Online MSK Days
Day 5 | Arthritis, Osteoporosis,
Sarcopenia

November 10, 2022 | 7 pm (CET) / 1 pm (EST)

Arthritis, Osteoporosis, Sarcopenia | Ultrasound/CT/MRI

I Move Therefore I Age – Imaging for Locomotion and Ageing

Approximately 1.71 billion people have some sort of musculoskeletal (MSK) condition, and they are the leading contributor to disability worldwide by limiting mobility, dexterity and participation in work and play (1). During this webinar we will explore the roles of imaging in some of the most common MSK-based conditions, arthritis, osteoporosis, and sarcopenia to better manage their application for these conditions that become more common the older we get.
This webinar occurs in the past. The recording is available now. Click here to watch it now.
Program
  • Arthritis – Ultrasound in Daily Routine - Dr. Stefan Meng
  • Arthritis – When to use US and CT and not MRI - Dr. Torsten Diekhoff
  • Stress Fractures and Atypical Femoral Fractures in Osteoporosis - Dr. Linda Probyn
  • From Trackside to Bedside: The Role of Musculoskeletal In Understanding Performance and Health - Dr. Tom Maden-Wilkinson
  • Live Q&A - moderated by Dr. Torsten Diekhoff
Learning Objectives:
  1. Understand the practical differences in imaging modalities for arthritis
  2. Better understand the role of imaging in the osteoporotic patient
  3. Gain insights into the importance and clinical utility of skeletal muscle for prognosis

INFORMATION ON SPEAKERS AND THEIR PRESENTATIONS

sou
Moderator & Speaker: Assoc Prof. Torsten Diekhoff, MD
Radiologist
Senior physician
Charité, Institute of Radiology
Berlin, Germany

Assoc. Prof. Torsten Diekhoff is the leading senior physician at the Department of Radiology at the Charité, Campus Mitte, since February 2022. He completed his postdoctoral qualification with a thesis on dual-energy CT for musculoskeletal imaging. For several years he has led the Dual-Energy-CT working group and is the deputy head of the Arthritis Imaging Research Group at the Charité. His research focus is on computed tomography for the depiction of inflammatory lesions in the musculoskeletal system, modern MRI techniques in the field of rheumatology and diseases of the axial and appendicular skeleton. He was awarded with a research grant from the Assessment of SpondyloArthritis international Society and a clinician fellowship by the Berlin Institute of Health. His clinical focus is on musculoskeletal imaging and interventions, dual-energy computed tomography and oncological diagnostics.

Presentation Title: Arthritis - When to Use US or CT and Not MRI
Using magnetic resonance imaging (MRI) for the detection of soft-tissue inflammation in arthritis patients was a significant step towards early diagnosis and treatment. However, studies published over the last 10 years showed that, while having the high sensitivity, MRI-detected inflammation is also seen in other conditions or even healthy patients. In parallel, ultrasonography, computed tomography (CT) and dual-energy CT were applied in arthritis patients. This talk will summarize the pros and cons of using ultrasound and CT techniques in patients with suspected arthritis and show which patients might profit from those modalities in addition or instead of MRI.

sou
Speaker: Dr. Stefan Meng, MD
Radiologist,
Senior Physician Radiology,
Hanusch Hospital
Vienna, Austria

As a radiologist Dr. Meng is specialized in ultrasound and head of the ultrasound department in the Hanusch Hospital in Vienna, Austria. Additionally, Dr. Meng heads a scientific ultrasound lab at the Center for Anatomy and Cell Biology at the Medical University of Vienna. His clinical and experimental research is focused on neuromuscular and head and neck imaging. He organizes pre‐ and postgraduate ultrasound courses.

Presentation Title: Arthritis – Ultrasound in Daily Routine
This talk will give an overview of the possibilities of ultrasound in the spectrum of arthritis. With a series of cases technical prerequisites, strengths, limits of this imaging modality as well as pitfalls will be discussed.

sou
Speaker: Dr. Linda Probyn, MD, FRCPC, FCAR
Musculoskeletal radiologist, Sunnybrook Health Sciences Centre
Associate Professor and Vice-Chair Education, Department of Medical imaging
Director Admissions and Evaluation, Postgraduate Medical Education
University of Toronto
Toronto, Canada

Dr. Linda Probyn is an Associate Professor and Musculoskeletal Radiologist at the University of Toronto. She is the past Program Director for the Diagnostic Radiology program and now the Vice-Chair of Education for the Department of Medical Imaging and the current Chair of the Specialty Committee for Diagnostic Radiology at the Royal College of Physicians and Surgeons of Canada. She has interests in osteoporosis, arthritis, ultrasound, sports injuries, and trauma as well as teaching and education, including the use of ultrasound simulation. Dr. Probyn has published several scholarly articles and presents her work and teaches at many National and International conferences.

Presentation Title: Stress Fractures and Atypical Femoral Fractures in Osteoporosis
This talk will review bone structure and the mechanism of bone turnover. There will be a description of stress fractures and the differences between fatigue and insufficiency fractures will be explained and demonstrated. The case definition of atypical femoral fractures and the multimodality imaging appearances will be discussed and relevant examples will be shown

sou
Speaker: Dr. Tom Maden-Wilkinson, PhD
Research Scientist
Associate Professor
Advanced Wellbeing Research Centre,
Sheffield Hallam University
Sheffield, UK

Tom’s area of expertise lies in skeletal muscle physiology, in particular the importance of muscle mass, strength and function, the underpinning physiological mechanisms that control these and how these can be manipulated to benefit human performance and maximise resilience. Tom’s research has 2 strands within this expertise, 1. Application within elite sport and 2. Application with Clinical Musculoskeletal Health. Whilst these 2 contexts appear at opposite ends, the strategies in understanding maximising performance from elite settings has comparable characteristics with the performance of activities of daily living as we get older and being resilient to acute changes such as falls, surgery or COVID-19.

Presentation Title: From Trackside to Bedside: The Role of Musculoskeletal In Understanding Performance and Health
The quantification of skeletal muscle mass, structure and quality is pivotal for determination of elite human performance underpinning our ability to jump high, move heavy weights and run fast also enabling the identification of efficiency of training interventions and assess injury risk. However, the emerging role on the importance of muscle in clinical populations and the translation of how these elite performance training interventions can be implemented into clinical populations to improve the health of the population. This talk will examine our work in this area and the evolving role of skeletal muscle mass, morphology and quality play in our systemic health.

Scientific Evidence: Arthritis, Osteoporosis, Sarcopenia | Ultrasound/CT/MRI

Download scientific evidence on MSK solutions using Canon technologies here.

Ultrasound

Seskute G et al. | Power Doppler artifacts in evaluating inflammatory arthritis of small joints: comparison with a superb microvascular imaging technique | J Ultrasound. 2022
https://www.ncbi.nlm.nih.gov/pubmed/35029838

van Holsbeeck M et al. | Advanced Musculoskeletal Ultrasound Techniques: What Are the Applications? | AJR Am J Roentgenol. 2021
https://www.ncbi.nlm.nih.gov/pubmed/32755188

Xiuli Jin et al. | Comparison of three ultrasonographic examinations on the synovial membrane vascularity of RA patients | Phys Eng Sci Med. 2020
https://www.ncbi.nlm.nih.gov/pubmed/32358664

Dong Hyun Kim et al. | Ultrasound Microflow Imaging Technology for Diagnosis of Adhesive Capsulitis of the Shoulder | J Ultrasound Med. 2020
https://www.ncbi.nlm.nih.gov/pubmed/31782541

Guen Young Lee et al. | The superb microvascular imaging is more sensitive than conventional power Doppler imaging in detection of active synovitis in patients with rheumatoid arthritis. | Clin Rheumatol. 2019
https://www.ncbi.nlm.nih.gov/pubmed/31030360

Kibo Nam et al. | Diagnosis of Carpal Tunnel Syndrome using Shear Wave Elastography and High-frequency Ultrasound Imaging | Acad Radiol. 2021
https://www.ncbi.nlm.nih.gov/pubmed/32928634

CT

Ulas ST et al. | Perfusion in hand arthritis on dynamic contrast-enhanced computed tomography: a randomized prospective study using MRI as a standard of reference | Skeletal Radiol. 2021
https://www.ncbi.nlm.nih.gov/pubmed/32607803

Gondim Teixeira PA et al. | Evaluation of Dorsal Subluxation of the Scaphoid in Patients With Scapholunate Ligament Tears: A 4D CT Study | AJR Am J Roentgenol. 2021
https://www.ncbi.nlm.nih.gov/pubmed/32755179

Lionel Athlani et al. | Four-Dimensional CT Analysis of Dorsal Intercalated Segment Instability in patients with Suspected Scapholunate Instability | J Wrist Surg. 2021
https://www.ncbi.nlm.nih.gov/pubmed/34109067

Lionel Athlani et al. | Evaluation of Dorsal Scaphoid Displacement Using Posterior Radioscaphoid Angle in Patients With Suspected Scapholunate Instability: A Preliminary Study | J Hand Surg Am. 2021
https://www.ncbi.nlm.nih.gov/pubmed/33191036

Lionel Athlani et al. | Assessment of scapholunate instability with dynamic computed tomography. | J Hand Surg Eur Vol. 2020
https://www.ncbi.nlm.nih.gov/pubmed/31842675

Alain G Blum et al. | CT angiography and MRI of hand vascular lesions: technical considerations and spectrum of imaging findings | Insights Imaging. 2021
https://www.ncbi.nlm.nih.gov/pubmed/33576888

Alain G Blum et al. | Thumb Injuries and Instabilities. Part 2: Spectrum of Lesions. | Semin Musculoskelet Radiol. 2021
https://www.ncbi.nlm.nih.gov/pubmed/34450660

Alain G Blum et al. | Thumb Injuries and Instabilities. Part 1: Anatomy, Kinesiology, and Imaging Techniques of the Thumb | Semin Musculoskelet Radiol. 2021
https://www.ncbi.nlm.nih.gov/pubmed/34374068

Gondim Teixeira PA et al. | Comparison between subtalar joint quantitative kinematic 4-D CT parameters in healthy volunteers and patients with joint stiffness or chronic ankle instability: A preliminary study | Eur J Radiol. 2019
https://www.ncbi.nlm.nih.gov/pubmed/31005181

Gondim Teixeira PA et al. | Ultra-high resolution computed tomography of joints: practical recommendations for acquisition protocol optimization | Quant Imaging Med Surg. 2021
https://www.ncbi.nlm.nih.gov/pubmed/34603984

Jonathan Granero et al. | Correlation Between Dynamic 4-Dimensional Computed Tomography Data and Arthroscopic Testing of Scapholunate Instability: A Preliminary Study | J Hand Surg Am. 2022.
https://www.ncbi.nlm.nih.gov/pubmed/35016786

Sinan Orkut et al. | Kinematic 4D CT case-control study of wrist in dart throwing motion "in vivo": comparison with other maneuvers | Eur Radiol. 2022.
https://www.ncbi.nlm.nih.gov/pubmed/35445824

Aymeric Rauch et al. | Four-dimensional CT Analysis of Wrist Kinematics during Radioulnar Deviation | Radiology. 2018
https://www.ncbi.nlm.nih.gov/pubmed/30251928

MRI

Bastian-Jordan M et al. | A quality audit of MRI knee exams with the implementation of a novel 2-point DIXON sequence | J Med Radiat Sci. 2019
https://www.ncbi.nlm.nih.gov/pubmed/31353806

Hayashi Seiju et al. | Evaluation of the degenerative pattern of PCL in osteoarthritis patients using UTE-T2 mapping | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology 2021
https://linkinghub.elsevier.com/retrieve/pii/S2214687321000042

References

  1. Cieza, A., Causey, K., Kamenov, K., Hanson, S. W., Chatterji, S., & Vos, T. (2020). Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10267), 2006-2017.

Disclaimers

  • The opinions expressed in this material are solely those of the presenter and not necessarily those of Canon Medical Systems. Canon Medical Systems does not guarantee the accuracy or reliability of the information provided herein.
  • The clinical results, performance and views described in this video/webinar are the experience of the clinician. Results may vary due to clinical setting, patient presentation and other factors. Many factors could cause the actual results and performance of Canon Medical’s products to be materially different from any of the aforementioned.
  • Some products shown might not be available in all regulatory jurisdictions, please consult with your local Canon sales office for availability in your region.

Contact Us