Abstract:
OBJECTIVE:To qualitatively and quantitatively characterize the nerves of patients with diabetic amyotrophy (DA) using magnetic resonance neurography (MRN) with diffusion tensor imaging (DTI). MATERIALS AND METHODS:Forty controls and 13 DA cases were analyzed. 1.5-Tesla and 3.0-Tesla MRN with DTI was used. Qualitative data from 13 patient records were recorded. Region of interest (ROI) measurements were taken of bilateral L3 through S2 lumbosacral nerve roots, femoral nerves, and sciatic nerves. An ANOVA and multiple linear regression analysis were performed. An intraclass correlation coefficient (ICC) was calculated between two readers. RESULTS:In DA cases, abnormalities of the lumbosacral nerve roots (n = 11 patients), sciatic (n = 10), femoral (n = 13), and obturator nerves (n = 4) were seen; denervation changes of the abdominopelvic muscles were also identified. Quantitatively, minimum and mean nerve signals on B600 were significantly less than controls (p < 0.001). Minimum and mean ADC values were significantly greater in cases than in controls (p < 0.001 and p = 0.002 respectively). Mean fractional anisotropy (FA) values were significantly lower in cases than in controls (p = 0.041). There were no significant differences in the minimum FA values between cases and controls. Minimum and mean ADCs correlated positively with highest recorded hemoglobin A1 (HbA1c) while controlling for sex, age, and BMI (β = 0.518, p < 0.001 and β = 0.302, p = 0.020 respectively). ICCs were 0.892 (B600), 0.717 (ADC), and 0.730 (FA). CONCLUSION:Neuromuscular lesions secondary to DA are qualitatively and quantitatively identified on MRN with DTI, and a positive correlation of ADC levels with serum HbA1c levels exists. Thus, MRN with DTI can be employed as a non-invasive diagnostic tool, if DA is suspected.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Hlis R,Poh F,Xi Y,Chhabra Adoi
10.1007/s00256-019-03182-4subject
Has Abstractpub_date
2019-11-01 00:00:00pages
1705-1713issue
11eissn
0364-2348issn
1432-2161pii
10.1007/s00256-019-03182-4journal_volume
48pub_type
杂志文章abstract::We present a case of a hibernoma arising from the left axilla in a 24-year-old woman. The imaging characteristics on both contrast-enhanced CT (attenuation similar to surrounding skeletal muscle) and T1-weighted MR imaging (signal intensity intermediate between those of skeletal muscle and subcutaneous fat) were incon...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0533-9
更新日期:2003-05-01 00:00:00
abstract::Acute megakaryoblastic leukemia or acute "malignant" myelosclerosis is an acute and rapidly progressive myeloproliferative syndrome characterized by minimal or absent splenomegaly, pancytopenia, diffuse marrow fibrosis, and circulating blasts of megakaryocytic origin. The disease must be differentiated from other hema...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00367381
更新日期:1982-01-01 00:00:00
abstract:OBJECTIVE:To delineate the spectrum of knee injuries associated with sprains and tears of the distal iliotibial band (ITB). MATERIALS AND METHODS:A retrospective review of 200 random MRI scans undertaken for acute knee trauma was performed. Scans were excluded if there was a history of injury over 4 weeks from the tim...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-1918-2
更新日期:2014-10-01 00:00:00
abstract::Radial wrist pain is a common clinical complaint. The relatively complex anatomy in this region, combined with the small size of the anatomical structures and occasionally subtle imaging findings, can pose problems when trying to localize the exact cause of pain. To fully comprehend the underlying pathology, one needs...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-014-1840-7
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:The flexor digitorum accessorius longus muscle (FDAL), an anomalous muscle about the ankle, has recently been implicated in tarsal tunnel syndrome. The purpose of this study is to document the prevalence of the FDAL, its MR appearance and its relation to the neurovascular bundle in the tarsal tunnel. DESIGN ...
journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s002560050489
更新日期:1999-03-01 00:00:00
abstract::Thirteen patients with similar painful tender swelling in the region of the sternocostal joint (SCJ) are reported. X-ray tomography revealed changes which might explain the swelling in 11 patients. Three patients had anatomical variants of the sternum. One of these and a further two patients had marginal osteophytes a...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00351265
更新日期:1987-01-01 00:00:00
abstract::The deltoid is a fascinating muscle with a significant role in shoulder function. It is comprised of three distinct portions (anterior or clavicular, middle or acromial, and posterior or spinal) and acts mainly as an abductor of the shoulder and stabilizer of the humeral head. Deltoid tears are not infrequently associ...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-013-1667-7
更新日期:2013-10-01 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:OBJECTIVE:To compare polytomography (PT) and computed tomography (CT) for visualizing fractures and arthrodeses, with and without metal hardware, to determine whether CT could adequately replace PT. DESIGN AND PATIENTS:An ex vivo bovine model containing fractures in three planes, reduced with metal hardware, was creat...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050526
更新日期:1999-06-01 00:00:00
abstract::The case of a 17-year-old girl with sickle cell anaemia who presented with extensive osteomyelitis due to actinomycetes is reported. Osteomyelitis in the long bones due to actinomycosis is extremely rare. A review of the literature reveals only six cases in which actinomycetes have been isolated from lesions affecting...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00351352
更新日期:1984-01-01 00:00:00
abstract:OBJECTIVE:(1) To determine the accuracy of computed tomography (CT) in the evaluation of ligament tear and avulsion in patients with tibial plateau fracture. (2) To evaluate whether the presence or severity of fracture gap and articular depression can predict meniscal injury. DESIGN AND PATIENTS:A fellowship-trained m...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-006-0216-z
更新日期:2007-02-01 00:00:00
abstract::Lateral mass compression fractures of the axis involve compression of the pedicle and displacement of the overlying facet, with or without an accompanying fracture of the odontoid. These unilateral fractures are not rare. Correlation is made between clinical cases and cadaver material with analysis of microradiographs...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00349332
更新日期:1979-06-06 00:00:00
abstract:OBJECTIVE:The description of femoral head sphericity and related risk for femoroacetabularimpingement is currently limited to an angular estimate-the alpha angle-whose relevance and accuracy have been challenged. We developed a three-dimensional approach for both automated digital measurement of the alpha angle and the...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-010-1021-2
更新日期:2011-07-01 00:00:00
abstract::Pelvic bone injuries are infrequent complications of radiotherapy. However, insufficiency fractures in irradiated pelvic bones may be underdetected, particularly in postmenopausal women. We describe the clinical presentation, radiologic evaluation, and course of disease in three patients with postradiation pelvic insu...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050200
更新日期:1997-02-01 00:00:00
abstract::Fourteen artificial limbs in eight adult patients with below the knee amputations were evaluated for prosthetic fit by several radiological parameters. The best objective means of evaluation of prosthetic adequacy is piston action. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00401811
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVE:To examine dual-energy computed tomography (DECT) in evaluating cruciate ligament injuries. More specifically, the purpose was to assess the optimal keV level in DECT gemstone spectral imaging (GSI) images and to examine the usefulness of collagen-specific color mapping and dual-energy bone removal in the eva...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-015-2173-x
更新日期:2015-09-01 00:00:00
abstract::Subchondral signal abnormalities are often present on magnetic resonance (MR) images of patients with osteoarthritis, but no study correlating these changes with histopathology has been published. We selected nine consecutive patients with clinical and radiographic diagnosis of moderate to severe osteoarthritis of the...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00204605
更新日期:1994-08-01 00:00:00
abstract::Acute febrile neutrophilic dermatosis (Sweet's syndrome) is a clinical condition that is histopathologically characterized by infiltration of the dermis with mature neutrophils with or without vessel wall destruction. Frequently, an extracutaneous systemic disease can be seen. We report magnetic resonance imaging (MRI...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1104-8
更新日期:2011-06-01 00:00:00
abstract::Tendinous xanthomata with maximum expression on Achilles tendons are a characteristic feature of cerebrotendinous xanthomatosis, a rare autosomal recessive lipid storage disease. Twenty patients are under review; three of them, at different stages of the disease, underwent computed tomographic (CT) examination. CT dem...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00193819
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:To provide an update on imaging of metabolic bone disease based on new developments, findings, and changing practices over the past 30 years. MATERIALS AND METHODS:Literature review of osteoporosis, osteomalacia, renal osteodystrophy, Paget's disease, bisphosphonates, with an emphasis on imaging. RESULTS:Ci...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-009-0666-1
更新日期:2009-09-01 00:00:00
abstract::The pre-ossification center represents the initial structural change in the development of the secondary ossification center. We report CT and MRI findings of a focus in the cartilaginous trochlea of an appropriately aged child compatible with the pre-ossification center. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-004-0773-y
更新日期:2004-12-01 00:00:00
abstract::Juxta-articular inflammatory masses, sternomanubrial or sternoclavicular, were noted in two women who were subsequently found to have ankylosing spondylitis. The differential diagnosis of juxta-articular masses should include systemic rheumatic disorders as well as tumor or infection. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00367763
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:To prospectively assess the evolution of postoperative MRI findings in asymptomatic patients after total hip arthroplasty (THA) over 24 months (mo). METHODS:This prospective cohort study included 9 asymptomatic patients (56.7 ± 15.0 years) after THA. Metal artifact-reduced 1.5-T MRI was performed at 3, 6, 12...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03666-8
更新日期:2020-11-09 00:00:00
abstract:OBJECTIVE:To describe the MR appearance following autogenous osteochondral "plug" transfer for the treatment of focal chondral defects of the knee. DESIGN AND PATIENTS:Twenty-nine 1.5-T MR knee studies including dynamic gadolinium enhancement were performed on 21 patients following autogenous osteochondral "plug" tran...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560100371
更新日期:2001-10-01 00:00:00
abstract::A case of focal resorption in a limb salvage/bone allograft is presented, illustrating that roentgenological differentiation from other causes for graft resorption may be very difficult. The possibilities of infection and tumor recurrence, as well as "physiologic" graft resorption, must be considered in the differenti...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00563211
更新日期:1994-02-01 00:00:00
abstract:OBJECTIVE:This study aimed to determine whether the presence of type 2 diabetes impairs the therapeutic response to transforaminal cervical epidural steroid injections (TF-CESI) in the treatment of pain due to cervical radiculopathy. DESIGN:This is a retrospective cohort study of patients with cervical radiculopathy w...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1702-8
更新日期:2013-11-01 00:00:00
abstract::Nodular fasciitis is a benign rapidly proliferating fibrous tumor that is common in adults but relatively uncommon in children. When present in children, nodular fasciitis is typically subcutaneous in location and involves the head and neck. We present a case of intramuscular nodular fasciitis involving the rectus abd...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-012-1498-y
更新日期:2013-01-01 00:00:00
abstract::Over the past four decades, articular cartilage imaging has developed rapidly. Imaging now plays a critical role not only in clinical practice and therapeutic decisions but also in the basic research probing our understanding of cartilage physiology and biomechanics. ...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-011-1226-z
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:We demonstrate the clinical use of an MR angiography sequence performed with sparse k-space sampling (MRA), as a method for dynamic contrast-enhanced (DCE)-MRI, and apply it to the assessment of sarcomas for treatment response. MATERIALS AND METHODS:Three subjects with sarcomas (2 with osteosarcoma, 1 with h...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-013-1604-9
更新日期:2013-07-01 00:00:00
abstract:UNLABELLED:To evaluate the computed tomography (CT) findings of inflammatory lesions of the sternoclavicular joints (SCJ) in spondylarthropathies. DESIGN AND PATIENTS:CT scans of the SCJs were obtained in 23 patients (group 1) with inflammatory SCJ lesions in spondylarthropathies. These scans were reviewed by four rea...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050258
更新日期:1997-07-01 00:00:00