Philip G. Colucci , Brian P. Chalmers , Theodore T. Miller
{"title":"Imaging of the Hip Prior to Replacement: What the Surgeon Wants to Know","authors":"Philip G. Colucci , Brian P. Chalmers , Theodore T. Miller","doi":"10.1053/j.sult.2023.02.001","DOIUrl":"10.1053/j.sult.2023.02.001","url":null,"abstract":"<div><p>Total hip arthroplasty<span><span> is an effective treatment for severe </span>degenerative arthritis<span> and is increasingly being used. Radiography is the primary modality for the initial diagnosis of osteoarthritis and preoperative planning. Additional radiographic views may include the spine and lower extremities in order to optimize implant positioning for the individual patient. Computed tomography<span> is sometimes used for preoperative planning and intraoperative robotic assistance. Magnetic resonance imaging and diagnostic ultrasound is generally reserved for patients without obvious arthritis. Ultrasound-guided injections may provide diagnostic and/or therapeutic benefits.</span></span></span></p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 4","pages":"Pages 240-251"},"PeriodicalIF":1.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9816834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kimberly K. Amrami , Akriti Khanna , Matthew A. Frick , Robert J. Spinner
{"title":"Imaging Peripheral Nerve Injuries of the Lower Extremities: What Surgeons Need to Know","authors":"Kimberly K. Amrami , Akriti Khanna , Matthew A. Frick , Robert J. Spinner","doi":"10.1053/j.sult.2023.04.001","DOIUrl":"10.1053/j.sult.2023.04.001","url":null,"abstract":"<div><p><span><span><span><span>Peripheral nerve injury is a common </span>sequela of lower extremity trauma. Injuries to lower extremity nerves range from contusions and stretch injuries that will often resolve without interventions to traumatic disruptions requiring surgical procedures, including </span>neurolysis<span>, repair or even nerve grafting. While clinical examination and tools such as </span></span>electromyography<span><span> will often help to localize the site of injury, imaging is a critical tool in determining the extent and degree of nerve injury in the setting of trauma. Modalities such as ultrasound and radiography are often useful, but MRI is considered the primary imaging modality for assessing the extent and degree of nerve injury. Specialized techniques such as MR </span>neurography tailored to the needs of individual patients can provide important and detailed information in support of clinical decision making and presurgical planning. In this paper, we will review the </span></span>anatomy<span> of peripheral nerves of the lower extremity, mechanisms of injury affecting nerves and provide guidance for the use of MRI correlated with validated classification systems in assessing injuries affecting the nerves of the lower extremities.</span></p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 4","pages":"Pages 347-363"},"PeriodicalIF":1.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9818988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maryam Soltanolkotabi , Megan K. Mills , Devon C. Nixon , Firoozeh Shomal Zadeh , Majid Chalian
{"title":"Postoperative Imaging of the Ankle Tendons","authors":"Maryam Soltanolkotabi , Megan K. Mills , Devon C. Nixon , Firoozeh Shomal Zadeh , Majid Chalian","doi":"10.1053/j.sult.2023.01.001","DOIUrl":"10.1053/j.sult.2023.01.001","url":null,"abstract":"<div><p><span>Ankle tendon pathology is an important cause of pain, instability, and disability. Surgical treatment is often employed when conservative management fails. The quantity and variety of ankle tendon repair/reconstruction surgeries have increased over time. As surgical techniques for ankle tendon surgery evolve and increase in prevalence, postoperative imaging of these tendons </span>rises. Therefore, it is exceedingly important for radiologists to be familiar with these procedures, their expected postoperative appearance, imaging pitfalls, and potential complications. This article reviews the key imaging findings of a variety of common ankle tendon surgical procedures.</p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 4","pages":"Pages 309-318"},"PeriodicalIF":1.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9813462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashton Reeve MBBS, James M. Linklater MBBS, Simon Dimmick MBBS, PhD
{"title":"Lesser Metatarsophalangeal Joint Plantar Plate Degeneration and Tear and Acute First Metatarsophalangeal Joint Capsuloligamentous Injury: What the Surgeon Wants to Know","authors":"Ashton Reeve MBBS, James M. Linklater MBBS, Simon Dimmick MBBS, PhD","doi":"10.1053/j.sult.2023.01.002","DOIUrl":"10.1053/j.sult.2023.01.002","url":null,"abstract":"<div><p>Injuries to the plantar plate<span><span><span> complex of the first toe and the </span>lesser toes<span>, although closely related anatomically, differ significantly in their pathogenesis. Lesser metatarsophalangeal joint plantar plate degeneration and tear typically presents as an attritional pattern of capsuloligamentous deficiency in middle-aged patients, whereas first metatarsophalangeal joint capsuloligamentous injury is typically acute and occurs in younger adult athletes engaged in sports involving repetitive running and jumping. Consequently, considerations regarding surgical decision-making also differ. Knowledge of the </span></span>anatomy<span>, pathophysiological basis, common patterns, grading and classification of these injuries, and indications for surgery, will aid imaging interpretation in the preoperative setting. The acuity and extent of injury, tissue quality and functional requirements of the patient (such as timely return to sport) influence clinical decision-making with respect to conservative versus surgical management and are informed by the use of optimized multimodal imaging. This section will provide an overview of these injuries in 2 parts, separated into those affecting the first toe and the lesser toes, and will highlight imaging findings relevant to surgical decision-making.</span></span></p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 4","pages":"Pages 332-346"},"PeriodicalIF":1.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9818987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diffusion and Perfusion Imaging in Rectal Cancer Restaging","authors":"Vincenza Granata MD , Roberta Fusco PhD , Sergio Venazio Setola MD , Diletta Cozzi MD , Daniela Rega MD , Antonella Petrillo MD","doi":"10.1053/j.sult.2023.02.002","DOIUrl":"10.1053/j.sult.2023.02.002","url":null,"abstract":"<div><p><span>The assessment of tumor response, after neoadjuvant radiochemotherapy<span><span> (n-CRT), permits the stratification of patients for the proper therapeutical management. Although histopathology<span> analysis of the surgical speciemen is considered the gold standard for assessing tumor response, magnetic resonance imaging (MRI), with its significant developments in technical imaging, have allowed an increase in accuracy for the evaluation of response. MRI provides a radiological </span></span>tumor regression grade (mrTRG) that is correlated with the pathologic tumor regression grade (pTRG). Functional MRI parameters have additional impending in early prediction of the efficacy of therapy. Some of functional methodologies are already part of clinical practice: diffusion-weighted MRI (DW-MRI) and </span></span>perfusion imaging (dynamic contrast enhanced MRI [DCE-MRI]).</p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 3","pages":"Pages 117-125"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9541054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giuseppe Lo Re MD , Giuseppe Cucinella MD , Giulia Zaccaria MD , Agata Crapanzano MD , Sergio Salerno MD , Antonio Pinto MD , Antonio Lo Casto , Vito Chiantera MD
{"title":"Role of MRI in the Assessment of Cervical Cancer","authors":"Giuseppe Lo Re MD , Giuseppe Cucinella MD , Giulia Zaccaria MD , Agata Crapanzano MD , Sergio Salerno MD , Antonio Pinto MD , Antonio Lo Casto , Vito Chiantera MD","doi":"10.1053/j.sult.2023.03.010","DOIUrl":"10.1053/j.sult.2023.03.010","url":null,"abstract":"<div><p>Cervical cancer is the fourth most common cancer in women, and it is divided into 2 main histological types: squamous cell carcinoma and adenocarcinoma. Extension of disease as well as the presence of metastases define the prognosis of patients. Accurate tumor staging at diagnosis is essential for adequate planning for treatment. There are several classifications of cervical cancer, and the most used are FIGO and TNM, which help classify the patient and guide the treatment. Imaging has a pivotal role in classifying patients, and MRI plays a decision-maker role both for diagnosis and for treatment planning. In this paper we highlight the role of MRI, alongside guidelines classification, in patients with different stages of cervical tumors.</p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 3","pages":"Pages 228-237"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Conventional and Advanced MRI Techniques in the Evaluation of Primary CNS Lymphoma","authors":"Raffaella Capasso PhD, MD , Alberto Negro PhD, MD , Camilla Russo PhD , Fabio Zeccolini MD , Gianluca Muto , Ferdinando Caranci Prof MD , Antonio Pinto PhD, MD","doi":"10.1053/j.sult.2023.02.003","DOIUrl":"10.1053/j.sult.2023.02.003","url":null,"abstract":"<div><p><span><span>Primary central nervous system lymphoma<span><span> (PCNSL) is a rare form of extranodal non-Hodgkin's lymphoma that accounts for 1%-5% of all central nervous system tumors. Contrast-enhanced MR is the </span>imaging technique of choice. </span></span>PCNLs<span> have a predilection for the periventricular and superficial regions, often abutting the ventricular or meningeal surfaces. Although PCNLs may have characteristic imaging features on conventional MRI, none of these will unequivocally differentiate PCNSLs from other brain lesions. Diffusion restriction, relative hypoperfusion, increased choline/creatinine, decrease of N-acetyl aspartate (NAA) peak as well as the presence of lactate and lipid peaks are consistent advanced imaging findings in </span></span>CNS<span> lymphoma that may help in the differentiation of Primary central nervous system lymphomas (PCNSLs) from other malignancies<span>. Furthermore, advanced imaging techniques will presumably play an important role in the planning of new targeted therapies, for prognostication, and for the monitoring of treatment response in the future.</span></span></p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 3","pages":"Pages 126-135"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9541053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter From the Guest Editor","authors":"Antonio Pinto","doi":"10.1053/j.sult.2023.03.008","DOIUrl":"10.1053/j.sult.2023.03.008","url":null,"abstract":"","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 3","pages":"Pages 115-116"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9543815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Irene Grazzini , Duccio Venezia , Davide Del Roscio , Ivano Chiarotti , Maria Antonietta Mazzei , Alfonso Cerase
{"title":"Morphological and Functional Neuroradiology of Brain Metastases","authors":"Irene Grazzini , Duccio Venezia , Davide Del Roscio , Ivano Chiarotti , Maria Antonietta Mazzei , Alfonso Cerase","doi":"10.1053/j.sult.2023.03.004","DOIUrl":"10.1053/j.sult.2023.03.004","url":null,"abstract":"<div><p>Neuroimaging plays a key role in the diagnosis and differentiation of brain metastases (BM) in patients with known or unknown malignancies. Computed tomography and magnetic resonance imaging are the key imaging modalities used in the detection of BM. Advanced imaging techniques including proton magnetic resonance spectroscopy, magnetic resonance perfusion, diffusion weighted imaging, and diffusion tensor imaging may aid in arriving at the correct diagnosis, in particular cases, such as newly diagnosed solitary enhancing brain lesions in patients without known malignancy. Imaging is also performed to predict and/or assess the efficacy of treatment, and to differentiate residual or recurrent tumors from therapy-related complications. Furthermore, the recent advent of artificial intelligence is opening up a vast scenario for the analysis of quantitative information deriving from neuroimaging. In this image-rich review, we provide an up-to-date overview on the application of imaging in patients with BM. We describe typical and atypical imaging findings of parenchymal and extra-axial BM on Computed tomography, magnetic resonance imaging, and positron emission tomography, focusing on the role of advanced imaging techniques, that can serve as problem-solving tools in the management of patients with BM.</p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 3","pages":"Pages 170-193"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Susanna Guerrini MD , Giulio Bagnacci MD , Armando Perrella MD , Nunzia Di Meglio MD , Cristian Sica MD , Maria Antonietta Mazzei MD
{"title":"Dual Energy CT in Oncology: Benefits for Both Patients and Radiologists From an Emerging Quantitative and Functional Diagnostic Technique","authors":"Susanna Guerrini MD , Giulio Bagnacci MD , Armando Perrella MD , Nunzia Di Meglio MD , Cristian Sica MD , Maria Antonietta Mazzei MD","doi":"10.1053/j.sult.2023.03.006","DOIUrl":"10.1053/j.sult.2023.03.006","url":null,"abstract":"<div><p>Dual-energy CT (DECT) imaging makes it possible to identify the characteristics of materials that cannot be recognized with conventional single-energy CT (SECT). In the postprocessing study phase, virtual monochromatic images and virtual-non-contrast (VNC) images, also permits reduction of dose exposure by eliminating the precontrast acquisition scan. Moreover, in virtual monochromatic images, the iodine contrast increases when the energy level decreases resulting in better visualization of hypervascular lesions and in a better tissue contrast between hypovascular lesions and the surrounding parenchyma; thus, allowing for reduction of required iodinate contrast material, especially important in patients with renal impairment. All these advantages are particularly important in oncology, providing the possibility of overcoming many SECT imaging limits and making CT examinations safer and more feasible in critical patients. This review explores the basis of DECT imaging and its utility in routine oncologic clinical practice, with particular attention to the benefits of this technique for both the patients and the radiologists.</p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 3","pages":"Pages 205-213"},"PeriodicalIF":1.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}