{"title":"[Practical value of the descending ray angle in the axial femoropatellar study. Sensitizing role of external rotation of the skeleton of the leg in the 30 degree F.P angle].","authors":"C Patrux","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The descending ray, or so-called \"inverted\", axial femoropatellar view, used much less frequently than the classical ascending view, is described. This view is easy to perform, but requires very rigorous positioning of the patient and the equipment. All of the practical details are illustrated by photographs. The advantages of this technique concern patient comfort, particularly easy control of quadriceps muscle relaxation, good reproducibility of the view and the ease with which axial femoropatellar views can be obtained at 30 degrees with external rotation of the leg. This manoeuvre considerably improves the detection rate, by standard radiology alone, of transient external instability of the patella, there by reducing the indications for CT scan.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"38 5","pages":"237-43"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19758498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The puncture of the knee].","authors":"M Wybier, B Hamzé, P Champsaur","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Knee puncture for arthrography via a lateral parapatellar approach is described. Direct puncture of the femorotibial space, via a ventral approach, is more painful and should only be used when the lateral parapatellar route is not possible, namely in case of complete suprapatellar plica.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"38 5","pages":"284-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19759080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Imaging of the lumbar spine after diskectomy].","authors":"J D Laredo, M Wybier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The radiological investigation of persistent or recurrent sciatica after lumbar diskectomy essentially consists of demonstrating recurrent disk herniation. Comparison between plain and contrast enhanced CT or MR examinations at the level of the diskectomy is the main step of the radiological survey. The meanings of the various radiological findings are discussed. Other lesions that may induce persistent sciatica after lumbar diskectomy include degenerative narrowing of the lateral recess, spinal instability, stress fracture of the remaining neural arch, pseudo-meningomyelocele after laminectomy.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"38 4","pages":"161-8"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19718928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The labrum glenoidale].","authors":"J Bernageau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The value of assessment of the labrum glenoidale has increased with the development of CT arthrography and arthroscopy. Assessment of the labrum glenoidale must be preceded by standard radiological assessment looking for of a lesion of the glenoidal margin. CT arthrography is currently the most reliable technique due to the definition and fine sections which can be obtained. Morphological variations of the labrum glenoidale and glenohumeral ligaments are the main causes of diagnostic errors. MRI also provides AP sections, but is less effective. MR arthrography is more effective and may constitute the technique of the future, but it requires intra-articular puncture and is expensive. Schematically, there are four sites of lesion of the labrum glenoidale: anteroinferior secondary to anterior instability, posterior secondary to posterior instability, Snyder's SLAP lesions and the anterosuperior lesions described by Andrews and Carson. The demonstration and interpretation of SLAP lesions is difficult, particularly types I and II. Analysis of the labrum glenoidale is limited. It is essentially indicated in unstable and painful shoulders, possibly secondary to a missed instability accident when the antero-inferior glenoidal margin is normal or doubtful. However, when looking for a lesion of the labrum glenoidale, it is logical to perform CT arthrography rather than arthroscopy, which is far more invasive and expensive.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"38 5","pages":"266-74"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19758501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J P Armand, D Soulié, J M Girault, P Andrieu de Levis, L de Monck d'Uzer, D Lepront, P Carlier
{"title":"[Bilateral adrenal hemorrhage induced by stress. Radiological diagnosis. Apropos of a case].","authors":"J P Armand, D Soulié, J M Girault, P Andrieu de Levis, L de Monck d'Uzer, D Lepront, P Carlier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Bilateral hemorrhage of the adrenal gland is a rare disease in adults. Although stress is often said to be the cause, it is rarely observed. The non specific clinical manifestations, and the absence of adrenal insufficiency demonstrate the importance of radiology. The diagnosis is made by ultrasonography and CT scan, which reveals an oval adrenal mass of high density that subsequently decreases in both size and density.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"38 3","pages":"153-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18511309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N Grenier, J C Brichaux, P Degreze, C Douws, J Palussière, H Trillaud
{"title":"[Exploration of renal arteries by angio-MRI].","authors":"N Grenier, J C Brichaux, P Degreze, C Douws, J Palussière, H Trillaud","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Major clinical challenges are involved in applications of MR-angiography for the study of renal arteries, mostly for the diagnosis of renovascular hypertension. This technique now competes with color Doppler flow sonography and spiral CT. MR angiography of the renal arteries can be performed with 2D or 3D, flight-time or phase contrast sequences. Main and co-dominant arteries are usual by visualized on all sequences, but small accessory arteries are often missed. The diagnosis of stenosis is based on the presence of an area of signal extinction. The degree of extinction depends on the degree of turbulence, the type of technique, the length of TE and spatial resolution parameters, which is why scoring of stenoses is difficult and frequently overestimated. The diagnostic performance for stenosis is between 50 and 100% for sensitivity and between 80 and 97% for specificity. Detection of distal stenoses is poor because of respiratory artifacts. Multiphase acquisitions make it possible to measure the renal blood flow on each renal artery, adding hemodynamic criteria to this diagnosis.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"38 1-2","pages":"69-78"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18636165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L Comesaña, M del Castillo, R Martín, E Rodríguez, J L Guerra, R Soler
{"title":"Musculoskeletal amyloid disease: MRI features.","authors":"L Comesaña, M del Castillo, R Martín, E Rodríguez, J L Guerra, R Soler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case of arthropathy and soft tissue masses due to amyloid deposition in a patient with myeloma is reported. The radiologic and magnetic resonance findings of musculoskeletal amyloidosis are described. The amyloid masses show heterogeneous signal intensity, with a signal lower than muscle and intermingled areas of marked hyperintensity on T2-weighted images.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"38 3","pages":"150-2"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18511308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I Leblan, H Gaucher, J C Hoeffel, V Arnould, M A Galloy, L Mainard
{"title":"[Eosinophilic granuloma of bones in children].","authors":"I Leblan, H Gaucher, J C Hoeffel, V Arnould, M A Galloy, L Mainard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Eosinophilic granuloma of bone or Langerhans cell histiocytosis is mostly unifocal. It appears on plain X Ray as a solitary destructive lesion of long bones or flat bones. CT is useful to define the extension to the cortical bone and also to precisely localize the lesion when the anatomy is complex (hip, spine, base of the skull). MR is very useful in case of more aggressive lesions when there is extension to soft tissues. Differential diagnosis includes circumscribed osteitis and tumors in the case of extensive destruction. The natural course of solitary lesions is favorable, spontaneously or with therapy. The prognosis is more serious in the case of multiple lesions.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"38 3","pages":"125-38"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18512017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Principles of magnetic resonance angiography].","authors":"C Pharaboz, B Falise, B Boyer, P Dubayle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Magnetic resonance angiography is a modality of functional imaging which can only be interpreted on the basis of a good understanding of vascular physiology and the physical principles of image acquisition. Magnetic resonance angiography is based on flow-related \"artefacts\". The oldest method is based on renewal of the image by proton flow: the flight time effect. Dephasing of the protons travelling in magnetic field gradients results in phase-contrast angiography. These two methods of angiography each have respective advantages and disadvantages: they are not mutually exclusive, but complementary.</p>","PeriodicalId":75506,"journal":{"name":"Annales de radiologie","volume":"38 1-2","pages":"7-19"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18636166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}