Recenze MRI for Orthopaedic Surgeons

Most orthopedic surgeons prefer to read their patients MR imaging studies themselves rather than rely on the radiologists report. However, most orthopaedic surgeons learn how to evaluate MRI studies in an informal fashion during training and clinical practice; this is usually based upon their experience and may not always be the most effective method. The goal of this new book is to teach orthopedic surgeons how to systematically evaluate MR imaging studies of the musculoskeletal system, i.e., teaches the orthopedic surgeon how to read their own MRI. This is important because a study published in the Journal of Bone and Joint Surgery compared the findings of a radiologist s report and an orthopedic surgeon s preoperative diagnosis, following an examination and reading of the images with actual surgical findings. It was found that the surgeon s preoperative diagnosis was significantly more accurate than the radiologist s report. The study said that the formal interpretation of the MRI scan by the radiologist had inaccuracies and did not correlate with the initial diagnosis. Designed specifically for orthopedic surgeons involved in the review of musculoskeletal MRIs, this book enables clinicians to develop a systematic approach to the interpretation of MRI studies. It opens by providing clinicians with a solid understanding of essential concepts, including the physics of MRI, various pulse sequences available for obtaining an MRI, and normal MRI anatomy. The authors then present an overview of core concepts of image interpretation and step-by-step guidance on how to determine which pulse sequences have been utilized, how to evaluate images, and how to correlate imaging findings with patient history and clinical presentation. The remaining sections of the book present protocols for acquiring and interpreting MRIs of the upper extremity, lower extremity, and spine. Additional chapters cover special considerations for imaging articular cartilage and soft-tissue and bone tumors, as well as advanced techniques such as MR arthrography and MR angiography, correlation with other imaging modalities, and safety issues. Features: -More than 700 MRIs and instructive illustrations to highlight key concepts related to normal anatomy and pathologic processes -Practical discussion of how other imaging modalities correlate with MRI -Clinical insights from leading orthopedic surgeons and radiologists An ideal resource for orthopedic surgeons, residents, and fellows, this book provides essential instruction on how to approach MRI studies in everyday practice. With its practical coverage of clinical concepts, this book will also serve as a valuable reference for radiologists, rheumatologists, primary care physicians, and other specialists who care for patients with musculoskeletal conditions. schovat popis