Skeletal Radiology最新文献

{"title":"Status and perceptions of work from home in three academic musculoskeletal radiology divisions","authors":"Stacy E. Smith, Miriam A. Bredella, Jamie E. Collins, Swati D. Deshmukh","doi":"10.1007/s00256-024-04795-0","DOIUrl":"https://doi.org/10.1007/s00256-024-04795-0","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>The objective of this study is to assess the status and perception of work from home (WFH) in three academic musculoskeletal radiology divisions.</p><h3 data-test=\"abstract-sub-heading\">Materials and methods</h3><p>A 17-item anonymous online survey related to WFH was administered to all musculoskeletal (MSK) faculty (<i>n</i> = 27) of three academic radiology divisions between April and July 2023. Survey items included demographics, clinical work environment, presence of a WFH policy, number of days WFH and desired WFH days, commute, perceived benefits and drawbacks of WFH, and symptoms of burnout. Statistical analysis included the Cochrane-Armitage trend test and Fisher exact test. The study was exempt from IRB approval.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The survey response rate was 85% (57% men, 57% white, 57% established career, defined by &gt; 10 years in practice). In 47%, an informal policy allowed WHF on certain rotations including moonlighting/call. Seventeen percent had no opportunity to WFH. WFH 1–2 days/week was reported in 73% of respondents while 27% did not WFH. None of the respondents worked from home more than 2 days/week. Women worked from home more compared to men (<i>p</i> = 0.02). Perceived advantages of WFH included efficiency (no commute/parking) (76%), flexibility (52%), autonomy (33%), and increased productivity (29%). Fifty-seven percent preferred in-person read out particularly for first year trainees, with 52% preferring a virtual or hybrid model.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>WFH is common in academic MSK practices and perceived to be beneficial to MSK faculty. These findings should be taken into consideration when designing WFH policies.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142265998","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}

{"title":"Challenging diagnosis: unveiling extensive multisystemic sarcoidosis with musculoskeletal involvement through a clinically ambiguous soft tissue mass in the palm","authors":"Julius M. Weinrich, Lennart Well","doi":"10.1007/s00256-024-04787-0","DOIUrl":"https://doi.org/10.1007/s00256-024-04787-0","url":null,"abstract":"<p>We report about a 33-year-old man who was referred for assessment of a progressively enlarging mass of the palmar hand muscles, serving as the initial indication of extensive multisystemic sarcoidosis with musculoskeletal involvement. The case underscores the diagnostic challenges associated with the indolent course of sarcoidosis, highlighting the need for recognizing seemingly benign symptoms for early detection. Musculoskeletal imaging findings presented in the case stress the importance of considering sarcoidosis in the differential diagnosis of orthopedic cases. This report emphasizes the importance of understanding possible musculoskeletal imaging findings in sarcoidosis, thereby enabling radiologists to effectively guide patient management.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142266000","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}

{"title":"Correction to: Quantitative metrics of bone quality determined at the distal radius using photon‑counting CT","authors":"Anika Dutta, Andrea Ferrero, Kishore Rajendran, Matthew T. Drake, Fang‑Shu Ou, Sharmila Giri, Joel G. Fletcher, Cynthia H. McCollough, Francis I. Baffour","doi":"10.1007/s00256-024-04799-w","DOIUrl":"https://doi.org/10.1007/s00256-024-04799-w","url":null,"abstract":"","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142266001","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}

{"title":"The observation that older men suffer from hip fracture at DXA T-scores higher than older women and a proposal of a new low BMD category, osteofrailia, for predicting fracture risk in older men","authors":"Yì Xiáng J. Wáng, Ben-Heng Xiao, Jason C. S. Leung, James F. Griffith, Maria Pilar Aparisi Gómez, Alberto Bazzocchi, Davide Diacinti, Wing P. Chan, Ali Guermazi, Timothy C. Y. Kwok","doi":"10.1007/s00256-024-04793-2","DOIUrl":"https://doi.org/10.1007/s00256-024-04793-2","url":null,"abstract":"<p>The clinical significance of osteoporosis lies in the occurrence of fragility fractures (FFx), and the most relevant fracture site is the hip. The <i>T</i>-score is defined as follows: (BMD_patient–BMD_{young adult mean})/SDy_{oung adult population}, where BMD is bone mineral density and SD is the standard deviation. When the femoral neck (FN) is measured in adult Caucasian women, a cutpoint value of patient BMD of 2.5 SD below the young adult mean BMD results in a prevalence the same as the lifetime risk of hip FFx for Caucasian women. The FN <i>T</i>-score criterion for classifying osteoporosis in older Caucasian men has been provisionally recommended to be − 2.5, but debates remain. Based on a systematic literature review, we noted that older men suffer from hip FFx at a FN <i>T</i>-score approximately 0.5–0.6 higher than older women. While the mean hip FFx FN <i>T</i>-score of around − 2.9 for women lies below − 2.5, the mean hip FF FN <i>T</i>-score of around − 2.33 for men lies above − 2.5. This is likely associated with that older male populations have a higher mean <i>T</i>-score than older female populations. We propose a new category of low BMD status, osteofrailia, for older Caucasian men with <i>T</i>-score ≤ − 2 (<i>T</i>-score ≤ − 2.1 for older Chinese men) who are likely to suffer from hip FFx. The group with <i>T</i>-score ≤ − 2 for older Caucasian men is comparable in prevalence to the group with <i>T</i>-score ≤ − 2.5 for older Caucasian women. However, older men in such category on average have only half the FFx risk as that of older women with osteoporotic <i>T</i>-score.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142265999","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}

{"title":"Assessing the current role of AP and Bernageau view radiographs in measurement of glenoid bone loss in patients with recurrent shoulder dislocation: correlation with computed tomography, magnetic resonance imaging, and arthroscopy","authors":"Nimisha Lohiya, Mohsin Hussein, Amit Kumar Sahu, Bharat Aggarwal, Jitendra Maheshwari, Karthikeyan P. Iyengar, Rajesh Botchu","doi":"10.1007/s00256-024-04797-y","DOIUrl":"https://doi.org/10.1007/s00256-024-04797-y","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Evaluation of glenoid bone loss following recurrent anterior shoulder dislocations is normally performed using cross sectional imaging.</p><h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>To assess how anteroposterior (AP) and Bernageau view radiographs compare to computed tomography (CT), magnetic resonance imaging (MRI) and arthroscopy for evaluating glenoid bone loss in patients with recurrent anterior shoulder dislocation.</p><h3 data-test=\"abstract-sub-heading\">Materials and methods</h3><p>A prospective observational study was performed on 32 patients over two years at a tertiary orthopedic center. The loss of sclerotic glenoid rim (LSGL) on AP radiograph and the percentage relative glenoid bone loss on the Bernageau radiograph were assessed. The percentage glenoid bone loss and anterior straight line (ASL) were calculated using a best fit en face circle method using CT and MRI. Percentage glenoid bone loss was also calculated during arthroscopy in multiples of 5%.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>In our study, 90.6% (29) patients were males, while only 9.4% (3) were females. This can be attributed to the involvement of the males in outdoor activities and sports. Also, the maximum number of patients were found to belong to 21–30 years of age, with the mean age being 28.66 years. Of the 32 patients, loss of sclerotic glenoid line (LSGL) on AP radiographs correlated with glenoid bone loss on cross-sectional imaging in 27 patients. Three patients had equivocal LSGL and 2 patients with glenoid bone loss on CT did not demonstrate LSGL. The difference between the two modalities was not statistically significant (<i>p</i> value = 0.002). The glenoid bone loss on Bernageau view correlated with glenoid bone loss on cross sectional imaging in all but one patient. The bone loss as evaluated by radiograph Bernageau view was found to have strong correlation (correlation coefficient <i>r</i> = 0.948, <i>p</i> value &lt; 0.0001).</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>AP and Bernageau radiographic views for anterior shoulder dislocations demonstrate good correlation with glenoid bone loss on cross-sectional imaging. They may also be used as an adjunct to predict overall bone loss on CT and at arthroscopy.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209036","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}

{"title":"Evaluation of MRI features of neuromas in oncological amputees, and the relation to pain","authors":"Eva van Vliet, Floris V. Raasveld, Wen-Chih Liu, Ian L. Valerio, Kyle R. Eberlin, Erik T. Newman, Mohamed Jarraya, F. Joseph Simeone, Jad S. Husseini","doi":"10.1007/s00256-024-04779-0","DOIUrl":"https://doi.org/10.1007/s00256-024-04779-0","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>The impact of time on neuroma growth and morphology on pain intensity is unknown. This study aims to assess magnetic resonance imaging (MRI) differences between symptomatic and non-symptomatic neuromas in oncological amputees, and whether time influences MRI-detected neuroma dimensions and their association with pain.</p><h3 data-test=\"abstract-sub-heading\">Material and methods</h3><p>Oncological patients who underwent traditional extremity amputation were included. Post-amputation MRIs were assessed before decision for neuroma surgery. Chart review was performed for residual limb pain (numeric rating scale, 0–10) and the presence of neuropathic symptoms. Neuromas were classified as symptomatic or non-symptomatic, with neuroma size expressed as radiological neuroma-to-nerve-ratio (NNR).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Among 78 neuromas in 60 patients, the median NNR was 2.0, and 56 neuromas (71.8%) were symptomatic with a median pain score of 3.5. NNR showed no association with symptomatology or pain intensity but correlated with a longer time-to-neuroma-excision interval and a smaller nerve caliber. Symptomatic neuromas were associated with lower extremity amputation, T2 heterogeneity, and the presence of heterotopic ossification. Lower extremity amputation, T2 heterogeneity, perineural edema, and presence of heterotopic ossification were associated with more painful neuromas.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>MRI features associated with symptomatic neuromas and pain intensity were identified. Awareness of the potential clinical significance of these imaging features may help in the interpretation of MRI exams and may aid clinicians in patient selection for neuroma surgery in oncological amputees.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209034","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}

{"title":"Muscle metastasis from cervical chordoma: a case report","authors":"S. Sekmen, N. Hursoy, H. Gucer, G. Burakgazi, M. S. Balik, S. S. Cubukcu","doi":"10.1007/s00256-024-04780-7","DOIUrl":"https://doi.org/10.1007/s00256-024-04780-7","url":null,"abstract":"<p>Chordomas are rare primary bone tumours that commonly occur in the sacrococcygeal and skull base region and have high rates of local recurrence. They have a locally aggressive course and the most common site of distant metastasis is the lung. The aim of this case report is to present the imaging findings of instance of muscle metastasis, a rare occurrence in cervical chordoma.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209038","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}

{"title":"Clinical, imaging and pathological features of extraskeletal myxoid chondrosarcoma","authors":"Amine El Kandoussi, Yin P. Hung, Eric L. Tung, Fabian Bauer, Joao R. T. Vicentini, Santiago Lozano-Calderon, Connie Y. Chang","doi":"10.1007/s00256-024-04800-6","DOIUrl":"https://doi.org/10.1007/s00256-024-04800-6","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>To evaluate clinical and radiological features of extraskeletal myxoid chondrosarcomas (EMC).</p><h3 data-test=\"abstract-sub-heading\">Material and Methods</h3><p>Our pathology database was queried for cases of EMCs. Tumor location, size, imaging appearance, presence of metastases, disease recurrence, and clinical outcome were documented. Imaging studies were evaluated in consensus by a musculoskeletal radiologist and an orthopedic oncologist.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Thirty subjects met the inclusion criteria (mean age 52.7 ± 16.2 years; 19 male, 11 female), 17 (56.7%) of which had pre-operative imaging. Tumors occurred most often in the lower extremities (20/30; 66.7%). All cases presented as a soft-tissue mass without mineralization on XR or CT. On MRI, tumors were typically hyperintense on T2-weighted sequences (14/14; 100%) and had a chondroid matrix appearance (12/14; 85.7%). Tumor invasion was observed in 11 out of 16 (68.9%) patients and necrosis in 2 out of 11 subjects (18.2%). All subjects had their tumors examined by pathology, and 20 (66.7%) subjects also had descriptive information in addition to the diagnosis (tumor invasion, mitotic rate, and necrosis) noted in the pathology reports. The mean duration of follow-up was 9.4 ± 7.5 (1.0 – 29.6) years. At the last follow-up, 14 out of 28 (50%) subjects were disease-free, 6 out of 28 had persistent metastatic disease and 8 out of 28 had died.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>EMC is a rare sarcoma that commonly presents as lower extremity soft tissue mass with chondroid appearance on MRI. Unlike conventional chondrosarcomas, EMC do not demonstrate mineralization on XR or CT.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209345","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}

{"title":"Contribution and challenges of musculoskeletal radiologists in interventional oncology-Is the cause worth the cost?","authors":"Jin Rong Tan,Bimal Mayur Kumar Vora,Eu Jin Tan,May San Mak,Chee Yeong Lim,Chow Wei Too,P Chandra Mohan","doi":"10.1007/s00256-024-04785-2","DOIUrl":"https://doi.org/10.1007/s00256-024-04785-2","url":null,"abstract":"","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209041","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}

{"title":"Genetic basis and imaging findings of neurofibromatosis 1 and other somatic overgrowth disorders","authors":"Orsolya Vittay, Joseph Christopher, Sarju G. Mehta, Andoni P. Toms","doi":"10.1007/s00256-024-04772-7","DOIUrl":"https://doi.org/10.1007/s00256-024-04772-7","url":null,"abstract":"<p>Somatic overgrowth disorders comprise a wide range of rare conditions that present with focal enlargement of one or more tissue types. The PI3K-AKT-mTOR pathway is a signalling pathway that induces angiogenesis and cell proliferation, and is one of the most commonly overactivated signalling pathways in cancer. The PI3K-AKT-mTOR pathway can be up-regulated by genetic variants that code for proteins in this pathway, or down-regulated by proteins that inhibit the pathway. Mosaic genetic variations can result in cells that proliferate excessively in specific anatomical locations. The <i>PIK3CA</i>-related overgrowth spectrum (PROS) disorders include CLOVES syndrome, macrodystrophia lipomatosa, and Klippel-Trenaunay syndrome among many. The neurofibromatosis type 1 (NF1) gene encodes neurofibromin which down-regulates the PI3K-AKT-mTOR pathway. Thousands of pathological variants in the <i>NF1</i> gene have been described which can result in lower-than-normal levels of neurofibromin and therefore up-regulation of the PI3K-AKT-mTOR pathway promoting cellular overgrowth. Somatic overgrowth is a rare presentation in NF1 with a wide range of clinical and radiological presentations. Hypertrophy of all ectodermal and mesodermal elements has been described in NF1 including bone, muscle, fat, nerve, lymphatics, arteries and veins, and skin. The shared signalling pathway for cellular overgrowth means that these radiological appearances can overlap with other conditions in the <i>PIK3CA</i>-related overgrowth spectrum. The aim of this review is to describe the genetic basis for the radiological features of NF1 and in particular compare the appearances of the somatic overgrowth disorders in NF1 with other conditions in the <i>PIK3CA</i>-related overgrowth spectrum.</p>","PeriodicalId":21783,"journal":{"name":"Skeletal Radiology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209042","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}