Abstract：
OBJECTIVE:The aim of this paper is to demonstrate the usefulness of 2D multiplanar reformatting images (MPR) obtained from rotational acquisitions with cone-beam computed tomography technology during percutaneous extra-vascular spinal procedures performed in the angiography suite. METHODS:We used a 3D rotational angiographic unit with a flat panel detector. MPR images were obtained from a rotational acquisition of 8 s (240 images at 30 fps), tube rotation of 180° and after post-processing of 5 s by a local work-station. Multislice CT (MSCT) is the best guidance system for spinal approaches permitting direct tomographic visualization of each spinal structure. Many operators, however, are trained with fluoroscopy, it is less expensive, allows real-time guidance, and in many centers the angiography suite is more frequently available for percutaneous procedures. We present our 6-year experience in fluoroscopy-guided spinal procedures, which were performed under different conditions using MPR images. We illustrate cases of vertebroplasty, epidural injections, selective foraminal nerve root block, facet block, percutaneous treatment of disc herniation and spine biopsy, all performed with the help of MPR images for guidance and control in the event of difficult or anatomically complex access. RESULTS AND CONCLUSION:The integrated use of "CT-like" MPR images allows the execution of spinal procedures under fluoroscopy guidance alone in all cases of dorso-lumbar access, with evident limitation of risks and complications, and without need for recourse to MSCT guidance, thus eliminating CT-room time (often bearing high diagnostic charges), and avoiding organizational problems for procedures that need, for example, combined use of a C-arm in the CT room.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Pedicelli A,Verdolotti T,Pompucci A,Desiderio F,D'Argento F,Colosimo C,Bonomo Ldoi
10.1007/s00256-011-1282-4subject
Has Abstractpub_date
2011-12-01 00:00:00pages
1595-601issue
12eissn
0364-2348issn
1432-2161journal_volume
40pub_type
杂志文章abstract：:This 50-year-old woman presented with progressive pain in the left thigh. Radiographs showed a 9 x 6 cm soft-tissue mass located at the lateral border of the left femur. Magnetic resonance (MR) examination showed an eccentric, nonhomogeneous, soft-tissue mass abutting the femur. The preoperative differential diagnosis...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00190994
更新日期：1992-01-01 00:00:00
abstract：:Association of cranial sclerosis with mixed osteopathia striata is a rate combination which has been proved recently to be an autosomal dominant entity. The present case, apparently sporadic in the kindred, records a further example of this association in a 27-year-old asymptomatic male. ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00347093
更新日期：1980-02-01 00:00:00
abstract：OBJECTIVE:Imaging criteria for measuring the response of desmoid fibromatosis to systemic therapy are not well established. We evaluated a series of patients with desmoids who underwent systemic therapy to document magnetic resonance imaging (MRI) features associated with a positive clinical response. MATERIALS AND ME...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-016-2439-y
更新日期：2016-10-01 00:00:00
abstract：:We report a case of a metastatic bone tumor that mimicked spontaneous osteonecrosis of the medial condyle of the femur on magnetic resonance imaging. ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050610
更新日期：2000-05-01 00:00:00
abstract：:We report a unique case of mediastinal paravertebral chordoma without bone destruction in a 47-year-old Japanese woman. She was admitted to hospital after a tumor was incidentally detected on a chest radiograph. The tumor was located in the paravertebral region of the mediastinum and did not show any destruction of th...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-012-1493-3
更新日期：2012-12-01 00:00:00
abstract：:For the objective assessment of the severity and progression of osteoporotic deformities of the spine, a mathematical model has been developed which permits evaluation of a single set of radiographs of the spine without reference to absolute values of vertebral height. The model was based on measurements of anterior, ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00197612
更新日期：1990-01-01 00:00:00
abstract：OBJECTIVE:To clarify the phenotype in a bone dysplasia termed "spondyloepiphyseal dysplasia with accumulation of glycoprotein in the chondrocytes" by Stanescu et al. DESIGN AND PATIENTS:Subjects comprised two definitive cases of one family and one probable case of another family. Histologic examination in one patient ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050363
更新日期：1998-04-01 00:00:00
abstract：:Orthodox radiological examination of patients presenting with disorders of the hip, usually on account of pain and limitation of movement, may vary in diagnostic value. As a supplementary study we have employed arthrography. During this procedure we have, since 1970, routinely assessed the capacity of the joint capsul...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00347339
更新日期：1981-01-01 00:00:00
abstract：:Posterior spinal tuberculosis or arch tuberculosis is a form of skeletal tuberculosis that selectively involves the vertebral arch. It may mimic skeletal neoplasm clinically and radiographically. Although posterior spinal tuberculosis has been reported in developing countries it has rarely been found in the United Sta...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050322
更新日期：1997-12-01 00:00:00
abstract：:A 60-year-old man with a 4-year history of intractable neck pain and radicular pain in the C5 nerve root distribution presented to our department for a CT-guided transforaminal left C5 nerve root block. He had had a similar procedure on the right 2 months previously, and had significant improvement of his symptoms wit...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-006-0215-0
更新日期：2007-05-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to describe the sonographic findings of pathologically confirmed subcutaneous lobular capillary hemangioma of the finger in six patients. MATERIALS AND METHODS:The clinical records were reviewed for data, including the patients' age and gender, the clinical presentation, a histo...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-010-0934-0
更新日期：2010-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the significance of plantar talar head injury (PTHI) in predicting osseous and soft tissue injuries on ankle MRI. MATERIALS AND METHODS:The IRB approved this HIPAA-compliant retrospective study. The study group consisted of 41 ankle MRIs with PTHI that occurred at our institution over a 5 ½ year ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-016-2358-y
更新日期：2016-06-01 00:00:00
abstract：OBJECTIVE:To present the prevalence, clinical relevance, and ultrasound (US) and magnetic resonance imaging (MRI) appearances of the accessory coracobrachialis (ACB) muscle. MATERIALS AND METHODS:We present an US prospective study of the ACB muscle over a 2-year period. Five of the eight patients with suspected ACB on...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-015-2153-1
更新日期：2015-09-01 00:00:00
abstract：:Lipoblastoma in the prepatellar region was observed in a 7-month-old girl. The diffuse (lipoblastomatosis) and circumscribed forms have different radiological appearances. Lobular proliferation of fatty tissue with fibrous septae is characteristic of the circumscribed form. ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF02341676
更新日期：1991-01-01 00:00:00
abstract：OBJECTIVE:A prospective study was conducted to determine the accuracy of routine magnetic resonance (MR) imaging in correctly identifying subchondral fracture in avascular necrosis of the femoral head without apparent focal collapse on standard radiographs. MATERIALS AND METHODS:Spiral computed tomography (CT) with co...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-009-0659-0
更新日期：2009-06-01 00:00:00
abstract：:Thirty one patients suffering from myelopathy associated with ossification of the posterior longitudinal ligament and ligamentum flavum of the spine have been investigated. The pattern of spinal and peripheral hyperostosis was recorded in each case. Flowing anterior vertebral hyperostosis and ligamentous ossification ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00360789
更新日期：1983-01-01 00:00:00
abstract：:The ischiorectal fossa may give rise to a wide variety of pathological entities, although it is composed of relatively few structures. Developmental cysts are included among the list. Large epidermoid cysts in the ischiorectal fossa have been previously described (Fujimoto et al., Clin Imaging 17:146-148, 1993; Ng et ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-009-0705-y
更新日期：2009-09-01 00:00:00
abstract：:A 53-year-old woman developed a subchondral insufficiency fracture of the right femoral head after undergoing a liver transplantation. Radiographs obtained at her first visit demonstrated a slight subchondral collapse in the superolateral portion of the femoral head. Magnetic resonance imaging (MRI) disclosed an irreg...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-009-0706-x
更新日期：2009-09-01 00:00:00
abstract：OBJECTIVES:(1) To reveal the prevalence of the bony recess (posterior dimple) and (2) to determine the position of the posterior dimple on the tibial plateau using three-dimensional computed tomography (3DCT). MATERIALS AND METHODS:In this study, a retrospective review of 112 patients was performed to identify the pos...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-017-2625-6
更新日期：2017-08-01 00:00:00
abstract：:A skeletal seeking radiopharmaceutical labeled with a long-lived radionuclide was developed to evaluate regional bone formation and its subsequent resorption. The agent is [phosphonate (phenylmethylene hydroxy) bis] - I-125 or I-125 phi PA. Tissue distribution studies in mice (N = 16) showed approximately 40% of the a...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00361978
更新日期：1982-01-01 00:00:00
abstract：:In computed tomography of the skeleton, as in other radiologic modalities, recognition of normal skeletal variants is essential for defining the extent and type of injury or neoplasm. Computed tomography findings, because of the unique use of cross-sectional anatomy, must be carefully studied to avoid labeling a norma...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00357773
更新日期：1983-01-01 00:00:00
abstract：:Skeletal lesions were radiographically apparent in 6 of 36 (16%) patients with chronic myelogenous leukemia. The spectrum of radiographic changes including diffuse osteoporosis, focal osteolytic and osteoblastic lesions, chloroma, and arthritis, and their clinical behavior is discussed. ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00347255
更新日期：1980-01-01 00:00:00
abstract：:We present a rare case of alveolar soft-tissue sarcoma, with extensive bone invasion. The differential diagnosis with bone metastasis and primary bone tumors is discussed. ...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050104
更新日期：1996-05-01 00:00:00
abstract：:Fibroma of the tendon sheath, a rare benign soft tissue tumor that most often occurs in the distal upper extremities (hands and wrist), is exceedingly rare to present as an intraarticular mass. Presented here is the first case in the English literature, to our knowledge, of a fibroma of the tendon sheath arising in th...
journal_title：Skeletal radiology
pub_type： 杂志文章,评审
doi：10.1007/s00256-013-1749-6
更新日期：2014-05-01 00:00:00
abstract：:Synovial chondromatosis (SC) is a benign proliferative process of synovial tissue creating multiple cartilaginous nodules in joints. It most commonly occurs in the large joints of the knee, hip, and shoulder, uncommonly in the small joints of the hand and foot, and only rarely in the tenosynovial membrane of tendon sh...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-013-1672-x
更新日期：2013-12-01 00:00:00
abstract：:POEMS syndrome is a rare disorder in which patients present with the hallmark signs of polyneuropathy, organomegaly, endocrinopathy, M protein and skin changes. Many other clinical findings are also often present, most notably osseous lesions. The MRI appearance of the bony lesions in POEMS syndrome has been described...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-005-0941-8
更新日期：2006-09-01 00:00:00
abstract：OBJECTIVE:There are no published large-scale studies of the overall prevalence of diffuse idiopathic skeletal hyperostosis (DISH) and it has been proposed that the prevalence is greater than previously reported. We thus decided to review chest radiographs in a population of patients over 50 years of age seen at two lar...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s002560050225
更新日期：1997-04-01 00:00:00
abstract：:The radiomorphological appearance of fibrous metaphyseal defects (FMDs) is demonstrated by long-term follow-up studies. A characteristic radiomorphological course rather than a typical single appearance can be established. These findings correlate well with the duration of these tumor-like lesions; therefore, the radi...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/BF00361448
更新日期：1988-01-01 00:00:00
abstract：OBJECTIVE:The pericruciate fat pad is located in the intercondylar fossa, intimate with the cruciate ligaments. With MR imaging, signal abnormality of the pericruciate fat pad has been observed in patients with posterior knee pain. The purpose of this study was to describe the anatomy of the pericruciate fat pad in cad...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-012-1447-9
更新日期：2012-12-01 00:00:00
abstract：OBJECTIVE:Vascular calcifications on the preoperative radiograph of patients scheduled for total knee arthroplasty (TKA) often give rise to concern, as their clinical relevance remains uncertain. The aim of this study was to investigate whether these vascular calcifications-especially medial artery calcifications (MACs...
journal_title：Skeletal radiology
pub_type： 杂志文章
doi：10.1007/s00256-017-2681-y
更新日期：2017-09-01 00:00:00
