Practical Reporting of Musculoskeletal MRI Studies April 06 2016

99 Pages·2016·8.49 MB·English

Dr. Alex Ng
Consultant, PWH
Clinical Associate Professor (Honorary), CUHK
The Chinese University of Hong Kong
Department of Imaging and Interventional Radiology
Prince of Wales Hospital

Date: 7 April 2016, (Thursday)
Time: 1.00pm -2.00pm
Venue: Conference Room, 2/F, DIIR, Main Clinical
Building, New Block, Prince of Wales Hospital, Shatin
Topic: Dual Energy CT - MSK Applications
Speaker: Professor Hugue Ouellette, University of
British Columbia, Canada
,
Ms. Mandy Cheng: 26321189
For Professor James Griffith
Department of Imaging and Interventional Radiology
The Chinese University of Hong Kong
Wrist coil
 Where is pain located
 For how long
 Trauma– if so, what and when
Don’t mention any feature without grading it

Qualitative measure:

 Minimal, mild, moderate, severe
Quantitative measure:

 Small, medium, large (mm wide x mm deep x mm
long)
Bone:
TFCC/Ligaments:
 Scaphoid fracture
 TFCC injury
(SNAC),
 Intrinsic ligament
 Lunate (Kienbock)
injury (DISI VISI)
 Ulnocarpal impaction
 Other carpal ligament
Joint and cartilage
(ganglion cyst)
 RA/arthritis
Muscle and Tendon:
 Degeneration/Cartilage
 Tendinosis
Nerve and vessels:
(Dequervain’s disease)
 Carpal tunnel syndrome
 Tenosynovitis
 Guyon’s tunnel
 Tear
syndrome

Anatomy
Distal attachment: ulno-
triquetral/lunate ligament
vRUL/dRUL attachment
Meniscal homologue
radial attachment
Peripheral /proximal attachment:
Foveal attachment (proximal lamina)
Ulnar attachment (distal lamina)
MRI Anatomy
Ulno-lunate
ulno-triquetral
ligaments
Radial attachment
meniscal
homologue
Articular
Ulnar attachment
disc
Foveal attachment
TFCC
Mid carpal
joint
 Maintain the DRUJ
stability
 Prevent sublux when
wrist pronate and
UC joint
supinate
 Torn DRUJ arthritis,
UCJ arthritis
RC joint
 Symptoms: pain, click
DRUJ
and Limited range of
movement
 Asymptomatic :degene
rative tear
Schematic diagram:
Diagnostic imaging