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Seminars in Musculoskeletal Radiology最新文献

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Bone and Chronic Kidney Disease. 骨与慢性肾脏疾病。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2023-08-01 Epub Date: 2023-09-25 DOI: 10.1055/s-0043-1770353
Marie-Hélène Lafage-Proust
{"title":"Bone and Chronic Kidney Disease.","authors":"Marie-Hélène Lafage-Proust","doi":"10.1055/s-0043-1770353","DOIUrl":"https://doi.org/10.1055/s-0043-1770353","url":null,"abstract":"<p><p>Chronic kidney disease (CKD) induces mineral and bone disorders (CKD-MBD) that affect calcium and phosphate metabolism. This review links pathophysiology, histologic aspects, and radiologic signs. CKD leads to bone lesions, namely renal osteodystrophy, which may combine low or high bone remodeling, impaired mineralization, and bone loss. CKD-MBD also comprises vascular calcifications, which, together with bone disease, lead to a high risk of cardiovascular events and osteoporotic fractures that increase both morbidity and mortality. Osteoporosis assessment is based on screening for classic risk factors and CKD-related factors (disease duration/severity, transplantation history, dialysis vintage). Treatment of mineral disorders may combine serum phosphate lowering drugs, natural vitamin D or its 1-α derivatives, or calcium-sensing receptor agonists. Treatment of osteoporosis is conventional in mild to moderate stages but more complex in severe CKD because evidence about the efficacy and safety of anti-osteoporosis drugs is scant.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41157781","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}
引用次数: 0
Bone Revisited - Diagnostic Strategies and Specific Entities. 骨修复-诊断策略和特定实体。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2023-08-01 Epub Date: 2023-09-25 DOI: 10.1055/s-0043-1768453
Nicolas Sans, Anne Cotten
{"title":"Bone Revisited - Diagnostic Strategies and Specific Entities.","authors":"Nicolas Sans,&nbsp;Anne Cotten","doi":"10.1055/s-0043-1768453","DOIUrl":"10.1055/s-0043-1768453","url":null,"abstract":"","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160659","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}
引用次数: 0
Metaphyseal and Diaphyseal Contours: Variants and Pitfalls. Metaphysical和Diaphysical轮廓：变体和缺陷。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2023-08-01 Epub Date: 2023-09-25 DOI: 10.1055/s-0043-1770125
Anne Cotten, Nathalie Boutry, Xavier Demondion
{"title":"Metaphyseal and Diaphyseal Contours: Variants and Pitfalls.","authors":"Anne Cotten,&nbsp;Nathalie Boutry,&nbsp;Xavier Demondion","doi":"10.1055/s-0043-1770125","DOIUrl":"https://doi.org/10.1055/s-0043-1770125","url":null,"abstract":"<p><p>We discuss several variants of the metaphyseal and diaphyseal bone surfaces that may be misleading in clinical practice. They include metaphyseal stripes, spiculated metaphyseal cortex, cortical desmoid, laminated lateral supracondylar ridge, cortical vascular canals, variations in shape or lucency of normal tuberosities, cortical thickening of normal ridges, and well-organized undulated hyperostosis at the proximal phalanges.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137125","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}
引用次数: 0
History Page: Leaders in MSK Radiology Maxime Ménard, 1872-1926. 历史页：MSK放射学的领导者Maxime Ménard，1872-1926。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2023-08-01 Epub Date: 2023-09-25 DOI: 10.1055/s-0043-1762592
Filip M Vanhoenacker, Antoine Feydy
{"title":"History Page: Leaders in MSK Radiology Maxime Ménard, 1872-1926.","authors":"Filip M Vanhoenacker,&nbsp;Antoine Feydy","doi":"10.1055/s-0043-1762592","DOIUrl":"https://doi.org/10.1055/s-0043-1762592","url":null,"abstract":"Abstract This history page in the series “Leaders in Musculoskeletal Radiology” is dedicated to the memory and achievements of French radiologist Maxime Ménard, whose name is associated with the Shenton-Ménard line that Ménard described independently with the British radiologist Edward Shenton. This landmark line describes the relationship of the proximal femur to the acetabulum in hip dysplasia and fractures of the femoral neck.","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41150941","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}
引用次数: 0
Opportunistic Computed Tomography Screening for Osteoporosis and Fracture. 骨质疏松症和骨折的计算机断层扫描筛查。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2023-08-01 Epub Date: 2023-09-25 DOI: 10.1055/s-0043-1771037
Daphne Guenoun, Pierre Champsaur
{"title":"Opportunistic Computed Tomography Screening for Osteoporosis and Fracture.","authors":"Daphne Guenoun,&nbsp;Pierre Champsaur","doi":"10.1055/s-0043-1771037","DOIUrl":"https://doi.org/10.1055/s-0043-1771037","url":null,"abstract":"<p><p>Osteoporosis is underdiagnosed and undertreated, leading to loss of treatment for the patient and high costs for the health care system. Routine thoracic and/or abdominal computed tomography (CT) performed for other indications can screen opportunistically for osteoporosis with no extra cost, time, or irradiation. Various methods can quantify fracture risk on opportunistic clinical CT: vertebral Hounsfield unit bone mineral density (BMD), usually of L1; BMD measurement with asynchronous or internal calibration; quantitative CT; bone texture assessment; and finite element analysis. Screening for osteoporosis and vertebral fractures on opportunistic CT is a promising approach, providing automated fracture risk scores by means of artificial intelligence, thus enabling earlier management.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173427","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}
引用次数: 0
Bone in Anorexia. 厌食症中的骨骼。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2023-08-01 Epub Date: 2023-09-25 DOI: 10.1055/s-0043-1768452
Anne Miquel, Valérie Bousson
{"title":"Bone in Anorexia.","authors":"Anne Miquel,&nbsp;Valérie Bousson","doi":"10.1055/s-0043-1768452","DOIUrl":"10.1055/s-0043-1768452","url":null,"abstract":"<p><p>Anorexia nervosa is a feeding disorder involving intentional weight loss. Restricted dietary intake leads to disturbed bone metabolism due to various factors, notably endocrine, that affect bone microarchitecture and incur risk of fracture. Mild to moderate anorexia shows a paradoxical increase in bone marrow adipose tissue, whereas severe forms show gelatinous transformation known as serous atrophy of bone marrow (SABM). Imaging assessment of the mineralized and adipose components uses several techniques: dual-energy X-ray absorptiometry, computed tomography, chemical shift magnetic resonance imaging (MRI), and single-voxel MR spectroscopy. SABM induces MRI bone signal disturbances that can be hard to interpret and may hinder visualization of the fracture line.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41138288","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}
引用次数: 0
Computed Tomography Bone Imaging: Pushing the Boundaries in Clinical Practice. 计算机断层扫描骨成像：在临床实践中突破界限。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2023-08-01 Epub Date: 2023-09-25 DOI: 10.1055/s-0043-1768451
Romain Gillet, Fatma Boubaker, Gabriela Hossu, Anthony Thay, Pierre Gillet, Alain Blum, Pedro Augusto Gondim Teixeira
{"title":"Computed Tomography Bone Imaging: Pushing the Boundaries in Clinical Practice.","authors":"Romain Gillet,&nbsp;Fatma Boubaker,&nbsp;Gabriela Hossu,&nbsp;Anthony Thay,&nbsp;Pierre Gillet,&nbsp;Alain Blum,&nbsp;Pedro Augusto Gondim Teixeira","doi":"10.1055/s-0043-1768451","DOIUrl":"https://doi.org/10.1055/s-0043-1768451","url":null,"abstract":"<p><p>Bone microarchitecture has several clinical implications over and above estimating bone strength. Computed tomography (CT) analysis mainly uses high-resolution peripheral quantitative CT and micro-CT, research imaging techniques, most often limited to peripheral skeleton assessment. Ultra-high-resolution (UHR) CT and photon-counting detector CT, two commercially available techniques, provide images that can approach the spatial resolution of the trabeculae, bringing bone microarchitecture analysis into clinical practice and improving depiction of bone vascularization, tumor matrix, and cortical and periosteal bone. This review presents bone microarchitecture anatomy, principles of analysis, reference measurements, and an update on the performance and potential clinical applications of these new CT techniques. We also share our clinical experience and technical considerations using an UHR-CT device.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152906","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}
引用次数: 0
Brittle Bone Imaging: Diagnostic Procedures in Adults. 脆性骨成像：成人的诊断程序。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2023-08-01 Epub Date: 2023-09-25 DOI: 10.1055/s-0043-1769776
Catherine Cyteval, Paulina Szafors, Maxime Pastor
{"title":"Brittle Bone Imaging: Diagnostic Procedures in Adults.","authors":"Catherine Cyteval,&nbsp;Paulina Szafors,&nbsp;Maxime Pastor","doi":"10.1055/s-0043-1769776","DOIUrl":"https://doi.org/10.1055/s-0043-1769776","url":null,"abstract":"<p><p>This article concentrates on generalized disorders causing bone fragility. The most frequent cause of brittle bone disease is osteoporosis, only diagnosed by elimination. First, malignant osteopathy must be ruled out: fracture on metastasis or multiple myeloma, which mimics osteoporosis when presenting as diffuse demineralization. Second, patients should be screened for signs of hyperparathyroidism or osteomalacia. Much more rarely, many other pathologies can lead to brittle bone by demineralization or associated increased bone density.The radiologist needs to know the clinical context and notably the patient's age (childhood or adulthood) at discovery, and known pathologies and ongoing or previous treatments: corticotherapy, bisphosphonates, denosumab, or prior radiotherapy in the affected region. Diagnostic hypotheses are guided by the type of demineralization and the presence of lytic, mixed, or densifying areas. Lastly, the aspect and location of fractures and association with other bone abnormalities refine the diagnosis.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174397","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}
引用次数: 0
Osteochondral Lesions of the Ankle and Foot. 踝关节和足部的骨软骨病变。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2023-06-01 DOI: 10.1055/s-0043-1766110
Logan P Haug, Andrew P Sill, Roman Shrestha, Karan A Patel, Todd A Kile, Michael G Fox
{"title":"Osteochondral Lesions of the Ankle and Foot.","authors":"Logan P Haug,&nbsp;Andrew P Sill,&nbsp;Roman Shrestha,&nbsp;Karan A Patel,&nbsp;Todd A Kile,&nbsp;Michael G Fox","doi":"10.1055/s-0043-1766110","DOIUrl":"https://doi.org/10.1055/s-0043-1766110","url":null,"abstract":"<p><p>Osteochondral lesions (OCLs) in the ankle are more common than OCLs of the foot, but both share a similar imaging appearance. Knowledge of the various imaging modalities, as well as available surgical techniques, is important for radiologists. We discuss radiographs, ultrasonography, computed tomography, single-photon emission computed tomography/computed tomography, and magnetic resonance imaging to evaluate OCLs. In addition, various surgical techniques used to treat OCLs-debridement, retrograde drilling, microfracture, micronized cartilage-augmented microfracture, autografts, and allografts-are described with an emphasis on postoperative appearance following these techniques.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583366","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}
引用次数: 1
Differential Diagnosis of Metatarsalgia. 跖痛的鉴别诊断。
IF 1.4 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2023-06-01 DOI: 10.1055/s-0043-1764388
P Diana Afonso, Sabrina Veras Britto, Charles E Spritzer, Patrícia Martins E Souza
{"title":"Differential Diagnosis of Metatarsalgia.","authors":"P Diana Afonso,&nbsp;Sabrina Veras Britto,&nbsp;Charles E Spritzer,&nbsp;Patrícia Martins E Souza","doi":"10.1055/s-0043-1764388","DOIUrl":"https://doi.org/10.1055/s-0043-1764388","url":null,"abstract":"<p><p>Lesser (or central) metatarsalgia is defined as pain in the forefoot under or around the lesser metatarsals and their respective metatarsophalangeal joints. Two common causes of central metatarsalgia are Morton's neuroma (MN) and plantar plate (PP) injury. Because both clinical and imaging features overlap, establishing the correct differential diagnosis may be challenging. Imaging has a pivotal role in the detection and characterization of metatarsalgia. Different radiologic modalities are available to assess the common causes of forefoot pain, so the strengths and weakness of these imaging tools should be kept in mind. It is crucial to be aware of the pitfalls that can be encountered in daily clinical practice when dealing with these disorders. This review describes two main causes of lesser metatarsalgia, MN and PP injury, and their differential diagnoses.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9531906","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}
引用次数: 0
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