Felipe Ferreira de Souza, Juan Pretell-Mazzini, Ty K Subhawong
{"title":"Musculoskeletal MRI of Nontraumatic Emergencies.","authors":"Felipe Ferreira de Souza, Juan Pretell-Mazzini, Ty K Subhawong","doi":"10.1097/RMR.0000000000000258","DOIUrl":"https://doi.org/10.1097/RMR.0000000000000258","url":null,"abstract":"<p><p>A wide range of nontraumatic musculoskeletal conditions may require emergent or urgent management to avoid adverse clinical outcomes. These entities include bone and soft tissue infections, tissue necrosis, impending pathologic fracture or fungating tumor, and pseudoaneurysms. In this review, the magnetic resonance imaging appearance of these various entities is presented and discussed with the aim of improving radiologist and clinician recognition of the importance of key imaging findings in each case.</p>","PeriodicalId":39381,"journal":{"name":"Topics in Magnetic Resonance Imaging","volume":"29 6","pages":"321-330"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38324727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan C Infante, Nicole L Freedman, Ryan R McClintock, Patricia Balcacer de la Cruz
{"title":"A Case-based Review of Abdominal (and a Few Thoracic) Emergencies and Urgencies Using Single-shot MR.","authors":"Juan C Infante, Nicole L Freedman, Ryan R McClintock, Patricia Balcacer de la Cruz","doi":"10.1097/RMR.0000000000000260","DOIUrl":"https://doi.org/10.1097/RMR.0000000000000260","url":null,"abstract":"<p><p>The rapid evolution of MR scanners and pulse sequence design brings an ever-expanding arsenal of diagnostic tools to radiology departments. However, this increasing abundance of diagnostic tools accentuates the challenge of using new technology efficiently and wisely-that is, to employ what may help diagnosis and/or management, but discards what has a poor likelihood of aiding patient care. This article aims to highlight practical points regarding MR pulse sequences for the evaluation of common emergencies in body imaging through case examples.</p>","PeriodicalId":39381,"journal":{"name":"Topics in Magnetic Resonance Imaging","volume":"29 6","pages":"347-354"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38324728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Richard L Leake, Megan K Mills, Hailey Allen, Amanda M Crawford, Patrick H Kobes, Maryam Soltanolkotabi
{"title":"MRI of the Wrist Ligaments.","authors":"Richard L Leake, Megan K Mills, Hailey Allen, Amanda M Crawford, Patrick H Kobes, Maryam Soltanolkotabi","doi":"10.1097/RMR.0000000000000251","DOIUrl":"https://doi.org/10.1097/RMR.0000000000000251","url":null,"abstract":"<p><p>Technological advances in magnetic resonance imaging (MRI) have improved radiologists' ability to evaluate wrist ligaments. MRI interpretation often guides clinical management. This article aims to review the normal and pathologic appearance of intrinsic and extrinsic wrist ligaments with a focus on MRI. Variant anatomy, imaging pearls, and clinical significance are also discussed. Special attention is paid to key wrist ligaments that play a role in carpal stability.</p>","PeriodicalId":39381,"journal":{"name":"Topics in Magnetic Resonance Imaging","volume":"29 5","pages":"209-220"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RMR.0000000000000251","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38463247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christine Rehwald, Ryan P Joyce, Parham Pezeshk, Filippo Del Grande, Parisa Khoshpouri, Felix Chew, Majid Chalian
{"title":"3T Magnetic Resonance Imaging of the Wrist Tendons.","authors":"Christine Rehwald, Ryan P Joyce, Parham Pezeshk, Filippo Del Grande, Parisa Khoshpouri, Felix Chew, Majid Chalian","doi":"10.1097/RMR.0000000000000255","DOIUrl":"https://doi.org/10.1097/RMR.0000000000000255","url":null,"abstract":"<p><p>Magnetic resonance imaging (MRI) is frequently used in the imaging evaluation of wrist pain. The complex anatomy of the wrist can be demonstrated by MRI. Three tesla (3 T) MRI offers increased signal-to-noise ratio relative to 1.5 T MRI allowing for higher soft tissue contrast and better spatial resolution. The resulting increase in conspicuity of fine anatomic detail may improve the detection and characterization of wrist pathology. In this article, we will review the anatomy, normal variants, and common pathologies of the wrist tendons as evaluated on 3 T MRI.</p>","PeriodicalId":39381,"journal":{"name":"Topics in Magnetic Resonance Imaging","volume":"29 5","pages":"221-235"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RMR.0000000000000255","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38463248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Osseous Pathology on Wrist Magnetic Resonance Imaging.","authors":"David C Gimarc","doi":"10.1097/RMR.0000000000000257","DOIUrl":"https://doi.org/10.1097/RMR.0000000000000257","url":null,"abstract":"<p><p>Advanced imaging of the osseous structures of the wrist by magnetic resonance imaging (MRI) yields powerful information regarding marrow composition and overall bone structure. Various forms of pathology, both benign and malignant, have unique marrow signal abnormalities that can be easily detected by MRI given its high sensitivity to radiographically occult processes. In particular, osseous pathology can be seen in the setting of traumatic, degenerative, congenital, infectious, and neoplastic conditions. The acuity or chronicity of these conditions can often be determined by imaging to aid in appropriate therapy. A thorough understanding of the breadth of pathology and corresponding MRI appearances can allow the interpreting radiologist to formulate a concise and accurate assessment of an examination.</p>","PeriodicalId":39381,"journal":{"name":"Topics in Magnetic Resonance Imaging","volume":"29 5","pages":"245-261"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RMR.0000000000000257","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38463250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multimodality Pitfalls of Wrist Imaging With a Focus on Magnetic Resonance Imaging: What the Radiologist Needs to Know.","authors":"Barry G Hansford","doi":"10.1097/RMR.0000000000000254","DOIUrl":"https://doi.org/10.1097/RMR.0000000000000254","url":null,"abstract":"<p><p>Numerous pitfalls are frequently encountered at multimodality imaging of the wrist, which may mimic various tendinous, osseous, capsuloligamentous, muscular, and neurovascular pathologic conditions. These pitfalls may be secondary to variant anatomy, artifactual due to magnetic resonance imaging or sonographic technique, or represent varying ranges of structure-specific normal including a spectrum of findings associated with aging in asymptomatic subjects. When an imaging finding of questionable significance is encountered, it is critical that the interpreting radiologist make every attempt to review any relevant clinical information in an effort to determine whether the imaging findings in question may account for the patient's presenting symptomology. In order to accurately diagnose true pathology at wrist imaging, it is imperative that the radiologist be familiar with the pitfalls discussed throughout this manuscript that may mimic disease. This familiarity will allow the radiologist to provide a more useful report for referring providers focusing on true pathology while eliminating potentially confusing or misleading findings which are inconsistent with the patient's clinical presentation.</p>","PeriodicalId":39381,"journal":{"name":"Topics in Magnetic Resonance Imaging","volume":"29 5","pages":"263-272"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RMR.0000000000000254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38560019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mitchell Daun, Adam Rudd, Karen Cheng, Farzad Rezai
{"title":"Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex.","authors":"Mitchell Daun, Adam Rudd, Karen Cheng, Farzad Rezai","doi":"10.1097/RMR.0000000000000253","DOIUrl":"https://doi.org/10.1097/RMR.0000000000000253","url":null,"abstract":"<p><p>The imaging evaluation and interpretation of the triangular fibrocartilage complex (TFCC) is both challenging and rewarding for the radiologist and surgeon alike. The TFCC comprises a complicated group of fibrocartilaginous and ligamentous structures at the ulnar aspect of the wrist that plays an important role in wrist biomechanics. It is the main stabilizer of the distal radioulnar and ulnocarpal joints and functions to distribute compressive forces at the ulnocarpal joint during axial loading. Derangement of the TFCC is the most common source of ulnar-sided wrist pain. Imaging plays an important role in the diagnosis and management of these lesions. The TFCC can anatomically be divided into proximal and distal parts to emphasize the role that the proximal TFCC has in stabilizing the distal radioulnar joint. Tears can be divided into traumatic and degenerative categories using the Palmer classification. Further subclassification based on the location for traumatic tears and the degree of derangement in degenerative tears guides clinical management. The vascular anatomy is important in determining management options for various lesions. A detailed understanding of the normal anatomy of the TFCC, imaging limitations and pitfalls, the Palmer classification system, and current treatment options is critical to the accurate and clinically useful interpretation of radiologic examinations of the TFCC.</p>","PeriodicalId":39381,"journal":{"name":"Topics in Magnetic Resonance Imaging","volume":"29 5","pages":"237-244"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RMR.0000000000000253","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38463249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammed S Bermo, David Patterson, Sam R Sharar, Hunter Hoffman, David H Lewis
{"title":"Virtual Reality to Relieve Pain in Burn Patients Undergoing Imaging and Treatment.","authors":"Mohammed S Bermo, David Patterson, Sam R Sharar, Hunter Hoffman, David H Lewis","doi":"10.1097/RMR.0000000000000248","DOIUrl":"https://doi.org/10.1097/RMR.0000000000000248","url":null,"abstract":"<p><p>Pain from burn injuries is among the most excruciating encountered in clinical practice. Pharmacological methods often fail to achieve acceptable level of analgesia in these patients, especially during burn wound dressing and debridement. Virtual reality (VR) distraction is a promising analgesic technique that progressed significantly in the last decade with development of commercially available, low-cost, high-resolution, wide field-of-view, standalone VR devices that can be used in many clinical scenarios. VR has demonstrated clinical benefit as an adjunctive analgesic during burn wound dressing and other painful medical procedures. The technique has proven useful also in preparing patients for magnetic resonance imaging scans, particularly in claustrophobic patients. Modulation of pain-related brain activity at cortical and subcortical levels by VR, and its correlation with subjective improvement in various laboratory and clinical pain experiences has been demonstrated using multiple functional brain imaging studies including functional magnetic resonance imaging and brain perfusion single photon emission computed tomography.</p>","PeriodicalId":39381,"journal":{"name":"Topics in Magnetic Resonance Imaging","volume":"29 4","pages":"203-208"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RMR.0000000000000248","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38021376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Murat Alp Oztek, Christina L Brunnquell, Michael N Hoff, Daniel J Boulter, Mahmud Mossa-Basha, Luke H Beauchamp, David L Haynor, Xuan V Nguyen
{"title":"Practical Considerations for Radiologists in Implementing a Patient-friendly MRI Experience.","authors":"Murat Alp Oztek, Christina L Brunnquell, Michael N Hoff, Daniel J Boulter, Mahmud Mossa-Basha, Luke H Beauchamp, David L Haynor, Xuan V Nguyen","doi":"10.1097/RMR.0000000000000247","DOIUrl":"https://doi.org/10.1097/RMR.0000000000000247","url":null,"abstract":"<p><p>For many patients, numerous unpleasant features of the magnetic resonance imaging (MRI) experience such as scan duration, auditory noise, spatial confinement, and motion restrictions can lead to premature termination or low diagnostic quality of imaging studies. This article discusses practical, patient-oriented considerations that are helpful for radiologists contemplating ways to improve the MRI experience for patients. Patient friendly scanner properties are discussed, with an emphasis on literature findings of effectiveness in mitigating patient claustrophobia, other anxiety, or motion and on reducing scan incompletion rates or need for sedation. As shorter scanning protocols designed to answer specific diagnostic questions may be more practical and tolerable to the patient than a full-length standard-of-care examination, a few select protocol adjustments potentially useful for specific clinical settings are discussed. In addition, adjunctive devices such as audiovisual or other sensory aides that can be useful distractive approaches to reduce patient discomfort are considered. These modifications to the MRI scanning process not only allow for a more pleasant experience for patients, but they may also increase patient compliance and decrease patient movement to allow more efficient acquisition of diagnostic-quality images.</p>","PeriodicalId":39381,"journal":{"name":"Topics in Magnetic Resonance Imaging","volume":"29 4","pages":"181-186"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RMR.0000000000000247","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38020422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
William T C Yuh, Nina A Mayr, Murat Alp Oztek, Xuan V Nguyen
{"title":"Human Touch for High-Tech Imaging and Imaging-Guided Procedures Integrative Medicine Strategies for Patient-Centered Nonpharmacologic Approaches: Part 2: Overcoming Anxiety in Imaging and Invasive Procedures: What can Physics, Technology, and Integrative Medicine Do for Us?","authors":"William T C Yuh, Nina A Mayr, Murat Alp Oztek, Xuan V Nguyen","doi":"10.1097/RMR.0000000000000250","DOIUrl":"https://doi.org/10.1097/RMR.0000000000000250","url":null,"abstract":"T he central theme of this Special Edition is to address and manage patients’ anxiety with nonpharmacologic and noninvasive approaches during imaging studies and imaging-guided procedures. These procedures are commonly viewed as ‘‘high-tech’’ because of their advanced, complex technologies that in turn can be intimidating, uncomfortable, and unfamiliar to many patients. Advanced procedures often demand a high degree of patient cooperation in order to achieve their intended objective of delivering highquality care. Not infrequently, invasive and pharmacologic means are required to ensure patients’ cooperation during the imaging and imaging-guided procedures. In this Special Edition, we provide a succinct overview of the experience using various integrative medicine strategies of noninvasive and nonpharmacologic approaches for diagnostic imaging and image-guided therapy, and their efficacy and mode of action, including psychology and neuroscience perspective. We envision the Special Edition’s focus on integrative medicine approaches to bring together, in an ‘‘integrative’’ and multi-disciplinary way, both advanced technologies and patient-centered integrative health and psychology concepts to optimize the success of advanced diagnostic imaging studies and imaging-guided therapies. This is relevant and innovative and may offer insights beyond conventional wisdom and beyond the scope of many current scientific and medical journals. This Special Edition consists of 2 parts that both support its central theme with slightly different focus in terms of the relative emphasis of their constituent articles. The recently published Part 1 has discussed the challenges for high-tech imaging and related","PeriodicalId":39381,"journal":{"name":"Topics in Magnetic Resonance Imaging","volume":"29 4","pages":"165-166"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38020975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}