júlio Brandão Guimarães, Andre Yui Aihara, Soraya Silveira Monteiro
{"title":"Test yourself: a 9-year-old child with short stature and incidental trauma associated with bone fractures.","authors":"Mariana Helena do Carmo, Taísa Melo Guarilha, Thainá de Araújo Rodrigues, Marcelo Dos Santos Bandeira Filho, Adham do Amaral E Castro, Júlio Brandão Guimarães, Andre Yui Aihara, Soraya Silveira Monteiro","doi":"10.1007/s00256-024-04828-8","DOIUrl":"10.1007/s00256-024-04828-8","url":null,"abstract":"","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"1365-1368"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142688730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Skeletal RadiologyPub Date : 2025-06-01Epub Date: 2024-11-19DOI: 10.1007/s00256-024-04820-2
Roy P Marcus, Georg C Feuerriegel, Adrian A Marth, Sophia S Goller, Daniel Nanz, Julian Anhaus, Reto Sutter
{"title":"Reducing Metal Artifacts in Clinical Photon Counting Detector Computed Tomography-A Phantom Study of an Exemplary Total Hip Arthroplasty.","authors":"Roy P Marcus, Georg C Feuerriegel, Adrian A Marth, Sophia S Goller, Daniel Nanz, Julian Anhaus, Reto Sutter","doi":"10.1007/s00256-024-04820-2","DOIUrl":"10.1007/s00256-024-04820-2","url":null,"abstract":"<p><strong>Objective: </strong>To examine how different photon-counting detector (PCD) CT scanning and reconstruction methods affect the volume of metal artifacts and image quality for a hip prosthesis phantom.</p><p><strong>Methods: </strong>A titanium and cobalt-chromium-molybdenum-alloy total hip prosthesis phantom was scanned using a clinical PCD-CT with a constant tube potential (140 kV) and Computed-Tomography-Dose- Index (7 mGy). Different scan settings were used: with/without tin-filter (Sn), with/without ultra-high resolution (UHR), both individually and combined, resulting in four modes: Quantumplus (Standard), UHR Quantumplus (HighRes), QuantumSn (Standard-Tin) and UHR QuantumSn (HighRes-Tin). Reconstructions included virtual monoenergetic images (VMI) spanning 40-190 keV and polychromatic images, with/without iterative metal artifact reduction (MAR). Artifact volumes rendered in a 3D-printing software were quantified in milliliters (ml), and image quality was evaluated using a Likert score.</p><p><strong>Results: </strong>Polychromatic reconstruction: Tin-filter reduced artifact volumes (298 (Standard-Tin) vs. 347 ml (Standard) and 310 (HighRes-Tin) vs. 360 ml (HighRes)). The smallest artifact volume was measured in HighRes MAR (150 ml). VMI reconstruction: The smallest artifact volume was measured in Standard 130 keV (150 ml) and HighRes 130 keV (164 ml) and in Standard-Tin 120 keV (169 ml) and HighRes-Tin 120 keV (172 ml). MAR further reduced the artifact volumes to 130 ml (Standard 150 keV MAR) and 140 ml (HighRes 160 keV MAR). Image quality was rated best for Standard 65 keV MAR, polychromatic HighRes MAR, Standard 100 keV MAR, polychromatic Standard-tin MAR, HighRes-tin 100 keV and polychromatic HighRes-tin.</p><p><strong>Conclusion: </strong>Combining tin-filter, UHR and MAR in VMI or polychromatic images achieve the strongest artifact reduction.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"1233-1246"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Skeletal RadiologyPub Date : 2025-06-01Epub Date: 2025-03-28DOI: 10.1007/s00256-025-04920-7
Sophia S Goller, Reto Sutter
{"title":"CT imaging findings after reverse shoulder arthroplasty: Which findings are abnormal?","authors":"Sophia S Goller, Reto Sutter","doi":"10.1007/s00256-025-04920-7","DOIUrl":"10.1007/s00256-025-04920-7","url":null,"abstract":"","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"1307-1308"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Skeletal RadiologyPub Date : 2025-06-01Epub Date: 2024-10-29DOI: 10.1007/s00256-024-04816-y
Dion Diep, Mohamed R Gemae, Jordan Farag, Matthew Rong Jie Tay, Rakesh Mohankumar, Nimish Mittal
{"title":"Imaging modalities for atraumatic shoulder hypermobility: a scoping review.","authors":"Dion Diep, Mohamed R Gemae, Jordan Farag, Matthew Rong Jie Tay, Rakesh Mohankumar, Nimish Mittal","doi":"10.1007/s00256-024-04816-y","DOIUrl":"10.1007/s00256-024-04816-y","url":null,"abstract":"<p><strong>Background: </strong>Objective measures from imaging studies have the potential to assist in timely diagnosis of atraumatic shoulder hypermobility to better guide management. The aim of this scoping review is to examine imaging modalities and techniques used to characterize atraumatic shoulder hypermobility.</p><p><strong>Methods: </strong>MEDLINE, EMBASE, SPORTDiscus, Cochrane Library, and Web of Science were searched up to May 2024 for any primary study investigating imaging findings seen in atraumatic shoulder hypermobility. Patients with unilateral instability were excluded given its frequent association with traumatic origin.</p><p><strong>Results: </strong>Eighteen observational studies met inclusion criteria. Results were divided into outcomes relating to capsular redundancy, glenohumeral anatomy, and muscle activation. Five studies using magnetic resonance arthrography (MRA) demonstrated statistically significant increases in capsular cross-sectional area (CSA), while a significant superior capsular elongation was reported by two studies in patients with multidirectional instability (MDI). Labrocapsular distance, glenocapsular ratio, and the presence of a combined sail and triangle sign on MRA were highly sensitive and specific parameters for identifying MDI. There were inconsistent findings for alterations of glenohumeral anatomy. Ultrasound assessments of acromiohumeral distance (AHD) were significantly increased in patients with MDI, but not in shoulders with hypermobility alone. Similarly, muscle activity measured by electromyography or glenohumeral translations differed significantly in patients with MDI, but not in those with hypermobility alone.</p><p><strong>Conclusion: </strong>Radiographic markers of capsular redundancy (e.g., CSA, labrocapsular distance, glenocapsular ratio), AHD, and muscular activity are useful in the diagnosis of MDI. However, there are no definitive imaging markers for diagnosing atraumatic shoulder hypermobility without MDI.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"1179-1194"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Skeletal RadiologyPub Date : 2025-06-01Epub Date: 2024-11-25DOI: 10.1007/s00256-024-04827-9
Mariana Helena do Carmo, Taísa Melo Guarilha, Thainá de Araújo Rodrigues, Marcelo Dos Santos Bandeira Filho, Adham do Amaral E Castro, Júlio Brandão Guimarães, Andre Yui Aihara, Soraya Silveira Monteiro
{"title":"Test Yourself: A 9-year-old child with short stature and incidental trauma associated with bone fractures.","authors":"Mariana Helena do Carmo, Taísa Melo Guarilha, Thainá de Araújo Rodrigues, Marcelo Dos Santos Bandeira Filho, Adham do Amaral E Castro, Júlio Brandão Guimarães, Andre Yui Aihara, Soraya Silveira Monteiro","doi":"10.1007/s00256-024-04827-9","DOIUrl":"10.1007/s00256-024-04827-9","url":null,"abstract":"","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"1309-1312"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Skeletal RadiologyPub Date : 2025-06-01Epub Date: 2024-11-12DOI: 10.1007/s00256-024-04819-9
Alexander W Marka, Maximillian Strenzke, Kilian Weiss, Dimitrios C Karampinos, Klaus Woertler, Mirco Herbort, Nima Befrui, Tom Finck
{"title":"MRI-guided neurolysis for the treatment of chronic refractory knee pain: a case report.","authors":"Alexander W Marka, Maximillian Strenzke, Kilian Weiss, Dimitrios C Karampinos, Klaus Woertler, Mirco Herbort, Nima Befrui, Tom Finck","doi":"10.1007/s00256-024-04819-9","DOIUrl":"10.1007/s00256-024-04819-9","url":null,"abstract":"<p><p>Chronic refractory pain poses a significant challenge in knee joint pathologies, especially after exhaustion of conservative, arthroscopic, and endoprosthetic therapy options. This case report illustrates an innovative approach using MRI-assisted chemical neurolysis of a genicular nerve to manage persistent knee pain after arthroscopy. A 62-year-old male patient with chronic refractory knee pain, primarily localized at the inferomedial part of the knee, underwent high-resolution MRI to visualize the genicular nerves. This allowed for targeted ethanol-based neurolysis of the inferomedial genicular nerve. Following the procedure, the patient experienced substantial pain reduction for the follow-up duration of 4 months. The successful use of MRI-assisted chemical neurolysis offers a promising alternative treatment for patients with refractory knee pain, providing long-lasting pain relief without major side effects. This technique has the potential to improve the quality of life for patients suffering from chronic knee pain While these initial results are encouraging, it is important to note that further research, including both short-term and long-term studies, as well as randomized controlled trials, is warranted to establish the efficacy and safety of this treatment method in broader populations before it can be considered for routine incorporation into pain management practices.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"1353-1357"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142627287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rare presentation of primary synovial chondrosarcoma arising in the shoulder: a case report.","authors":"Kengo Kawaguchi, Makoto Endo, Koji Sagiyama, Akira Maekawa, Akira Nabeshima, Toshifumi Fujiwara, Yoshinao Oda, Yasuharu Nakashima","doi":"10.1007/s00256-024-04811-3","DOIUrl":"10.1007/s00256-024-04811-3","url":null,"abstract":"<p><p>Synovial chondrosarcoma (CHS) is a rare malignant tumor arising from the synovial tissue and is often associated with synovial chondromatosis. Herein, we present a unique case of primary synovial CHS in the shoulder joint without evidence of synovial chondromatosis. A 60-year-old man presented to our hospital with a complain of left shoulder pain that persisted for 6 years, which was initially misdiagnosed as synovitis. Radiography revealed an osteolytic lesion involving the humerus and the scapula. Histologically, the tumor exhibited features of grade 2 synovial CHS, infiltrating the trabecular bones and intra-articular space. Wide resection led to a 9-year recurrence-free survival. This case underscores the challenges in diagnosing and managing synovial CHS, particularly in cases with atypical presentations lacking synovial chondromatosis, necessitating careful follow-up and adequate surgical intervention.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"1341-1346"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142393086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Skeletal RadiologyPub Date : 2025-06-01Epub Date: 2024-10-12DOI: 10.1007/s00256-024-04813-1
Charbel El Khoury, Lokmane Taihi, Robin Evrard, An-Katrien De Roo, Frédéric Lecouvet, Thomas Schubert
{"title":"Intramuscular myxoma: unusual observation of spontaneous tumor size shrinkage.","authors":"Charbel El Khoury, Lokmane Taihi, Robin Evrard, An-Katrien De Roo, Frédéric Lecouvet, Thomas Schubert","doi":"10.1007/s00256-024-04813-1","DOIUrl":"10.1007/s00256-024-04813-1","url":null,"abstract":"<p><p>Soft tissue tumors, whether benign or malignant, may grow over time or remain stable, but they usually do not spontaneously decrease in size. However, there are exceptions, such as inflammatory conditions, desmoid tumors, or benign cysts. Intramuscular myxomas are benign soft tissue tumors that typically present as a solitary, slow-growing, painless mass. They are generally treated by surgical resection, after which recurrence is rare. Here, we present a brief series of three unusual cases of intramuscular myxomas that spontaneously decreased in size. They were located in the cervical region, the right lower extremity, and the paravertebral lumbar region. Imaging findings and percutaneous biopsies confirmed the diagnosis in all cases. Follow-up imaging showed a spontaneous reduction in lesion volume over time, far exceeding the amount of tissue sample removed during biopsy. This unusual observation of spontaneous shrinkage may call into question the subsequent therapeutic approach to these lesions.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"1347-1352"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142474247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Skeletal RadiologyPub Date : 2025-06-01Epub Date: 2024-11-30DOI: 10.1007/s00256-024-04839-5
L Haq, H Uldin, S Evans, A Patel, P Balogh, R Botchu
{"title":"Test yourself answer: a young male with right shoulder pain.","authors":"L Haq, H Uldin, S Evans, A Patel, P Balogh, R Botchu","doi":"10.1007/s00256-024-04839-5","DOIUrl":"10.1007/s00256-024-04839-5","url":null,"abstract":"","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":" ","pages":"1369-1371"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}