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Pitfalls In Musculoskeletal Radiology (2017) (P... VERIFIED



We are by no means the first to try to make sense of a database of recurrent mistakes in radiology reporting. Common misdiagnoses have previously been reported in the literature [17,18,19] and different approaches have been used, all with their advantages. Some publications have analysed their discrepancies anatomically [20] or arranged them by system or pathophysiology [21]; this could be useful in organ-specific targeted teaching. Others have looked at the system and organisational problems which contribute to errors such as long shifts or many consecutive days of working [22]. This may lead to discussions with the hospital Trust on how limiting shifts or encouraging breaks might decrease errors. Some have even categorised the errors on the basis of different characteristics of the radiologists [23] such as years of experience and volume of workload [24]. Morgan et al. in Leicester chose to look at a specific topic (cancer surveillance CT) and pull out the errors observed to try to learn from the commonest pitfalls [25].




Pitfalls in Musculoskeletal Radiology (2017) (P...



MR imaging has become an important diagnostic tool in the evaluation of a vast number of pathologies and is of foremost importance in the evaluation of spine, joints, and soft tissue structures of the musculoskeletal system. MR imaging is susceptible to various artifacts that may affect the image quality or even simulate pathologies. Some of these artifacts have gained special importance with the use of higher field strength magnets and with the increasing need for MR imaging in postoperative patients, especially those with previous joint replacements or metallic implants. Artifacts may arise from patient motion or could be due to periodic motion, such as vascular and cardiac pulsation. Artifacts could also arise from various protocol errors including saturation, wraparound, truncation, shading, partial volume averaging, and radiofrequency interference artifacts. Susceptibility artifact occurs at interfaces with different magnetic susceptibilities and is of special importance with increasing use of metallic joint replacement prostheses. Magic angle phenomenon is a special type of artifact that occurs in musculoskeletal MR imaging. It is essential to recognize these artifacts and to correct them because they may produce pitfalls in image interpretation.


Hussaini SH, Gabellah M, Baghdadi S, Arkader A, Williams BA, Sze RW, Nguyen JC: Pediatric musculoskeletal pathologies: are there differences in triage of diagnoses and preferences for communication between radiology and orthopedics. Skeletal Radiology November 2021 Notes: doi.org/10.1007/s00256-021-03961-y. Online ahead of print as of February 2022.


  • Register for alerts If you have registered for alerts, you should use your registered email address as your username Citation toolsDownload this article to citation manager View ORCID ProfileSusan Cheng Shelmerdine consultant paediatric radiologist, View ORCID ProfileHelena Martin foundation year 1 doctor, View ORCID ProfileKapil Shirodkar specialist radiology registrar, View ORCID ProfileSameer Shamshuddin consultant musculoskeletal radiologist, View ORCID ProfileJonathan Richard Weir-McCall consultant cardiothoracic radiologist Shelmerdine S C, Martin H, Shirodkar K, Shamshuddin S, Weir-McCall J R. Can artificial intelligence pass the Fellowship of the Royal College of Radiologists examination? Multi-reader diagnostic accuracy study BMJ 2022; 379 :e072826 doi:10.1136/bmj-2022-072826 BibTeX (win & mac)Download

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Ultrasound (US) of the knee is a valuable tool in examining patients with rheumatic diseases, in addition to clinical examination. Due to the rapid improvement of US equipment and the continuous upgrade of knowledge and experience in the field of musculoskeletal US, the US technique has been established as an indispensable tool in the clinical management of degenerative and inflammatory musculoskeletal diseases. Apart from the accurate visibility of anatomical structures, pathologic findings such as effusion, synovitis, enthesitis, erosions and osteophytes are readily depicted by US. During the last decade, aiming to assess treatment outcomes, the possibility of quantification of inflammatory findings using the US technique has been explored. The aim of this review is to illustrate the normal appearance of knee structures on US, consider potential pitfalls and review the recent literature about new prospects in knee evaluation as well as pathological findings in this region. 041b061a72


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