Download or read book Reliability Of UTE T2 MRI Mapping Of The Supraspinatus Tendon written by Cameron Kerl and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: INTRODUCTION: Magnetic resonance imaging (MRI) is useful for confirming the clinical diagnosis of rotator cuff tears; however, traditional MR sequences have the limitation of being insensitive to small changes in tendon architecture in the absence of a gross tendon defect. MR sequences utilizing ultra-short time to echo (UTE) allow for in vivo assessment of connective tissue architecture that could only otherwise be ascertained through direct tissue biopsy. Ongoing research at our institution has demonstrated longitudinal tissue-specific patterns of remodeling of autograft tissue following anterior cruciate ligament reconstruction with serial UTE-T2* MR imaging that is not visible with traditional MR sequences. We believe this conceptual framework can be applied to the assessment of rotator cuff tendon quality following surgical repair. As reliability studies are required to validate and interpret the results of promising new diagnostic imaging technologies, the purpose of this study was to determine the inter-observer reliability and test-retest reliability of T2* mapping of the supraspinatus tendon with respect to final calculated T2* values resulting from UTE MR sequences. We hypothesized that T2* mapping of the supraspinatus tendon would produce good-to-excellent inter-observer reliability and test-retest reliability with respect to final calculated T2* values.METHODS: After IRB approval, 7 patients who underwent shoulder UTE-MRI scans for reasons other than rotator cuff pathology were retrospectively retrieved for analysis. Scans were performed on a Philips Ingenia 3T system. Sequences included a high-resolution 3D T2 scan (slice thickness: 0.6mm, TR: 18.7ms; TE: 11.5ms) and a quad-echo T2 UTE sequence (slice thickness: 1mm, TR: 20ms; TE: 0.3, 3, 6, 9 ms). Using 3D tissue segmentation software (Mimics; Materialise, Inc), four independent observers segmented the supraspinatus tendon in each of the 7 scans using coronal slices within proton-density T2 sequences on two occasions separated by at least two weeks. In the coronal plane, segmentation of the supraspinatus tendon spanned from the most distal insertion site to the most medial aspect of the humeral head, and within the boundaries formed by the largest width of the humeral head and glenoid in the axial plane. 3D reconstructions were created for each segmentation mask, and 3D model was co-registered with, and transferred to, the calculated UTE-T2* maps that were obtained simultaneously with the traditional MR sequences. New segmentation masks were then calculated from the 3D model corresponding with the identical voxels segmented on the traditional MR sequence. Reliability calculations were then performed with respective to average T2* values underlying the segmented regions of interest corresponding to the supraspinatus tendon. Customized software was created using Python to extract average T2* values underlying each segmented region of interest. Inter-observer reliability was calculated using Pearson correlation coefficients and plotted using a statistical control chart spanning u00b1 3 standard deviations. Intra-observer reliability was calculated using intra-class correlation coefficients (Fleiss u03ba) with 95% confidence intervals. P

Download or read book Ultra High Field Magnetic Resonance Imaging written by Pierre-Marie Robitaille and published by Springer Science & Business Media. This book was released on 2007-12-31 with total page 487 pages. Available in PDF, EPUB and Kindle. Book excerpt: The foundation for understanding the function and dynamics of biological systems is not only knowledge of their structure, but the new methodologies and applications used to determine that structure. This volume in Biological Magnetic Resonance emphasizes the methods that involve Ultra High Field Magnetic Resonance Imaging. It will interest researchers working in the field of imaging.

Download or read book Physical Examination of the Shoulder written by Ryan J. Warth and published by Springer. This book was released on 2015-06-24 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text presents a comprehensive and concise evidence-based and differential-based approach to physical examination of the shoulder in a manner that promotes its successful application in clinical practice. Additionally, this book provides an integrated approach to the diagnosis of numerous shoulder pathologies by combining discussions of pathoanatomy and the interpretation of physical examination techniques and was written for any health care professional or student who may be required to evaluate patients who present with shoulder pain. This information will allow the clinician to make informed decisions regarding further testing procedures, imaging and potential therapeutic options. Physical Examination of the Shoulder will serve as an invaluable resource for practicing orthopedic surgeons, sports medicine specialists, physical therapists, residents in training and medical students interested in the field of clinical orthopedics. ​

Download or read book Ultrasound of the Musculoskeletal System written by Stefano Bianchi and published by Springer Science & Business Media. This book was released on 2007-12-03 with total page 974 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive reference and practical guide on the technology and application of ultrasound to the musculoskeletal system. It is organized into two main sections. The first is devoted to general aspects, while the second provides a systematic overview of the applications of musculoskeletal ultrasound in different areas of the body. Ultrasound scans are correlated with drawings, photographs, images obtained using other modalities, and anatomic specimens. There is a generous complement of high-quality illustrations based on high-end equipment. This book will acquaint beginners with the basics of musculoskeletal ultrasound, while more advanced sonologists and sonographers will learn new skills, means of avoiding pitfalls, and ways of effectively relating the ultrasound study to the clinical background.

Download or read book MRI of Short and Ultrashort T 2 Tissues written by Jiang Du and published by Springer Nature. This book was released on 2023 with total page 612 pages. Available in PDF, EPUB and Kindle. Book excerpt: Zusammenfassung: This book comprehensively covers ultrashort echo time (UTE), zero echo time (ZTE), and other magnetic resonance imaging (MRI) acquisition techniques for imaging of short and ultrashort-T2 tissues. MRI uses a large magnet and radio waves to generate images of tissues in the body. The MRI signal is characterized by two time constants, spin-lattice relaxation time (T1) which describes how fast the longitudinal magnetization recovers to its initial value after tipping to the transverse plane, and spin-spin relaxation time (T2) which describes how fast the transverse magnetization decays. Conventional MRI techniques have been developed to image and quantify tissues with relatively long T2s. However, the body also contains many tissues and tissue components such as cortical bone, menisci, ligaments, tendons, the osteochondral junction, calcified tissues, lung parenchyma, iron containing tissues, and myelin, which have short or ultrashort-T2s. These tissues are "invisible" with conventional MRI, and their MR and tissue properties are not measurable. UTE and ZTE type sequences resolve these challenges and make these tissues visible and quantifiable. This book first introduces the basic physics of conventional MRI as well as UTE and ZTE type MRI, including radiofrequency excitation, data acquisition, and image reconstruction. A series of contrast mechanisms are then introduced and these provide high resolution, high contrast imaging of short and ultrashort-T2 tissues. A series of quantitative UTE imaging techniques are described for measurement of MR tissue properties (proton density, T1, T2, T2*, T1p,magnetization transfer, susceptibility, perfusion and diffusion). Finally, clinical applications in the musculoskeletal, neurological, pulmonary and cardiovascular systems are described. This is an ideal guide for physicists and radiologists interested in learning more about the use of UTE and ZTE type techniques for MRI of short and ultrashort-T2 tissues

Download or read book Essentials of Interventional Cancer Pain Management written by Amitabh Gulati and published by Springer. This book was released on 2018-12-28 with total page 530 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides a comprehensive review and expertise on various interventional cancer pain procedures. The first part of the text addresses the lack of consistency seen in the literature regarding interventional treatment options for specific cancer pain syndromes. Initially, it discusses primary cancer and treatment-related cancer pain syndromes that physicians may encounter when managing cancer patients. The implementation of paradigms that can be used in treating specific groups of cancer such as breast cancer, follows. The remainder of the text delves into a more common approach to addressing interventional cancer pain medicine. After discussing interventional options that are commonly employed by physicians, the text investigates how surgeons may address some of the more severe pain syndromes, and covers the most important interventional available for our patients, intrathecal drug delivery. Chapters also cover radiologic options in targeted neurolysis and ablative techniques, specifically for bone metastasis, rehabilitation to address patients’ quality of life and function, and integrative and psychological therapies. Essentials of Interventional Cancer Pain Management globally assesses and addresses patients’ needs throughout the cancer journey. Written by experts in the field, and packed with copious tables, figures, and flow charts, this book is a must-have for pain physicians, residents, and fellows.

Download or read book Musculoskeletal Diseases written by Gustav K. von Schulthess and published by Springer Science & Business Media. This book was released on 2006-01-16 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book represents a condensed version of the 20 topics dealing with imaging diagnosis and interventional therapies in musculoskeletal diseases. The disease-oriented topics encompass all the relevant imaging modalities including X-rays technology, nuclear medicine, ultrasound and magnetic resonance, as well as image-guided interventional techniques.

Download or read book Radiological English written by Ramón Ribes and published by Springer Science & Business Media. This book was released on 2006-12-02 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an introductory book to radiological English on the basis that there are a lot of radiologists, radiology residents, radiology nurses, radiology students, and radiographers worldwide whose English level is indeterminate because their reading skills are much higher than their fluency. It is intended to help those health care professionals who need English for their work but do not speak English on a day-to-day basis.

Download or read book Handbook of Sports Medicine and Science written by Jonathan C. Reeser and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: This addition to the Handbook series is presented in five sections. The first sections covers basic and applied science, including biomechanics, the physiologic demands of volleyball, conditioning and nutrition. The second section looks at the role of the medical professional in volleyball, covering team physicians, pre-participation examination, medical equipment at courtside and emergency planning. The third section looks at injuries - including prevention, epidemiology, upper and lower limb injuries and rehabilitation. The next section looks at those volleyball players who require special consideration: the young, the disabled, and the elite, as well as gender issues. Finally, section five looks at performance enhancement.

Download or read book Mechanics Pathomechanics and Injury in the Overhead Athlete written by W. Ben Kibler and published by Springer. This book was released on 2019-05-07 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: As clinical interest in overhead athletic injuries is on the upswing, so is greater interest in the factors for performance and injury risk in throwing and other overhead motion. This practical, case-based text is divided into two sections and will present the basic principles of overhead athletes followed by unique clinical case presentations describing different aspects of performance, injury and management in throwing and other overhead athletes. Part I discusses the mechanics and pathomechanics of the overhead motion, along with principles of evaluation, the physical exam, surgical management of both the shoulder and elbow, rehabilitation and return to play, injury risk modification, and the role of the scapula. Unique clinical cases comprise all of part II and follow a consistent format covering the history, exam, imaging, diagnosis and outcome of the chosen intervention. These cases illustrate a cross-section of sports and activities, from the baseball player to the swimmer, and a range of shoulder and elbow problems in pediatric and adult overhead athletes Providing a unique case-based approach to a growing hot topic, Mechanics, Pathomechanics and Injury in the Overhead Athlete is an ideal resource for orthopedic surgeons, sports medicine specialists, physiatrists, physical therapists, certified athletic trainers and allied medical professions treating active persons of all ages.

Download or read book Fundamentals of Hand Therapy written by Cynthia Cooper and published by Elsevier Health Sciences. This book was released on 2013-11-06 with total page 628 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perfect for hand therapy specialists, hand therapy students, and any other professional who encounters clients with upper extremity issues, Fundamentals of Hand Therapy, 2nd Edition contains everything you need to make sound therapy decisions. Coverage includes hand anatomy, the evaluation process, and diagnosis-specific information. Expert tips, treatment guidelines, and case studies round out this comprehensive text designed to help you think critically about each client's individual needs. "Overall, a very clear readable style is adopted throughout, with theory supported by various anecdotal case studies. Excellent use is made of illustrations, and many chapters contain the helpful addition of 'clinical pearls' or 'tips from the field', which are an attempt to make transparent the links between theory and practice. In conclusion, this is an excellent core text for reference purposes." Reviewed by: British Journal of Occupational Therapy Date: Aug 2014 Clinical Pearls and Precautions highlight relevant information learned by the experienced author and contributors that you can apply to clinical practice. Case examples included in the diagnoses chapters in Part Three demonstrate the use of clinical reasoning and a humanistic approach in treating the client. Diagnosis-specific information in the final section of the book is well-organized to give you quick access to the information you need. Special features sections such as Questions to Discuss with the Physician, What to Say to Clients, Tips from the Field, and more help readers find their own clinical voices. Online sample exercises give you a pool to pull from during professional practice. NEW! Chapters on yoga and pilates provide guidance into new ways to treat upper extremity problems. NEW! Chapter on wound care gives you a thorough foundation on how wounds impact therapeutic outcomes. NEW! Chapter on orthotics has been added to cover basic splinting patterns. NEW! Online resources help assess your understanding and retention of the material.

Download or read book Imaging of Soft Tissue Tumors written by Arthur M DeSchepper and published by Springer Science & Business Media. This book was released on 2013-03-09 with total page 645 pages. Available in PDF, EPUB and Kindle. Book excerpt: Only with the advent of computed tomography and magnetic resonance imaging have radiologists become familiar with this uncommon pathology. The emphasis here is on MRI, as it guarantees the most accurate diagnosis of soft tissue tumours. Because of their rarity, multi-centric studies are necessary to collect statistically relevant numbers of these tumours and so assess the value of new imaging techniques in their detection, staging, grading, tissue characterisation, and post-treatment follow-up. This is a reflection of the work of a prestigious European study group of more than 30 such co-investigators - including experts on medical imaging - who collected more than 800 documented and histologically proven cases of soft tissue tumours. For each tumour type, 10-12 cases are shown, supported by 3-4 photos. Unsurpassed in its collection of case studies.

Download or read book Rheumatology for Primary Care Providers written by Yousaf Ali and published by Springer Nature. This book was released on 2021-11-08 with total page 421 pages. Available in PDF, EPUB and Kindle. Book excerpt: Current texts in rheumatology are very detailed and designed specifically for rheumatologists. This clear and concise guide is targeted at the busy clinician who comes into contact with both common and uncommon rheumatologic disorders. Many chapters presents a common clinical scenario and include a definition of the disease while outlining incidence and prevalence, common manifestations, treatment and pitfalls. A range of topics are included in the fifteen chapters including osteoarthritis, rheumatoid arthritis, fibromyalgia, metabolic bone disease, gout and scleroderma, among others. Written by experts in the field, Rheumatology for Primary Care Providers is a definitive guide to rheumatology for the primary care physician and non-specialist.

Download or read book Gerontorheumatology written by Jozef Rovenský and published by Springer. This book was released on 2017-01-20 with total page 372 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers all aspects of the specialized field of gerontorheumatology, providing a complete overview of rheumatic and musculoskeletal diseases and related conditions in the elderly. The emphasis is particularly on pathogenesis, diagnosis, prevention, and treatment, including the latest advances in biological and pharmacological therapy and potential treatment side effects. The book will provide the reader with a keen awareness of the characteristic features, distinctive etiologies, and different courses of the various disorders of the musculoskeletal system in the geriatric population. Diagnostic and treatment considerations of special relevance in daily practice are highlighted, and the importance of comorbidities and their rheumatic consequences is also emphasized. The book will be of value for gerontologists, rheumatologists, internists, and rehabilitation physicians and will offer excellent guidance for general practitioners, who are typically the first to deal with disorders of the musculoskeletal system in elderly patients.

Download or read book Clinical Cases and OSCEs in Surgery E Book written by Manoj Ramachandran and published by Elsevier Health Sciences. This book was released on 2011-11-18 with total page 568 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book of over 140 cases is designed for candidates preparing for all surgical examinations, whether at undergraduate, postgraduate or exit examination level. It will demystify and simplify the clinical assessment of surgical cases and provides invaluable advice on how to achieve success. The text includes top tips, acronyms and up-to-date summaries of current practice based on the authors’ personal experience of surgical examinations. Cases are graded in terms of likely appearance in the examinations. Top tips emphasize specific subjects which cause confusion. The text provides advice on the most appropriate time to finish an examination. Examples of the common procedures and props that come up in the skill-based examination format are included. This fully revised Second Edition is now in colour and includes photographs of key manoeuvres performed during specific surgical examination routines Includes a new section on communication skills A new co-author in academic surgery joins the project.

Download or read book Compressive Neuropathies of the Upper Extremity written by Dean G. Sotereanos and published by Springer Nature. This book was released on 2020-03-27 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presenting step-by-step procedures written by experts in the field, this comprehensive clinical guide discusses the diagnosis (electrodiagnostic and ultrasound) and management of compressive neuropathies of the upper extremity. Compressive (or compression) neuropathy, also known as entrapment neuropathy or trapped nerve, is a common condition of the upper extremity in which the nerves of the arm – median, ulnar and radial being the most common – are compressed, causing pain and discomfort as well as possible pathological and anatomical changes. Carpal and cubital tunnel syndrome are the most well-known and treated, with nerve release and decompression surgeries being the usual treatment, though the variety of neuropathies and management strategies goes beyond these conditions. Chapters included describe in detail the latest, cutting-edge management strategies for the various manifestations of compressive neuropathy of the hand and wrist – carpal tunnel syndrome, cubital tunnel syndrome, ulnar nerve syndrome, radial tunnel syndrome, pronator teres syndrome, Wartenberg’s syndrome, thoracic outlet syndrome and suprascapular neuropathy – as well as revision carpal and cubital tunnel surgical treatment options. Plentiful intraoperative photos and detailed illustrations, along with clinical case material and pearls and pitfalls, make this the ideal resource for orthopedic, hand and plastic surgeons aiming for the most optimal outcomes.

Download or read book Musculoskeletal Diseases 2021 2024 written by Juerg Hodler and published by Springer Nature. This book was released on 2021 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book focuses on imaging of the musculoskeletal diseases. Over the last few years, there have been considerable advances in this area, driven by clinical as well as technological developments. The authors are all internationally renowned experts in their field. They are also excellent teachers, and provide didactically outstanding chapters. The book is disease-oriented and covers all relevant imaging modalities, with particular emphasis on magnetic resonance imaging. Important aspects of pediatric imaging are also included. IDKD books are completely re-written every four years. As a result, they offer a comprehensive review of the state of the art in imaging. The book is clearly structured with learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers easily navigate through the text. As an IDKD book, it is particularly valuable for general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic knowledge, and for clinicians interested in imaging as it relates to their specialty.