Slide 1 - UCSD Musculoskeletal Radiology


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Slide 1 - UCSD Musculoskeletal Radiology

  1. 1. MSK Section Research Meeting 7-21-06
  2. 2. 2005-2006 Academic Year Publications • MR arthrography of the knee: how, why, when • MRI findings of femoral diaphyseal stress injuries in athletes. • Acromioclavicular joint osteoarthritis: comparison of findings derived from MR imaging and conventional radiolgraphy. • Fresh Osteochondral Allografts. • Posterior cruciate ligament recess and normal posterior capsular insertional anatomy: MR imaging of cadaveric knees. • MR imaging of the hip abductors: normal anatomy and commonly encountered pathology at the greater trochanter. • MR imaging of the finger tendons: normal anatomy and commonly encountered pathology. • Paraspinal muscle vasculature contributes to posterolateral spinal fusion. • Normal MR Imaging Anatomy of the Elbow. • MR Imaging of the Rotator Cuff Interval. • Magnetic resonance imaging of the hip.
  3. 3. 2005-2006 Academic Year Publications • Pellegrini-Stieda disease: a heterogeneous disorder not synonymous with ossification/ calcification of the tibial collateral ligament – anatomic and imaging investigation. • Inflammation of Hoffa’s Fat Pad in the Setting of HIV: MR Imaging Findings in 5 Patients. • Painful stress fractures in the fabella in patients with total knee arthroplasty. • Hyperplastic callus formation in osteogenesis imperfecta type V • Magnetic resonance imaging of para-acetabular insufficiency fractures in patients with malignancy • MRI of anterior tibiotalar impingement • Radial and ulnar bursae of the wrist • Deep and superficial infrapatellar bursae of the knee • Pattern of osteophytes and enthesophytes in the proximal ulna • Imaging findings in asymptomatic patients with femoral diaphyseal stress injuries • Hypoplasia of the glenoid neck of the scapula
  4. 4. 2005-2006 Academic Year Publications 22 Peer Review Publications (20 Peer Review Publications 2004-2005) (21 Peer Review Publications 2003-2004)
  5. 5. Collaborators • Graeme Bydder – Ultrashort TE Imaging • Parviz Haghighi – Pathology • Rob Pedowitz – Orthopedic surgery
  6. 6. Fellow Requirements • One didactic lecture • One research project – 2 weeks to choose a project – After 2 week time period, project will be assigned • Case preparation – Divide into individual cases and label folder with diagnosis – Folder should contain a word document • Origin of case (telerad location/ VA/ Thornton/ Scripps/ Hillcrest) • Identifying info of patient • Pertinent history – All cases should be loaded into MIRC server (Amil will direct) as well as computer in telerad room
  7. 7. Projects • Writing – Case reports – Pictorial essays – Chapters • Doing and Writing – Retrospective review – Prospective studies – Lab projects – Imaging projects
  8. 8. IRB Approval • Required for: – All review of medical records – All retrospective review – Any study involving patients/ informed consent • Website: http// • Types of approval: – Regular – Expedited • UCSD and VA approval – Share a common IRB committee – Once UCSD IRB approval acquired, must pass an administrative approval by VA R&D committee
  9. 9. Steps to Begin Project • Idea!! • Verify the validity and novelty of the idea – Literature search (PUB MED) – Key articles (E-journal – Establish target journal – Discuss authorship and work responsibilities • Study design – Objective – Basic materials and methods • Data analysis – Good idea to touch base with statistician to be sure design is statistically valid – Paul Clopton (VA extension 3534) • Write – According to target journal instructions to authors • Submit
  10. 10. Authorship • If you write and submit the article to the journal, you will be the first author • If you do not submit the article to the journal, you WILL NOT be the first author unless arrangements have been made and approved by the lead author • With authorship comes the burden of justification for your role in a project
  11. 11. Study Design: Cadaveric Projects • Contact person Deb Trudell (VA extension 7058) • Protocol Description Worksheet – Study description – Specimen request – MR technique (very specific) • Imaging time – Wednesday 9 pm start time – Sunday 5 pm start time
  12. 12. Imaging Policy • All MR images obtained for studies must be put in jpeg format the night of imaging, placed in a folder on the Neuroradiology PACS station on your VA sign in • Request 2 CD’s of the data to be written by Mike Olds (leave note on his door) • One CD for your records which should be placed on the Research computer in a folder with the project name • One CD should be submitted to lead author • Any photographs of gross anatomy/ dissections, etc for projects should be placed on the Research computer with a CD submitted to lead author
  13. 13. Meeting Presentation • Funding for abstract presentation at major scientific meetings • Deadlines: – ARRS October 1, 2006 Deadline • (Meeting May 6-11, 2007 Orlando) – SSR October ? deadline • (Meeting March 2007, Orlando) – ISMRM ?? Deadline October • (Meeting May 19-25, 2007 Berlin) – RSNA April 15 • (Meeting Nov-Dec. 2007, Chicago) – International Skeletal Society ?? deadline • (September 2007, Budapest)
  14. 14. Amil Research • Radiology projects: – Accessory muscles of the ankle – Accessory muscle of the wrist or knee – MR arthroscopic correlation • Computer projects: – PowerPoint to flash conversion – Friday conference on the internet – Resident musculoskeletalradiology curriculum online – Structured reporting MIRC
  15. 15. Amil Research • Educational projects: – Fractures – Arthritis – Hardware Post op complications – Incidental findings – Skeletal scintigraphy
  16. 16. Tudor Research • Review article – Bone within Bone appearance – HIV Manifestations in MSK – Periosteal reaction (possible poster) – MSK findings of illicit drugs (possible poster) Rick Arigo – Radiologic MSK anthropology (possible poster) – Atlanto occipital atlas dissociation (possible poster) Toni Roth – Fat in tendon sheaths: Predictor of adjacent fractures (possible poster) Ugne Skripkus – Foreign bodies (possible poster) – Rice bodies (possible poster) – Corner fractures of the cervical spine Debra Chang
  17. 17. Tudor Research • Metatarsal head shape (Hamid Torshizy) • Stress fracture atlas (Luke Hiller) • C1 CPPD (Luke Hiller) • Border jumper injuries • Ligaments that ossify (Post tib fib) / Retrospective review of ankle fractures (James Chang) • Cross sectional criteria for protrusio • Bone formers and THR: Does DISH improve noncemented THR outcome • 3D reformats: Do these help the orthopedist
  18. 18. Don’s Research • SNAC wrist Debra Chang • Spring ligament anatomy Dean Bruce
  19. 19. CBC Research: Writing • Chapters – Post-operative Elbow (Co-Authors: Steinbach/ Beltran/ Morrison/ Chung) Debra Chang – Post-operative Wrist and Hand (Co-Authors: Steinbach, Beltran/ Morrison/ Chung) Nick Panchal • Clinical – Hoffitis in HIV patients • Torshizy – MR imaging of the hip • Hong • Research – MR imaging and MR arthrography in cadaveric specimens with existing meniscal tears and created lesions Accepted for Publication Accepted for Publication
  20. 20. CBC Research: Anatomic Pathologic Correlation • 1st MCP anatomy • Anatomy of the thenar eminence • Anatomy of the hypothenar eminence • Reflected Head of Rectus Femoris and Assoc Pathology • Standard MR imaging versus of MR arthrography for evaluation of radial and ulnar collateral ligament injuries in the thumb (created lesions in cadavers) • MR classification for finger OA – Aguiar • DIP and PIP anatomy – Aguiar • Muscular attachment to humerus – Inferior aspect of Intertubercular sulcus • Posteromedial knee anatomy (bursa) Accepted Presentation ISS/ RSNA 2006 Accepted Presentation ISS/ RSNA2006
  21. 21. MSK Imaging Research Group • Imaging of the Calcified Layers of Cartilage with UTE Application – Multiple phases of data collection/ analysis to work toward several goals • UTE optimization at 3T • Comparison of UTE to standard clinical sequences for evaluation of the deepest layers of cartilage • Characterization of patterns of OA in the setting of deep layer lesions (association with T2 mapping and dGEMRIC type techniques) • Clinical applications • Biomechanical correlation
  22. 22. Translational Cartilage Research • Radiology – Christine Chung (Associate Professor Radiology) – Graeme Bydder (Professor Radiology) – Donald Resnick (Professor Radiology) – Shantanu Sinha (Professor Physics) – Robert Orth (Radiology Resident) – Hamid Torshizy (Medical student) – Richard Znamirowski (MRI technologist) – Nick Pinto (MRI technologist) – Deb Trudell (Research assistant and MRI technologist) • Bioengineering – Robert Sah (Professor Bioengineering) – Won Bae (Assistant Research Assistant) – John Lee (NIH funded medical student)
  23. 23. Translational Cartilage Research • Orthopedics – William Bugbee (Assistant Professor Orthopedics) – Robert Pedowitz (Associate Professor Orthopedics) • Pathology – Parviz Haghighi (Professor Pathology) – Darryl D’Lima (Director Orthopedic Research Center Scripps Clinic) – Jianfen Chen (Research assistant) • Statistics – Tanya Wolfson (Staff Statistician)
  24. 24. MSK Imaging Research Group • Lab meetings Wednesdays 3 pm VA conference room • Physics meetings will begin August – To follow clinical conference 7:45 – 8:30