1998-1999 gaspar garcia andy spillett james edward robertson thanmaya (tanu) r blair christine chung...

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1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso Robert Dantas Andrew Hooper Nittaya Lektrakul Pedro Pinto Patricia Elaine Gagliato Yousuke Kakitsubata Jeong Hoon Lee Daphne Theodorou

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Page 1: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

1998-1999• Gaspar Garcia• Andy Spillett• James Edward

Robertson• Thanmaya (Tanu) R  Blair• Christine Chung• Garry Gold• Gina Cho

• Andy Sonin• Rosa de la Puente

Formoso• Robert Dantas• Andrew Hooper• Nittaya Lektrakul• Pedro Pinto• Patricia Elaine Gagliato• Yousuke Kakitsubata• Jeong Hoon Lee• Daphne Theodorou

Page 2: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

Isotropic 3D MSK MRI

•Garry Gold, M.D.•Associate Professor of Radiology•Stanford University

Page 3: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

0.6 0.6 0.6mm (256 256 200) in 8 minutes

CoronalAcquisition

3D-FSE-XETA Musculoskeletal: Knee

SagittalReformat

AxialReformat

Page 4: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

Fat suppression

1.5T GE Signa Exite HDCoronal source image and axial reformat0.7 mm isotropic resolution, 8 min scan

Page 5: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

Ligament of Wrisberg

Page 6: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

Garry Gold Chris Beaulieu

• 21 year old after shoulder trauma

Page 7: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

21 year old after shoulder trauma

Page 8: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

21 year old after shoulder trauma

Page 9: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

21 year old after shoulder trauma

Page 10: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

21 year old after shoulder trauma

Page 11: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

Diagnosis

• Articular disk injury AC joint• Plain film shows no fracture• Fluid between disk and bone on axial PD

MRI

• References• Heers, et al. Skeletal Radiol 2007 Jan 36: 23-8.• Fialka, et al. AJR 2005 Nov 185: 1126-31.

Page 12: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

Garry Gold Chris Beaulieu

• 19 y.o. gymnast with wrist pain

Page 13: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

19 y.o. gymnast with wrist pain

Page 14: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

19 y.o. gymnast with wrist pain

Page 15: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

19 y.o. gymnast with wrist pain

Page 16: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

Carpal Boss (Carpe Bossu)

• Cause of chronic wrist pain

• DDx: fracture

• References• Zanetti, et al. Eur Radiol. 2006 Aug.

• Conway, WF et al. Radiology 1985; 156: 29-31.

Page 17: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

Garry Gold Chris Beaulieu

• 23 y.o. knee pain

Page 18: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

23 y.o. knee pain

Page 19: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

23 y.o. knee pain

Page 20: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

23 y.o. knee pain

Page 21: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

23 y.o. knee pain

Page 22: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

Diagnosis

• Ankylosing Spondylitis

• Enthesopathy (high T2 signal)

• References• McGonnagle et al. Arthritis Rheum 1998, 41:694-700.• Mundigner et al Rheumatol Int. 1991,11: 183-6.

Page 23: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

Garry Gold Chris Beaulieu

• 46 y.o. woman knee pain

Page 24: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

46 y.o. woman knee pain

Page 25: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

46 y.o. woman knee pain

Page 26: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

46 y.o. woman knee pain

Page 27: 1998-1999 Gaspar Garcia Andy Spillett James Edward Robertson Thanmaya (Tanu) R Blair Christine Chung Garry Gold Gina Cho Andy Sonin Rosa de la Puente Formoso

Diagnosis

• Hypertrophic Sciatic Neuropathy

• Enlarged sciatic nerve

• References• Lewis, et al. Arch Neurol 2006 63: 1469-72.• Moore, et al. AJNR 2001 22: 786-94.