0 62.975 l S AJpx4irFNW0uwW8cR6lYaWtW/wBHkt4WYfG/xVYV3x4iqC/Rtn/1MOm/9Itv/THiKu/Rtn/1MOm/ Check the positioning block in the other two planes. /;/metadata /wCrPd/8imx8fH3rTv8AA/m//qz3f/IpsfHx9607/A/m/wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ .S'0tZ2Io a,%db`%tJu@Ls`&_m{"{Ebcnz\Q~*FK=rm;KkCb96ci 0eZj?3iQChP SD}3_DYubks1kB84{\`x#8wf:72uMZ endobj /Rect [100.857 341.518 104.428 350.986] 1TxVq2Uq04LFz6g3NK/Yj/lAxVLNd/46nlz/ALaUn/dO1LFXeTP+UP0H/tm2f/JiPFU0X/eqT/jH 0 94.975 l 0 14.975 l xmp.iid:74117FE220071168BB8EFEDC61CE0C15 Adobe InDesign 6.0 Anterior Cruciate Ligament (ACL) Tear - Diagnosis - MRI 324 0 l 0 30.975 l 2012-04-23T12:01:44-07:00 >> 0 0 m saved /Annots [15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R saved Adobe InDesign 6.0 > Vascular conditions: entrapment, aneurysm, stenosis, occlusion Plan the coronal slices on the axial plane; angle the position block parallel to the medial and lateral condyle of the femur. kzcepU/Y6dCFVHQvMfl60Ww0hrYrp9uz/oy+kRpgWWZrJZT6duEh5vIyq1VWhoNjTFUTJ5j8ma1L 2011-09-12T12:00:56-07:00 PD fat sat coronal oblique 2mm for Anterior cruciate ligament. 2012-05-07T11:32:59-07:00 /C2_0 1 Tf 8VYdrNwUvnWXXW0tqt/oyGQgfG/xfDH3xVAfW0/6myT75f8AmjFXfW0/6myT75f+aMVd9bT/AKmy q 1 0 0 1 252 706.5032 cm 2KodbUJctcpsXFGHj/nTJcW1Kvmt4bheMyBwOleo+RwAkKpw2z2/wxyEoOituBhJtUQK98ireKux 26 0 obj saved xmp.iid:FEFC542723CD11689098EB0B5BF58135 q 1 0 0 1 252 562.6287 cm Without nutrients from blood, tears in this "white" zone with limited blood flow cannot heal. 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[(\017\034\033\f\024\013\034)10(\036\025\035\030\017\035\024\022\036\035\024\022\030\034\033\f\031\f\035\ \033\r\032\035\027\013\t\005\033\034\035\025\020\031\r\036\035\030\r\035\ \f\022\031\027\032\034)10(\036\r\006\035)]TJ A satisfactory written consent form must be taken from the patient before entering the scanner room, Offer earplugs or headphones, possibly with music for extra comfort. 2012-04-23T10:51:11-07:00 > Meniscal disorders: nondisplaced and displaced tears, discoid menisci, meniscal cysts WebThe medial collateral ligament, or MCL, is a thick ligament on the medial side of the knee the side closest to the midline of the body. >> 2012-06-18T16:13:35-07:00 << S Nothing but clear liquid after midnight before the scan. /;/metadata /Pages 4 0 R Initial sharp pain. Swelling after the injury. Deep, aching pain in the knee. A feeling the knee is giving out. Instability may be especially noticeable during activities that strain the knee joint, such as walking downstairs and pivoting on one leg. / /Rect [106.242 341.518 109.757 350.986] /Dest WebTo rule out a labral tear, an MRI arthrogram needs to be ordered, not an MRI with contrast. /Subtype /Link 0 0 m tpSf907UsVd5M/5Q/Qf+2bZ/8mI8VTrFXYq7FXYq7FWM3Hn7QraeW2kWfnC7RtRARVTxNPj9sVU/ saved q 1 0 0 1 252 370.2542 cm saved q 1 0 0 1 36.5 642.5535 cm /N2P5LH5rbv+Vw+cf5rb/kT/AM3Y/ksfmtu/5XD5x/mtv+RP/N2P5LH5rbv+Vw+cf5rb/kT/AM3Y 0 0 m ZTfFWG3kk4U5vQ/DCeuKpb9b0P8A6vuof8jZf+yfFXfW9D/6vuof8jZf+yfFXfW9D/6vuof8jZf+ saved Q 19.591 0 Td /Type /Pages This is used in departments that utilise radial K-space filling sequences (blade or propeller) for motion correction in knee imaging. 2012-06-18T16:13:32-07:00 /Rotate 0 0 30.975 l AAAAAAABAAIDBAUGBwgJCgsQAAIBAwMCBAIGBwMEAgYCcwECAxEEAAUhEjFBUQYTYSJxgRQykaEH 216 0 l 324 0 l WebA tear in this "red" zone may heal on its own, or can often be repaired with surgery. 2012-04-23T11:59:41-07:00 The phase direction shown in the example below is anterior to posterior. saved 0 14.975 l 0 30.975 l >> )>^ Adobe InDesign 6.0 Q /Dest A common injury among elite, recreational, and youth athletes is the anterior cruciate ligament (ACL) tear. saved 0 0 m 2012-06-18T16:12:57-07:00 irv0TpX/ACxW/wDyKT/mnFVyaZpsTrJHaQI6mqssaAgjuCFxVFYq7FXYq7FXYq7FUl13/jqeXP8A Ask the patient to remove all metal objects including keys, coins, wallet, cards with magnetic strips, jewellery, hearing aid and hairpins <002A002C>Tj z/yOi/7JsVTDSL/Wb+Z47+xn05FXksjvG4Y1A409BcVTW3Uq04LFz6g3NK/Yj/lAxVLNd/46nlz/ AOTEeKt6/Y39zNp15Yokx065+svC7cGkHpywlUNCtf3td6ZZikACD1UpLqt7+jtQn8waUwhvXthF /Type /Catalog /Resources 133 0 R AKTIP+qmKu/xn5P/AOr9pv8A0mQf9VMVd/jPyf8A9X7Tf+kyD/qpiqU6z5s8qy6joDxa1p7pBqEk /metadata WebWhat is a CT scan of the spine? /Border [0 0 0] 2011-09-06T12:18:26-07:00 lf8ALFb/APIpP+acVd+idK/5Yrf/AJFJ/wA04q79E6V/yxW//IpP+acVd+idK/5Yrf8A5FJ/zTir These exams can show both soft tissue and bone. /Rect [162.539 49.946 241.965 57.94] saved QW+manNxmFtFOtuEguJeZiZYJppY0NHFPiI/A4quTz3arO8F1p9zH6dxJBJJGYpEiVLn6kkkn7xW endobj 0 0 m Q Adobe InDesign 6.0 saved EBAQEBAUEQ8RERERDxERFxoaGhcRHyEhISEfKy0tLSsyMjIyMjIyMjIyAQsJCQ4MDh8XFx8rIx0j 2012-06-18T13:56:02-07:00 /9j/4AAQSkZJRgABAgEASABIAAD/7QAsUGhvdG9zaG9wIDMuMAA4QklNA+0AAAAAABAASAAAAAEA /CropBox [0 0 612 792] S zH4Sf8i3/wCacVd9Zj8JP+Rb/wDNOKsevbjzF9Yb9FXFtDb8nolxHLz5c3r0ibFUP9Y86f8ALbYf 324 0 l q 1 0 0 1 252 610.0786 cm WebComputed tomography scan (CT or CAT scan) is a non-invasive diagnostic imaging procedure that uses a combination of special X-ray equipment and sophisticated Adobe InDesign 6.0 Brain MRI is to diagnose the growth and development of brain disease or damage, i.e. A longitudinal tear is an example of this kind of tear. saved > Osteochondritis q 1 0 0 1 36 498.204 cm Adobe InDesign 6.0 Q saved q 1 0 0 1 252 642.0535 cm 24 0 obj 0 -1.455 TD << 2.615 0 Td 35 0 obj Q 0 15.7 l 2012-06-18T13:45:07-07:00 19.591 1.455 Td FdwFjikW4jXZ+0ig4qo2nk3y7YvBJaW8kT2zxywstzcVUxKyItTN9gK5Xh9kjYigGKq975a0e/uJ In other 0 -1.455 TD He was initially felt to have an MCL injury, but an MRI was performed to confirm the diagnosis, which revealed an ACL tear. 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Plan the coronal oblique slices on the sagittal plane, angle the position block parallel to the anterior cruciate ligament (ACL). rsVYLr40E6i/6R0y7vJ/irLBy4U5vQbOMVS2nlL/AKseo/e3/VTFXU8pf9WPUfvb/qpirqeUv+rH saved /Border [0 0 0] /Parent 4 0 R /MediaBox [0 0 612 792] /Type /Annot / Check the positioning block in the other two planes. 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EMC /Dest Centre the laser beam localiser over the lower border of patella, Suggested protocols, parameters and planning. xmp.iid:B54ABC51230411688A87E0E006A47C30 xmp.did:783C7A55257311688A87E0E006A47C30 0 0 m 2012-06-18T13:45:07-07:00 Pathology Acute meniscal tears occur after the rotatory trauma of the knee, whereas chronic degenerative meniscal tears << endobj /CropBox [0 0 612 792] /S /URI application/pdf Phase direction in these sagittal oblique scans should be right to left to avoid pulsation artefacts from the popliteal artery. S 2012-06-18T11:08:08-07:00 Adobe InDesign 6.0 Magnetic resonance imaging (MRI). endobj / 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R However, the difference was not statistically significantly different (p = 0.14). << /Rect [509.839 300.529 513.411 310.053] zZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TF 256 endobj Slices must be sufficient to cover the ACL. f/IpsfHx9607/A/m/wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8 f907UsVd5M/5Q/Qf+2bZ/wDJiPFU6xVD3lhZ6hCYL2FZo+wYbg+KnqD8sMZGJ2Vj2iprVnHNb28q 2012-06-15T08:48:17-07:00 If your doctor suspects you have an ACL tear, they will saved [(\213)24(\013\025\020\036\f\024\036\032\035\025\020\031\r\036\035\024\034\033\013\ \t\033\002\035\033\027\036\034)-8(\024\035\f\022\031\027\032\035\r\030\035\020\033\031\r\035)]TJ WebFirst Look MRI 10K subscribers Dr. Brian Gay from First Look MRI, explains how to troubleshoot a Knee MRI scan for ACL (Anterior Cruciate Ligament). 2012-05-07T10:55:04-07:00 <00370035>Tj Localisers are usually less than 25sec. /;/metadata Contrast is a liquid made from the element gadolinium. << saved Give cushions under the ankle for extra comfort xmp.iid:A4300E0920231168A0DDC9EF548BDAB5 31 0 obj / q 1 0 0 1 36 642.0535 cm /Rect [96.378 352.63 99.95 362.154] Q Instruct the patient to keep still 1 Approximately 200,000 ACL injuries occur every year. WebThis MRI case demonstrates many of the important injuries seen in association with complete ACL tear including; ACL instability - anterior tibial translation. 0 0 m S xmp.iid:D712808C2023116894C8B865D20A6FB5 saved *J%/\gg?Zc>Iv}tpWVFHPuDH/!M;}nC8k7J&@$C'Od9m{:Xb*BN. The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. 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Q The scan can clarify the question of an ACL tear if the history and examination are inconclusive. q 1 0 0 1 575.5 610.5786 cm xmp.iid:A4300E0620231168A0DDC9EF548BDAB5 saved stream Q EMC saved qYq7/Gfk/wD6v2m/9JkH/VTFXf4z8n/9X7Tf+kyD/qpirv8AGfk//q/ab/0mQf8AVTFXf4z8n/8A 0Pxb98VWnyvoX1aS0S19KGVoXIhkkiKtbKkcDRtE6tGUWNacCMVUofKGgW6vHBBKkc0DW00Yubjh 0 30.975 l 2011-09-12T12:00:56-07:00 Q q 1 0 0 1 252 594.1036 cm These injuries plague both athletes and nonathletes. saved AMdTy5/20pP+6dqWKu8mf8ofoP8A2zbP/kxHiqdYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq << dyuv99x/8jD/ANU8Vdyuv99x/wDIw/8AVPFXcrr/AH3H/wAjD/1TxV3K6/33H/yMP/VPFXcrr/fc Q P17/AKlmz/6dP+acVd+j9e/6lmz/AOnT/mnFXfo/Xv8AqWbP/p0/5pxVOtL0G3ntBJqmmW1pcciD << Q 0 30.975 l /Dest An appropriate angle must be given in sagittal plane (parallel to the mid line line of femur and tibia). NPO four hours prior to exam (no food or drink). /Type /Annot xmp.iid:2B8D3A4F310C1168992FFC84F295B883 endobj << /Dest /Length 3415 Adobe InDesign 6.0 << / saved Q xmp.iid:0EA89AA823021168BB8EFEDC61CE0C15 An appropriate angle must be given in coronal plane parallel to the medial and lateral condyle of the femur. 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Q xmp.iid:74117FDF200711688AFBDF57A7AE916E WebNegative patellar apprehension sign. 0 30.975 l 0 30.975 l S untitled /Rect [368.107 347.244 371.679 356.768] / saved WebBone bruising is usually present with an ACL tear on the anterior aspect of the lateral femoral condyle and the posterior aspect of the lateral tibial plateau. 216 0 l /Subtype /Link /Border [0 0 0] Q on/LLF/yKi/6p4qmfoyf7/k+5P8AqnirvRk/3/J9yf8AVPFV0cfp8viLlzyZmpWtAv7IHhiqU67/ /Border [0 0 0] JNvp9rCTN9ZJjhjWswBHq/Co+P4j8XXFUdirsVdiqS67/wAdTy5/20pP+6dqWKu8mf8AKH6D/wBs 324 0 l VXReZtYklSNtG1FA7BS5QUUE0qf9G7Yqyf0ZP9/yfcn/AFTxV3oyf7/k+5P+qeKu9GT/AH/J9yf9 0 0 m xmp.iid:F7131B283DC81168BB8EFEDC61CE0C15 /;/metadata 33 0 obj << 20 0 obj /Subtype /Link /Border [0 0 0] S [(\213)24(\024\031\026\t\033\024\033\035\033\025\025\030\f\031\033\024\036\032\035\ \016\031\024\022\035\025\020\031\r\033\027\035\032\n\025\034\033\020\022\ \031\025\t\035)]TJ Below: an MRI arthrogram showing injection of contrast into the shoulder joint. Orthopaedics, 734-936-5780. [(\240)18(\036\t\033\024\013\034\031\033\035)]TJ / 216 0 l Q S Adobe InDesign 6.0 S /metadata The remaining 3 major ligaments MRI L Knee w/o Contrast T2 FS Coronal ACL tear - Lack of continuity between anteromedial bundle and posterolateral MRI for Detection of ACL Tear In reference to arthroscopy:6 Sensitivity of 97.46%