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  Medical Imaging  ←  
Presentation


Phoenix Diagnostic Clinic

Magnetic Resonance Imaging of Musculoskeletal Infections

  Classification of inflammatory conditions
  MR technique (advantages, disadvantages)



MR findings


Classification


Non-infectionInfection

Edema

Cellulitis

Myositis

Myositis

Arthritis

Arthritis*

Spondylitis

Spondylodiskitis*

Edema

Osteomyelitis
* tuberculous versus pyogenic

MR Technique

MRI Advantages

 – multiplanar aquisition
 – without ionizing radiation
 – imaging signal is based on events at the molecular level
 – anatomical, biochemical, physiological information
 – no adverse reaction to contrast

 – imaging method of choice in soft tissue vizualization (subcutaneous tissue, synovium, cartilage, tendons, nerves)
 – very sensitive to subtle bone changes (edema, erosions)


MRI Disadvantages


 – Accesibility
 – Costs
 – Time consuming
 – Contraindications
– metallic implants
– claustrophobia

MR Technique


• MRI Protocol
– T1 TSE, STIR
– T2 TSE fat sat in orthogonal plane (axial)
– T1 fat sat + i.v. contrast in 2 orthogonal planes
– at least one adjacent joint included
– fast sequences on large body surface for rapid evaluation of the extension of the process
– whole body-MR protocol in patients with sepsis for rapid evaluation of septic determinations
Phoenix Diagnostic Clinic
November 4, 2009

Phoenix Diagnostic Clinic, Bucharest
  

Notice:
This site is primarily intended for use by qualified medical or sport professionals.
If you are a consumer, you should evaluate the information together with your physician or other qualified healthcare professional.
The information provided here is for educational and informational purposes only and should not be considered as a medical advice.
As medical and sport science is permanently changing, we (authors and publishers) use our best efforts to provide accurate information, but we can not warrant that the information in this article and web site is accurate, complete or up-to-date.
This article reflects the opinions and judgments of it's author and may be further updated.
If you have questions regarding this article, please contact the author.
Information belongs to Phoenix Diagnostic Clinic, Bucharest

 
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