CT Arthrography of the Elbow: What Radiologists Should Know

IF 2.2 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Tomography Pub Date : 2024-03-11 DOI:10.3390/tomography10030032
G. Folco, Carmelo Messina, S. Gitto, Stefano Fusco, F. Serpi, A. Zagarella, Mauro Battista Gallazzi, Paolo Arrigoni, A. Aliprandi, Marco Porta, Paolo Vitali, L. Sconfienza, Domenico Albano
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Abstract

Computed tomography (CT) arthrography is a quickly available imaging modality to investigate elbow disorders. Its excellent spatial resolution enables the detection of subtle pathologic changes of intra-articular structures, which makes this technique extremely valuable in a joint with very tiny chondral layers and complex anatomy of articular capsule and ligaments. Radiation exposure has been widely decreased with the novel CT scanners, thereby increasing the indications of this examination. The main applications of CT arthrography of the elbow are the evaluation of capsule, ligaments, and osteochondral lesions in both the settings of acute trauma, degenerative changes, and chronic injury due to repeated microtrauma and overuse. In this review, we discuss the normal anatomic findings, technical tips for injection and image acquisition, and pathologic findings that can be encountered in CT arthrography of the elbow, shedding light on its role in the diagnosis and management of different orthopedic conditions. We aspire to offer a roadmap for the integration of elbow CT arthrography into routine clinical practice, fostering improved patient outcomes and a deeper understanding of elbow pathologies.
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肘关节 CT 关节造影:放射医师须知
计算机断层扫描(CT)关节造影术是研究肘关节疾病的一种快速成像模式。它具有出色的空间分辨率,能够发现关节内结构的细微病理变化,因此对于软骨层非常微小、关节囊和韧带解剖结构复杂的关节来说,这项技术极具价值。随着新型 CT 扫描仪的问世,辐射量大大减少,从而增加了这项检查的适应症。肘关节 CT 图像的主要应用是评估关节囊、韧带和骨软骨病变,既包括急性创伤、退行性病变,也包括反复微创伤和过度使用导致的慢性损伤。在这篇综述中,我们将讨论肘部 CT 关节造影的正常解剖结果、注射和图像采集的技术提示以及可能遇到的病理结果,从而阐明其在诊断和治疗不同骨科疾病中的作用。我们希望为将肘部 CT 关节造影纳入常规临床实践提供一个路线图,从而改善患者的治疗效果并加深对肘部病理的理解。
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来源期刊
Tomography
Tomography Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
2.70
自引率
10.50%
发文量
222
期刊介绍: TomographyTM publishes basic (technical and pre-clinical) and clinical scientific articles which involve the advancement of imaging technologies. Tomography encompasses studies that use single or multiple imaging modalities including for example CT, US, PET, SPECT, MR and hyperpolarization technologies, as well as optical modalities (i.e. bioluminescence, photoacoustic, endomicroscopy, fiber optic imaging and optical computed tomography) in basic sciences, engineering, preclinical and clinical medicine. Tomography also welcomes studies involving exploration and refinement of contrast mechanisms and image-derived metrics within and across modalities toward the development of novel imaging probes for image-based feedback and intervention. The use of imaging in biology and medicine provides unparalleled opportunities to noninvasively interrogate tissues to obtain real-time dynamic and quantitative information required for diagnosis and response to interventions and to follow evolving pathological conditions. As multi-modal studies and the complexities of imaging technologies themselves are ever increasing to provide advanced information to scientists and clinicians. Tomography provides a unique publication venue allowing investigators the opportunity to more precisely communicate integrated findings related to the diverse and heterogeneous features associated with underlying anatomical, physiological, functional, metabolic and molecular genetic activities of normal and diseased tissue. Thus Tomography publishes peer-reviewed articles which involve the broad use of imaging of any tissue and disease type including both preclinical and clinical investigations. In addition, hardware/software along with chemical and molecular probe advances are welcome as they are deemed to significantly contribute towards the long-term goal of improving the overall impact of imaging on scientific and clinical discovery.
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