The diseases causing insufficiency fractures of the spine in young and middle-aged patients
|
|
- Charla Fowler
- 5 years ago
- Views:
Transcription
1 The diseases causing insufficiency fractures of the spine in young and middle-aged patients Poster No.: C-2404 Congress: ECR 2010 Type: Educational Exhibit Topic: Musculoskeletal Authors: S. Y. Park, W. Jin, J. S. Park, K. N. Ryu; Seoul/KR Keywords: vertebrae, insufficiency fracture, osteoporosis DOI: /ecr2010/C-2404 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. Page 1 of 16
2 Learning objectives To illustrate a variety of diseases related to insufficiency fractures of the spine in young and middle-aged patients Background Insufficiency fractures develop from the effects of normal or physiologic stress on abnormally weakened bone, in which the elastic resistance is reduced. There are various diseases that cause insufficiency fractures of the spine. Senile and postmenopausal states, use of steroids, endocrine disorders such as hyperparathyroidism or Cushing's disease, pregnancy, alcoholism, and malnutrition are the major causes of generalized osteoporosis and may result in insufficiency fractures in the vertebral bodies. Also, insufficiency fractures of the spine may be seen in osteomalacia or renal osteodystrophy. In young and middle-aged patients, insufficiency fracture of the spine is rarely seen. We describe various conditions causing multiple insufficiency fractures of the spine, especially in yound and middle-aged patients. Ref (1-3) Imaging findings OR Procedure details CASE 1: 31-year-old woman Chief complaint and present illness - back pain - postpartum period (delivery 2 months ago) Page 2 of 16
3 T-spine radiograph (Fig 1) - height loss with concave or wedge deformities in multiple thoracic vertebral bodies, concave deformities in upper lumbar vertebral bodies, and diffuse osteoporosis T-spine MRI (Fig 1) - T-spine MRI demonstrates multiple fractures at T5-T12 vertebral bodies, with or without surrounding bone marrow edema. Bone scan (Fig 1) - increased uptakes at T6-L3 vertebral bodies along superior endplates Bone mineral density (BMD) - osteoporosis with a lumbar spine (L1-L4) T score of -4.0 and a femur (neck) T score of -2.0 Laboratory results - alkaline phosphatase (ALP) 484 IU/L (#); total serum calcium (Ca) 7.4mg/dl (#); serum phosphorus (P) 1.9mg/dl (#); urinary Ca 0.143mg/24h; urinary creatinine (Cr) 0.7g/24h (#);C-terminal peptide ng/ml (#); parathyroid hormone (PTH) 85.0 pg/ml (#); serum osteocalcin 15 ng/ml; serum T3 47 ng/dl (#); serum free T ng/dl (#); and serum TSH 2.95 miu/l Diagnosis - Postpartum osteoporosis associated with multiple vertebral fractures Discussion Pregnancy and lactation are associated with considerable changes in calcium metabolism because of the increased necessities for fetal skeleton formation and breast milk production. In the last trimester of pregnancy, there is a need for calcium to allow mineralization of the fetal skeleton. During lactation, 250 to 350 mg of calcium is transferred daily from the mother to the neonate through the milk. Estradiol, prolactin and parathyroid hormone-related protein (PTHrP) play complex and variable roles in bone metabolism during pregnancy and lactation. Risk factors of postpartum fracture are thought to be rapid and excessive weight gain during pregnancy, transient osteoporosis during pregnancy, decrease in physical activity and endocrine and hormonal influences. Ref (4) Page 3 of 16
4 CASE 2: 35-year-old man Chief complaint - intermittent low back pain, right buttock and thigh pain for 4-5 years Past medical history - none L-spine radiograph (Fig 2) - concave deformities at bodies of L-spine with diffuse osteoporosis L-spine sagittal reformatted CT image (Fig 2) - biconcave whole lumbar vertebrae with subchondral transverse lines along endplates and diffuse osteoporosis L-spine MRI (Fig 2) - multiple subchondral low signal intensity lines along endplates at bodies of whole Lspine L-spine sagittal reformatted CT image at the level of right neural foramen of L-spine - spondylolysis: defect at pars interarticularis (defect at left pars interarticularis was not shown.) BMD - The BMD is below the expected range for age with a lumbar spine (L1-L4) T score of -2.7 Laboratory results - total serum Ca 8.7mg/dl; serum P 4.3mg/dl; urinary Ca 0.299mg/24h; urinary Cr 1.65g/24h (#); serum testosterone 5.59 ng/ml; serum sex hormone-binding globulin (SHBG) 51.7 nmol/l; serum 25-OH Vitamin D 25.7 pg/ml (R 11-70); serum C-terminal peptide ng/ml (#); serum PTH (intact) 30.0 pg/ml; serum osteocalcin 31.0 ng/ml Diagnosis -idiopathic osteoporosis Page 4 of 16
5 Discussion Idiopathic osteoporosis can be defined as osteoporosis that occurs in men without any known cause and represents approximately 40-50% of all osteoporosis in men. There is an age limit associated with this definition. The three major cuases of osteoporosis in men are alcohol abuse, glucocorticoid excess and hypogonadism. Im many series, these etiologic account for 40-50% of all men with osteoporosis. Ref (5) CASE 3: 37-year-old man Chief complaint - both hip pain (severer at right hip) 6 months ago and low back pain 3 years ago Past medical history - heart surgery for atrial septal defect 23 years ago - hypertension L-spine radiograph (Fig 3) - height loss with concave or wedge deformities in bodies of T11-L5 and diffuse osteoporosis L-spine MRI (Fig 3) - multiple insufficiency fractures at T11-L5 vertebral bodies, which are located close to endplates Hip AP radiograph (Fig 4) - Looser's zone at medial cortex of left proximal femoral shaft, diffuse osteoporosis Bone scan (Fig 3) - increased uptakes at left scapula, right acromioclavicular joint and shoulder, ribs, spines, symphysis pubis, both femoral heads, and right foot Chest CT (not shown) - rib fractures Page 5 of 16
6 Abdomen CT (not shown) - no abnormality in abdomen Hip MR (Fig 5) after 3 months - insufficiency fractures are seen at both femoral heads, ilii, and symphysis pubis. Looser's zone is noted at medial cortex of left femoral shaft. Bone mineral density (BMD) after 3 months - osteoporosis with a lumbar spine (L1-L4) T score of -4.2 and a femur (neck) T score of -3.2 Chest PA after 3 months (Fig 4) - Looser's zone is newly visible at lateral border of left scapula. PET CT after 4 months (not shown) - no visible abnormal hypermetabolic lesion In-111 Octreotide scan after 6 months (not shown) - no abnormal increased uptake Laboratory results - serum ALP 932 IU/L (#); total serum Ca 8.6mg/dl; serum P 2.1mg/dl (#); urinary Ca 0.044mg/24h (#); urinary P 530.2mg/24h; urinary Cr 0.78g/24h (#); serum 1,25-(OH)2 Vitamin D pg/ml (#); serum C-terminal peptide ng/ml (#); serum PTH 35.0 pg/ml; serum osteocalcin 18.2 ng/ml Diagnosis - osteomalacia possibly due to vitamine D deficiency (the patient didn't undergo bone biopsy. This diagnosis was made by laboratory results and imaging findings.) CASE 4: 62-year-old woman Chief complaint - dry mouth, anorexia, weight loss (7kg during last 1 year) Page 6 of 16
7 Past medical history - hypothyroidism with medication, hypertension L-spine radiograph (Fig 6) - osteosclerosis along endplates and bone resorption with osteoporosis at spine L-spine MRI (Fig 6) - multiple insufficiency fractures along endplates at T10-L5 vertebral bodies Thyroid US (Fig 6) - mixed (solid and cystic) tumor in inferior pole of left thyroid was suggested and the differential diagnosis was parathyroid tumor Bone scan (Fig 9) There was diffusely increased uptake in whole body bones, especially calvarium (suggestive of superscan pattern). Mildly increased uptakes were noted along endplates at L-spine and lower T-spine. Focally increased uptakes were noted at distal portion of th left clavicle and left 9 rib posterior arc. Liver activity was visualized. Parathyroid MIBI scan (Fig 6) 10-minute pinhole image shows focal increased uptake at region just inferior to left thyroid, which persisted on 2-hour delayed image. BMD - osteoporosis with a lumbar spine (L1-L4) T score of -3.3 and a femur (neck) T score of -2.4 Laboratory results - serum ALP 2317 IU/L (#); total serum Ca 13.5mg/dl (#); serum P 2.0mg/dl (#); ionized calcium 1.94mmol/L (#);T3 105ng/dl; Free T4 1.67ng/dl; TSH 0.09mIU/L (#) Diagnosis - Parathyroid, left lower, excision: Primary hyperparathyroidism due to parathyroid carcinoma Page 7 of 16
8 Discussion Primary hyperparathyroidism results from parathyroid adenoma (80%), parathyroid gland hyperplasia (15-20%), or parathyroid carcinoma (<0.5%). Generalized osteopenia is the most common finding in primary hyperparathyroidism. Osteosclerosis is rarely encountered in primary hyperparathyroidism, on the other hand, is common in secondary hyperparathyroidism. Bone resorption is seen at subperiosteal, subchondral, intracortical, endosteal, and trabecular locations. Chondrocalcinosis is more common in primary rather than secondary hyperparathyroidism. Brown tumor, soft tissue calcifications, and periostitis are more commonly encountered in secondary hyperparathyroidism. Ref (6) CASE 5: 50-year-old woman Chief complaint - Gait disturbance, low back pain, bilateral posterior leg pain and numbness Past medical history - hemodialysis for chronic renal failure L-spine radiograph (Fig 7) - wedged deformities were seen at bodies of L1-4 and osteosclerosis along endplates was noted at L-spine. L-spine MRI (Fig 7) - demonstrates multiple insufficiency fractures along endplates at T11-S1 vertebral bodies with band-like low signal intensities, thickening of the posterior longitudinal ligaments, and central spinal canal stenosis at the level of L4-5 disc. -whole spine sagittal T2-weighted image shows multiple insufficiency fractures at thoracolumbar spines, thickening of the posterior longitudinal ligament C-spine MRI and 3D CT (Fig 8) - show thickening of the posterior longitudinal ligaments at C-spine without ossification. Also there is thickening of lig flava. These causes central spinal canal stenosis. Erosions and cysts in C2 body and lateral masses of C1 and T2-low signal intensity synovial hypertrophy are noted. Dialysis-related amyloidosis was suggested. Page 8 of 16
9 Diagnosis - Renal osteodystrophy Images for this section: Fig. 1: CASE 1: 31-year-old woman Page 9 of 16
10 Fig. 2: CASE 2: 35-year-old man Fig. 3: CASE 3: 37-year-old man Page 10 of 16
11 Fig. 4: CASE 3: 37-year-old man Fig. 5: CASE 3: 37-year-old man Page 11 of 16
12 Fig. 6: CASE 4: 62-year-old woman Page 12 of 16
13 Fig. 7: CASE 5: 50-year-old woman Page 13 of 16
14 Fig. 8: CASE 5: 50-year-old woman Page 14 of 16
15 Conclusion We should have a knowledge of various conditions causing insufficiency fractures of the spine and recommend additional examinations to find out the causes, especially in yound and middle-aged patients. Personal Information So Young Park, Wook Jin, Ji Seon Park, Kyung Nam Ryu So Young Park : Department of Radiology, East-West Neo Medical Center, KyungHee University, 149 Sangil-dong, Gangdong-gu, Seoul, , Republic of Korea. balgundol@hanmail.net Tel: Fax: Wook Jin : Department of Radiology, East-West Neo Medical Center, Kyung-Hee University, 149 Sangil-dong, Gangdong-gu, Seoul, , Republic of Korea. Ji Seon Park : Department of Radiology, Kyung Hee University Medical Center, Hoegidong, Dondaemun-gu, Seoul , Korea. Kyung Nam Ryu : Department of Radiology, Kyung Hee University Medical Center, Hoegi-dong, Dondaemun-gu, Seoul , Korea. References 1. Peh WC, Khong PL, Yin Y, et al. Imaging of pelvic insufficiency fractures. Radiographics 1996;16: Daffner RH, Pavlov H. Stress fractures: current concepts. AJR Am J Roentgenol 1992;159: Kawaguchi S, Yamashita T, Koshio H, Kirita T, Minaki Y, Yokogushi K. Insufficiency fracture of the spine: a prospective analysis based on radiographic and scintigraphic diagnosis. J Bone Miner Metab 2001;19: Page 15 of 16
16 4. Serarslan Y. Kalaci A. Akdemir GH. Yanat AN. Postpartum osteoporosis associated with vertebral fractures: report of two cases. World Spine Journal 2007;2: Bilezikian JP. Osteoporosis in men. J Clin Endocrinol Metab 1999;84: McDonald DK, Parman L, Speights VO, Jr. Best cases from the AFIP: primary hyperparathyroidism due to parathyroid adenoma. Radiographics 2005;25: Murphey MD, Sartoris DJ, Quale JL, Pathria MN, Martin NL. Musculoskeletal manifestations of chronic renal insufficiency. Radiographics 1993;13: Page 16 of 16
Identification and numbering of lumbar vertebrae using various anatomical landmarks on MRI of lumbosacral spine
Identification and numbering of lumbar vertebrae using various anatomical landmarks on MRI of lumbosacral spine Poster No.: C-2125 Congress: ECR 2015 Type: Authors: Scientific Exhibit S. patil 1, A. M.
More informationBI-RADS 3, 4 and 5 lesions on US: Five categories and their diagnostic efficacy and pitfalls in interpretation
BI-RADS 3, 4 and 5 lesions on US: Five categories and their diagnostic efficacy and pitfalls in interpretation e-poster: C-118 Congress: ECR 2008 Type: Educational Exhibit Topic: Breast / Ultrasound Authors:
More informationDiffusion-weighted MRI (DWI) "claw sign" is useful in differentiation of infectious from degenerative Modic I signal changes of the spine
Diffusion-weighted MRI (DWI) "claw sign" is useful in differentiation of infectious from degenerative Modic I signal changes of the spine Poster No.: C-0894 Congress: ECR 2012 Type: Scientific Exhibit
More informationMRI in Patients with Forefoot Pain Involving the Metatarsal Region
MRI in Patients with Forefoot Pain Involving the Metatarsal Region Poster No.: C-0151 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific Exhibit R. Vukojevi#, M. Mustapic, D. Marjan; Zagreb/HR
More informationLong bones manifestations of congenital syphilis
Long bones manifestations of congenital syphilis Poster No.: C-0139 Congress: ECR 2011 Type: Educational Exhibit Authors: T. F. de Souza 1, P. P. Collier 1, E. J. M. Bronzatto 1, G. L. P. Keywords: DOI:
More informationSingle cold nodule in Graves' disease: benign vs malignant
Single cold nodule in Graves' disease: benign vs malignant Poster No.: C-0073 Congress: ECR 2011 Type: Authors: Keywords: DOI: Scientific Paper L. I. Sonoda, M. Halim, K. Balan; Cambridge/UK Head and neck,
More informationImaging Gorham's disease (vanishing bone)
Imaging Gorham's disease (vanishing bone) Poster No.: C-2201 Congress: ECR 2010 Type: Scientific Exhibit Topic: Musculoskeletal Authors: D. Vanel, P. Ruggieri, M. Alberghini; Bologna/IT Keywords: Gorham,
More informationIdiopathic dilatation of the pulmonary artery : radiographic and MDCT features in 6 cases
Idiopathic dilatation of the pulmonary artery : radiographic and MDCT features in 6 cases Poster No.: P-0075 Congress: ESTI 2014 Type: Authors: Educational Poster J. J. Woo 1, K. Y. Lee 2, Y. Cho 1, J.
More informationSlowly growing malignant nodules and rapidly growing benign nodules: Evaluation of the value of volume doubling time
Slowly growing malignant nodules and rapidly growing benign nodules: Evaluation of the value of volume doubling time Poster No.: C-208 Congress: ECR 2009 Type: Educational Exhibit Topic: Chest Authors:
More informationSkeletal changes in endocrine disorders
Skeletal changes in endocrine disorders Poster No.: P-0100 Congress: ESSR 2015 Type: Authors: Educational Poster A. C. O'Brien 1, H. L. khosa 2, A. levai 2, N. Ramesh 2 ; 1 Dublin/IE, 2 Portlaoise/IE Keywords:
More informationParathyroid Glands: location, condition and value of imaging tests.
Parathyroid Glands: location, condition and value of imaging tests. Poster No.: C-2283 Congress: ECR 2015 Type: Educational Exhibit Authors: E. Elías Cabot, P. Segui, G. D. Tobar Murgueitio; Cordoba/ES
More informationSeemingly isolated greater trochanter fractures do not exist
Seemingly isolated greater trochanter fractures do not exist Poster No.: B-0950 Congress: ECR 2012 Type: Scientific Paper Authors: D. Dunker, J. H. Göthlin, M. Geijer ; Gothenburg/SE, Lund/SE Keywords:
More informationComputed tomography and Modified RECIST criteria for assessment of response in malignant pleural mesothelioma
Computed tomography and Modified RECIST criteria for assessment of response in malignant pleural mesothelioma Poster No.: C-0729 Congress: ECR 2013 Type: Scientific Exhibit Authors: A. Marin, I. Pozek,
More informationMRI assessment of vertebral fractures identified by conventional radiography in osteoporotic patients: a preliminary study
MRI assessment of vertebral fractures identified by conventional radiography in osteoporotic patients: a preliminary study Poster No.: C-1405 Congress: ECR 2013 Type: Scientific Exhibit Authors: R. Argirò,
More informationEthanol ablation of benign thyroid cysts and predominantly cystic thyroid nodules: factors that predict outcome.
Ethanol ablation of benign thyroid cysts and predominantly cystic thyroid nodules: factors that predict outcome. Poster No.: C-0322 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit J.
More informationSpinal injury is very common in Ireland: 19 per 100,000 (1). It poses a significant disease burden.
MRI in traumatic spinal cord injury: a single national spinal centre experience and study of imaging features with clinical correlation with ASIA score and outcome Poster No.: C-1235 Congress: ECR 2011
More informationDiffuse high-attenuation within mediastinal lymph nodes on non-enhanced CT scan: Usefulness in the prediction of benignancy
Diffuse high-attenuation within mediastinal lymph nodes on non-enhanced CT scan: Usefulness in the prediction of benignancy Poster No.: C-1785 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific
More informationLung cancer in patients with chronic empyema
Lung cancer in patients with chronic empyema Poster No.: P-0025 Congress: ESTI 2015 Type: Scientific Poster Authors: Y. Lee, C.-K. Park; Guri/KR Keywords: Neoplasia, Biopsy, PET-CT, CT, Thorax, Lung DOI:
More informationAnatomical Variations of the Levator Scapulae Muscle - an MR Imaging Study
Anatomical Variations of the Levator Scapulae Muscle - an MR Imaging Study Poster No.: R-0016 Congress: 2015 ASM Type: Scientific Exhibit Authors: J. Au, A. Webb, G. Buirski, P. Smith, M. Pickering, D.
More informationThe imaging features of spondylolisthesis : what the clinician needs to know
The imaging features of spondylolisthesis : what the clinician needs to know Poster No.: C-1018 Congress: ECR 2011 Type: Authors: Educational Exhibit D. Shah 1, C. J. Burke 1, A. C. andi 2, R. Houghton
More information64-MDCT imaging of the pancreas: Scan protocol optimisation by different scan delay regimes
64-MDCT imaging of the pancreas: Scan protocol optimisation by different scan delay regimes Poster No.: C-051 Congress: ECR 2009 Type: Scientific Exhibit Topic: Abdominal and Gastrointestinal Authors:
More informationTHI-RADS. US differentiation of thyroid lesions.
THI-RADS. US differentiation of thyroid lesions. Poster No.: C-0864 Congress: ECR 2015 Type: Scientific Exhibit Authors: A. N. Sencha, Y. Patrunov, M. S. Mogutov, E. Penyaeva, A. 1 1 1 2 1 1 1 2 Gruzdev,
More informationTHI-RADS. US differentiation of thyroid lesions.
THI-RADS. US differentiation of thyroid lesions. Poster No.: C-0864 Congress: ECR 2015 Type: Scientific Exhibit Authors: A. N. Sencha, Y. Patrunov, M. S. Mogutov, E. Penyaeva, A. 1 1 1 2 1 1 1 2 Gruzdev,
More informationRadiological features of Legionella Pneumophila Pneumonia
Radiological features of Legionella Pneumophila Pneumonia Poster No.: E-0048 Congress: ESTI 2012 Type: Scientific Exhibit Authors: M. Vinciguerra, L. Stefanetti, E. Teti, G. Argentieri, L. G. 1 1 1 1 1
More informationPurpose. Methods and Materials
Prevalence of pitfalls in previous dual energy X-ray absorptiometry (DXA) scans according to technical manuals and International Society for Clinical Densitometry. Poster No.: P-0046 Congress: ESSR 2014
More informationExtraarticular Lateral Ankle Impingement
Extraarticular Lateral Ankle Impingement Poster No.: C-1282 Congress: ECR 2016 Type: Educational Exhibit Authors: C. Cevikol; Keywords: Trauma, Diagnostic procedure, MR, CT, Musculoskeletal system, Musculoskeletal
More informationgg4-related inflammatory pseudotumour of the trigeminal nerve: imaging findings and clinical features
gg4-related inflammatory pseudotumour of the trigeminal nerve: imaging findings and clinical features Poster No.: C-2603 Congress: ECR 2013 Type: Scientific Exhibit Authors: Y. Kawamura, Y. Kikuchi, I.
More informationRetrospective review of radiographically occult femoral and pelvic fractures detected by MRI following low-energy trauma.
Retrospective review of radiographically occult femoral and pelvic fractures detected by MRI following low-energy trauma. Poster No.: P-0129 Congress: ESSR 2015 Type: Scientific Poster Authors: P. M. Yeap,
More informationUltrasound assessment of most frequent shoulder disorders
Ultrasound assessment of most frequent shoulder disorders Poster No.: C-2026 Congress: ECR 2014 Type: Educational Exhibit Authors: S. P. Ivanoski; Ohrid/MK Keywords: Trauma, Athletic injuries, Arthritides,
More informationPopliteal pterygium syndrome
Popliteal pterygium syndrome Poster No.: C-1816 Congress: ECR 2011 Type: Educational Exhibit Authors: L. B. S. Santos, J. L. D. O. Schiavon, O. O. Guimaraes Neto, 1 1 2 3 1 1 C. A. P. Braga, R. S. LEMOS,
More informationA pictorial review of normal anatomical appearences of Pericardial recesses on multislice Computed Tomography.
A pictorial review of normal anatomical appearences of Pericardial recesses on multislice Computed Tomography. Poster No.: C-1787 Congress: ECR 2012 Type: Educational Exhibit Authors: N. Ahmed 1, G. Avery
More informationRadiologic Findings of Mucocele-like Tumors of the breast: Can we differentiate pure benign from associated with high risk lesions?
Radiologic Findings of Mucocele-like Tumors of the breast: Can we differentiate pure benign from associated with high risk lesions? Poster No.: C-0332 Congress: ECR 2014 Type: Educational Exhibit Authors:
More informationHyperechoic breast lesions can be malignant.
Hyperechoic breast lesions can be malignant. Poster No.: C-0041 Congress: ECR 2015 Type: Educational Exhibit Authors: G. Babu, R. bradley; Edinburgh/UK Keywords: Breast, Ultrasound, Biopsy, Cancer DOI:
More informationExtrapulmonary Manifestations of Tuberculosis: A Radiologic Review
Extrapulmonary Manifestations of Tuberculosis: A Radiologic Review Poster No.: C-1958 Congress: ECR 2014 Type: Authors: Educational Exhibit J. Isern 1, S. Llaverias Borrell 1, A. Olarte 1, E. Grive 1,
More informationDelayed Vertebral Augmentation With Spinejack Technique in A3 Type Vertebral Compression Fractures
Delayed Vertebral Augmentation With Spinejack Technique in A3 Type Vertebral Compression Fractures Poster No.: C-0358 Congress: ECR 2016 Type: Authors: Keywords: DOI: Scientific Exhibit J. Chiras; Paris
More informationLifetime risk of radiation-induced cancer from screening mammography
Lifetime risk of radiation-induced cancer from screening mammography Poster No.: C-0558 Congress: ECR 2015 Type: Scientific Exhibit Authors: R. M. K. M.Ali, A. England, P. Hogg; Manchester/UK Keywords:
More informationCierny-Mader classification of chronic osteomyelitis: Preoperative evaluation with cross-sectional imaging
Cierny-Mader classification of chronic osteomyelitis: Preoperative evaluation with cross-sectional imaging Poster No.: C-590 Congress: ECR 2009 Type: Topic: Educational Exhibit Musculoskeletal Authors:
More informationNeonatal Spinal Ultrasound Imaging - A Pictorial Review from The Royal Liverpool Children Hospital, Alder Hey, Liverpool
Neonatal Spinal Ultrasound Imaging - A Pictorial Review from The Royal Liverpool Children Hospital, Alder Hey, Liverpool Poster No.: C-0081 Congress: ECR 2012 Type: Educational Exhibit Authors: K. Chetcuti,
More informationRadiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant
Radiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant Poster No.: C-1161 Congress: ECR 2013 Type: Educational Exhibit Authors: J. Kwak,
More informationRadiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant
Radiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant Poster No.: C-1161 Congress: ECR 2013 Type: Educational Exhibit Authors: J. Kwak,
More informationDiffuse Alveolar Hemorrhage: Initial and Follow-up HRCT Features
Diffuse Alveolar Hemorrhage: Initial and Follow-up HRCT Features Poster No.: E-0037 Congress: ESTI 2012 Type: Authors: Keywords: Scientific Exhibit M. Y. Kim; Seoul/KR Lung, CT-High Resolution, CT, Computer
More informationPersistent ankle pain after inversion lesions: what the radiologist must look for
Persistent ankle pain after inversion lesions: what the radiologist must look for Poster No.: P-0118 Congress: ESSR 2016 Type: Authors: Keywords: DOI: Educational Poster R. Leao, L. C. Zattar-Ramos, E.
More informationEmerging Referral Patterns for Whole-Body Diffusion Weighted Imaging (WB-DWI) in an Oncology Center
Emerging Referral Patterns for Whole-Body Diffusion Weighted Imaging (WB-DWI) in an Oncology Center Poster No.: C-1296 Congress: ECR 2014 Type: Scientific Exhibit Authors: G. Petralia 1, G. Conte 1, S.
More informationPneumo-esophageal 64-MDCT technique for gastric cancer evaluation
Pneumo-esophageal 64-MDCT technique for gastric cancer evaluation Poster No.: C-1627 Congress: ECR 2010 Type: Scientific Exhibit Topic: GI Tract Authors: M. Ulla, E. Gentile, E. Levy, D. Cavadas, J. Ithurralde
More informationReporting of Spinal Fractures
Reporting of Spinal Fractures Poster No.: P-0026 Congress: ESSR 2014 Type: Authors: Keywords: DOI: Scientific Poster H. Al-Chalabi, C. Groves; Bradford/UK Osteoporosis, Structured reporting, Observer performance,
More informationComputed tomography for the detection of thumb base osteoarthritis, comparison with digital radiography.
Computed tomography for the detection of thumb base osteoarthritis, comparison with digital radiography. Poster No.: C-1981 Congress: ECR 2012 Type: Scientific Exhibit Authors: M. S. Saltzherr, J. W. van
More informationImaging features of malignant transformation and benign malignant-mimicking lesions in the genitourinary tracts
Imaging features of malignant transformation and benign malignant-mimicking lesions in the genitourinary tracts Poster No.: C-2639 Congress: ECR 2015 Type: Scientific Exhibit Authors: S. B. Park, J. B.
More informationSoft tissues lymphoma, the great pretender. MRI diagnostic keys.
Soft tissues lymphoma, the great pretender. MRI diagnostic keys. Poster No.: C-2133 Congress: ECR 2015 Type: Educational Exhibit Authors: L. Caminero, M. E. Banegas Illescas, M. L. Rozas, M. Y. Torres,
More informationAdenomyosis by myometrial Invasion of endometriosis: Comparison with typical adenomyosis
Adenomyosis by myometrial Invasion of endometriosis: Comparison with typical adenomyosis Poster No.: C-1294 Congress: ECR 2010 Type: Scientific Exhibit Topic: Genitourinary Authors: S. Moon, H. K. Lim,
More informationTrabecular bone analysis with tomosynthesis in diabetic patients: comparison with CT-based finite-element method
Trabecular bone analysis with tomosynthesis in diabetic patients: comparison with CT-based finite-element method Poster No.: C-1789 Congress: ECR 2015 Type: Scientific Exhibit Authors: M. Fujii, T. Aoki,
More informationThe radiologist and the raiders of the lost image
The radiologist and the raiders of the lost image Poster No.: P-0072 Congress: ESSR 2014 Type: Educational Poster Authors: M. J. Ereño Ealo, E. Montejo Rodrigo, B. Sancho, E. Pastor; Galdakao/ES Keywords:
More informationOsteonecrosis - Spectrum of imaging findings
Osteonecrosis - Spectrum of imaging findings Poster No.: C-1861 Congress: ECR 2016 Type: Educational Exhibit Authors: P. Ninitas, A. L. Amado Costa, A. Duarte, I. Távora ; Lisbon/ 1 1 2 1 1 2 PT, Costa
More informationResuscitation lateral cervical spine X-ray (LSCX): A useful mandatory screening tool in acute trauma?
Resuscitation lateral cervical spine X-ray (LSCX): A useful mandatory screening tool in acute trauma? Poster No.: C-2397 Congress: ECR 2010 Type: Topic: Authors: Keywords: DOI: Scientific Exhibit Musculoskeletal
More informationUltrasonographic evaluation of patellar deviation and its influence on knee muscles and tendons
Ultrasonographic evaluation of patellar deviation and its influence on knee muscles and tendons Poster No.: C-0984 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific Exhibit R. A. M. Santos, A.
More informationImaging characterization of renal clear cell carcinoma
Imaging characterization of renal clear cell carcinoma Poster No.: C-0327 Congress: ECR 2011 Type: Educational Exhibit Authors: S. Ballester 1, A. Gaser 2, M. Dotta 1, M. F. CAPPA 1, F. Hammar 1 ; 1 2
More informationIs ascites a sensible predictive sign of peritoneal involvement in patients with ovarian carcinoma?: our experience with FDG-PET/CT
Is ascites a sensible predictive sign of peritoneal involvement in patients with ovarian carcinoma?: our experience with FDG-PET/CT Poster No.: C-1019 Congress: ECR 2013 Type: Scientific Exhibit Authors:
More informationEvaluation of thyroid nodules: prediction and selection of malignant nodules for FNA (cytology)
Evaluation of thyroid nodules: prediction and selection of malignant nodules for FNA (cytology) Poster No.: C-0221 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit E. Papadaki, I. Tritou,
More informationMRI assessment of the plantar fascia in diabetic versus nondiabetic patients: How thick should it be?
MRI assessment of the plantar fascia in diabetic versus nondiabetic patients: How thick should it be? Poster No.: C-2324 Congress: ECR 2010 Type: Scientific Exhibit Topic: Musculoskeletal Authors: C. Pierre-Jerome
More informationReliability of the pronator quadratus fat pad sign to predict the severity of distal radius fractures
Reliability of the pronator quadratus fat pad sign to predict the severity of distal radius fractures Poster No.: C-0669 Congress: ECR 2014 Type: Scientific Exhibit Authors: J. Tonak, I. Wobbe, R. L. Duschka,
More informationMR imaging the post operative spine - What to expect!
MR imaging the post operative spine - What to expect! Poster No.: C-2334 Congress: ECR 2012 Type: Educational Exhibit Authors: A. Jain, M. Paravasthu, M. Bhojak, K. Das ; Warrington/UK, 1 1 1 2 1 2 Liverpool/UK
More informationSpinal and para-spinal plexiform neurofibromas in NF1 patients, a clinical-radiological correlation study
Spinal and para-spinal plexiform neurofibromas in NF1 patients, a clinical-radiological correlation study Poster No.: C-1846 Congress: ECR 2015 Type: Scientific Exhibit Authors: M. Mauda-Havakuk, B. Shofty,
More informationAbdominal fat distribution (subcutaneous vs. visceral abdominal fat compartments): correlation with gender, age, BMI and waist circumference
Abdominal fat distribution (subcutaneous vs. visceral abdominal fat compartments): correlation with gender, age, BMI and waist circumference Poster No.: C-934 Congress: ECR 202 Type: Scientific Exhibit
More informationImaging features of orbital neoplasm developed in pediatrics
Imaging features of orbital neoplasm developed in pediatrics Poster No.: C-1119 Congress: ECR 2015 Type: Educational Exhibit Authors: J. H. Yoo; Seoul/KR Keywords: Eyes, Head and neck, Paediatric, CT,
More informationComputed tomographic dacryocystography as compared with X-ray dacryocystography in patients with dacryostenosis
Computed tomographic dacryocystography as compared with X-ray dacryocystography in patients with dacryostenosis Poster No.: C-1887 Congress: ECR 2016 Type: Authors: Keywords: DOI: Educational Exhibit M.
More informationLesions of the pancreaticoduodenal groove, a pictorial review
Lesions of the pancreaticoduodenal groove, a pictorial review Poster No.: C-2131 Congress: ECR 2013 Type: Educational Exhibit Authors: E. Ni Mhurchu, L. Lavelle, I. Murphy, S. Skehan ; IE, Dublin/ IE Keywords:
More informationDifferentiation of osteoporosis from metastasis in the vertebral fracture using chemical shift and diffusion weighted imaging
Differentiation of osteoporosis from metastasis in the vertebral fracture using chemical shift and diffusion weighted imaging Poster No.: C-0444 Congress: ECR 2012 Type: Educational Exhibit Authors: H.
More informationA pictorial essay depicting CT and MR characteristic of adrenal pathologies: Indian study
A pictorial essay depicting CT and MR characteristic of adrenal pathologies: Indian study Poster No.: C-0703 Congress: ECR 2011 Type: Educational Exhibit Authors: A. J. B. Baxi, K. L. Tourani, N. R. Thanugonda,
More informationHigh density thrombi of pulmonary embolism on precontrast CT scan: Is it dangerous?
High density thrombi of pulmonary embolism on precontrast CT scan: Is it dangerous? Poster No.: C-1753 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit B. Y. Lee, H. R. KIM, J. I. Jung,
More informationCT evaluation of small bowel carcinoid tumors
CT evaluation of small bowel carcinoid tumors Poster No.: C-0060 Congress: ECR 2015 Type: Educational Exhibit Authors: N. V. V. P. Costa, L. Nascimento, T. Bilhim ; Estoril/PT, PT, 1 2 3 1 2 3 Lisbon/PT
More informationRole of positron emission mammography (PEM) for assessment of axillary lymph node status in patients with breast cancer
Role of positron emission mammography (PEM) for assessment of axillary lymph node status in patients with breast cancer Poster No.: C-1260 Congress: ECR 2011 Type: Scientific Paper Authors: K. M. Kulkarni,
More information"Ultrasound measurements of the lateral ventricles in neonates: A comparison of multiple measurements methods."
"Ultrasound measurements of the lateral ventricles in neonates: A comparison of multiple measurements methods." Poster No.: C-1557 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit I.
More informationCharacterisation of cervical lymph nodes by US and PET-CT
Characterisation of cervical lymph nodes by US and PET-CT Poster No.: C-1807 Congress: ECR 2010 Type: Educational Exhibit Topic: Head and Neck Authors: J. I. Garcia Gomez; Mexico City/MX Keywords: cervical
More informationScientific Exhibit Authors:
Clinical Audit on Optimization of Radiation Dose from MDCT: Effect on Diagnostic Reference Levels for Brain, Sinus, Cervical Spine, Chest, Abdomen-Pelvis, and Lumbar Spine Examinations and on Nationwide
More informationScientific Exhibit Authors: V. Moustakas, E. Karallas, K. Koutsopoulos ; Rodos/GR, 2
Diagnosis of Acute Appendicitis: the role of Color Doppler Ultrasound as first-line imaging method and evaluation of the higher diagnostic performances of CT against its disadvantages. Poster No.: C-0708
More informationShear Wave Elastography in diagnostics of supraspinatus tendon.
Shear Wave Elastography in diagnostics of supraspinatus tendon. Poster No.: C-2168 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit V. Saltykova; Moscow/RU Musculoskeletal joint, Musculoskeletal
More informationAFib is the most common cardiac arrhythmia and its prevalence and incidence increases with age (Fuster V. et al. Circulation 2006).
Feasibility, image quality and radiation dose of coronary CT angiography (CCTA) in patients with atrial fibrillation using a new generation 256 multi-detector CT (MDCT) Poster No.: C-2378 Congress: ECR
More informationCT assessment of acute coalescent mastoiditis.
CT assessment of acute coalescent mastoiditis. Poster No.: C-1794 Congress: ECR 2010 Type: Educational Exhibit Topic: Head and Neck Authors: A. Thomson, S. J. Thomas, A. Hutchings, E. Tilley; Portsmouth/UK
More informationUltrasound examination in diagnosis of morphological variants of parathyroid hyperplasia in patients with secondary hyperparathyroidism
Ultrasound examination in diagnosis of morphological variants of parathyroid hyperplasia in patients with secondary hyperparathyroidism Poster No.: C-0304 Congress: ECR 2015 Type: Authors: Keywords: DOI:
More informationAcute pelvic pain in female patient: Clinical and Radiological evaluation
Acute pelvic pain in female patient: Clinical and Radiological evaluation Poster No.: C-0909 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit N. Ramesh 1, T. Simelane 2 ; 1 Portlaoise/IE,
More informationAcute pelvic pain in female patient: Clinical and Radiological evaluation
Acute pelvic pain in female patient: Clinical and Radiological evaluation Poster No.: C-0909 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit N. Ramesh 1, T. Simelane 2 ; 1 Portlaoise/IE,
More informationEssure Permanent Birth Control Device: Radiological followup results at our center
Essure Permanent Birth Control Device: Radiological followup results at our center Poster No.: C-0212 Congress: ECR 2013 Type: Scientific Exhibit Authors: R. Díaz Aguilera, A. M. Higuera Higuera, V. Palomo
More informationCairo/EG, Khartoum/SD, London/UK Biological effects, Diagnostic procedure, Ultrasound, Mammography, Breast /ecr2015/C-0107
Role of sono-mammography in the evaluation of clinically palapble breast masses during pregnancy & lactation with differentaition between true patholgical & false physiological lobular hyperlpasia.sudanese
More informationContrast-enhanced ultrasound (CEUS) in the evaluation and characterization of complex renal cysts
Contrast-enhanced ultrasound (CEUS) in the evaluation and characterization of complex renal cysts Poster No.: C-2812 Congress: ECR 2018 Type: Educational Exhibit Authors: J. A. Torres de Abreu Macedo,
More informationValsalva-manoeuvre or prone belly position for computed tomography (CT) scan when an orbita varix is suspected: a single-case study.
Valsalva-manoeuvre or prone belly position for computed tomography (CT) scan when an orbita varix is suspected: a single-case study. Poster No.: C-0512 Congress: ECR 2012 Type: Authors: Keywords: DOI:
More informationCervical spine degenerative disease: a comparative study between computed tomography and magnetic resonance imaging findings
Cervical spine degenerative disease: a comparative study between computed tomography and magnetic resonance imaging findings Poster No.: C-2517 Congress: ECR 2012 Type: Scientific Paper Authors: M. Papavasilopoulou,
More informationA retrospective audit of General Practitioner (GP) referrals for musculoskeletal radiographs.
A retrospective audit of General Practitioner (GP) referrals for musculoskeletal radiographs. Poster No.: C-1902 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific Exhibit J. Jacob 1, H. Thampy
More informationCT and MR findings of systemic lupus erythematosus involving the brain: Differential diagnosis based on lesion distribution
CT and MR findings of systemic lupus erythematosus involving the brain: Differential diagnosis based on lesion distribution Poster No.: C-2723 Congress: ECR 2010 Type: Educational Exhibit Topic: Neuro
More informationA time-honored but almost forgotten sign of COPD: sabersheath trachea as a marker of severe airflow obstruction
A time-honored but almost forgotten sign of COPD: sabersheath trachea as a marker of severe airflow obstruction Poster No.: C-0958 Congress: ECR 2013 Type: Scientific Exhibit Authors: F. Ciccarese, A.
More informationReliability of change in lumbar MRI findings
Reliability of change in lumbar MRI findings Poster No.: C-0539 Congress: ECR 2012 Type: Scientific Exhibit Authors: L. Berg 1, O. Gjertsen 2, C. Hellum 2, G. F. Neckelmann 1, L. G. Johnsen 3, G. E. Eide
More informationDiagnostic accuracy of MRI in detecting posterior ligamentous complex injury in thoracolumbar vertebral fractures
Diagnostic accuracy of MRI in detecting posterior ligamentous complex injury in thoracolumbar vertebral fractures Poster No.: C-1726 Congress: ECR 2011 Type: Scientific Exhibit Authors: E. Aguirre, P.
More information"D10-D11 Facet enlargement"
"D10-D11 Facet enlargement" Poster No.: C-0898 Congress: ECR 2011 Type: Scientific Exhibit Authors: J. Jalal Shokouhi, A. A. Ameri, H. Mohammad pour ; Tehran/IR, 1 2 2 1 2 tehran/ir Keywords: Spine, Neuroradiology
More informationMR imaging features of paralabral ganglion cyst of the shoulder
MR imaging features of paralabral ganglion cyst of the shoulder Poster No.: C-1482 Congress: ECR 2016 Type: Educational Exhibit Authors: M. Bartocci, C. Dell'atti, E. Federici, D. Beomonte Zobel, V. Martinelli,
More informationCavitary lung lesion: Two different diagnosis with similar appearence
Cavitary lung lesion: Two different diagnosis with similar appearence Poster No.: P-0043 Congress: ESTI 2015 Type: Educational Poster Authors: M. Yesildag, H. Kalkan, K. Ödev; Konya/TR Keywords: Infection,
More informationFDG-18 PET/CT - radiation dose and dose-reduction strategy
FDG-18 PET/CT - radiation dose and dose-reduction strategy Poster No.: C-1856 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit P. Nicholson, S. McSweeney, K. O'Regan; Cork/IE Radiation
More informationPurpose. Methods and Materials. Results
Prevalence and significance of hypoattenuating hepatic lesions deemed too small to characterise: How are we following up these lesions and what are the outcomes? Poster No.: C-014 Congress: ECR 2009 Type:
More informationBasic low - field MR imaging of meniscal injuries in children.
Basic low - field MR imaging of meniscal injuries in children. Poster No.: C-2365 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific Exhibit A. Yakimov, M. Nikonova, E. Prokhorova, D. Vybornov,
More informationThe Role of Radionuclide Lymphoscintigraphy in the Diagnosis of Lymphedema of the Extremities
The Role of Radionuclide Lymphoscintigraphy in the Diagnosis of Lymphedema of the Extremities Poster No.: C-1229 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit M. Osher 1, A. Pallas
More informationChronic knee pain in adults - a multimodality approach or which modality to choose and when?
Chronic knee pain in adults - a multimodality approach or which modality to choose and when? Poster No.: P-0157 Congress: ESSR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit E. Ilieva, V. Tasseva,
More informationCognitive target MRI-TRUS fusion biopsies of MRI detected PIRADS 4 and 5 lesions
Cognitive target MRI-TRUS fusion biopsies of MRI detected PIRADS 4 and 5 lesions Poster No.: B-0704 Congress: ECR 2015 Type: Scientific Paper Authors: P. P. van Westerveld, J. Vriesema, J. H. W. van den
More informationUrachal cyst: radiological findings and review of cases.
Urachal cyst: radiological findings and review of cases. Poster No.: C-0334 Congress: ECR 2014 Type: Scientific Exhibit Authors: I. Álvarez Silva 1, A. M. Fernández Martínez 1, T. Cuesta 1, S. Molnar Fuentes
More information