By Christine B. Chung MD, Lynne S. Steinbach MD
MRI of the higher Extremity is an entire advisor to MRI review of shoulder, elbow, wrist, hand, and finger issues. This hugely illustrated text/atlas offers a pragmatic method of MRI interpretation, emphasizing the scientific correlations of imaging findings. greater than 1,100 MRI scans exhibit general anatomy and pathologic findings, and a full-color cadaveric atlas familiarizes readers with anatomic constructions obvious on MR images.
Coverage of every joint starts off with a evaluation of MRI anatomy with cadaveric correlation and proceeds to technical MR imaging issues and medical review. next chapters completely describe and illustrate MRI findings for particular problems, together with rotator cuff ailment, nerve entrapment syndromes, osteochondral our bodies, and triangular fibrocartilage disorders.
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Additional info for MRI of the Upper Extremity: Shoulder, Elbow, Wrist and Hand
Example text
A study has shown that majority (>73 %) of benign lesions showing abnormal uptake of FDG is due to active infection or postsurgical granulomas or osteoarthritis [6]. 38 5 Inflammation Steroid therapy, even if it may decrease FDG uptake in inflammation and despite the slight increase in blood sugar it may cause, has been found not to affect tumor uptake [7]. 3 Takayasu’s Arteritis This 26-year-old female with Takayasus arteritis since 3 years ago and taking prednisone and azathioprine now complains of upper and lower extremity weakness.
Primary consideration is Plasmacytoma. A CT scan shows lytic changes in the T11 vertebra with epidural soft tissue component and cord compression. Infection is considered (not shown). FDG-PET Scan shows a hypermetabolic lesion in the T11 vertebra corresponding to the lesion seen in the recent MRI (SUV = 17; Fig. The vertebral lesion is biopsied and tuberculous infection is reported. 1 Teaching Point Tuberculous lesions do not behave in any characteristic manner and shows variable FDG uptake depending on the degree of inflammatory activity and thus they can mimic other pathologies like neoplasm and non-tuberculous causes of infection [1, 2].
Although most are benign they may also represent an early stage of lung carcinoma. Common benign causes include granulomas, coccidioidomycosis, mycobacteral infection and hamartomas while bronchogenic carcinoma is the most common malignant lesion that presents as a solitary lung lesion [15, 16]. The probability that a nodule is malignant increases with increasing size of the nodule. 0 cm the higher is the chance of being malignant. 0 cm are benign [17]. One of the first uses of FDG-PET was to stratify which lung nodule should go for further work-up and which could be conservatively monitored.