Musculoskeletal Imaging 2023

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: closed (31 October 2023) | Viewed by 5407

Special Issue Editor


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Guest Editor
Division of Musculoskeletal Radiology, Department of Radiology, UT Southwestern Medical Center, Dallas, TX 75390, USA
Interests: imaging of arthritis; spondyloarthritis; bone and soft tissue tumors; neurography

Special Issue Information

Dear Colleagues,

The development of new and improved imaging technologies has revolutionized our ability to diagnose pathologies more accurately and at an earlier stage, enabling clinicians to provide better care for their patients. In the past decade, musculoskeletal imaging has particularly benefited from advancements in more sophisticated imaging tools and scanners, which have allowed radiologists to narrow their differential diagnoses and play a crucial role in patient management.

Exciting ongoing research on incorporating artificial intelligence into diagnostic imaging presents a promising future for improving patient care. In this Special Issue, we are pleased to present perspectives on selected topics in musculoskeletal imaging.

Dr. Parham Pezeshk
Guest Editor

Manuscript Submission Information

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Keywords

  • imaging
  • diagnostic
  • musculoskeletal

Published Papers (4 papers)

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Research

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15 pages, 5754 KiB  
Article
Differences in Anatomic Adaptation and Injury Patterns Related to Valgus Extension Overload in Overhead Throwing Athletes
by Kathryn J. Stevens, Akshay S. Chaudhari and Karin J. Kuhn
Diagnostics 2024, 14(2), 217; https://doi.org/10.3390/diagnostics14020217 - 19 Jan 2024
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Abstract
The purpose of our study was to determine differences in adaptative and injury patterns in the elbow related to valgus extension overload (VEO) in overhead throwing athletes by age. A total of 86 overhead throwing athletes and 23 controls underwent MRI or MR [...] Read more.
The purpose of our study was to determine differences in adaptative and injury patterns in the elbow related to valgus extension overload (VEO) in overhead throwing athletes by age. A total of 86 overhead throwing athletes and 23 controls underwent MRI or MR arthrography (MRA) of the elbow. Throwing athletes were divided by age into three groups: ≤16 years (26 subjects), 17–19 years (25 subjects), and ≥20 years (35 subjects). Consensus interpretation of each MRI was performed, with measurements of ulnar collateral ligament (UCL) thickness and subchondral sclerosis at the radial head, humeral trochlea, and olecranon process. A higher frequency of apophyseal and stress injuries was seen in adolescent athletes and increased incidence of soft tissue injuries was observed in older athletes. Early adaptive and degenerative changes were observed with high frequency independent of age. Significant differences were observed between athletes and controls for UCL thickness (p < 0.001) and subchondral sclerosis at the radial head (p < 0.001), humeral trochlea (p < 0.001), and olecranon process (p < 0.001). Significant differences based on athlete age were observed for UCL thickness (p < 0.001) and subchondral sclerosis at the olecranon process (p = 0.002). Our study highlights differences in anatomic adaptations related to VEO at the elbow between overhead throwing athletes and control subjects, as well as across age in throwing athletes. Full article
(This article belongs to the Special Issue Musculoskeletal Imaging 2023)
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12 pages, 2643 KiB  
Article
Preoperative Prediction of New Vertebral Fractures after Vertebral Augmentation with a Radiomics Nomogram
by Yang Jiang, Wei Zhang, Shihao Huang, Qing Huang, Haoyi Ye, Yurong Zeng, Xin Hua, Jinhui Cai, Zhifeng Liu and Qingyu Liu
Diagnostics 2023, 13(22), 3459; https://doi.org/10.3390/diagnostics13223459 - 16 Nov 2023
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Abstract
The occurrence of new vertebral fractures (NVFs) after vertebral augmentation (VA) procedures is common in patients with osteoporotic vertebral compression fractures (OVCFs), leading to painful experiences and financial burdens. We aim to develop a radiomics nomogram for the preoperative prediction of NVFs after [...] Read more.
The occurrence of new vertebral fractures (NVFs) after vertebral augmentation (VA) procedures is common in patients with osteoporotic vertebral compression fractures (OVCFs), leading to painful experiences and financial burdens. We aim to develop a radiomics nomogram for the preoperative prediction of NVFs after VA. Data from center 1 (training set: n = 153; internal validation set: n = 66) and center 2 (external validation set: n = 44) were retrospectively collected. Radiomics features were extracted from MRI images and radiomics scores (radscores) were constructed for each level-specific vertebra based on least absolute shrinkage and selection operator (LASSO). The radiomics nomogram, integrating radiomics signature with presence of intravertebral cleft and number of previous vertebral fractures, was developed by multivariable logistic regression analysis. The predictive performance of the vertebrae was level-specific based on radscores and was generally superior to clinical variables. RadscoreL2 had the optimal discrimination (AUC ≥ 0.751). The nomogram provided good predictive performance (AUC ≥ 0.834), favorable calibration, and large clinical net benefits in each set. It was used successfully to categorize patients into high- or low-risk subgroups. As a noninvasive preoperative prediction tool, the MRI-based radiomics nomogram holds great promise for individualized prediction of NVFs following VA. Full article
(This article belongs to the Special Issue Musculoskeletal Imaging 2023)
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Review

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19 pages, 19902 KiB  
Review
Imaging Features of Plantar Vein Thrombosis: An Easily Overlooked Condition in the Differential Diagnosis of Foot Pain
by Frederico Celestino Miranda, Adham do Amaral e Castro, Fábio Brandão Yoshimura, Alexandre Leme Godoy-Santos, Durval do Carmo Barros Santos, Laercio Alberto Rosemberg and Atul Kumar Taneja
Diagnostics 2024, 14(2), 126; https://doi.org/10.3390/diagnostics14020126 - 5 Jan 2024
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Abstract
Plantar vein thrombosis is a venous disorder affecting deep plantar veins that can manifest with non-specific localized pain, plantar foot pain, swelling, and sensation of fullness. Plantar veins are not routinely assessed during sonographic scans for deep venous thrombosis, which makes plantar venous [...] Read more.
Plantar vein thrombosis is a venous disorder affecting deep plantar veins that can manifest with non-specific localized pain, plantar foot pain, swelling, and sensation of fullness. Plantar veins are not routinely assessed during sonographic scans for deep venous thrombosis, which makes plantar venous thrombosis a commonly missed diagnosis. This paper provides a comprehensive review of the venous anatomy of the foot and imaging findings of plantar venous thrombosis as well as discusses the current literature on the topic and its differential diagnoses. Full article
(This article belongs to the Special Issue Musculoskeletal Imaging 2023)
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Other

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18 pages, 2147 KiB  
Systematic Review
Screening for Asymptomatic Osteonecrosis of the Hip in Systemic Lupus Erythematous: A Systematic Review and Meta-Analysis of MRI-Based Prevalence
by Hamza A. Ibad, Elena Ghotbi, Arta Kasaeian, Adam S. Levin, Lynne C. Jones, Yoshimi Anzai, Maryam Soltanolkotabi, Neena Kapoor, Pamela T. Johnson and Shadpour Demehri
Diagnostics 2024, 14(3), 279; https://doi.org/10.3390/diagnostics14030279 - 27 Jan 2024
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Abstract
Objective. This paper aims to estimate asymptomatic hip osteonecrosis prevalence in SLE patients using MRI examination and to determine the prevalence among higher risk subpopulations. Materials and Methods. PubMed, Embase, Cochrane, and SCOPUS were searched from inception to May 9th, 2023. [...] Read more.
Objective. This paper aims to estimate asymptomatic hip osteonecrosis prevalence in SLE patients using MRI examination and to determine the prevalence among higher risk subpopulations. Materials and Methods. PubMed, Embase, Cochrane, and SCOPUS were searched from inception to May 9th, 2023. Studies on patients who were clinically diagnosed with systemic lupus erythematosus without reported symptoms attributable to hip osteonecrosis were included. Two independent reviewers extracted data and assessed the risk of bias. Data collected from each study include the study year, the number of hips screened, the number of hips with osteonecrosis, demographics, laboratory data, medications, follow-up time, radiological protocols, and MRI-based osteonecrosis detection and grading criteria. Results. Eleven eligible studies including 503 participants (15–35 years old; 74–100% female) with SLE were identified. Significant risk of bias was determined in one study. The overall prevalence of osteonecrosis of the hip was found to be 14% (184/1006 hip joints, 95% confidence interval: 7–22%, number needed to scan: 7.1). SLE patients who received corticosteroid treatment had a higher prevalence of asymptomatic hip osteonecrosis (18%) compared to non-corticosteroid users (0%, p-value < 0.01). Additionally, meta-regression results revealed that daily corticosteroid dose was associated with increased prevalence of asymptomatic osteonecrosis (0.5%/milligram, p-value < 0.01). Conclusions. The high prevalence of asymptomatic hip osteonecrosis in SLE patients raises concerns about the timeliness of interventions. The limitations of this study include a relatively low number of identified studies; and one study lacked full-text availability. Full article
(This article belongs to the Special Issue Musculoskeletal Imaging 2023)
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