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    Musculoskeletal Radiology

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    Patresya Lantan
    1. Musculoskeletal radiology involves several modalities for evaluating bone and soft tissue injuries and conditions, including plain films, CT, ultrasound, nuclear medicine, and MRI. 2. MRI provides excellent soft tissue contrast and is ideally suited for musculoskeletal imaging, though it cannot be used if a patient has certain metallic implants. 3. Proper patient preparation and positioning is important for accurate imaging and patient comfort across all modalities.

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    Musculoskeletal Radiology

    Uploaded by

    Patresya Lantan
    176 views103 pages
    1. Musculoskeletal radiology involves several modalities for evaluating bone and soft tissue injuries and conditions, including plain films, CT, ultrasound, nuclear medicine, and MRI. 2. MRI provides excellent soft tissue contrast and is ideally suited for musculoskeletal imaging, though it cannot be used if a patient has certain metallic implants. 3. Proper patient preparation and positioning is important for accurate imaging and patient comfort across all modalities.

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    Musculoskeletal Radiology

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    1. Musculoskeletal radiology involves several modalities for evaluating bone and soft tissue injuries and conditions, including plain films, CT, ultrasound, nuclear medicine, and MRI. 2. MRI provides excellent soft tissue contrast and is ideally suited for musculoskeletal imaging, though it cannot be used if a patient has certain metallic implants. 3. Proper patient preparation and positioning is important for accurate imaging and patient comfort across all modalities.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    176 views103 pages

    Musculoskeletal Radiology

    Uploaded by

    Patresya Lantan
    1. Musculoskeletal radiology involves several modalities for evaluating bone and soft tissue injuries and conditions, including plain films, CT, ultrasound, nuclear medicine, and MRI. 2. MRI provides excellent soft tissue contrast and is ideally suited for musculoskeletal imaging, though it cannot be used if a patient has certain metallic implants. 3. Proper patient preparation and positioning is important for accurate imaging and patient comfort across all modalities.

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    © All Rights Reserved
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    The document discusses different imaging modalities used in musculoskeletal radiology including their applications, advantages, disadvantages and examples. Modalities covered include plain film, CT, ultrasound, nuclear medicine, MRI and interventional radiology.

    The different imaging modalities discussed are plain film, computed tomography, ultrasound, nuclear medicine, interventional procedures and magnetic resonance imaging.

    Plain film radiography is the mainstay for bone and joint imaging, particularly in trauma due to its speed, low cost and ability to assess bones and joints well. However, it uses ionizing radiation and provides limited information about soft tissues.

    MUSCULOSKELETAL RADIOLOGY

    Dr. Only One Taylor, SpOT


    • Modalities of MSK

    • Approach to bony lesions


    Modalities
    • plain film

    • computed tomography

    • ultrasound

    • nuclear medicine

    • interventional

    • magnetic resonance imaging


    Plain Film
    • mainstay of bone and joint
    imaging, particularly in
    trauma
    • advantages
    – fast
    – inexpensive
    – readily available
    – good for assessing bones and joints
    Plain Film
    • mainstay of bone and joint
    imaging, particularly in
    trauma
    • disadvantages
    – uses ionising radiation (x rays)
    – limited information regarding soft
    tissues
    Computed Tomography (CT)
    • x ray tube rotated around the patient
    • cross sectional imaging capability
    • reformatting in other planes and 3D
    • best for bony cortex and calcification
    • good at evaluation of comminuted fractures to
    complex structures
    – pelvis
    – calcaneus
    – wrist
    calcaneal fracture
    coronal and sagittal reformatting
    Computed Tomography (CT)

    • disadvantages

    – radiation dose to patient

    – metal artefact

    – poor soft tissue characterization


    CT MRI
    Ultrasound
    • relatively inexpensive
    • sound waves reflecting from soft tissue interfaces
    • no ionizing radiation
    • MSK applications
    – infants for DDH
    – tendon injuries especially rotator cuff
    – soft tissue masses
    – US guided biopsy
    normal supraspinatus tendon
    longitudinal transverse
    normal supraspinatus tendon
    longitudinal transverse

    full thickness supraspinatus tear


    Nuclear Medicine

    • entire skeleton at once


    • bone scan is an indicator of bone turn over
    • very sensitive, not specific
    – fracture
    – tumour
    – arthritis
    – infection
    – metabolic bone disease
    bone scan
    normal multiple metastases
    normal plain film
    bone scan – multiple bony
    metastases
    Magnetic Resonance Imaging (MRI)

    • patient in a strong magnetic field

    • multiplanar imaging

    • excellent soft tissue contrast

    • ideally suited for MSK


    Kontraindikasi MRI:

    •Aneurysmal clip.
    •Pace maker.
    PERSIAPAN PENDERITA
    • Tidak memakai arloji,
    gigi palsu ataupun
    lensa kontak.
    • Tidak membawa serta
    uang logam, HP,
    pager, kartu kredit,
    kartu ATM .
    • Tidak memakai
    mascara.
    Persiapan Penderita
    • Sebelum masuk ke ruang
    pemeriksaan, penderita
    perlu diberi keterangan
    bahwa selama pemeriksaan
    timbul suara gaduh, agar
    penderita tidak takut.
    PERSIAPAN PENDERITA

    • Penderita anak2 yang tidak kooperatif,


    memerlukan anestesi.
    • Penderita clautrophobia perlu diberi
    anestesi.
    • Letakkan penderita pada posisi yang
    paling nyaman buat penderita.
    • Bila penderita merasa nyeri, perlu diberi
    analgetika atau anestesi.
    Immobilisasi penderita mutlak.
    PERSIAPAN ALAT

    • Pilih coil yang sesuai


    dengan regio anatomi
    yang akan diperiksa.
    Sequences pada MRI
    • T1W, T1FSE
    • T2W, T2FSE, T2FRFSE
    • Proton density
    • FLAIR
    • MR Diffusion
    • FSE
    • GE
    • Fat suppression technique
    • WF separation technique
    Teratoma
    T1W T2FSE T1C T1C
    Flexion-Distraction Injury

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