A basic introduction to imaging.
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Lytic
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Bone loss/destruction (blacker)
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Blastic/Sclerotic
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Bone production (whiter) - blotches
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Artefact
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Anything that obscures/distorts the image - patient clothing, image noise
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Coalition
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Congenital fusing of two bones
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Disarticulation
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Disconnection of limb from the body through the joint
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Congruent
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Joint that is not dislocated
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Involucrum
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Caused by osteomyelitis - thick shealth of periosteal new bone surrounding a sequestrum
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Sequestrum
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Calcification within a lucent lesion, separated from the surrounding bone
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Monomelic
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Condition that is confined to one limb
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Monostatic
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Condition that involves one bone
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Polystotic
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Condition that involves multiple bones
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Agenesis
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Failure of growth of an organ - congenital
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Aplasia
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Absence of development of a structure/organ
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Gold Standard
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Best test for the best diagnosis of a disease
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Subclinical disease
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Asymptomatic
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Cloaca
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Osteomyelitis - drainage hole
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Strengths
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Weaknesses
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Relatively Inexpensive
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No soft tissue details
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Widely available
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Cannot detect loss of bone mass unless severe (30-50%)
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Bone pathologies - f#, tumour, arthritis, osteomyelitis, bone disease
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Cannot detect bone marrow changes/oedema
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Assess orthopaedic hardware
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Ionising radiation
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Strengths
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Weaknesses
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2D + 3D images
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Uses ionising radiation
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Complex fractures - especially of flat bones + spine
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Cannot show bone marrow changes/oedema
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Assess for fracture healing
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Postop - degree of fusion/hardware complications
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Strengths
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Weaknesses
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Excellent for soft tissues
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Expensive
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Bone Marrow/oedema
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May require further imaging
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Non-ionising radiation
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Claustrophobic patients
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Strengths
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Weaknesses
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Anatomic + Dynamic functional evaluation of MSK tissues
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Operator dependant
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Determines whether mass is Cystic/Solid nature
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Superficial structures only
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Vascularity of a lesion (Doppler)
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Real time guidance for percutaneous procedures
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Foreign body detection
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Cheatography n. The art of mapping complex subjects into clear, instantly navigable reference guides.