How to Order and Interpret Radiology Studies
How to Order and Interpret Radiology Studies
How to Order and Interpret Radiology Studies
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Don’t t forget the foot films!<br />
AP, lateral <strong>and</strong> oblique<br />
Contralateral foot films<br />
Weight-bearing views<br />
Lateral view<br />
– Metatarsal shafts &<br />
tarsal bones align<br />
AP <strong>and</strong> obliques<br />
– 2nd met medial<br />
border & middle<br />
cuneiform align<br />
Chronic Ankle Pain<br />
MRI<br />
– Imaging modality of choice for soft-tissue tissue <strong>and</strong><br />
osteochondral lesions<br />
CT<br />
– Ankle fractures & bony pathology<br />
Bone scan<br />
– Diffuse, non-specific pain<br />
– F/U CT if needed for further evaluation of stress<br />
fractures<br />
Conclusions<br />
Initial imaging of choice: plain radiography<br />
– Image before injection<br />
– Image all trauma<br />
CT: good for bone<br />
MRI: good for soft tissue<br />
– T1: ana<strong>to</strong>my; T2: pathology<br />
Scintigraphy: : good for metabolic activity<br />
Ultrasound: great potential<br />
– Opera<strong>to</strong>r / interpreter & technology dependent<br />
Imaging selection<br />
– Based on his<strong>to</strong>ry <strong>and</strong> physical<br />
– Know your specialists’ imaging preferences<br />
– Consult radiologist as needed<br />
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