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":"10.1055/a-2820-0792","url":null,"abstract":"<p><strong>Abstract: </strong>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":"350-360"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","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":"Pitfalls in Imaging of Spinal Infection.","authors":"Bernhard Tins","doi":"10.1055/a-2808-7865","DOIUrl":"10.1055/a-2808-7865","url":null,"abstract":"<p><strong>Abstract: </strong>The most common spine infection, spondylodiskitis centered on a single disk level with adjacent bone inflammation and destruction, is easily diagnosed. But as discussed in this article, a number of presentations are difficult to diagnose at first presentation. After a short introduction and review of imaging modalities, specific imaging manifestations of spine infection and their differential diagnoses are described.</p><p><strong>Abstract: </strong>This review looks at inflammatory end-plate changes, epidural collection, posterior element changes, paravertebral inflammation, and isolated disk signal change. The differential diagnoses are listed. A sizable number of cases, many of which were initially misdiagnosed, are described to illustrate pertinent points.</p><p><strong>Abstract: </strong>The most important lesson is to perform short-term follow-up cross-sectional imaging if a diagnosis of infection is considered but cannot be clearly established.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"267-281"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534108","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":"Role of Imaging in Surgical Decision Making.","authors":"Sai Gautham Balasubramanian, Birender Balain","doi":"10.1055/a-2812-7731","DOIUrl":"10.1055/a-2812-7731","url":null,"abstract":"<p><strong>Abstract: </strong>With the growth of spinal surgery, in terms of numbers of operations, as well as the techniques and implants used, surgeons and spine physicians are turning more to imaging for clinical management decisions and surgical planning for spinal disorders. Medicolegal implications also make it mandatory in all cases. We discuss the importance of imaging in modern spinal surgical practice, with an emphasis on decision making in clinics, preoperative surgical work-up, and operative use, as well as in a postoperative setting when complications occur. The increasing use of endoscopic techniques has made the role of imaging even more important because precise techniques can enable viewing the sites of pathology with minimal damage to normal anatomy.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"294-302"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582755","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":"Accelerated Spine Magnetic Resonance Imaging: Techniques and Practical Implementation for Routine Clinical Imaging.","authors":"Benjamin Fritz","doi":"10.1055/a-2800-8484","DOIUrl":"10.1055/a-2800-8484","url":null,"abstract":"<p><strong>Abstract: </strong>Spine magnetic resonance imaging is among the most frequently performed examinations in clinical radiology and places substantial demands on workflow efficiency and image quality. Over the past 20 years, acquisition times have been markedly reduced through a combination of optimized sequence parameters, advanced acceleration techniques, and modern image reconstruction methods.</p><p><strong>Abstract: </strong>This article provides an overview of contemporary strategies for accelerating two-dimensional spine magnetic resonance imaging, with a focus on techniques that are robust and feasible in routine clinical practice. Classical parameter optimization, parallel imaging, compressed sensing, simultaneous multislice acquisition, and image reconstruction based on artificial intelligence are discussed with regard to their technical principles, advantages, and limitations.</p><p><strong>Abstract: </strong>Particular emphasis is placed on practical protocol integration and a \"how we do it\" approach, illustrating how these methods can be combined to achieve substantial time savings while preserving diagnostic confidence. When applied judiciously, modern acceleration and reconstruction techniques enable efficient, high-quality spine magnetic resonance imaging and are particularly well suited for this high-volume clinical application.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"339-349"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391509","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":"Nuclear Medicine Imaging for Spinal Pain in the Pre- and Postoperative Setting.","authors":"Aster Marin, Tim Van den Wyngaert","doi":"10.1055/a-2820-0656","DOIUrl":"10.1055/a-2820-0656","url":null,"abstract":"<p><strong>Abstract: </strong>Spinal pain represents a significant clinical and socioeconomic burden, with conventional imaging often unable to identify the precise pain generator or distinguish active pathology from incidental degenerative findings. Hybrid nuclear medicine imaging techniques, such as bone single photon emission computed tomography/computed tomography and fluorine-18 fluorodeoxyglucose-positron emission tomography/computed tomography, provide complementary functional and metabolic information that can enhance diagnostic accuracy in selected patients.</p><p><strong>Abstract: </strong>This review summarizes current applications of hybrid imaging in prevalent spinal pathologies across preoperative and postoperative settings. In preoperative evaluation, bone single photon emission computed tomography/computed tomography localizes symptomatic degenerative changes, including facet joint and disk pathology. Postoperatively, bone single photon emission computed tomography/computed tomography demonstrates high sensitivity for hardware complications, pseudoarthrosis, and adjacent segment degeneration. In contrast, fluorine-18 fluorodeoxyglucose-positron emission tomography/computed tomography is used to detect spinal infection. Understanding appropriate indications, optimal timing, and interpretive pitfalls is essential to integrate these techniques effectively into multidisciplinary management pathways and guide targeted therapeutic interventions in patients with persistent or recurrent spinal pain.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"282-293"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445766","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":"Current Advances and Controversies in Spine Imaging.","authors":"Radhesh Lalam, Bernhard Tins","doi":"10.1055/s-0046-1820489","DOIUrl":"https://doi.org/10.1055/s-0046-1820489","url":null,"abstract":"","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"30 3","pages":"243-244"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007258","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":"Symptom Correlation in Spine MRI Interpretation.","authors":"William E Palmer","doi":"10.1055/a-2806-0533","DOIUrl":"10.1055/a-2806-0533","url":null,"abstract":"<p><strong>Abstract: </strong>In spine magnetic resonance imaging (MRI), incidental abnormalities are difficult to distinguish from actual pain generators (the cause of symptoms). Spine specialists see patients face to face and take clinical histories to learn symptoms. They use this symptom information to focus on only the most relevant MRI abnormalities, diagnose pain generators, and make treatment decisions. In the absence of symptom information, radiologists seek to identify all MRI abnormalities and list them in dictated reports without ranking their relative importance.</p><p><strong>Abstract: </strong>Like spine specialists, radiologists can match symptoms with MRI findings to improve diagnostic accuracy and confidence. Symptom-MRI correlation requires radiologists to have access to high-quality clinical information and understand the causal relationships between symptoms and pain generators. This article covers symptom-MRI correlation and pitfalls related to spine MRI interpretation.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":" ","pages":"245-253"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470122","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":"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":1.4,"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}
{"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":1.4,"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}