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Musculoskeletal Radiology 2013 RSNA (Filtered Schedule) Sunday, December 01, 2013 10:45-12:15 PM • SPOI11 • Room: E353C • Oncodiagnosis Panel: Pediatric Sarcoma (An Interactive Session) 10:45-12:15 PM • SSA13 • Room: E451A • Musculoskeletal (Shoulder I) 10:45-12:15 PM • SSA14 • Room: E451B • Musculoskeletal (Tumor I) 12:30-01:00 PM • LL-MKS-SUA • Room: Lakeside Learning Center • Musculoskeletal -Sunday Posters and Exhibits (12:30pm - 1:00pm) 01:00-01:30 PM • LL-MKS-SUB • Room: Lakeside Learning Center • Musculoskeletal - Sunday Posters and Exhibits (1:00pm - 1:30pm) 02:00-03:30 PM • RC104 • Room: E353C • Sports Injuries in the Chest and Abdominal Wall: A Core Curriculum of the Body's Core 02:00-03:30 PM • RC108 • Room: E353B • Imaging of the Traumatized Spine (Traditional) (An Interactive Session) 02:00-03:30 PM • VSPD12 • Room: S102AB • Pediatric Radiology Series: Pediatric Musculoskeletal Monday, December 02, 2013 08:30-10:00 AM • MSCM21 • Room: S100AB • Case-based Review of Magnetic Resonance: Musculoskeletal (An Interactive Session) 08:30-10:00 AM • RC231 • Room: E258 • Master Class in Musculoskeletal Ultrasound (How-to Workshop) 08:30-12:00 PM • VSMK21 • Room: E451B • Musculoskeletal Radiology Series: Knee Imaging 10:30-12:00 PM • SSC10 • Room: E450B • Musculoskeletal (Interventional I) 12:15-12:45 PM • LL-MKS-MOA • Room: Lakeside Learning Center • Musculoskeletal - Monday Posters and Exhibits (12:15pm - 12:45pm) 12:45-01:15 PM • LL-MKS-MOB • Room: Lakeside Learning Center • Musculoskeletal - Monday Posters and Exhibits (12:45pm - 1:15pm) 03:00-04:00 PM • SSE14 • Room: E450B • Musculoskeletal (Hip) 03:00-04:00 PM • SSE15 • Room: E451B • Musculoskeletal (Metabolic) Tuesday, December 03, 2013 08:30-12:00 PM • VSMK31 • Room: E451B • Musculoskeletal Radiology Series: Ultrasound 10:30-12:00 PM • SSG10 • Room: E450B • Musculoskeletal (Interventional II) 12:15-12:45 PM • LL-MKS-TUA • Room: Lakeside Learning Center • Musculoskeletal - Tuesday Posters and Exhibits (12:15pm - 12:45pm) 12:45-01:15 PM • LL-MKS-TUB • Room: Lakeside Learning Center • Musculoskeletal - Tuesday Posters and Exhibits (12:45pm - 1:15pm) 03:00-04:00 PM • SSJ16 • Room: E451A • Musculoskeletal (Shoulder II) 03:00-04:00 PM • SSJ17 • Room: E451B • Musculoskeletal (Cartilage, Arthritis) 04:30-06:00 PM • RC404 • Room: E450A • Current Imaging of the Shoulder: Rotator Cuff and Glenohumeral Joint Instability including Normal Variants, Pi... 04:30-06:00 PM • RC450 • Room: E260 • Vertebral Augmentation (How-to Workshop) Wednesday, December 04, 2013 08:30-10:00 AM • MSCS41 • Room: S406A • Case-based Review of Musculoskeletal Radiology (An Interactive Session) 08:30-10:00 AM • RC504 • Room: N227 • Bone and Cartilage Injury: Traumatic and Stress-related Chondral, Osteochondral and Subchondral Failure with E... 08:30-10:00 AM • RC552 • Room: E264 • Nerve Ultrasound Based on a Regional Approach: Shoulder and Neck (Hands-on Workshop) 10:30-12:00 PM • MSCS42 • Room: S406A • Case-based Review of Musculoskeletal Radiology (An Interactive Session) 10:30-12:00 PM • MSES42 • Room: S100AB • Essentials of Musculoskeletal Imaging 10:30-12:00 PM • SSK13 • Room: E450B • ISP: Musculoskeletal (Knee) 10:30-12:00 PM • SSK14 • Room: E451A • Musculoskeletal (Tumor II) 12:15-12:45 PM • LL-MKS-WEA • Room: Lakeside Learning Center • Musculoskeletal - Wednesday Posters and Exhibits (12:15pm - 12:45pm) 12:45-01:15 PM • LL-MKS-WEB • Room: Lakeside Learning Center • Musculoskeletal - Wednesday Posters and Exhibits (12:45pm - 1:15pm) 01:00-02:00 PM • MSRT41 • Room: N230 • ASRT@RSNA 2013: Musculoskeletal Imaging: New Ways to Image the Same Old Bones 03:00-04:00 PM • SSM13 • Room: E450A • ISP: Musculoskeletal (Ankle/Foot) 04:30-06:00 PM • SPDL41 • Room: E451A • RSNA Diagnosis Live™: Neuroradiology and Musculoskeletal Radiology Thursday, December 05, 2013 08:30-10:00 AM • RC650 • Room: E260 • Image-guided Biopsy of the Spine (Hands-on Workshop) 08:30-10:00 AM • RC652 • Room: E264 • Dynamic Musculoskeletal US of the Lower Extremity (Hands-on Workshop) 08:30-12:00 PM • VSMK51 • Room: E451B • Musculoskeletal Radiology Series: Pelvis and Hip Imaging 10:30-12:00 PM • MSCP52 • Room: S406A • Case-based Review of Pediatric Radiology: Pediatric MSK Imaging (An Interactive Session) 10:30-12:00 PM • SSQ13 • Room: E451A • Musculoskeletal (Spine) 10:40-11:40 AM • MSRT53 • Room: N230 • ASRT@RSNA 2013: Elbow and Forearm Trauma: Mechanisms of Injury and Patterns of Fractures 12:15-12:45 PM • LL-MKS-THA • Room: Lakeside Learning Center • Musculoskeletal - Thursday Posters and Exhibits (12:15pm - 12:45pm) 12:45-01:15 PM • LL-MKS-THB • Room: Lakeside Learning Center • Musculoskeletal - Thursday Posters and Exhibits (12:45pm - 1:15pm) 03:00-04:00 PM • SPSH51 • Room: E451A • Hot Topic Session: Metal-on-Metal Arthroplasty Complications 03:40-04:40 PM • MSRT56 • Room: N230 • ASRT@RSNA 2013: Improving Practice in Pediatric Skeletal Radiography 04:30-06:00 PM • RC704 • Room: E450A • Interactive Game: Musculoskeletal Pitfalls and Pearls 04:30-06:00 PM • RC708 • Room: E350 • Emergency Musculoskeletal Radiology: The Usual (and Unusual) Suspects 04:30-06:00 PM • RC731 • Room: E263 • Common Spinal Injection Procedures for Diagnosis and Treatment of Back Pain (Hands-on Workshop) Friday, December 06, 2013 08:30-10:00 AM • RC808 • Room: E353C • Emergency Radiology Case-based Countdown (An Interactive Session) 08:30-12:00 PM • VSMK61 • Room: N228 • Musculoskeletal Radiology Series: Elbow, Hand and Wrist Imaging 12:30-03:00 PM • SPMK61 • Room: E350 • Friday Imaging Symposium: MR Imaging of Common Musculoskeletal Injuries (An Interactive Session) Musculoskeletal Case of the Day Back to Top LL-EDE3008 Moderator Jonelle M Petscavage-Thomas , MD, MPH * Stephanie A Bernard , MD Eric A Walker , MD * Pamela L Brian , MD PURPOSE/AIM Participants will test their diagnostic skills and become familiar with the imaging findings of a variety of challenging and interesting musculoskeletal cases. Musculoskeletal Case of the Day Page 1 of 152 Back to Top LL-EDE3008 Moderator Jonelle M Petscavage-Thomas , MD, MPH * Stephanie A Bernard , MD Eric A Walker , MD * Pamela L Brian , MD PURPOSE/AIM Participants will test their diagnostic skills and become familiar with the imaging findings of a variety of challenging and interesting musculoskeletal cases. The Role of Dual-Energy CT in the Differentiation of Microcrystalline Arthropathies Back to Top LL-MKE1091 Luciana S Timbo , MD Vittor S Margotto , MD Juliana F Guimaraes , MD Olavo K Nakamura , MD Murilo M Silva , MD Luiz Guilherme Hartmann , MD Laercio A Rosemberg , MD Durval D Santos , MD Marcelo B Funari , MD PURPOSE/AIM To demonstrate the value of dual-energy computed tomography (DECT) in differentiating microcrystalline arthropathies (gout and pseudogout), correlating with patient’s symptms, laboratory results and other imaging methods. CONTENT ORGANIZATION 1. Review of literature on current role of DECT in MSK cases. 2. Review and illustrate several cases which DECT proved useful to reach diagnosis, correlating DECT findings to laboratory results and other imaging methods. 3. Describe the use of DECT scanning of the extremities for the demonstration of uric acid and calcium crystal deposition. 4. Review and discuss the clinical application of this technique and its benefit to patients with atypical inflammatory arthropathies. SUMMARY DECT characterizes the chemical composition of material according to its differential x-ray attenuation at two different energy levels. There are different applications of DECT in MSK imaging, however, to date, the most successful is to identify monosodium urate (MSU) crystals in confirming the diagnosis of gout, excluding the main differentials. This essay will present a variety of illustrative cases in which the DECT proved useful in the diagnosis on wrist, knee, foot and ankle correlating with patient’s symptoms, laboratory results and other imaging methods. In-Vivo MR Imaging of the Triangular Fibrocartilage at 3 and 7 Tesla: Comparison in Anatomic Conspicuity Back to Top LL-MKE1092 Bradley Gans , MD Christopher J Karakasis , MD Gregory M Tomc , MD Peter Wassenaar , MS * Petra Schmalbrock , PhD Joseph S Yu , MD PURPOSE/AIM 1. To acquire in-vivo images of the human wrist on a 7 Tesla MRI and 2. To compare them to 3T MR images acquired with a dedicated wrist coil. CONTENT ORGANIZATION 1. Introduction and techniques 2. Review of anatomy of the TFCC a. Triangular fibrocartilage (disc proper) b. Dorsal radioulnar ligament c. Volar radioulnar ligament d. Meniscal homologue e. Ulnar collateral ligament (UCL) f. Triangular ligament g. Ulnolunate ligament h. Ulnotriquetral ligament 3. Acquisition of images at 7T and 3T a. Description of sequences used i. Sequences: T1-TSE, PD-TSE with and without SPIR and SPAIR, 3D GRE, STIR TSE ii. Similar scan time between 7T and 3T iii. Ability to acheve isotropic voxel size on the 3D GRE sequence for multiplanar reconstruction. 4. Discussion of advantages/disadvantages of 7T a. Advantages i. Increased signal to noise ratio ii. Improved spatial resolution b. Disadvantages i. More susceptible to motion ii. More susceptible to chemical shift artifact iii. Requires custom built surface coil 5. Assessment of overall quality and tissue depiction 6. Clinical feasibility SUMMARY a. It is possible to obtain high quality multislice images of the human wrist at 7T. b. In-vivo images were comparable to high-resolution images obtained on a 3T system with a smaller FOV and a dedicated extremity wrist coil. Hiding in the Line of Sight: MRI in Occult Wrist Injuries Back to Top LL-MKE1093 Warren Davis , FRCR Christopher J Zagorski , MBBChir Page 2 of 152 PURPOSE/AIM 1. Review the traditional imaging for diagnosing scaphoid injuries. 2. Discuss the limited MRI performed at our institution. 3. Review three years data including the increase in diagnostic sensitivity and prevalence of occult scaphoid fractures and other injuries. CONTENT ORGANIZATION 1. Discussion of the different modalities used in the assessment of scaphoid fractures, including the evidence base for performing two sets of scaphoid x-rays, ten days apart.
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