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Seminars in Musculoskeletal Radiology

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https://read.qxmd.com/read/30699445/hip-hype-fai-syndrome-amara-s-law-and-the-hype-cycle
#1
Ara Kassarjian
Femoroacetabular impingement (FAI) has taken us on a roller-coaster ride of innovation, heightened expectations, disillusionment, and confusing diagnostic and treatment pathways. This article reviews and analyzes the phases of FAI diagnosis and treatment over the past 15 years and discusses its parallels to Amara's law and Gartner's hype cycle.
January 30, 2019: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30699455/surprising-bone-and-soft-tissue-lesions-of-the-chest-pictorial-review
#2
Bert J R Degrieck, Alberto Bazzocchi, Koenraad Verstraete
Although plain radiographs of the chest are usually requested to evaluate the heart, lung, and mediastinum, many bone and soft tissue, metabolic, and congenital lesions can be visible presenting as surprising lesions. Thorough analysis of the lesion characteristics on the chest radiograph, eventually in conjunction with more advanced imaging techniques and in combination with the clinical findings, will lead to the correct diagnosis.
February 2019: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30699454/nerve-tumors-what-the-msk-radiologist-should-know
#3
REVIEW
Alberto Stefano Tagliafico, Amanda Isaac, Bianca Bignotti, Federica Rossi, Federico Zaottini, Carlo Martinoli
Nerve tumors are rare and heterogeneous soft tissue tumors arising from a peripheral nerve or showing nerve sheath differentiation. In a radiologic setting it is necessary to recognize soft tissue lesions that are of neural origin, their association with a peripheral nerve, and whether they are a true tumor or a so-called pseudotumor such as a neuroma, fibrolipoma, or peripheral nerve sheath ganglion. Ultrasound (US) and magnetic resonance imaging are the best modalities to characterize these lesions. US can be used to guide biopsy in difficult and uncertain cases when the lesion is either indeterminate or possibly malignant...
February 2019: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30699453/t2-weighted-hypointense-tumors-and-tumor-like-lesions
#4
Olympia Papakonstantinou, Amanda Isaac, Danoob Dalili, Iris-Melanie Noebauer-Huhmann
Most musculoskeletal tumors are hyperintense on T2-weighted images. However, some T2-weighted hypointense tumors and tumor-like lesions are encountered in everyday clinical practice. We explore the spectrum of such T2 hypointense tumors and tumor mimickers that can arise from (1) the bones, presenting as diffuse processes or focal lesions; (2) the joints including diffuse or focal synovial disorders, loose bodies, or substance depositions; and (3) soft tissues, comprising T2 hypointense tumors and tumor mimickers (those that contain abundant fibrous tissue, mineralization, or hemosiderin deposits)...
February 2019: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30699452/ewing-s-sarcoma-and-primary-osseous-lymphoma-spectrum-of-imaging-appearances
#5
REVIEW
Marc-André Weber, Olympia Papakonstantinou, Violeta Vasilevska Nikodinovska, Filip M Vanhoenacker
Ewing's sarcoma (ES) is a rare, highly malignant anaplastic stem cell tumor. Histologically, the tumor consists of uniform densely packed small monomorphic cells with round nuclei. The typical appearance at hematoxylin and eosin (H&E) staining is small blue round cells without any matrix formation. On conventional radiography, ES typically presents as a permeative lesion in the diaphysis of a long bone in a child. A large soft tissue component is another characteristic feature, best depicted by magnetic resonance imaging...
February 2019: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30699451/differential-diagnosis-of-spine-tumors-my-favorite-mistake
#6
Domenico Albano, Carmelo Messina, Salvatore Gitto, Olympia Papakonstantinou, Luca Maria Sconfienza
Imaging has a pivotal role in the detection and characterization of spine bone tumors (SBTs), especially using magnetic resonance (MR) imaging and computed tomography (CT). Although MR performed with conventional pulse sequences has a robust reliability in the assessment of SBTs, some imaging features of benign lesions and malignancies overlap, making the differential diagnosis challenging. Several imaging tools are now available to perform a correct interpretation of images of SBTs including diffusion-weighted imaging, dynamic contrast-enhanced MR, Dixon sequences, and dual-energy CT...
February 2019: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30699450/practical-input-on-bone-tumor-imaging-pathological-fracture-risk-features-and-when-to-contact-orthopaedics
#7
Magdalena Lunkiewicz, Suzanne Anderson, Sina Havakeshian, Andreas Würzburg
Awareness of risk factors associated with impending fracture and its radiologic appearance allows early diagnosis, supports prophylactic surgical treatment, and prevents the multiple complications of a pathologic fracture. Because the femur is the most common long bone affected by metastatic bone lesions, we address this clinically relevant site in this review. The key to early detection of risky bone lesions is familiarity with the possible clinical presentation, biomechanical effects of the anatomical site (femoral head and neck, intertrochanteric zone, proximal diaphysis), and the lesion types (lytic, blastic, or mixed)...
February 2019: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30699449/chondroid-tumors-as-incidental-findings-and-differential-diagnosis-between-enchondromas-and-low-grade-chondrosarcomas
#8
REVIEW
P Diana Afonso, Amanda Isaac, José Martel Villagrán
Chondroid tumors are a heterogeneous group of neoplasms that all share the production of chondroid matrix. This ranges from a fetal type to mature hyaline cartilage and mirrors its imaging characteristics.The benign chondroid tumors represent some of the most encountered incidental bone lesions, with osteochondroma the most frequent benign bone tumor. Enchondroma is mostly asymptomatic, and yet it is probably the second most common primary bone tumor. Similarly, its malignant counterpart, chondrosarcoma, is the second most common malignant primary bone tumor...
February 2019: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30699448/bone-and-soft-tissue-tumors
#9
Marc-André Weber, Radhesh Lalam
No abstract text is available yet for this article.
February 2019: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30399624/a-msk-radiologist-s-early-experience-as-a-department-chair-climbing-the-horizontal-ladder
#10
REVIEW
Bethany U Casagranda
A radiologist's training is designed to produce a professional with excellent interpretation skills. However, in today's health care environment, a successful radiologist may not be a successful leader or the opposite may be true. Leadership requires a different set of skills with knowledge of common concepts across all levels of health care delivery. When asked to take on administrative responsibilities, you anticipate constant work with occasional glory, but you may not realize the ladder of success is actually horizontal and the spotlight quite bright...
November 2018: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30399623/training-in-musculoskeletal-radiology-in-europe-philosophy-challenges-and-practical-implementation
#11
REVIEW
Stephen J Eustace
This article provides an overview of the philosophy, mechanisms, and difficulties involved in the establishment of integrated training programs in medicine, radiology, and specifically musculoskeletal radiology across the European Union.
November 2018: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30399622/musculoskeletal-radiology-in-the-middle-east-training-programs-current-practice-and-future-directions
#12
REVIEW
Abdullah Alkhayat, Ali Ashkanani
This article outlines the development of radiology training in the Middle East. It discusses the history of radiology in the region and current available pathways to subspecialize in musculoskeletal (MSK) radiology. Owing to the rapidly changing demographics and health indicators in the region, a major shift has occurred in the government's focus in directing more resources to advance the health care system. This in addition to intraregional initiatives, such as the establishment of many radiologic societies, has provided strong incentives toward developing radiology training programs in the region...
November 2018: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30399621/role-of-musculoskeletal-radiology-in-modern-sports-medicine
#13
John P Hynes, John Walsh, T P Farrell, Aoife S Murray, Stephen J Eustace
Musculoskeletal radiology's role in the recent and continued evolution of sports medicine is an exciting and expanding one. In this article we explore a variety of the ways that musculoskeletal radiology contributes to current practices in modern sports medicine, discussing advances across a variety of imaging modalities in the care of both elite athletes and so-called weekend warriors. We describe the technical and ethical factors pertaining to image-guided therapeutic intervention in athletes and speculate on the potential for future developments in the role of imaging in deciding when an athlete may return to participation...
November 2018: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30399620/musculoskeletal-imaging-current-practice-and-future-directions
#14
Terence Patrick Farrell, Niamh Catherine Adams, John P Walsh, John Hynes, Sarah Kate Eustace, Eoin Kavanagh
Musculoskeletal (MSK) radiology plays a crucial role in the diagnosis and management of MSK disorders and has rapidly expanded in tandem with advances in technology and improved access to imaging. Although anatomical imaging remains the mainstay of MSK radiology, significant progress has been made in functional and molecular imaging as well as in hybrid imaging with an expanding armament of technologies becoming available or in development. A vast array of research is occurring in MSK imaging, and this review article highlights some of the most promising current and future clinical applications in development in each of the major imaging modalities...
November 2018: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30399619/therapeutic-intervention-in-musculoskeletal-radiology-current-practice-and-future-directions
#15
REVIEW
John P Walsh, Terence P Farrell, John Hynes, Nicola Hughes, Ciara O'Byrne, Stephen J Eustace
Over the last several decades, the volume and range of therapeutic musculoskeletal (MSK) interventions that radiologists can offer their patients has dramatically increased. With new materials and improving imaging modalities, as well as significant investment in research, the field of MSK interventional radiologic intervention will likely continue to expand. In this article, we summarize the range of interventions currently available to the MSK radiologist. We also seek to explore new and emerging techniques that may become commonplace in the near future while considering the challenges that may lie ahead in the field of MSK radiology...
November 2018: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30399618/artificial-intelligence-in-radiology-current-technology-and-future-directions
#16
REVIEW
Ali B Syed, Adam C Zoga
Artificial intelligence (AI) has been heralded as the next big wave in the computing revolution and touted as a transformative technology for many industries including health care. In radiology, considerable excitement and anxiety are associated with the promise of AI and its potential to disrupt the practice of the radiologist. Radiology has often served as the gateway for medical technological advancements, and AI will likely be no different. We present a brief overview of AI advancements that have driven recent interest, offer a review of the current literature, and examine the most likely ways that AI will change radiology in the coming years...
November 2018: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30399617/leveraging-technology-to-improve-radiology-workflow
#17
Vishal Desai, Adam Flanders, Adam C Zoga
Although advancements in the last decade have automated much of the radiology workflow, there are several areas in the complex imaging process where standardization and innovation can be implemented. We discuss multiple tools and integrations that can help improve operational efficiency, quality, and safety.
November 2018: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30399616/musculoskeletal-radiology-practice-subspecialization-in-canada-a-subject-of-substance
#18
REVIEW
Richard E A Walker, Laurie A Hiemstra, Bruce B Forster
Scientific and technological advances in medical imaging have had a profound impact on health care around the world including Canada. The cost of imaging, however, continues to rise along with innovation. Building a practical subspecialty musculoskeletal imaging service offers the specialty of radiology an opportunity to show how radiologists can consistently add value and improve outcomes without adding a great cost burden to the health care system.
November 2018: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30399615/providing-value-based-service-to-a-sprawling-orthopaedics-practice
#19
REVIEW
Adam C Zoga, Aleksandr Rozenberg, Alexander R Vaccaro, Christopher C Tomlinson
Health care in the United States is changing, and diagnostic radiology is attempting to adapt to the new norm. A view of the landscape shows mergers, acquisitions, and radiology practices becoming larger. Musculoskeletal (MSK) radiology is trending toward subspecialization, and orthopaedic surgery practices are demanding quality, convenience, and efficiency in imaging services. In other industries, optimization of operations and strategic deployment of resources are standard, but radiology is not quite there yet...
November 2018: Seminars in Musculoskeletal Radiology
https://read.qxmd.com/read/30399614/musculoskeletal-radiology-around-the-globe-current-practice-and-future-directions
#20
Stephen J Eustace, Adam C Zoga
No abstract text is available yet for this article.
November 2018: Seminars in Musculoskeletal Radiology
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