False-positive magnetic resonance imaging skeletal survey in a patient with sporadic hypophosphatemic osteomalacia

2003 ◽  
Vol 21 (1) ◽  
pp. 57-59 ◽  
Author(s):  
Yasuo Imanishi ◽  
Kiyoshi Nakatsuka ◽  
Tetsuo Nakayama ◽  
Terue Okamura ◽  
Keisuke Kobayashi ◽  
...  
2021 ◽  
pp. 155633162110092
Author(s):  
Ashley E. Levack ◽  
Chelsea Koch ◽  
Harold G. Moore ◽  
Michael B. Cross

Background: The 2010 American Academy of Orthopaedic Surgeons Clinical Practice Guidelines report insufficient evidence to address the diagnostic efficacy of magnetic resonance imaging (MRI) for periprosthetic joint infection (PJI). Questions/Purposes: The purpose of this study was to determine the utility of MRI with multiacquisition variable-resonance image combination (MAVRIC) metal artifact suppression techniques in diagnosing PJI in the setting of total hip arthroplasty (THA). Methods: Multiacquisition variable-resonance image combination MRIs obtained of THAs between November 2012 and November 2016 were queried. Radiology reports were classified as positive (suspicious for infection), negative (no features of infection), or inconclusive (infection cannot be excluded or correlation with aspiration suggested if clinically concerned). Chart review identified cases of deep PJI according to the modified Musculoskeletal Infection Society criteria. Results: Of 2156 MRIs of THAs included, MRI was concerning for infection in 1.8% (n = 39), inconclusive in 1.2% (n = 26), and negative in 97.0% (n = 2091). Deep PJI was identified in 53 (2.5%) patients, 30 of whom (56.6%) had conclusively positive finding on MRI (false-negative rate: 43.4%, sensitivity: 56.6%). Of 2103 aseptic THAs, only 9 (0.4%) MRIs were read as suspicious for infection (false-positive rate: 0.4%; specificity: 99.6%). Conclusion: Magnetic resonance imaging with MAVRIC is a highly specific test for PJI with a low false-positive rate. This indicates that when clinicians are provided with an MRI that unexpectedly suggests infection, a formal evaluation for infection is indicated. In patients with otherwise equivocal diagnostic findings, MRI may help confirm, but not refute, a diagnosis of PJI. Prospective study with more experienced image reviewers may further support the use of MRI in PJI.


2021 ◽  
Vol 79 (1) ◽  
pp. 30-32
Author(s):  
Chris H. Bangma ◽  
Geert J.L.H. van Leenders ◽  
Monique J. Roobol ◽  
Ivo G. Schoots

2019 ◽  
Vol 83 ◽  
pp. 159-165 ◽  
Author(s):  
Jennifer B. Gordetsky ◽  
David Ullman ◽  
Luciana Schultz ◽  
Kristin K. Porter ◽  
Maria del Carmen Rodriguez Pena ◽  
...  

2020 ◽  
Vol 41 (5) ◽  
pp. e588-e592 ◽  
Author(s):  
Ethan G. Muhonen ◽  
Hossein Mahboubi ◽  
Omid Moshtaghi ◽  
Ronald Sahyouni ◽  
Yaser Ghavami ◽  
...  

2008 ◽  
Vol 47 (10) ◽  
pp. 957-961 ◽  
Author(s):  
Tetsushi Nasu ◽  
Seigo Kurisu ◽  
Shohei Matsuno ◽  
Kunihiro Tatsumi ◽  
Tetsuhiro Kakimoto ◽  
...  

2005 ◽  
Vol 190 (4) ◽  
pp. 633-640 ◽  
Author(s):  
Samantha A. Langer ◽  
Kathleen C. Horst ◽  
Debra M. Ikeda ◽  
Bruce L. Daniel ◽  
Christina S. Kong ◽  
...  

2011 ◽  
Vol 07 (01) ◽  
pp. 24
Author(s):  
Virginia Pérez Dueñas ◽  
María Ruíz de Gopegui Andreu ◽  
Sara Morón Hodge ◽  
Asunción Suárez Manrique ◽  
◽  
...  

Multifocal or multicentric breast cancer can be difficult to detect on mammography or ultrasound, particularly in patients with dense breast tissue. A multimodality approach that includes breast magnetic resonance imaging (MRI) is indicated, particularly when conservative surgery is being considered as it is the most sensitive technique for identifying additional sites of disease. However, its influence on recurrence and survival rates has yet not been clearly established, and false-positive cases may lead to more aggressive management and treatment. Radiologists should therefore be aware of relevant breast MRI findings. Infiltrating carcinomas, contralateral unsuspected carcinomas, occult carcinomas, false-positive cases and post-chemotherapy changes. Several cases of multiple-site breast carcinomas and their corresponding mammographic, ultrasound and MRI features have been reviewed for this article, in which the definition and differences between multifocal, multicentric and contralateral breast carcinoma are explained and the most relevant imaging findings on MRI are illustrated and correlated with mammogram and ultrasound findings. Finally, the role of breast MRI in the pre-operative assessment of breast cancer is discussed.


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