Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods...
Transcript of Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods...
![Page 1: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/1.jpg)
Department of Radiology, University of Szeged
Imaging of the skeleton
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Department of Radiology, University of Szeged
Methods of examination:
• plain x-ray (radiography, densitometry) • x-ray with contrast material (fistulography, angiography) • ultrasound (b-mode, Doppler, color, duplex) • computed tomography • magnetic resonance imaging • x-ray-, US-, CT-guided intervention • isotope
![Page 3: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/3.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Methods of examination:
• plain x-ray (radiography, densitometry) • x-ray with contrast material (fistulography, angiography) • ultrasound (b-mode, Doppler, color, duplex) • computed tomography • magnetic resonance imaging • x-ray-, US-, CT-guided intervention • isotope
![Page 6: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/6.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Methods of examination:
• plain x-ray (radiography, densitometry) •x-ray with contrast material (fistulography, angiography) • ultrasound (b-mode, Doppler, color, duplex) • computed tomography • magnetic resonance imaging • x-ray-, US-, CT-guided intervention • isotope
![Page 9: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/9.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Methods of examination:
• plain x-ray (radiography, densitometry) • x-ray with contrast material (fistulography, angiography) • ultrasound (b-mode, Doppler, color, duplex) • computed tomography • magnetic resonance imaging • x-ray-, US-, CT-guided intervention • isotope
![Page 11: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/11.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Methods of examination:
• plain x-ray (radiography, densitometry) • x-ray with contrast material (fistulography, angiography) • ultrasound (b-mode, Doppler, color, duplex) • computed tomography • magnetic resonance imaging • x-ray-, US-, CT-guided intervention • isotope
![Page 13: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/13.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Methods of examination:
• plain x-ray (radiography, densitometry) • x-ray with contrast material (fistulography, angiography) • ultrasound (b-mode, Doppler, color, duplex) • computed tomography • magnetic resonance imaging • x-ray-, US-, CT-guided intervention • isotope
![Page 15: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/15.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Methods of examination:
• plain x-ray (radiography, densitometry) • x-ray with contrast material (fistulography, angiography) • ultrasound (b-mode, Doppler, color, duplex) • computed tomography • magnetic resonance imaging • x-ray-, US-, CT-guided intervention • isotope
![Page 17: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/17.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Primary bone changes:
• change of shape (deformity)
• change of structure (heteroplasia)
• change of calcium content
• increased (osteosclerosis)
• decreased (atrophy, porosis, malacia)
• bone necrosis (osteonecrosis)
• bone destruction (osteolysis)
![Page 19: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/19.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Primary bone changes:
• change of shape (deformity)
• change of structure (heteroplasia)
• change of calcium content
• increased (osteosclerosis)
• decreased (atrophy, porosis, malacia)
• bone necrosis (osteonecrosis)
• bone destruction (osteolysis)
![Page 21: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/21.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Primary bone changes:
• change of shape (deformity)
• change of structure (heteroplasia)
• change of calcium content
• increased (osteosclerosis)
• decreased (atrophy, porosis, malacia)
• bone necrosis (osteonecrosis)
• bone destruction (osteolysis)
![Page 23: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/23.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Primary bone changes:
• change of shape (deformity)
• change of structure (heteroplasia)
• change of calcium content
• increased (osteosclerosis)
• decreased (atrophy, porosis, malacia)
• bone necrosis (osteonecrosis)
• bone destruction (osteolysis)
![Page 25: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/25.jpg)
Department of Radiology, University of Szeged
Osteoatrophy (Sudeck sy.)
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Department of Radiology, University of Szeged
Osteoporosis
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Department of Radiology, University of Szeged
Rickets (Vitamin D deficiency – child)
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Department of Radiology, University of Szeged
Osteomalacia (Vitamin D deficiency – adult)
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Department of Radiology, University of Szeged
Primary bone changes:
• change of shape (deformity)
• change of structure (heteroplasia)
• change of calcium content
• increased (osteosclerosis)
• decreased (atrophy, porosis, malacia)
• bone necrosis (osteonecrosis)
• bone destruction (osteolysis)
![Page 30: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/30.jpg)
Department of Radiology, University of Szeged
Osteonecrosis (child)
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Department of Radiology, University of Szeged
Osteonecrosis (adult)
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Department of Radiology, University of Szeged
Primary bone changes:
• change of shape (deformity)
• change of structure (heteroplasia)
• change of calcium content
• increased (osteosclerosis)
• decreased (atrophy, porosis, malacia)
• bone necrosis (osteonecrosis)
• bone destruction (osteolysis)
![Page 33: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/33.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Bone diseases:
• congenital malformations
• metabolic diseases
• sterile necrosis
• infection
• primary bone tumor
• metastasis
• fracture
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Bone diseases:
• congenital malformations
• metabolic diseases
• sterile necrosis
• infection
• primary bone tumor
• metastasis
• fracture
![Page 37: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/37.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Bone diseases:
• congenital malformations
• metabolic diseases
• sterile necrosis
• infection
• primary bone tumor
• metastasis
• fracture
![Page 39: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/39.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Bone diseases:
• congenital malformations
• metabolic diseases
• sterile necrosis
• infection
• primary bone tumor
• metastasis
• fracture
![Page 41: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/41.jpg)
Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Bone diseases:
• congenital malformations
• metabolic diseases
• sterile necrosis
• infection
• primary bone tumor
• metastasis
• fracture
![Page 45: Imaging of the skeleton - u-szeged.hu€¦ · Department of Radiology, University of Szeged Methods of examination: • plain x-ray (radiography, densitometry) •x-ray with contrast](https://reader034.fdocuments.us/reader034/viewer/2022050403/5f8097af93d023041a7d1a0c/html5/thumbnails/45.jpg)
Department of Radiology, University of Szeged
benign semimalignant reactive hamartoma osteogenetic osteoma osteochondroma osteoid osteoma chondrogenetic enchondroma myelogenetic collagenetic haemangioma fibroma
Classification of primary bone tumors I: reactive lesions and hamartomas
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Department of Radiology, University of Szeged
benign semimalignant malignant osteogenetic osteoblastoma osteosarcoma chondrogenetic chondroblastoma chondrosarcoma myelogenetic Ewing sarcoma, myeloma collagenetic osteoclastoma fibrosarcoma
Classification of primary bone tumors II: neoplasms
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Department of Radiology, University of Szeged
Indicative signs of bone tumor nature
SIGN Benign Malignant
growth slow fast
contour sharp ill-defined
margin calcification + -
stroma calcification +/- +/-
cortex intact/bulging destroyed
periosteum intact invaded/destroyed
surroundings intact invaded
dissemination - +/-
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Bone diseases:
• congenital malformations
• metabolic diseases
• sterile necrosis
• infection
• primary bone tumor
• metastasis
• fracture
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Department of Radiology, University of Szeged
Detection of bone metastases
bone scintigraphy
+ - x-ray stop
met. other neg.
stop stop MRI
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
Bone diseases:
• congenital malformations
• metabolic diseases
• sterile necrosis
• infection
• primary bone tumor
• metastasis
• fracture (next semester…)
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged
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Department of Radiology, University of Szeged