MRI Evaluation of Costal Cartilage Injuries

Subhas, Naveen; Kline, Mitchell; Moskal, Michael J.; White, Lawrence M.; Recht, Michael P.

doi:10.2214/ajr.07.3396

Cited by 35 publications

(32 citation statements)

References 9 publications

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“…However, FDG PET/CT is not cost-effective in the diagnosis of costal and costal cartilage fractures [10]. Moreover, the costal injury is more apparent on fat-suppressed T2-weighted coronal magnetic resonance imaging with a high signal at the injury site [9].…”

Section: Discussionmentioning

confidence: 99%

Isolated costal cartilage fractures: the radiographically overlooked injuries

Yuan

2017

Folia Morphol

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Section: Discussionmentioning

confidence: 99%

Isolated costal cartilage fractures: the radiographically overlooked injuries

Yuan

2017

Folia Morphol

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“…Because costal cartilage injuries are often located in the junctional regions; chondrosternal and chondrocostal, the overlapping osseous structures in these areas limit the usefulness of radiographs. A Canadian study from Subhas et al showed that cross-sectional techniques such as CT, US and MRI are more sensitive to detect these injuries ( Figure 5) (20). On CT, cartilage density is relatively uniform (70-120 HU), in which this value is higher than fat and muscle but lower than calcium ( Figure 6).…”

Section: Injuries Of the Costal Cartilagementioning

confidence: 99%

“…Also, oedema-like signal T2 could be seen in the surrounding soft tissue in recent or subacute injuries (<3 months). A fracture line, which is not always present, appears as a localized linear oedema-like decreased T1 and increased T2 signal, and it is best to be visualized on the fluid-sensitive sequences (fat-saturated fast spin-echo T2-weighted or STIR-weighted sequences) and in the coronal plane (20).…”

Section: Injuries Of the Costal Cartilagementioning

confidence: 99%

“…However, radiologists must be aware of unnecessarily MDCT scans expose patients to potentially harmful ionizing radiation (5,6). In front of subtle rib fractures and muscle-tendinous tears, complementary techniques such as US and MRI may improve the diagnostic accuracy (19,20,32,35,38,42). All these imaging methods have an important role in quantifying the severity of chest wall trauma.…”

Section: Thoracic Wall Muscle Injuriesmentioning

confidence: 99%

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Thoracic wall trauma—misdiagnosed lesions on radiographs and usefulness of ultrasound, multidetector computed tomography and magnetic resonance imaging

Tomás¹,

Facenda²,

Vaz³

et al. 2017

Quant. Imaging Med. Surg.

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Blunt injuries to the chest wall are an important chapter on emergency room (ER) departments, being the third most common injuries in trauma patients which ominous complications could appear. This article describes different types of traumatic events affecting the chest wall, which maybe misdiagnosed with conventional X-ray. Special emphasis has been done in computed tomography (CT) and multidetector CT (MDCT) imaging. This technique is considered the "gold-standard" for those traumatic patients, due to its fast acquisition covering the whole area of interest in axial plane, reconstructing multiplanar (2D, 3D) volume-rendered images with a superb quality and angiographic CT capabilities for evaluating vascular damage. Complementary techniques such as ultrasonography (US) and magnetic resonance imaging (MRI) may improve the diagnostic accuracy due to its great capacity in visualising soft-tissue trauma (muscletendinous tears) and subtle fractures. All these imaging methods have an important role in quantifying the severity of chest wall trauma. The findings of this study have been exposed with cases of our archives in a didactic way.

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“…MRI also provides a larger field of view and depicts the complete chest including abnormalities of the surrounding mediastinum and inflammatory processes (1). Therefore, MRI has been used to assess chest wall, mediastinum, and diaphragm diseases (10,11), as well as the neonatal heart (12)(13)(14). In addition, other experimental studies on animal models have demonstrated the utility of MRI for evaluation of thoracic structures (15,16).…”

Section: Introductionmentioning

confidence: 99%

Low-field magnetic resonance anatomic features of the neonatalfoal thorax: an ex vivo study

Arencibia¹,

Sandoval²,

Gil³

et al. 2015

Turk J Vet Anim Sci

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The purpose of this study was to describe the normal appearance of the bony and soft tissue structures of the thorax of neonatal foals by low-field magnetic resonance imaging (MRI) and the use of anatomical dissections and gross sections. Three purebred Spanish neonatal foals that died for medical reasons unrelated to thoracic disease were used to obtain T1-and T2-weighted MR images using a magnet of 0.2 Tesla. Anatomic structures on the MR images were evaluated according to characteristics of signal intensity of the different organic tissues. The bones, different associated muscles, diaphragm, trachea, main bronchi, lungs, esophagus, heart chambers, and associated great vessels were well-visualized and evaluated with a low magnetic field. MRI provided correct discrimination of thoracic structures, and this information could be used as an initial anatomic reference for the interpretation of MR images of the thoraxes of neonatal foals.

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MRI Evaluation of Costal Cartilage Injuries

Abstract: MRI can be a useful technique in the diagnosis of costal cartilage injuries.

Cited by 35 publications

References 9 publications

Isolated costal cartilage fractures: the radiographically overlooked injuries

Isolated costal cartilage fractures: the radiographically overlooked injuries

Thoracic wall trauma—misdiagnosed lesions on radiographs and usefulness of ultrasound, multidetector computed tomography and magnetic resonance imaging

Low-field magnetic resonance anatomic features of the neonatalfoal thorax: an ex vivo study

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