{"title":"ESSR-ESNR Spine Issue.","authors":"Filip M Vanhoenacker, Radhesh Lalam","doi":"10.1055/s-0043-1772163","DOIUrl":"10.1055/s-0043-1772163","url":null,"abstract":"We were honored to be asked to serve as guest editors of an issue of Seminars of Musculoskeletal Radiology dedicated to imaging of the spine based on the European Course on Spinal Radiology jointly organized by the European Society of Musculoskeletal Radiology (ESSR) and the European Society of Neuroradiology (ESNR). Because diagnostic imaging of the spine and spinal intervention is at the crossroads between neuroradiology and musculoskeletal radiology, a task force composed of Johan Van Goethem, Luigi Manfré, Onur Yeniyigit (ESNR), Antoine Feydy, Maria Tzalonikou, and Filip Vanhoenacker (ESSR) launched the idea in November 2018 of organizing a highquality joint course on spinal imaging and image-guided intervention. The aim was to cover all aspects of spinal imaging in a 2-year cycle, consisting of two modules, adding an extra day of hands-on education on image-guided spinal intervention. The first joint course with lectures by neuroradiologists and musculoskeletal radiologists was held in Malta (2019), followed by another successful meeting in Rome, just before the onset of the COVID pandemic. In 2021, a well-attended virtual meeting was held. The following year, in March 2022, it was time for a new start of on-site meetings, held in beautiful Porto. We are continuing the tradition with a course in Athens. We are very grateful that the boardmembers of Seminars in Musculoskeletal Radiology agreed to dedicate a special issue of highlighted articles from our joint meetings, authored by either musculoskeletal radiologists or neuroradiologists. The first article in this issue focuses on the complications of the rigid spinewith emphasis on acute fractures,which are often initially unrecognized, resulting in a delayed diagnosis. Because these fractures are often unstable, with a high rate of neurologic complications and a high morbidity and mortality, early diagnosis is of utmost importance, using the appropriate imaging technique. The second article deals with the craniocervical junction, which is an underappreciated topic. Kris Mertens and Filip Vanhoenacker provide an extensive overview of the wide range of congenital variants, traumatic, degenerative, inflammatory, and tumoral diseases that may involve this complex anatomical area. The next article, on the imaging of whiplash by Joris Schollaert et al, evaluates the consequences of this common and difficult problem in insurancemedicinebecause itmay be related to a variety of ligamentous injuries, or less frequently, osseous, intervertebral disk, and/or muscular lesions. Simranjeet Kaur and Radhesh Lalam from the Oswestry group discuss the pathogenesis, imaging features, natural history, and treatment principles of Scheuermann’s disease. Maxime Lacroix et al review the imaging of scoliosis, an important and frequent issue in daily practice. Anne Cotten and colleagues disclose all the secrets of crystal diseases of the spine, often mimicking infectious spondylodiskitis. The correct diagnosis is faci","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"27 5","pages":"489-490"},"PeriodicalIF":1.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217810","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 the Musculoskeletal Radiologist Needs to Know About the Vascular Anatomy of the Spine and Spinal Cord.","authors":"Rui Duarte Armindo, Pedro Vilela","doi":"10.1055/s-0043-1772171","DOIUrl":"10.1055/s-0043-1772171","url":null,"abstract":"<p><p>This article describes the vascular anatomy of the spine and spinal cord, highlighting key structures and anatomical variations relevant to musculoskeletal radiologists. It covers the arterial and venous drainage systems, along with examples of vascular conditions affecting the spine. Understanding the vascular anatomy of the spine and spinal cord is crucial for accurate interpretation of imaging studies and safe spinal interventional procedures. Imaging techniques for evaluating vascular pathology of the spine are discussed and compared. Understanding vascular anatomy and the most common vascular disorders will lead to an accurate diagnosis and suggest the appropriate type of study needed for further characterization and/or patient management.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"27 5","pages":"580-587"},"PeriodicalIF":1.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217819","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}
Nick Van den Eede, Klaus M Friedrich, Luc van den Hauwe
{"title":"Imaging the Posterior Elements of the Spine.","authors":"Nick Van den Eede, Klaus M Friedrich, Luc van den Hauwe","doi":"10.1055/s-0043-1770996","DOIUrl":"10.1055/s-0043-1770996","url":null,"abstract":"<p><p>The posterior elements of the spine consist of the pedicles, laminae, facets (articular processes), transverse processes, and the spinous process. They are essential for spinal stability, protecting the spinal cord and nerve roots, and enabling movement of the spine. Pathologies affecting the posterior elements can cause significant pain and disability. Imaging techniques, such as conventional radiography, computed tomography, and magnetic resonance imaging, are crucial for the diagnosis and evaluation of pathology, enabling accurate localization, characterization, and staging of the disease.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"27 5","pages":"553-560"},"PeriodicalIF":1.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217814","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}
Anne Cotten, Simon Henry, Laura Scarciolla, Ralph Abou Diwan, Xavier Demondion, Sammy Badr
{"title":"Crystal Diseases of the Spine.","authors":"Anne Cotten, Simon Henry, Laura Scarciolla, Ralph Abou Diwan, Xavier Demondion, Sammy Badr","doi":"10.1055/s-0043-1770763","DOIUrl":"10.1055/s-0043-1770763","url":null,"abstract":"<p><p>Gout, calcium pyrophosphate deposition disease, and apatite calcifications, the three main crystal disorders, may involve the spine. These disorders can be completely asymptomatic or associated with various clinical symptoms, such as acute flares and more chronic manifestations. This article presents the typical and more unusual imaging features encountered in these disorders.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"27 5","pages":"545-552"},"PeriodicalIF":1.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217808","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":"History Page: Leaders in MSK Radiology Brian Joseph Cremin (1929-2012).","authors":"Peter Beighton","doi":"10.1055/s-0043-1763262","DOIUrl":"10.1055/s-0043-1763262","url":null,"abstract":"<p><p>This history page in the series \"Leaders in MSK Radiology\" is dedicated to the achievements of the British radiologist Brian Cremin, one of the pioneers of imaging of skeletal dysplasias.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"27 5","pages":"596-598"},"PeriodicalIF":1.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217811","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":"Imaging in Whiplash-Associated Disorders.","authors":"Joris Schollaert, Johan W M Van Goethem","doi":"10.1055/s-0043-1772170","DOIUrl":"10.1055/s-0043-1772170","url":null,"abstract":"<p><p>\"Whiplash,\" a term describing the severe acceleration and deceleration forces applied to the head, craniocervical junction (CCJ), and cervical spine during trauma, is one of the most frequent mechanisms of injury to the CCJ. The CCJ is a complex region at the transition of the cranium and the cervical spine, essential for maintaining craniocervical stability. In whiplash injuries, the CCJ may be compromised due to underlying ligamentous or, less frequently, osseous, intravertebral disk and/or muscular lesions. Imaging is crucial in detecting acute lesions but may also play a role in the follow-up of chronic pathology because soft tissue lesions and progressive disk pathology could contribute to a whiplash-associated disorder.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"27 5","pages":"512-521"},"PeriodicalIF":1.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217812","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}
Stijn Schatteman, Jacob Jaremko, Lennart Jans, Nele Herregods
{"title":"Update on Pediatric Spine Imaging.","authors":"Stijn Schatteman, Jacob Jaremko, Lennart Jans, Nele Herregods","doi":"10.1055/s-0043-1771333","DOIUrl":"10.1055/s-0043-1771333","url":null,"abstract":"<p><p>The spine is often difficult to evaluate clinically in children, increasing the importance of diagnostic imaging to detect a wide variety of spinal disorders ranging from congenital abnormalities to severe infections. Clinical history and physical examination can help determine whether imaging is needed and which imaging technique would be best. The most common cause for back pain, even in children, is muscular strain/spasm that does not require any imaging. However, red flags such as pain at age < 5 years, constant pain, night pain, radicular pain, pain lasting > 4 weeks, or an abnormal neurologic examination may require further investigation. Imaging can be of great value for diagnosis but must be interpreted along with the clinical history, physical examination, and laboratory findings to achieve an accurate diagnosis. We discuss imaging for the most common and/or important spine pathologies in children: congenital and developmental pathologies, trauma, infectious processes, inflammatory causes, and tumors.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"27 5","pages":"566-579"},"PeriodicalIF":1.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217818","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}
Filip M Vanhoenacker, Charlotte Vanhoenacker, Radhesh Lalam
{"title":"Complications of the Rigid Spine.","authors":"Filip M Vanhoenacker, Charlotte Vanhoenacker, Radhesh Lalam","doi":"10.1055/s-0043-1770136","DOIUrl":"https://doi.org/10.1055/s-0043-1770136","url":null,"abstract":"<p><p>We present a short overview of the most common causes and imaging findings of a rigid spine including long-standing spondylarthritis, diffuse idiopathic skeletal hyperostosis, and the less common ossification of the posterior longitudinal ligament. The article also focuses on the pathogenesis and imaging findings of acute complications of the rigid spine due to fractures. These fractures may occur even after minor trauma and are difficult to detect on initial radiographs, resulting in a delayed diagnosis. They are often unstable with a high risk of severe neurologic complications, leading to high morbidity and mortality both in the initial phase and in the months following the fracture. Because the negative predictive value of conventional radiography is low, every patient with a rigid spine with newly appearing pain should be referred for subsequent cross-sectional imaging.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"27 5","pages":"491-498"},"PeriodicalIF":1.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217807","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":"Imaging of the Craniocervical Junction: A Pictorial Review.","authors":"Kris Mertens, Filip M Vanhoenacker","doi":"10.1055/s-0043-1772190","DOIUrl":"https://doi.org/10.1055/s-0043-1772190","url":null,"abstract":"<p><p>The craniocervical junction (CCJ) is a complex anatomical structure comprising the occiput, the atlas, and the axis. The CCJ plays an important role in maintaining stability, providing protection, and supporting neurovascular structures. The CCJ can be affected by a wide range of congenital variants and traumatic, degenerative, inflammatory, and tumoral pathologies. This pictorial review the normal anatomy of the CCJ and presents the most common anatomical variants and pathologic conditions affecting the CCJ.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"27 5","pages":"499-511"},"PeriodicalIF":1.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217813","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}
Gennaro D'Anna, Lubdha Shah, Peter G Kranz, Joshua A Hirsch, M Khan, Michele Johnson, Antoine Feydy, J Nathan, L Manfre, Dan T Nguyen, Gordan Sze, Johan Van Goethem, Filip M Vanhoenacker
{"title":"Results of an International Survey on Spinal Imaging by the ASNR/ASSR/ESNR/ESSR \"Nomenclature 3.0\" Working Group.","authors":"Gennaro D'Anna, Lubdha Shah, Peter G Kranz, Joshua A Hirsch, M Khan, Michele Johnson, Antoine Feydy, J Nathan, L Manfre, Dan T Nguyen, Gordan Sze, Johan Van Goethem, Filip M Vanhoenacker","doi":"10.1055/s-0043-1768247","DOIUrl":"10.1055/s-0043-1768247","url":null,"abstract":"<p><p>Our goal was to determine if \"Nomenclature 2.0,\" the classification of lumbar disk pathology consensus, should be updated. We conducted a social media and e-mail-based survey on preferences regarding the use of classification on magnetic resonance spine reporting. Members of the European Society of Neuroradiology, European Society of Musculoskeletal Radiology, American Society of Neuroradiology, and American Society of Spine Radiology received a 15-question online survey between February and March 2022. A total of 600 responses were received from 63 countries. The largest number of responses came from Italy and the United States. We found that 71.28% of respondents used Nomenclature 2.0, Classification of Lumbar Disk Pathology. But classification on stenosis is used less often: 53.94% and 60% of respondents do not use any classification of spinal canal stenosis and foraminal stenosis, respectively. When queried about which part of Nomenclature needs improving, most respondents asked for a Structured Reporting Template (SRT), even though 58.85% of respondents do not currently use any template and 54% routinely use a clinical information questionnaire. These results highlight the importance of an updated Nomenclature 3.0 version that integrates the classifications of lumbar disk disease and spinal canal and foraminal stenosis. Further attention should also be directed toward developing a robust endorsed SRT.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"27 5","pages":"561-565"},"PeriodicalIF":1.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217815","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}