CT imaging of clinically significant abdominopelvic injuries in the damage control surgery patient.

Purpose: Damage Control Surgery (DCS) refers to a staged laparotomy performed in patients who have suffered severe blunt or penetrating abdominopelvic trauma with the goal of managing critical injuries while avoiding life threatening metabolic derangements. Within 24 h of the initial laparotomy, computed tomography (CT) is used to assess the full extent of injuries. The purpose of this study was to assess the incidence of clinically significant unknown abdominopelvic injuries which required further dedicated surgical or interventional radiology management and failed surgical repairs identified on CT following initial laparotomy.

Artificial intelligence improves resident detection of pediatric and young adult upper extremity fractures.

Purpose: We wished to evaluate if an open-source artificial intelligence (AI) algorithm ( https://www.childfx.com ) could improve performance of (1) subspecialized musculoskeletal radiologists, (2) radiology residents, and (3) pediatric residents in detecting pediatric and young adult upper extremity fractures.

Utility of Zero-Echo time sequence as an adjunct for MR evaluation of degenerative disease in the cervical spine.

Objective: Determine the utility of ZTE as an adjunct to routine MR for assessing degenerative disease in the cervical spine.

Methods: Retrospective study on 42 patients with cervical MR performed with ZTE from 1/1/2022 to 4/30/22. Fellowship trained radiologists evaluated each cervical disc level for neural foraminal (NF) narrowing, canal stenosis (CS), facet arthritis (FA), and presence of ossification of the posterior longitudinal ligament (OPLL).

Imaging of the Ankle Ligaments and Cartilage Injuries as an Aid to Ankle Preservation Surgery.

Ankle sprains are among the most common musculoskeletal injuries and can lead to ankle ligament and cartilage injuries. Imaging plays an important role in differentiating ligament injuries from other causes of ankle pain such as fractures, osteochondral lesions or tendon injuries that helps guide further management. Chronic untreated ankle ligamentous and cartilage injuries can further progress to ankle osteoarthritis, hence the need for timely diagnosis and treatment.

Bones and Soft-Tissue Tumors: Considerations for Postsurgical Imaging Follow-up.

This article discusses how the radiologist should handle the imaging for the post-treatment sarcoma patient. This includes reviewing the timing of surveillance after therapy and the type of therapy used for sarcoma in order to better understand the typical post-treatment changes on imaging versus sarcoma recurrence. The type of imaging is reviewed, especially, magnetic resonance imaging and the relevant sequences, as well as the appearance of post-treatment changes, sarcoma recurrence, and post-treatment complications.

Imaging Review of Subscapularis Tendon and Rotator Interval Pathology.

As the largest rotator cuff muscle, the subscapularis plays a major role in stabilizing the glenohumeral joint, in conjunction with surrounding rotator cuff structures. Injury to the subscapularis tendon can be isolated, but more commonly is seen in conjunction with supraspinatus tendon pathology. Injury can be associated with biceps pulley instability, superior labral anterior-posterior (SLAP) tears, humeral head subluxation, and anterosuperior and coracoid impingements.

Multidetector Computed Tomography Imaging of Damage Control Surgery Patients.

Damage control surgery is a staged surgical procedure in a patient who has suffered penetrating or blunt abdominal traumatic injury with severe metabolic derangements. Multidetector computed tomography scanning is a vital tool for patient management in the damage control patient, providing many uses, including assessing the extent of traumatic injury, evaluating areas that were not surgically explored, evaluating for injuries that were missed during the initial surgery, and assessing the stability of surgical repair. Understanding the postsurgical multidetector computed tomography appearance of these patients can aid the radiologist in protocol optimization and provide immediate accurate diagnoses.