Zachary Elijah Stewart, Lisa Park, Kamal Tarabine, Kenneth S Lee
{"title":"Musculoskeletal Interventions: The Past, Present, and Future.","authors":"Zachary Elijah Stewart, Lisa Park, Kamal Tarabine, Kenneth S Lee","doi":"10.1055/a-2818-3761","DOIUrl":"https://doi.org/10.1055/a-2818-3761","url":null,"abstract":"<p><strong>Abstract: </strong>Musculoskeletal radiology has transitioned to \"musculoskeletal imaging and intervention,\" encompassing both traditional diagnostic roles and specialized interventional roles shared with our interventional radiology colleagues. As part of the 30th year of publication of <i>Seminars in Musculoskeletal Radiology</i>, we are excited to present to readers what musculoskeletal interventions embody and how the field has progressed from past to present. We also specifically examine the future impact of artificial intelligence, robotics, and emerging technologies on procedural safety and effectiveness. Artificial intelligence is already optimizing scheduling and needle visualization while robotics and augmented reality are demonstrating high success rates in autonomous injections and biopsies. To envision the future of musculoskeletal intervention and the evolving roles of artificial intelligence and robotics, we must first understand where the field originated and where it stands today.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857529","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}
Alexander F Heimann, Jose A Roshardt, Florian Schmaranzer, Reto Sutter
{"title":"Role of Imaging in Femoroacetabular Impingement Syndrome: From Pathomechanics to Patient-Specific Management.","authors":"Alexander F Heimann, Jose A Roshardt, Florian Schmaranzer, Reto Sutter","doi":"10.1055/a-2817-2932","DOIUrl":"https://doi.org/10.1055/a-2817-2932","url":null,"abstract":"<p><strong>Abstract: </strong>Femoroacetabular impingement syndrome is a significant morphology-driven hip disorder in which abnormal osseous geometry and dynamic hip motion lead to intra- and/or extra-articular mechanical conflict. Repetitive impingement induces chondrolabral injuries, promoting early joint degeneration and representing a major pathway to osteoarthritis. Although cam and pincer morphologies and femoral torsion abnormalities are commonly observed on imaging, these features alone are not sufficient for diagnosis, requiring integration with clinical evaluation.</p><p><strong>Abstract: </strong>Imaging plays a pivotal role in assessing femoroacetabular impingement syndrome, from diagnosis to preoperative planning and postoperative follow-up. Conventional radiography remains indispensable for the primary assessment of hip morphology. Computed tomography provides high-resolution three-dimensional characterization of osseous structures and torsional alignment. Magnetic resonance imaging, including direct magnetic resonance arthrography and traction or position-specific protocols, allows detailed evaluation of chondrolabral lesions, cartilage integrity, and periarticular soft tissues. Quantitative cartilage imaging and three-dimensional modeling further enhance detection of early degeneration, motion-dependent impingement, and dynamic instability.</p><p><strong>Abstract: </strong>Accurate differentiation between impingement and instability is critical. Imaging findings guide planning, patient selection, and prognostication, supporting surgical interventions while minimizing risks. This review provides a structured overview of femoroacetabular impingement syndrome pathomechanics and imaging, highlighting conventional and advanced modalities, established and emerging diagnostic parameters, and their implications for patient-specific management.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857549","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":"Magnetic Resonance Neurography: Evolution, Technical Foundations, and Future Directions.","authors":"Gustav Andreisek, Nicolae V Bolog, Amelie M Lutz","doi":"10.1055/a-2817-3039","DOIUrl":"https://doi.org/10.1055/a-2817-3039","url":null,"abstract":"<p><strong>Abstract: </strong>In the past 20 years, magnetic resonance neurography has evolved from an experimental technique into an essential diagnostic pillar for peripheral nerve evaluation. This review delineates the historical shift from 1.5T to 3T systems and the transition from two-dimensional acquisitions to three-dimensional isotropic volumetric sequences that allow for high-fidelity multiplanar reconstructions. We explore the principles of modern protocols, including Dixon-based fat suppression, contrast-enhanced imaging, and diffusion tensor imaging. Furthermore, the clinical usefulness of the Neuropathy Score Reporting and Data System in standardizing communication across multidisciplinary nerve boards is explored.</p><p><strong>Abstract: </strong>We focus specifically on recent developments highlighted by deep learning reconstruction and automated segmentation driven by artificial intelligence that enhance signal-to-noise ratios and diagnostic precision. By integrating quantitative biomarkers such as apparent diffusion coefficient values for tumor characterization, magnetic resonance neurography provides a definitive morphological and functional roadmap, bridging the gap between electrodiagnostic testing and surgical intervention.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822895","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}
Bernd Erber, Rainer Schmitt, Christian Kindler, Bernd Mayer, Christian Glaser
{"title":"Sometimes a Long Way to Go: Symptomatic Subtle Nonosseous Capitotrapezoid Coalition. Case Report and Literature Review.","authors":"Bernd Erber, Rainer Schmitt, Christian Kindler, Bernd Mayer, Christian Glaser","doi":"10.1055/a-2842-5846","DOIUrl":"https://doi.org/10.1055/a-2842-5846","url":null,"abstract":"<p><p>A carpal coalition is an abnormal articulation between carpal bones due to inadequate segmentation of common embryological precursors. It is often seen as an incidental and asymptomatic finding. Here we illustrate the clinical and radiologic characteristics of a subtle partial and symptomatic capitotrapezoid coalition in a 30-year-old female patient. The clinical symptoms and imaging findings had been present but were not recognized for > 10 years before the diagnosis. After the correct diagnosis and resection of the coalition, the patient was free of symptoms and able to continue her profession as a physical therapist. · Subarticular bone marrow edema pattern (BMEP) may represent the only magnetic resonance imaging (MRI) finding indicating a potential nonosseous coalition, particularly when the coalition is subtle.. · Subarticular BMEP that remains constant in location across several imaging studies over time strongly suggests a nonosseous coalition, particularly in the absence of other discernible MRI abnormalities.. · High-resolution computed tomography (CT) is the imaging standard of reference to diagnose discrete nonosseous coalitions, especially when initial MRI is suggestive but not definitive.. · Patients typically present with a long-standing history of insidious onset, often in adolescence or early adulthood, characterized by recurrent episodes of otherwise nonspecific exercise-related pain..</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822865","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}
Fabian Nicolas Jud, Nadja Mamisch-Saupe, Benjamin Fritz, Marco Zanetti
{"title":"Magnetic Resonance Imaging of T2-weighted Hypointense Nodular Lesions of the Foot and Ankle: A Pictorial Review of Rheumatoid Nodules, Tophaceous Gout, and Tenosynovial Giant Cell Tumor.","authors":"Fabian Nicolas Jud, Nadja Mamisch-Saupe, Benjamin Fritz, Marco Zanetti","doi":"10.1055/a-2808-2134","DOIUrl":"https://doi.org/10.1055/a-2808-2134","url":null,"abstract":"<p><strong>Abstract: </strong>Nodular soft tissue abnormalities are common in the foot and ankle and often demonstrate overlapping magnetic resonance imaging features, typically showing high signal intensity on T2-weighted sequences. In contrast, T2-weighted hypointense soft tissue nodules are less common and encompass a range of neoplastic and pseudotumoral entities. Among these, Morton's neuroma is likely the most prevalent abnormality; however, other less common but clinically relevant lesions may appear with similar imaging features.</p><p><strong>Abstract: </strong>This article focuses on three such conditions: rheumatoid nodules, tophaceous gout, and tenosynovial giant cell tumor. Although the imaging findings of these lesions themselves are often nonspecific, the associated features can provide important diagnostic clues. Rheumatoid nodules typically occur around the metatarsophalangeal joints, in areas subject to repeated mechanical stress, and usually present as multiple lesions with accompanying intermetatarsal bursitis. In contrast, tophaceous gout is rarely associated with interdigital bursitis, but more commonly it shows diffuse fatty muscle infiltration. Tenosynovial giant cell tumors are typically limited to a single joint space or tendon sheath and usually not associated with bursitis, pseudobursae, or fatty infiltration of the muscles.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822826","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}
Salvatore Gitto, Patrick Omoumi, Domenico Albano, Pau Xiberta, Silvia Rossi, Aldo Rizzo, Carmelo Messina, Alessandra Splendiani, Antonio Barile, Luca Maria Sconfienza
{"title":"Artificial Intelligence in Spine Imaging Interpretation.","authors":"Salvatore Gitto, Patrick Omoumi, Domenico Albano, Pau Xiberta, Silvia Rossi, Aldo Rizzo, Carmelo Messina, Alessandra Splendiani, Antonio Barile, Luca Maria Sconfienza","doi":"10.1055/a-2836-8033","DOIUrl":"https://doi.org/10.1055/a-2836-8033","url":null,"abstract":"<p><p>Spinal disorders, one of the leading causes of disability worldwide, are routinely assessed on imaging studies. Recent advancements in artificial intelligence for spine imaging interpretation may significantly improve diagnostic accuracy and workflow efficiency, using deep learning and conventional machine learning methods. This narrative review focuses on the innovative artificial intelligence applications in spine imaging interpretation with a pathology-based approach: vertebral fractures, spinal deformities, degenerative disease, skeletal tumors, inflammatory disorders, and opportunistic screening. We provide musculoskeletal radiologists with an up-to-date overview of artificial intelligence applications in spine imaging, thus assisting them in an efficient use of these emerging technologies and promoting clinical adoption.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693230","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}
Junjian Huang, Junman Kim, John Smirniotopoulos, Nan Xiang, Maxwell Su, Richard Pigg, Joshua A Hirsch
{"title":"Controversies and Efficacy of Percutaneous Spinal Interventions.","authors":"Junjian Huang, Junman Kim, John Smirniotopoulos, Nan Xiang, Maxwell Su, Richard Pigg, Joshua A Hirsch","doi":"10.1055/a-2820-0792","DOIUrl":"https://doi.org/10.1055/a-2820-0792","url":null,"abstract":"<p><p>Percutaneous interventional spine procedures are continually evolving. This article explores the current status, evidence, and controversial aspects of seven prominent image-guided minimally invasive interventions for painful spinal conditions: vertebral augmentation, basivertebral nerve ablation, interspinous process devices, minimally invasive lumbar decompression, radiofrequency medial branch ablation, high-frequency spinal cord stimulation, and multifidus muscle stimulation.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693255","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":"Sport Imaging.","authors":"Alberto Bazzocchi, Giuseppe Guglielmi","doi":"10.1055/s-0046-1818587","DOIUrl":"https://doi.org/10.1055/s-0046-1818587","url":null,"abstract":"","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 2","pages":"103-104"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475959","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":"Sports Injuries: Traumatic and Overuse Injuries of the Shoulder.","authors":"Douglas Dunn, Ali Naraghi, Lawrence M White","doi":"10.1055/a-2771-1174","DOIUrl":"10.1055/a-2771-1174","url":null,"abstract":"<p><p>The shoulder joint, one of the most complex and mobile articulations in the human body, is prone to derangement as a result of acute trauma or repetitive microtraumatic injury in athletes. In contact and collision sports, most shoulder injuries are acromioclavicular joint sprains and dislocations, glenohumeral dislocations, and rotator cuff injuries. In overhead and throwing athletes, rotator cuff and labral pathologies are frequent and typically arise as the result of overuse repetitive microtraumatic injuries of the glenohumeral articulation. This review article summarizes the epidemiology, mechanisms of injury, and characteristic imaging findings of common shoulder injuries in athletes, including acromioclavicular joint injuries, rotator cuff tears and avulsions, pediatric epiphyseal and apophyseal injuries, glenohumeral dislocations, repetitive microtraumatic overuse, and other muscular injuries.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"143-159"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167669","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":"What's New: Sub-5-minute Knee Magnetic Resonance Imaging- Spectrum of Sports Injuries and Overuse Conditions.","authors":"Sophie Leung, Jan Fritz","doi":"10.1055/a-2798-5775","DOIUrl":"10.1055/a-2798-5775","url":null,"abstract":"<p><p>Knee injuries are one of the most common complaints in sports medicine. Magnetic resonance imaging is an essential adjunct to clinical evaluation for many traumatic injuries and overuse conditions. Given the heavy use of knee magnetic resonance imaging, developing faster magnetic resonance imaging acquisition methods and deployment in clinical practice would be valuable. In this article, we illustrate a spectrum of knee abnormalities from our clinical practice, utilizing a recently developed, publicly available sub-5-minute knee magnetic resonance imaging protocol with super-resolution image reconstruction based on deep learning. We review common traumatic injuries and overuse conditions of the knee and illustrate cases with this novel fast knee magnetic resonance imaging protocol.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"119-132"},"PeriodicalIF":1.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349503","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}