Computed tomography of the temporomandibular joint
|
|
- Millicent Virginia Crawford
- 5 years ago
- Views:
Transcription
1 s_s_nner Journl of Medicl Imging nd Rdition Oncology 57 (2013) RADIOLOGY PICTORIAL ESSAY Computed tomogrphy of the temporomndiulr joint Rudolf Boeddinghus nd Andy Whyte Perth Rdiologicl Clinic, Suico, Perth, Western Austrli, Austrli R Boeddinghus MBChB, FCRd(SA), FRANZCR, FRCR; A Whyte BDS(Hons), MBChB, FDSRCS, DDR RCR, FRCR, FRANZCR. Correspondence Dr Rudolf Boeddinghus, Perth Rdiologicl Clinic, 127 Hmersley Rod, Suico, Perth, WA 6008, Austrli. Emil: roeddinghus@perthrdclinic.com.u Conflict of interest: None. Summry We present pictoril review of the spectrum of temporomndiulr joint (TMJ) pthology dignosed with CT. Although MRI is the modlity of choice for most TMJ pthology, CT is useful when MRI is contrindicted or not ccessile. With ttention to technique nd viewing conditions, CT is cple of showing internl disc derngement, rthritis, neoplsms nd non-tmj regionl pthology t reltively low rdition dose. Key words: nkylosis; rticulr disc; computed tomogrphy; osteorthritis; temporomndiulr joint. Sumitted 27 April 2012; ccepted 14 Septemer doi: / Introduction Temporomndiulr disorders (TMDs) re common, ffecting up to 28% of the popultion t some time in their lives. 1 They re heterogeneous group of disorders, usully clssified into myogenous nd rthrogenous groups, lthough there is often overlp. Articulr cuses of TMD include internl derngement of the rticulr disc (meniscus), inflmmtory nd degenertive rthropthies, nd less commonly nkylosis nd neoplstic conditions. Mgnetic resonnce imging is the imging technique of choice for the evlution of suspected temporomndiulr joint (TMJ) disorders. 2 However, it is contrindicted in some ptients nd is not tolerted ecuse of clustrophoi in others, nd its ccessiility is reltively limited. Multidetector CT (MDCT) is more widely ville nd etter tolerted. Computed tomogrphy hs een used to detect ony normlities of the TMJ 3 nd in rre conditions such s synovil osteochondromtosis. 4 It hs lso previously een used for the dignosis of internl disc derngement. 5 We hve found MDCT to e useful imging investigtion in the relile detection of internl disc derngement, rthritis nd other miscellneous conditions of the TMJ. We present review of the technique nd of the rnge of imging normlities encountered. Computed tomogrphy technique nd ntomy MDCT (16- to 64-detector row) is performed in the closed- nd open-mouth positions, without the use of intrvenous or intr-rticulr contrst medium. Multiplnr reconstructions re performed in the coronl olique (i.e., prllel to the long xis of the mndiulr condyle) nd in the sgittl olique (i.e., perpendiculr to the long xis of the mndiulr condyle) plnes using oth one nd soft-tissue reconstruction lgorithms. Using currently ville low-dose itertive reconstruction lgorithms, the dose-length product (DLP) of the exmintion cn e reduced to s low s 540 mgy cm, resulting in n effective dose (ED) of pproximtely 1.2 msv (if the ED/DLP rtio of 2.2 for CT of the hed is used). 6 The multiplnr reconstructions re viewed y the rdiologist on DICOM viewer, which llows window width nd window level to e djusted, to optimise visulistion of the rticulr disc. The source xil imges re lso reviewed to detect ny normlities in the imged volume, which my e incidentl or which my e the source of symptoms mimicking TMJ dysfunction. Disc displcements my lso e visile on the xil imges. The TMJ is synovil joint tht is divided into superior nd inferior comprtments y the firocrtilginous iconcve disc (meniscus) (Fig. 1). The disc hs thick nterior nd posterior nds, nd thinner intermedite zone: the ltter is normlly positioned etween the nterosuperior spect of the mndiulr condyle nd the rticulr surfce of the squmous temporl one. The rticulr disc hs higher ttenution thn the surrounding soft tissues ut lower ttenution thn the djcent tendon of the lterl pterygoid muscle. The nterior nd posterior nds cn e seen, lthough the thinner intermedite nd ilminr zones re not generlly visile on CT. 448 Journl of Medicl Imging nd Rdition Oncology 2012 The Royl Austrlin nd New Zelnd College of Rdiologists
2 CT of the TMJ c d Fig. 2. Reducing nterior disc displcement. () Sgittl olique soft-tissue reconstruction shows moderte nterior disc displcement (etween rrowheds). () With mouth opening, the disc is reduced (nterior nd: lck rrowhed; posterior nd: white rrowhed). There is mild hypermoility, with nterior trnsltion of the condyle well nterior to the summit of the rticulr eminence. Internl disc derngement Fig. 1. Norml CT ntomy of the temporomndiulr joint. () Olique sgittl reconstruction t one window nd using one reconstruction lgorithm, showing the mndiulr condyle (C) seted within the glenoid foss (gf) of the temporl one. The rticulr eminence (e) of the temporl one is nterior nd the externl uditory cnl (ec) is posterior. () Olique coronl reconstruction t one window using one reconstruction lgorithm. The condyle is rod in its coronl dimension. Lterlly is the root of the zygomtic process (rz). (c) Olique sgittl reconstruction in the closed-mouth position t softtissue windows nd using soft-tissue reconstruction lgorithm. The nterior nd (thick rrow) nd posterior nd (rrowhed) re clerly visile. The thin intermedite zone (thin rrow) is situted t the nrrowest prt etween the condyle nd the rticulr eminence. The posterior mrgin of the posterior nd is normlly positioned t pproximtely the 12 o clock position. (d) Softtissue olique sgittl reconstruction in the open-mouth position. There hs een nterior trnsltion of the condyle onto the rticulr eminence, with concomitnt nterior movement of the disc. Anterior nd (thick rrow), posterior nd (rrowhed) nd intermedite zone (thin rrow) gin shown. Internl derngement is interference with joint s smooth function, nd in the TMJ this is usully due to displcement of the disc. Disc displcement is common, especilly in women, nd hs een descried in symptomtic volunteers. 7 Postulted cuses include ligmentous lxity (there is frequently n ntecedent history of trum or prolonged mouth opening for dentl procedures), ruxism nd norml ctivity of the lterl pterygoid muscle. 8 A displced disc my e reduced ( recptured ) with mouth opening (Fig. 2), nd reduction is ccompnied y n udile nd plple click. In more dvnced cses, displced disc my remin displced in opening the mouth (the so-clled closed lock ) (Fig. 3), in which cse there is usully restriction of mouth opening, nd sence of click. The disc my e deformed, nd there my e ssocited synovitis (predominntly in the inferior joint comprtment) nd osseous erosions (usully ffecting the condyle). Remodelling nd osteorthritis my follow (Fig. 4). Disc displcement is most commonly nterior (see Figs 2,3) or nterolterl 9 (Fig. 5). The disc my lso e displced nteromedilly. Pure medil (Fig. 6) nd pure lterl displcement re uncommon, nd posterior disc c Fig 3. Non-reducing nterior disc displcement with superior comprtment effusion, inferior comprtment synovitis nd erly condylr erosion. () Sgittl olique soft-tissue reconstruction shows mrked nterior displcement of the disc (etween rrowheds). The disc ppers slightly deformed. There is significnt superior comprtment effusion (thick rrow), nd there is evidence of synovitis in the inferior comprtment (thin rrow, higher ttenution thn the effusion in the superior comprtment). () With mouth opening, the disc is not recptured (rrowheds) nd nterior condylr trnsltion is limited. This corresponds with closed lock cliniclly, with no click ut with pinful restriction of mouth opening. (c) Coronl olique one reconstructions show smll superior condylr corticl erosion (rrow). Journl of Medicl Imging nd Rdition Oncology 2012 The Royl Austrlin nd New Zelnd College of Rdiologists 449
3 R Boeddinghus nd A Whyte Fig. 4. Non-reducing nterior disc displcement with ssocited osteorthritis. () Soft-tissue sgittl olique reconstruction shows mrked nterior displcement of mildly deformed disc (rrows), with smll ssocited superior comprtment effusion nd prole inferior comprtment synovitis. () Bone sgittl olique reconstruction shows condylr flttening, irregulrity nd sclerosis (lrge rrow), nd smll nterolterl osteophytes (smll rrows). displcement is rre. Associted disc deformity, joint effusions, synovitis nd erosions re visile on CT (see Fig. 3). Erosive rthritis Osseous erosions re frequently seen in ssocition with disc displcement, usully ffecting the mndiulr condyle (see Fig. 3c). Less commonly, TMJ erosions re seen s prt of systemic inflmmtory rthropthy, such s juvenile chronic rthritis, rheumtoid rthritis, nkylosing spondylitis nd psoritic rthritis (Fig. 7). Fig. 7. Primry erosive rthritis in young mn with severe ilterl temporomndiulr joint pin. Coronl olique () nd sgittl olique () one reconstructions demonstrte lrge ctive condylr erosions (lck rrows) nd periostel new one formtion long the right condylr neck (white rrow). Similr chnges were present on the left. Appernces re consistent with psoritic rthritis. Idiopthic condylr resorption A more severe form of condylr erosion ssocited with high grde internl derngement is recognised in teenge girls who hve reltively smll mndile (retrognthism). It hs een referred to s cheerleder s syndrome ecuse of the demogrphic primrily ffected. On imging, there is firly rpid progression from non-reducile displced meniscus to progressive condylr erosion nd resorption (Fig. 8). The glenoid foss is norml, the joint spce progressively widens nd Fig 5. Anterolterl disc displcement. () Sgittl olique soft-tissue reconstruction shows nterior displcement of deformed, crumpled disc (rrows). () Coronl olique reconstruction est shows the lterl component of disc displcement (rrow), lthough this is lso esily pprecited y scrolling through sgittl olique nd xil imges (not shown). Fig. 6. Pure medil disc displcement is unusul. () Coronl olique reconstruction shows the medil mrgin of the medilly displced disc (white rrow). () Review of xil soft-tissue imges demonstrtes the medilly displced disc (etween the rrowheds). Fig. 8. Idiopthic condylr resorption. Sgittl olique one-lgorithm CT reconstruction showing resorption of the nterosuperior spect of the condyle (rrow). The temporl one rticulr surfces re unffected. Soft-tissue CT reconstructions nd MRI (not shown) lso demonstrted non-reducing nteriorly displced disc, with condylr mrrow oedem lso visile on the MRI. 450 Journl of Medicl Imging nd Rdition Oncology 2012 The Royl Austrlin nd New Zelnd College of Rdiologists
4 CT of the TMJ Fig. 9. Osteorthritis. Axil CT imge () shows mild osteorthritis, with joint spce nrrowing nterolterlly (rrow), the usul site of erly chnges. Sgittl olique one reconstruction () in different ptient showing severe osseous sclerosis, rticulr surfce flttening nd irregulrity, n nterior condylr osteophyte nd clcified joint ody (rrow). eventully only the stump of the resored condyle remins. It is usully ilterl ut my e symmetric. There is significnt dete s to whether orthodontic tretment is n etiologicl or excerting fctor in this condition. Severl uthors hve proposed tht vsculr necrosis of the condyle is the likely pthogenesis. Tretment is difficult nd some ptients will need corrective jw (orthognthic) surgery to correct their skeletl deformity with or without deridement of the TMJs once the condition hs stilised, usully t the end of puerty. Fig. 10. Intr-rticulr nkylosis. Coronl reformtted CT showing ony nkylosis on the right nd likely firous nkylosis on the left. There ws remote history of temporomndiulr joint septic rthritis. firous nkylosis, there is mrked joint spce nrrowing with reciprocl rticulr surfce irregulrity often giving sw-tooth ppernce. Extr-rticulr nkylosis is rre. Firous nkylosis cn follow hemorrhge or infection in the muscles of mstiction, some of these cses representing typicl myositis ossificns. Bony nkylosis or development of pseudo-rthrosis cn occur in ptients with developmentl coronoid hyperplsi or post-trumtic depression of the zygomtic rch. In oth cses, there is nkylosis or pseudo-rthrosis etween the coronoid process nd the medil mrgin of the rch (Fig. 11). Osteorthritis Osteorthritis is usully seen in n older ge group thn internl derngement. Most ptients with TMJ osteorthritis hve history of preceding internl derngement, nd ville evidence suggests tht ptients with severe internl derngement cn progress to osteorthritis fter vrile intervl, often severl yers. The chnges of osteorthritis seen in the TMJ re identicl to those seen in other ffected joints: joint spce loss, rticulr surfce remodelling nd flttening, corticl sclerosis nd thickening, sucorticl cysts, osteophytes nd clcified intr-rticulr odies (Fig. 9) As is typicl of this condition, the chnges seen on imging do not lwys correlte with symptoms. Mny ptients my e pinfree despite dvnced osteorthritis nd the only complint is of joint noises or grting. Ankylosis Mrked restriction of mouth opening nd condylr movement is uncommonly due to nkylosis of the TMJ, which my e intr- or extr-rticulr in loction nd firous or ony in nture. Intr-rticulr nkylosis usully results from prior trum (such s intr-cpsulr condylr frcture), cusing hemrthrosis or prior septic rthritis (Fig. 10). Osseous union my e prtil or totl. In Fig. 11. Extr-rticulr cuse of pprent temporomndiulr joint (TMJ) nkylosis. Computed tomogrphy ws performed for suspected TMJ internl derngement in this 67-yer-old mn with severely limited mouth opening. The TMJs hd norml ppernces. Axil one-lgorithm CT demonstrtes pseudo-rthrosis etween the hyperplstic right coronoid process nd n exostosis rising from the medil mrgin of the zygomtic rch (rrowhed). Tip of norml left coronoid process (rrow) for comprison. Journl of Medicl Imging nd Rdition Oncology 2012 The Royl Austrlin nd New Zelnd College of Rdiologists 451
5 R Boeddinghus nd A Whyte Fig 12. Temporomndiulr joint frctures. () Axil imge showing severely displced condylr neck frcture, the condylr hed (white rrow) eing displced inferiorly, nterior nd medilly y the pull of the lterl pterygoid muscle. There is lso tympnic plte frcture with sucutneous emphysem deep to the skin of the nterior externl uditory cnl (lck rrow). This is occsionlly seen s n isolted frcture. Coronl CT reconstruction in different ptient () showing old ilterl condylr frctures, with ifid deformity of the condyles nd secondry osteorthritis with clcified joint odies. Condylr frctures Frctures of the mndiulr condyle re common nd usully occur following low to the contrlterl side of the mndile. They my e the sole injury s the condylr neck is reltively thin ut lso occur in conjunction with frctures of the contrlterl mndiulr ngle or ody. A low to the symphysis my result in ilterl condylr frctures, especilly in elderly ptients with resored mndile. Most condylr frctures re extr-cpsulr, running oliquely through the thin neck. The pull of the lterl pterygoid muscle tht ttches to oth the condyle nd disc results in nteromedil displcement of the condyle from the glenoid foss with the disc mintining norml ntomicl reltionship to the displced condyle (Fig. 12). If these frctures occur efore growth is complete, growth of neo-condyle my occur, replcing the displced condyle within the glenoid foss nd producing doule condyle ppernce (Fig. 12). Intrcpsulr frctures re much less common nd my e undisplced nd occult on plin rdiogrphs. A vrint of this injury is tympnic plte frcture involving the posterior wll of the glenoid foss (i.e., the nterior wll of the ony externl uditory cnl) (see Fig. 12). Firous dysplsi This my ffect the temporl surfces of the TMJ or the condyle itself. Its ppernces re chrcteristic, with expnsion of ffected one, ground glss texture nd loss of the norml corticomedullry differentition. Osteochondrom This enign one tumour (crtilge-cpped exostosis) is the most common neoplsm ffecting the TMJ. It cn c Miscellneous neoplstic nd hyperplstic TMJ conditions Condylr hyperplsi This is n idiopthic developmentl condition more common in mles nd generlly mnifesting in the teenge yers nd stilising t skeletl mturity. Unilterl overgrowth of mndiulr condyle results in mndiulr symmetry; the condylr neck my lso e enlrged, nd there my e n ipsilterl posterior open ite. There is commensurte enlrgement of the glenoid foss (Fig. 13). Fig. 13. Condylr hyperplsi. Sgittl olique reconstruction of the right temporomndiulr joint () in young womn with mndiulr symmetry nd right posterior open ite shows n enlrged nd slightly irregulr condyle nd condylr neck compred with the norml left side (). Coronl mximum intensity projection thick sl reconstruction (c) shows the symmetry nd chrcteristic prominence of the lterl spect of the ffected condylr neck (rrow). 452 Journl of Medicl Imging nd Rdition Oncology 2012 The Royl Austrlin nd New Zelnd College of Rdiologists
6 CT of the TMJ Fig. 14. Tumours of crtilge origin. Axil CT () shows smll osteochondrom rising from the nterolterl spect of the left mndiulr condyle; this presented s suspected internl disc derngement. Sgittl olique one () nd postcontrst soft-tissue (c) reconstructions in different ptient show n expnsile enhncing tumour centred in the rticulr eminence with corticl expnsion, thinning nd dehiscence (rrows). This proved to e chondrolstom. c rise from the condylr neck or hed nd cn interfere with the norml joint movements of the TMJ (Fig. 14). Other neoplsms of chondrl origin re fr less common (Fig. 14,c). Synovil chondromtosis Although the synovil prolifertion ssocited with dvnced internl derngement occurs in the lower joint spce, other rre synovil prolifertive disorders predominte in the upper joint spce. Of these, synovil chrondromtosis is the most common. The upper joint spce is distended y synovil prolifertion nd smll intr-rticulr odies, either chondrl or ossified (Fig. 15). Chondrl odies my e missed on CT, eing more clerly demonstrted y MRI. Nevertheless, the dignosis of synovil osteochondromtosis should e suggested in ptient with symptoms of internl derngement, normlly positioned disc nd significntly distended upper joint spce, with or without rticulr surfce erosions. Metstses Metstses nd other ggressive neoplstic lesions my ffect the condyle nd my present cliniclly s TMJ pin (Fig. 16). Regionl pthology Temporl one Otlgi cn e difficult to differentite from pin of TMJ origin. The nterior wll of the ony segment of the externl uditory cnl (tympnic plte) lso forms the posterior ony mrgin of the glenoid foss of the TMJ. In ddition, the uriculotemporl nerve, rnch of V3, provides the min innervtion to the TMJ s well s portion of the externl uditory cnl, the lterl spect of the tympnic memrne, uricle nd skin in the temporl region. Otomstoid inflmmtory disese nd destructive processes re optimlly ssessed on the volumetric dt set provided y MDCT of the TMJ. Protid glnd Protitis, mlignnt slivry glnd tumours nd metsttic crcinoms to the intr-protid lymph nodes my ll cuse pin referred to or within the TMJ. The uriculotemporl nerve provides secretomotor supply to the protid glnd, thus providing link etween the Vth nd VIIth crnil nerves. It my e involved y the Fig. 15. Synovil chrondromtosis. Sgittl olique CT reconstruction on softtissue lgorithm nd windows () shows distended superior joint spce with fluid nd sutle clcified foci (rrow). Sgittl olique T2-weighted ft sturted MRI () confirms fluid nd smll joint odies consistent with chondrl joint odies. The dignosis ws confirmed t rthroscopy. Fig. 16. Destructive one lesions. Sgittl olique one reconstruction () demonstrtes n ggressive lucent lesion in the condylr neck nd posterosuperior rmus, with pthologicl frcture (rrows); this proved to e metstsis from lung crcinom. Coronl one reconstruction () in different ptient shows loulr lucent lesion in the right mndiulr condyle, which proved to e Lngerhns cell histiocytosis (eosinophilic grnulom). Journl of Medicl Imging nd Rdition Oncology 2012 The Royl Austrlin nd New Zelnd College of Rdiologists 453
7 R Boeddinghus nd A Whyte pituitry neoplsms, cholestetom, otosclerosis nd other temporl one pthology. Conclusion Fig. 17. Regionl pthology cliniclly simulting temporomndiulr joint (TMJ) disese. Axil non-contrst soft-tissue lgorithm CT () in ptient with right TMJ region pin, demonstrting n irregulr tumour (rrowheds) in the protid glnd, with evidence of proximl perineurl tumour spred long the right fcil nerve (rrow): nplstic crcinom. Axil post-contrst CT () in different ptient with right TMJ pin nd limited mouth opening, showing inflmmtory chnge nd smll scess in the right medil pterygoid muscle, which is enlrged nd enhnces heterogeneously, with smll locules of gs (rrow); this ws secondry to peripicl sepsis in severl right mndiulr molrs; the TMJs ppered norml. perineurl tumour spred tht cn sometimes e visulised on non-contrst MDCT in the ftty protid glnds viewed on soft-tissue window (Fig. 17). Mstictor spce Inflmmtory or neoplstic processes in the mstictor spce cn produce pin in the region of the TMJ s well s restricted mouth opening, mimicking TMJ disorders (Fig. 17). Skull se Neoplstic involvement of the V3 from Meckel s cve to the inferior lveolr cnl in the mndile could potentilly produce pin within or close to the TMJ. Asymmetric expnsion of the formen ovle nd thickening of the V3 nerve cn e pprecited on non-contrst MDCT. Uncommonly, primry tumours or metstses involving one or the meninges of the floor of the middle crnil foss my cuse pin in the vicinity of the TMJ. Furthermore, even if not responsile for the presenting symptoms, significnt incidentl lesions my e seen within the scnned volume, including posterior foss nd Although CT hs een trditionlly viewed s modlity for ssessing only ony pthology nd clcifiction of the TMJs, with ttention to technique nd interctive reding with DICOM viewer, it is n excellent modlity for viewing the full rnge of TMJ pthology nd cn e used insted of MRI when MRI is contrindicted or not ccessile. In the setting of trum nd primry one lesions, it is the modlity of choice. References 1. Gurlnick W, Kn LB, Merrill RG. Temporomndiulr joint fflictions. N Engl J Med 1978; 299: Toms X, Pomes J, Berenguer J et l. MR imging of temporomndiulr joint dysfunction: pictoril review. Rdiogrphics 2006; 26: Brooks SL, Brnd JW, Gis SJ et l. Imging of the temporomndiulr joint: position pper of the Americn Acdemy of Orl nd Mxillofcil Rdiology. Orl Surg Orl Med Orl Pthol Orl Rdiol Endod 1997; 83: Blliu E, Medin V, Villnov JC et l. Synovil chondromtosis of the temporomndiulr joint: CT nd MRI findings. Dentomxillofc Rdiol 2007; 36: Simon DC, Hess ML, Smilk MS, Beltrn J. Direct sgittl CT of the temporomndiulr joint. Rdiology 1985; 157: Hud W, Ogden KM, Khorsni MR. Converting dose-length product to effective dose t CT. Rdiology 2008; 248: Lrheim TA, Westesson PL, Sno TS. Temporomndiulr joint disk displcement: comprison in symptomtic volunteers nd ptients. Rdiology 2001; 218: Molinri F, Mnicone PF, Rffelli L et l. Temporomndiulr joint: soft-tissue pthology, I: disc normlities. Semin Ultrsound CT MR 2007; 28: Whyte AM, McNmr D, Rosenerg I, Whyte AW. Mgnetic resonnce imging in the evlution of temporomndiulr joint disc displcement review of 144 cses. Int J Orl Mxillofc Surg 2006; 35: Journl of Medicl Imging nd Rdition Oncology 2012 The Royl Austrlin nd New Zelnd College of Rdiologists
Postinfective physeal bars MRI features and choice of management
Postinfective physel rs MRI fetures nd choice of mngement Murry Hyes, MB ChB Svvs Andronikou, MB BCh, FC Rd, FRCR, PhD Crey Mckenzie, MB ChB, FCRd Jco du Plessis, MB ChB Reen George, MB BS, MMed Rd Slomine
More informationSevere Gummy Smile with Class II Malocclusion Treated with LeFort I Osteotomy Combined with Horseshoe Osteotomy and Intraoral Vertical Ramus
2013 67 1 5560 Severe Gummy Smile with Clss II Mlocclusion Treted with LeFort I Osteotomy Comined with Horseshoe Osteotomy nd Introrl Verticl Rmus Osteotomy * 56 Shimo et l. Act Med. Okym Vol. 67, No.
More informationGeneral Microscopic Changes
Generl Microscopic Chnges 2 This chpter covers collection of microscopic chnges tht lck dignostic specificity ut occur in different specific diseses, s will ecome pprent in susequent chpters. Almost ll
More informationSkull fracture vs. accessory sutures: how can we tell the difference?
Emerg Rdiol (2010) 17:413 418 DOI 10.1007/s10140-010-0877-8 PICTORIAL ESSAY Skull frcture vs. ccessory sutures: how cn we tell the difference? Thoms Snchez & Deorh Stewrt & Mtthew Wlvick & Leonrd Swischuk
More informationFundamentals of Spine MRI and Essential Protocols
Fundmentls of Spine MRI nd Essentil Protocols A. C. Dougls-Akinwnde, MD Octoer 13, 2009 Fundmentls of Spine MRI Lerning Ojectives: 1. List the essentil sequences for Spine MRI exmintion 2. Discuss the
More informationAre Changes in Specific Landmark Anatomy on a Panoramic Image Suggestive of Maxillary Sinus Disease?
Enhnced CPD DO C Thmesh Keri Kndsmy Gnesn Are Chnges in Specific Lndmrk Antomy on Pnormic Imge Suggestive of Mxillry Sinus Disese? Astrct: Dentl pnormic rdiogrphy is commonly employed investigtion in dentistry,
More informationLATE RESULTS OF TRANSFER OF THE TIBIAL TUBERCLE FOR RECURRENT DISLOCATION OF THE PATELLA1
LATE RESULTS OF TRANSFER OF THE TIBIAL TUBERCLE FOR RECURRENT DISLOCATION OF THE PATELLA1 W. G. J. HAMPSON nd P. HILL, BRISTOL, ENGLAND The uthors wished to determine the lte results of the Huser opertion,
More informationPrevalence of TMJ Disc Displacement in a Pre-Orthodontic Adolescent Sample
Originl Article Prevlence of TMJ Disc Displcement in Pre-Orthodontic Adolescent Smple B. Nebbe, BDS, MDent, FFD(SA)Ortho, PhD ; P. W. Mjor, DDS, MSc, MRCD b Abstrct: This study evluted the prevlence of
More informationSeeding Metastasis of Chromophobe Renal Cell Carcinoma after Robot-Assisted Laparoscopic Partial Nephrectomy
pissn 2384-1095 eissn 2384-1109 imri 2017;21:119-124 https://doi.org/10.13104/imri.2017.21.2.119 Seeding Metstsis of Chromophoe Renl Cell Crcinom fter Root-Assisted Lproscopic Prtil Nephrectomy Knghun
More informationArthroscopic Anatomy of Shoulder
Arthroscopic Antomy of Shoulder Murt Bozkurt, Mehmet Emin Simsek, nd Hlil İrhim Açr 2 2.1 Introduction In the lst 30 yers, shoulder rthroscopy hs ecome of greter importnce in the dignosis nd tretment of
More informationHallux valgus and cartilage degeneration in the first metatarsophalangeal joint
Hllux vlgus nd crtilge degenertion in the first mettrsophlngel joint P. Bock, K.-H. Kristen, A. Kröner, A. Engel From the Dnue Hospitl, Vienn, Austri This study reltes the extent of crtilge lesions within
More informationA Rare Manifestation of Solitary Primary Bone Lymphoma of the Finger: a Case Report
pissn 2384-1095 eissn 2384-1109 imri 2018;22:240-244 A Rre Mnifesttion of Solitry Primry Bone Lymphom of the Finger: Cse Report Jeong A Yeom 2, You Seon Song 1 *, In Sook Lee 1, Kyung Un Choi 3, Jeung
More informationIntraventricular CNS lesions: A pictorial essay
s_s_nner Journl of Medicl Imging nd Rdition Oncology 59 (2015) 453 460 MEDICAL IMAGING PICTORIAL ESSAY Intrventriculr CNS lesions: A pictoril essy Jne Wtts, 1 Kelvin K Yp, 1 Dniel Ou, 2 Con Trtgli, 1 Nichols
More informationUniversity of Cape Town
.. I i I II I I The copyright of this thesis vests in the uthor. No quottion from it or informtion derived from it is to be published without full cknowledgement of the source. The thesis is to be used
More informationThallium-201 chloride scintigraphy in soft tissue tumors
136 ORIGINAL Thllium-201 chloride scintigrphy in soft tissue tumors Hideki Otsuk, Kori Terzw, Nomi Morit, Yoichi Otomi, Shoichiro Tko, Seiji Iwmoto, Kyosuke Oski, Msfumi Hrd, nd Hiromu Nishitni Deprtment
More informationRADIOLOGY FOR PRACTITIONERS IMAGING OF MUSCULOSKELETAL DISEASES
RADIOLOGY FOR PRACTITIONERS IMAGING OF MUSCULOSKELETAL DISEASES http://www.lenesemedicljournl.org/rticles/57-1/doc3.pdf Nil J. KHOURY 1, George Y. EL KHOURY 2 Khoury NJ, El Khoury GY. Imging of muskuloskeletl
More informationCT and MRI appearances of cystic lesions in the suprahyoid neck: a pictorial review
Dentomxillofcil Rdiology (2007) 36, 1 9 q 2007 The British Institute of Rdiology http://dmfr.irjournls.org REVIEW CT nd MRI ppernces of cystic lesions in the suprhyoid neck: pictoril review EK Woo*,1 nd
More informationThe Dynamics of Varicella-Zoster Virus Epithelial Keratitis in Herpes Zoster Ophthalmicus
Chpter 2 The Dynmics of Vricell-Zoster Virus Epithelil Kertitis in Herpes Zoster Ophthlmicus The morphology of n individul VZV lesion reflects sequence of events triggered y the virus impct on cornel epithelil
More informationMagnetic resonance imaging of the pediatric spine
RdloGrphlcs Index terms: MgnetIc resonnce ImgIng Musculoskeletl Imging PedItrIc Imging Cumultive index terms: Spine; MR studies Mgnetic resonnce (MR); in infnts nd children Children; skeletl system Mgnetic
More information7 Skeleton. Anatomy. Long Bones
7 Skeleton The second most frequent rdiogrphic study, fter the chest film, is tht of the peditric skeleton. The most common indiction for such studies is of course trum. In order to understnd the disese
More informationHyperplastic dental follicle or peri-follicle fibrosis, is. Hyperplastic Dental Follicle Review of Literature and Report of Two Cases in One Family
Puliction Hyperplstic Dentl Follicle Review of Literture nd Report of Two Cses in One Fmily Chun Xio SUN 1, Crig RIRIE 1, Jeffrey M HENKIN 1 Hyperplstic dentl follicle is n extremely rre lesion. The prctitioner
More informationBreast carcinomas: why are they missed?
O r i g i n l A r t i c l e Singpore Med J 2006; 47(10) : 851 Brest crcinoms: why re they missed? Muttrk M, Pojchmrnwiputh S, Chiwun B ABSTRACT Introduction: Mmmogrphy hs proven to e n effective modlity
More informationElbow your way into reporting paediatric elbow fractures A simple approach
Pge 1 of 10 Elow your wy into reporting peditric elow frctures A simple pproch Authors: Trcy Kilorn 1 Hlvni Moodley 1 Stewrt Mers 1 Affilitions: 1 Red Cross Wr Memoril Children s Hospitl, Cpe Town, South
More informationThe Aetiology, Diagnosis and Management of Mandibular Asymmetry
44 Orthodontic Updte My 2008 Mtthew SY Chi Frhd B Nini nd Dljit S Gill The Aetiology, Dignosis nd Mngement of Mndiulr Asymmetry Astrct: An understnding of the etiology of mndiulr symmetry nd thorough methodicl
More informationStudy of Stress Distribution in the Tibia During Stance Phase Running Using the Finite Element Method
Ksetsrt J. (Nt. Sci.) 48 : 729-739 (2014) Study of Stress Distriution in the Tii During Stnce Phse Running Using the Finite Element Method Thepwchr Ruchirh 1, Tumrong Puttpitukporn 1, * nd Siriporn Ssimontonkul
More informationAnus,Rectum and Colon
JOURNAL OF THE Anus,Rectum nd Colon http://journl-rc.jp CASE REPORT Anl Cnl Dupliction Associted with Prescrl Cyst in n Adult Tkyuki Toyong 1), Hiromitsu Mtsud 1), Ryuichi Miu 1), Yohei Toming 1), Keiji
More informationAccuracy of Rotator Cuff Tears and Tendinosis Diagnoses on Shoulder Ultrasound Performed by a Short-experienced Operator
ORIGINAL ARTICLE Accurcy of Rottor Cuff Ters nd Tendinosis Dignoses on Shoulder Ultrsound Performed y Short-experienced Opertor Hrshd Arvind Vnjre, Jyoti Pnwr Deprtment of Rdiology, Christin Medicl College
More informationMidfoot and forefoot. Specific fractures. Fractures of the navicular. Fracture patterns and treatment. Fractures of the cuboid
.10 Specific frctures Foot.10.2 1 Midfoot nd forefoot Frctures of the nviculr 919 1.1 Surgicl ntomy 919 1.2 Frcture ptterns nd tretment 919 2 Frctures of the cuoid 922 2.1 Surgicl ntomy 922 2.2 Frcture
More informationSurgical Neurology International
Surgicl Neurology Interntionl OPEN ACCESS For entire Editoril Bord visit : http://www.surgiclneurologyint.com Editor: Jmes I. Ausmn, MD, PhD University of Cliforni, Los Angeles, CA, USA Originl Article
More informationEfficacy of Pembrolizumab in Patients With Advanced Melanoma With Stable Brain Metastases at Baseline: A Pooled Retrospective Analysis
Efficcy of Pembrolizumb in Ptients With Advnced Melnom With Stble Brin Metstses t Bseline: A Pooled Retrospective Anlysis Abstrct 1248PD Hmid O, Ribs A, Dud A, Butler MO, Crlino MS, Hwu WJ, Long GV, Ancell
More informationASK AN EXPERT THINGS YOU WANT TO KNOW
ASK AN EXPERT THINGS YOU WANT TO KNOW Q BJÖRN U. ZACHRISSON OSLO, NORWAY A Mndiulr third molrs nd lte lower rch crowding the evidence se The issue of the influence of unerupted third molrs on the dentition
More informationBright Futures Medical Screening Reference Table 2 to 5 Day (First Week) Visit
Bright Futures Medicl Reference Tle 2 to 5 Dy (First Week) Visit Universl Action Metolic nd Verify documenttion of neworn metolic screening results, pproprite rescreening, nd needed follow-up. Document
More informationMR Imaging of the Rotator Cuff and Rotator Interval
MR Imging of the Rottor Cuff nd Rottor Intervl Mrcelo R Areu nd Michel Recht Antomy of the Rottor Cuff The rottor cuff is comprised of the suprspintus, infrspintus, suscpulris, nd teres minor muscles nd
More informationCharacteristics of hip involvement in patients with ankylosing spondylitis in Korea
ORIGINAL ARTICLE Koren J Intern Med 2017;32:158-164 Chrcteristics of hip involvement in ptients with nkylosing spondylitis in Kore Hyemin Jeong, Yeong Hee Eun, In Young Kim, Hyungjin Kim, Jejoon Lee, Eun-Mi
More informationIndirect magnetic resonance arthrography of the shoulder; a reliable diagnostic tool for investigation of suspected labral pathology
Skeletl Rdiol (2013) 42:1225 1233 DOI 10.1007/s00256-013-1644-1 SCIENTIFIC ARTICLE Indirect mgnetic resonnce rthrogrphy of the shoulder; relile dignostic tool for investigtion of suspected lrl pthology
More informationRole of Magnetic Resonance Imaging Fistulography in Preoperative Evaluation of Perianal Fistulas
Originl Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2017/446 Role of Mgnetic Resonnce Imging Fistulogrphy in Preopertive Evlution of Perinl Fistuls Sushil Kumr K Kle 1, Prteek
More informationDental Rehabilitation of Patients with Amelogenesis Imperfecta using Zirconia Crowns, Stainless Steel Crowns, and Composite Veneers: A Case Report
Cse Report Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2016/641 Dentl Rehilittion of Ptients with Amelogenesis Imperfect using Zirconi Crowns, Stinless Steel Crowns, nd Composite Veneers:
More informationConservative Temporomandibular Disorder Management: What DO I do? Frequently Asked Questions
TMDMngement Roin JM Gry Zid Al-Ani Conservtive Temporomndiulr Disorder Mngement: Wht DO I do? Frequently Asked Questions Astrct: There re mny myths nd fllcies surrounding the conservtive or non-surgicl
More informationChordoid Glioma Originating in the Intrasellar and Suprasellar Regions: Case Report
pissn 2384-1095 eissn 2384-1109 imri 2015;19:117-121 http://dx.doi.org/10.13104/imri.2015.19.2.117 Chordoid Gliom Originting in the Intrsellr nd Suprsellr Regions: Cse Report Jisun Hwng 1, Aleum Lee 1,
More informationPNEUMOVAX 23 is recommended by the CDC for all your appropriate adult patients at increased risk for pneumococcal disease 1,2 :
PNEUMOVAX 23 is recommended y the CDC for ll your pproprite dult ptients t incresed risk for pneumococcl disese 1,2 : Adults ged
More informationInput from external experts and manufacturer on the 2 nd draft project plan Stool DNA testing for early detection of colorectal cancer
Input externl experts nd mnufcturer on the 2 nd drft project pln Stool DNA testing for erly detection of colorectl cncer (Project ID:OTJA10) All s nd uthor s replies on the 2nd drft project pln Stool DNA
More informationAssessment of Renal Shape of Horseshoe Kidney with Multidetector Row CT in Adult Patients: Relationship between Urolithiasis and Renal Isthmus
Toki J Exp Clin Med., Vol. 38, No. 4, pp. 59-66, 23 Assessment of Renl Shpe of Horseshoe Kidney with Multidetector Row CT in Adult Ptients: Reltionship etween Urolithisis nd Renl Isthmus Shuichi KAWADA
More informationCitation for published version (APA): Krajenbrink, T. G. A. (1994). The silhouette of the mandibular condyle on radiographs. s.n.
University of Groningen The silhouette of the mndibulr condyle on rdiogrphs. Krjenbrink, Thierry Guy Alexis IMPORTANT NOTE: You re dvised to consult the publisher's version (publisher's PDF) if you wish
More informationConsiderations in Detecting Soft Tissue Calcifications on Panoramic Radiography Ibrahim Nasseh 1, Sayde Sokhn 2, Marcel Noujeim 3, Georges Aoun 4
Received: 20 th Jnury 2016 Accepted: 03 rd April 2016 Conflict of Interest: None Source of Support: Nil Cse Report Doi: 10.2047/jioh-08-06-20 Considertions in Detecting Soft Tissue Clcifictions on Pnormic
More informationMeat and Food Safety. B.A. Crow, M.E. Dikeman, L.C. Hollis, R.A. Phebus, A.N. Ray, T.A. Houser, and J.P. Grobbel
Met nd Food Sfety Needle-Free Injection Enhncement of Beef Strip Loins with Phosphte nd Slt Hs Potentil to Improve Yield, Tenderness, nd Juiciness ut Hrm Texture nd Flvor B.A. Crow, M.E. Dikemn, L.C. Hollis,
More informationInvestigations for the Unstable Shoulder
Symposium Asin Journl of Arthroscopy 2017 Jn-April ;2(1): 7-14 Investigtions for the Unstle Shoulder Astrct Introduction INTRODUCTION The shoulder hs the gretest rnge of motion compred to ny joint in the
More informationConcomitant Intraocular Retinoblastoma and Choroidal Hemangioma in a 1-Year-Old Boy
Cse Report doi: 10.5146/tjpth.2017.01411 Concomitnt Introculr Retinoblstom nd Choroidl Hemngiom in 1-Yer-Old oy Ycoub A. Yousef 1, Mys Al-Hussini 2, Freed H. rkt 2, Al Sleh 3, Mon Mohmmd 1, Rsh Deebjh
More informationOriginal Research. Pre-operative staging of carcinoma of tongue using ultrasonography and magnetic resonance imaging
Originl Reserch Americn Journl of Dignostic Imging www.jdignosticimging.com DOI: 10.5455/jdi.20161226053617 Pre-opertive stging of crcinom of tongue using ultrsonogrphy nd mgnetic resonnce imging Nilu
More informationSymptomatic Remote Cyst after BCNU Wafer Implantation for Malignant Glioma
Cse Report doi: 10.2176/nmc.cr.2017-0218 Neurol Med Chir (Tokyo) 58, 270 276, 2018 Symptomtic Remote Cyst fter BCNU Wfer Implnttion for Mlignnt Gliom Online My 21, 2018 Hideki MATSUMURA, 1 Eiichi ISHIKAWA,
More informationchapter 3. Squamous intraepithelial lesions: cytology histology correlation
chpter 3. Squmous intrepithelil lesions: cytology histology correltion CHAPTER 1 This chpter discusses the nturl history of cervicl precncer, HPV nd oncogenesis, cytology nomenclture, nd the cytologicl
More informationBENIGN ulceration along the greater curvature of the pars media of the
BENIGN ULCERS OF THE GREATER CURVATURE OF THE STOMACH Report of Two Cses CHARLES H. BROWN, M.D. Deprtment of Gstroenterology nd ANTHONY D. INTRIERE, M.D.* BENIGN ulcertion long the greter curvture of the
More informationCalcifying nested stromal-epithelial tumor (CNSET) of the liver
Cse report (CNSET) of the liver Victor Inole 1, Loredn Betrice Ungurenu *,1, Eugeni Moroșn 1, Cristin Dumitru Lupșcu 1,2 1 Grigore T. Pop University of Medicine nd Phrmcy, Isi, Romni; 2 Deprtment of Surgery,
More informationUtility of 128-slice Multi-detector Spiral Computed Tomography in Detecting Spectrum of Involvement in Acute Pancreatitis
Originl Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2017/353 Utility of 128-slice Multi-detector Spirl Computed Tomogrphy in Detecting Spectrum of Involvement in Acute Pncretitis
More informationSpine. Mario Crispino and Emanuela Crispino. 2.1 Normal Macroscopic Anatomy Vertebrae
Spine Mrio Crispino nd Emnuel Crispino 2 The functions of the spine re pprently divergent: xil stilistion of the upright position nd moility, indispensle for the movement of the segments. The spine plys
More informationImpact of Positive Nodal Metastases in Patients with Thymic Carcinoma and Thymic Neuroendocrine Tumors
Originl Article Impct of Positive Nodl Metstses in Ptients with Thymic Crcinom nd Thymic Neuroendocrine Tumors Benny Weksler, MD, Anthony Holden, MD, nd Jennifer L. Sullivn, MD Introduction: Thymic crcinoms
More informationMultilocular cystic clear cell renal cell carcinoma imaging with histopathologic correlation
CASE REPORT J. Trnsl. Med. Res 2015;20(4):253-257 Multiloculr cystic cler cell renl cell crcinom imging with histopthologic correltion Emi Mrinel Pred 1,3, Ion Griel Lupescu 1,3, Adrin Dijmrescu 3, Gelu
More informationIntraductal Papillary Mucinous Neoplasm With Extensive Mural Osseous Metaplasia and Calcification
CASE REPORT Intrductl Ppillry Mucinous Neoplsm With Extensive Murl Osseous Metplsi nd Clcifiction Runjn Chetty 1, Sngeeth N Klimuthu 1, Korosh Khlili 2 Deprtments of Pthology 1 nd Joint Deprtment of Medicl
More informationWorld Journal of Radiology. Imaging of the temporomandibular joint: An update
W J R World Journl of Rdiology Submit Mnusript: http://www.wjgnet.om/esps/ Help Desk: http://www.wjgnet.om/esps/helpdesk.spx DOI: 10.4329/wjr.v6.i8.567 World J Rdiol 2014 August 28; 6(8): 567-582 ISSN
More information14 Staging of Lung Cancer with MDCT
Stging of Lung Cncer with MDCT 205 14 Stging of Lung Cncer with MDCT P. M. Boiselle CONTENTS 14.1 Introduction 205 14.2 T-Sttus 205 14.2.1 T-1 nd T-2 Lesions 205 14.2.2 T-3 nd T-4 Lesions 208 14.3 N-Sttus
More informationPulmonary langerhans cell histiocytosis: Two cases with varied radiologic findings
CASE REPORT Est J Med 21(1): 45-49, 2016 Pulmonry lngerhns cell histiocytosis: Two cses with vried rdiologic findings Huly Guntr 1,*, Alpsln Yvuz 2, Bunymin Sertogullrindn 1, Selmi Ekin 1, Selvi Asker
More informationMagnetic Resonance Imaging (MRI) in Syringomyelia
Act Neurochir (Wien)(1995) 134:93-99 :Act. _ N urochlrurgc 9 Springer-Verlg t995 Printed in Austri Mgnetic Resonnce Imging (MRI) in Syringomyeli H. L. J. Tnghe Deprtment of Rdiodignostics, University Hospitl
More informationFindings Regarding an Intracranial Hemorrhage on the Phase Image of a Susceptibility-Weighted Image (SWI), According to the Stage, Location, and Size
pissn 2384-1095 eissn 2384-1109 imri 2015;19:107-113 http://dx.doi.org/10.13104/imri.2015.19.2.107 Findings Regrding n Intrcrnil Hemorrhge on the Phse Imge of Susceptiility-Weighted Imge (SWI), According
More informationUC Davis UC Davis Previously Published Works
UC Dvis UC Dvis Previously Published Works Title Rib hed protrusion into the centrl cnl in type 1 neurofibromtosis Permlink https://escholrship.org/uc/item/8457m5x3 Journl Peditric Rdiology, 40(12) ISSN
More informationThe effects of diversion of intestinal contents on the progress of Crohn's disease of the large bowel
Gut, 1971, 12, 11-15 The effects of diversion of intestinl contents on the progress of Crohn's disese of the lrge owel J. H. BURMAN, H. THOMPSON, W. T. COOKE, AND J. ALEXANDER WILLIAMS From the Nutritionl
More informationPROVEN ANTICOCCIDIAL IN NEW FORMULATION
PROVEN ANTICOCCIDIAL IN NEW FORMULATION Coxidin 100 microgrnulte A coccidiosttic dditive for roilers, chickens rered for lying nd turkeys Contins 100 g of monensin sodium per kg Aville s homogenous grnules
More informationCopy Number ID2 MYCN ID2 MYCN. Copy Number MYCN DDX1 ID2 KIDINS220 MBOAT2 ID2
Copy Numer Copy Numer Copy Numer Copy Numer DIPG38 DIPG49 ID2 MYCN ID2 MYCN c DIPG01 d DIPG29 ID2 MYCN ID2 MYCN e STNG2 f MYCN DIPG01 Chr. 2 DIPG29 Chr. 1 MYCN DDX1 Chr. 2 ID2 KIDINS220 MBOAT2 ID2 Supplementry
More informationEvaluation of canting correction of the maxillary transverse occlusal plane and change of the lip canting in Class III two-jaw orthognathic surgery
Originl Article Evlution of cnting correction of the mxillry trnsverse occlusl plne nd chnge of the lip cnting in Clss III two-jw orthognthic surgery Seung-Je Kim ; Jin-Young Choi b ; Seung-Hk Bek c ABSTRACT
More informationUSE OF ELASTOGRAPHY FOR CERVICAL CANCER DIAGNOSTICS
Experimentl Oncology 37, 139 145, 2015 (June) 139 Exp Oncol 2015 37, 2, 139 145 USE OF ELASTOGRAPHY FOR CERVICAL CANCER DIAGNOSTICS O.A. Bky*, T.S. Golovko Ntionl Cncer Institute, Kyiv 03022, Ukrine The
More informationClear-cell variant of calcifying epithelial odontogenic tumor (Pindborg tumor) in the mandible
Interntionl Journl of Orl Science (2013) 5, 115 119 ß 2013 WCSS. All s reserved 1674-2818/13 www.nture.com/ijos CASE REPORT Cler-cell vrint of clcifying epithelil odontogenic tumor (Pindorg tumor) in the
More informationOral Oncology 47 (2011) Contents lists available at ScienceDirect. Oral Oncology. journal homepage:
Orl Oncology 47 (2011) 288 295 Contents lists vilble t ScienceDirect Orl Oncology journl homepge: www.elsevier.com/locte/orloncology Comprison of PET/CT nd MRI for the detection of bone mrrow invsion in
More informationWSU Tree Fruit Research and Extension Center, Wenatchee (509) ext. 265;
FINAL REPORT WTFRC Project # AH-1-5 WSU Project # 13C-355-3 Project title: PI: Orgniztion: Coopertors: of Sunburn in Apples with RAYNOX Lrry Schrder, Horticulturist WSU Tree Fruit Reserch nd Extension
More informationEvaluation of treatment of late-onset tibia vara using gradual angulation translation high tibial osteotomy
Act Orthop. Belg., 2010, 76, 360-366 ORIGINAL STUDY Evlution of tretment of lte-onset tii vr using grdul ngultion trnsltion high tiil osteotomy Adel Rhmn Adel Ltif AMER, Ashrf A. KHANFOUR From the Dmnhour
More informationNeuroradiology and headaches
J Hedche Pin (2006) 7:422 432 DOI 10.1007/s10194-006-0347-6 TUTORIAL Andre Romno Vlentin Ciprini Alessndro Bozzo Neurordiology nd hedches Received: 25 Octoer 2006 Accepted in revised form: 6 Novemer 2006
More informationPercutaneous plate fixation of fractures of the distal tibia
Act Orthop. Belg., 2004, 70, 148-154 ORIGINAL STUDY Percutneous plte fixtion of frctures of the distl tii Jens FRANCOIS, Geoffroy VANDEPUTTE, Frnk VERHEYDEN, Guy NELEN Minimlly invsive plte osteosynthesis
More informationLung cancer is the leading cause of cancer death worldwide, EGFR Mutation and Brain Metastasis in Pulmonary Adenocarcinomas
Originl Article EGFR Muttion nd Brin Metstsis in Pulmonry Adenocrcinoms Dong-Yeop Shin, MD,* Im Il N, MD,* Cheol Hyeon Kim, MD, PhD, Sunhoo Prk, MD, PhD, HeeJong Bek, MD, PhD, nd Sung Hyun Yng, MD, PhD*
More informationHIROATSU NAKASHIMA, MASAHIRO YOSHIDA & KENTARO MIYAMOTO. Department of Orthopedic Surgery, Aichi Hospital, Aichi Cancer Center, Okazaki, Japan
Upsl Journl of Medicl Sciences. 2012; 117: 460 464 CASE REPORT Antomicl reconstruction of the ptellr tendon using the fsci lt ttched to the ilic one following resection for soft tissue srcom: A cse report
More informationRetroclival collections associated with abusive head trauma in children
Peditr Rdiol (2014) 44 (Suppl 4):S621 S631 DOI 10.1007/s00247-014-3170-2 SPECIAL ISSUE: ABUSIVE HEAD TRAUMA Retroclivl collections ssocited with busive hed trum in children V. Michelle Silver & Amy R.
More informationMagnetic resonance imaging of solid urethral and peri-urethral lesions
Insights Imging (2013) 4:461 469 DOI 10.1007/s13244-013-0259-3 PICTORIAL REVIEW Mgnetic resonnce imging of solid urethrl nd peri-urethrl lesions Andrew Del Gizo & Alvin C. Silv & Dor M. Lm-Himlin & Brin
More informationOriginal Article INTRODUCTION
Originl Article Evlution of mxillry centrl incisors on the noncleft nd cleft sides in ptients with unilterl cleft lip nd plte Prt 1: Reltionship etween root length nd orthodontic tooth movement Ay Med-Iino
More informationMandibular vertical asymmetry in adult orthodontic patients with different vertical growth patterns: A cone beam computed tomography study
Originl Article Mndibulr verticl symmetry in dult orthodontic ptients with different verticl growth ptterns: A cone bem computed tomogrphy study Slih Celik ; Mevlut Celikoglu b ; Suleymn K. Buyuk c ; A.
More informationVagina Anatomy Imaging Appearance of the Vagina. Uta Zaspel and Bernd Hamm
Vgin 275 Vgin 12 Ut Zspel nd Bernd Hmm CONTENTS 12.1 Antomy 275 12.2 Imging Appernce of the Vgin 275 12.3. Congenitl Mlformtions 280 12.4. Benign Lesions 280 12.4.1 Brtholin s Glnd Cysts 280 12.4.2 Condylomt
More informationFocal Liver Lesions. Wolfgang Schima, Dow-Mu Koh, and Richard Baron Introduction MDCT Imaging Techniques
Focl Liver Lesions Wolfgng Schim, Dow-Mu Koh, nd Richrd Bron 17 Lerning Ojectives To lern the optiml imging techniques nd the relevnce of differentil dignosis for liver diseses To discuss current indictions
More informationFinding nemo: imaging findings, pitfalls, and complications of ingested fish bones in the alimentary canal
Emerg Rdiol (2013) 20:311 322 DOI 10.1007/s10140-012-1101-9 PICTORIAL ESSAY Finding nemo: imging findings, pitflls, nd complictions of ingested fish ones in the limentry cnl Chrlene Jin Yee Liew & Angeline
More informationHistometry of thyroids containing few and multiple
J Clin Pthol 1986;39:483-488 Histometry of thyroids contining few nd multiple nodules M AL-MOUSSA, J SWANSON BECK From the Deprtment ofpthology, The University ofdundee, Ninewells Hospitl nd Medicl School,
More informationHistopathology and quantitative bone changes
Archives of Disese in Childhood, 198, 55, 945-949 Neontl rickets Histopthology nd quntittive bone chnges S J OPPENHEMER AND G J A SNODGRASS Deprtment of Morbid Antomy, London Hospitl Medicl College, nd
More informationEtiology of Vocal Cord Paralysis
Originl Pper ORL 2007;69:167 171 DOI: 10.1159/000099226 Received: Mrch 6, 2006 Accepted fter revision: August 25, 2006 Published online: Jnury 30, 2007 Etiology of Vocl Cord Prlysis Hsin-Chien Chen Yee-Min
More informationRadiological appearances of gynaecological emergencies
Insights Imging (2012) 3:265 275 DOI 10.1007/s13244-012-0157-0 PICTORIAL REVIEW Rdiologicl ppernces of gynecologicl emergencies Orn Roche & Nikit Chvn & Joseph Aquilin & Andre Rockll Received: 5 Octoer
More informationNormal Anatomy. Concepts of General Anatomy
Norml Antomy 2 In OPT, the evlution of the mstictory norml ntomy is different for sujects of peditric ge nd dults. Indeed, sujects of peditric ge present rdiogrphic ppernce which cn e de fi ned s mixed
More informationAnalysis of 18 F-fluorodeoxyglucose positron emission tomography findings in patients with pituitary lesions
ORIGINAL ARTICLE Koren J Intern Med 2013;28:81-88 http://dx.doi.org/10.3904/kjim.2013.28.1.81 Anlysis of F-fluorodeoxyglucose positron emission tomogrphy findings in ptients with pituitry lesions Hnnh
More information3 Chest Examinations in Children
3 Chest Exmintions in Children The chest film is the most frequently ordered peditric rdiogrphic exmintion. However, ecuse one looks t so mny chest rdiogrphs, fmilirity my crete flse sense of security
More informationFindings in spontaneous intramural intestinal hematoma imaging
Brief report Findings in spontneous intrmurl intestinl hemtom imging F. Mirs Azcón, A. Mrtínez Mrtínez, A. Sntigo Chinchill*, A. Medin Benítez, E. Ochndo Pulido nd M.A. Pérez Rosillo Imging deprtment,
More informationRADIOLOGY FOR PRACTITIONERS IMAGING OF COMMON NEUROLOGICAL DISORDERS
RADIOLOGY FOR PRACTITIONERS IMAGING OF COMMON NEUROLOGICAL DISORDERS http://www.lenesemedicljournl.org/rticles/57-1/doc1.pdf Roul HOURANI, Mukil H. HOURANI* Hourni R, Hourni MH. Imging of common neurologicl
More informationPapillary squamous cell carcinoma of the oral mucosa: immunohistochemical comparison with other carcinomas of oral mucosal origin
165 Journl Orl Science, Vol. 43, No. 3, 165-169, 2001 Ppillry orl mucos: immunohistochemicl comprison with or s orl mucosl origin Astrct: Ppillry (PSCC) is poorly descried vrint, nd my e confused with
More informationCT colonography: avoiding traps and pitfalls
Insights Imging (2011) 2:57 68 DOI 10.1007/s13244-010-0054-3 PICTORIAL REVIEW CT colonogrphy: voiding trps nd pitflls Philippe Lefere & Stefn Gryspeerdt Received: 5 August 2010 / Accepted: 18 Novemer 2010
More information8 Liver Hemangioma. 8.1 Introduction. 8.2 Sonography. Valérie Vilgrain and Giuseppe Brancatelli
Liver Hemngiom 101 8 Liver Hemngiom Vlérie Vilgrin nd Giuseppe Brnctelli CONTENTS 8.1 Introduction 101 8.2 Sonogrphy 101 8.3 Computed Tomogrphy 102 8.4 Mgnetic Resonnce 104 8.5 Scintigrphy 107 8.6 Percutneous
More informationNon-invasive Diagnosis of Liver Clinical Condition by Real-time Tissue Elastography and Shear Wave Measurement : Get More Accessible by One Probe
XXXXXXXXXX Non-invsive Dignosis of Liver Clinicl Condition y Rel-time Tissue Elstogrphy nd Sher Wve Mesurement : Get More Accessile y One Proe Norihis Yd Mstoshi Kudo Deprtment of Gstroenterology nd Heptology,
More informationA Comparison Study of Upper Airway among Different Skeletal Craniofacial Patterns in Nonsnoring Chinese Children
Originl Article A Comprison Study of Upper Airwy mong Different Skeletl Crniofcil Ptterns in Nonsnoring Chinese Children Zhe Zhong ; Zhihui Tng b ; Xuemei Go c ; Xing-Long Zeng c ABSTRACT Objective: Ptients
More informationChapter. Imaging of SARS in North America. Introduction. Clinical Manifestations of SARS in North America
content Chpter 13 Nestor L. Müller, Hrry Shulmn Introduction Clinicl Mnifesttions of SARS in North Americ Rdiogrphic Mnifesttions of SARS in North Americ High Resolution CT Findings of SARS in North Americ
More informationImaging of the thyroid: Recent advances
[Downloded free from http://www.ijem.in on Wednesdy, Septemer 28, 2016, IP: 85.150.20.164] IJEM_185_11R4 Review Article Imging of the thyroid: Recent dvnces Viks Chudhry, Shhin Bno 1 Deprtment of Rdiodignosis,
More information