Mri Of The Rheumatic Spine

Inflammatory pathology of the spine is an underestimated, but widespread condition among the population. This atlas shares essential information and case studies on key aspects of MRI for rheumatic inflammatory lesions of the osteoarticular structures of the spine, offering radiologists and clinicians a valuable guide to the management of patients with inflammatory back pain. In particular, this richly illustrated and comprehensive case-based atlas documents the MR findings observed in seronegative spondyloarthritis and rheumatoid arthritis of the cervical spine, providing guidelines on selecting the appropriate imaging protocol. The book is divided into two main parts, the first of which describes the general, clinical and radiological aspects of both spondyloarthritis and, as a new entry in the second edition, rheumatoid arthritis of the cervical spine. The second part then presents cases of spondylitis; discitis; facet joint and costovertebral osteoarthritis; sacroiliitis and rheumatoid arthritis of the atlanto-axial joint, including concise clinical and radiological information and a wealth of high-resolution images. The idea for a second edition of this book stemmed, on the one hand, from the global response to the first edition, and on the other, from a desire to expand the content to include wider illustrations and to address the clinically and socially relevant topic of the inflammatory pathology of the spine in more depth. The second edition offers a comprehensive guide to MRI of inflammatory diseases of the spine, facilitating an early diagnosis, which has become essential with the advent of new effective but expensive treatments with TNF inhibitors. Thanks to its “case-based” structure, the book offers an easy-to-use but thorough handbook for radiologists, neuroradiologists, rheumatologists, orthopedists and physiatrists, as well as students.

This richly illustrated and comprehensive case-based atlas documents the MR findings observed in spondyloarthritis and offers guidance on selection of the appropriate imaging protocol, which is critical in detecting the potentially very subtle changes. The presented MR study protocols include T2-weighted sequences with fat saturation and contrast-enhanced T1-weighted sequences with fat saturation, these being sequences which permit better visualization of inflammatory changes of both anterior and posterior elements of the spine. Cases of spondylitis, discitis, osteoarthritis and sacroiliitis are described and concise information is provided on the clinical history of the rheumatic diseases. The inclusion of a large number of high-resolution images ensures that the atlas will serve as a guide to differentiation between potentially confounding diseases and an aid to early diagnosis, which has become essential with the advent of new treatments in the field of spondyloarthritis (TNF inhibitors). In addition to radiologists, neuroradiologists, rheumatologists, orthopedists and physiatrists will greatly benefit from the contents of this volume and its thorough presentation of the rheumatic diseases.

This book provides an introduction to the role of medical imaging in the diagnosis and management of rheumatologic diseases. It reviews basic radiographic findings of common and rare arthropathies while offering a focused and practical discussion of advanced imaging modalities such as CT, ultrasonography, and MRI. The book begins with a discussion on soft tissue changes, bone and bone density, articular surface changes, and bone alignment. Following this is an examination of the use of advanced imaging modalities including CT, ultrasound, and MRI as well as different disease categories such as inflammatory arthritis, degenerative arthritis, infectious arthritis, and crystalline arthropathy. Subsequent chapters include exercises and case examples for imaging hands and wrists, knees, hips, foot and ankle, shoulder, and the spine. Diagnostic Radiology of Rheumatic Diseases is an essential and practical resource for senior medical students, residents, fellows, and physicians in rheumatology, imaging and radiology, immunology, and internal medicine.

This issue of Rheumatic Disease Clinics includes articles such as: Imaging of inflammatory arthritis in adults: status and perspectives on the use of ultrasound, radiographs, and magnetic resonance imaging; Imaging of inflammatory arthritis in children: status and perspectives on the use of ultrasound, radiographs, and magnetic resonance imaging; Imaging evaluation of the entheses: ultrasonography, magnetic resonance imaging, and scoring of evaluation; Imaging for diagnosis and longitudinal assessment of osteoarthritis; Imaging in axial spondyloarthritis: evaluation of inflammatory and structural changes, and many more!

This richly illustrated case-based atlas thoroughly depicts the role of MR imaging in the assessment of patients presenting with pain due to degenerative disease of the spine and will serve as an excellent guide to differential diagnosis. Importantly, generic radicular compression is the main reason for the painful symptomatology in only a limited number of cases, and this book illustrates and emphasizes how various anatomic elements of the spine can be responsible. The imaging features of a range of disorders involving both the anterior and posterior elements of the spine are described, including active inflammatory osteochondrosis, atypical herniated discs, facet joint disorders, spondylolysis, and degenerative-inflammatory changes of the spinal ligaments and posterior perispinal muscles. Each example is supported by clinical data, and a series of unusual cases are also presented. MR study protocols include T2-weighted sequences with fat saturation and contrast-enhanced T1-weighted sequences with fat saturation to allow better visualization or highlighting of various inflammatory changes in the spine. Radiologists, neuroradiologists, neurosurgeons, orthopedists, and rehabilitation physicians will all find this atlas a valuable asset in their practice.

Winner 1991 Glaxo prize for medical writing in the Illustrated Book Category by the Society of Authors.

This interdisciplinary atlas is the fruit of cooperation among radiologists, orthopedic surgeons, traumatologists, and neurosurgeons. Clinically oriented, it covers all important diseases and injuries of the spine. Numerous illustrations are supplemented by concise descriptions of anatomy and pathophysiology, normal and abnormal MRI appearance, diagnostic pitfalls, and the clinical significance of MRI. The didactic style establishes the fundamentals of spinal anatomy and disease as a basis for understanding diagnostic strategies and surgical management. By combining descriptions of the clinical manifestation of spinal disorders with the corresponding MRI findings, the book develops a meaningful approach to the interpretation of MRI of the spine.