QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015.

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Presentation transcript:

QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015 For a appropriate position of hip bilateraI examination one answer is wrong: A.In axial plan the femoral necks are parallel to ischio-pubien part of pelvis B.In coronal plan the field of view begins to top of iliac crest to greater trochanter C.In coronal plan in the same slice femoral head, neck and diaphyse are seen together D.The lower limb is internal rotation

QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015 For a appropriate position of hip bilateraI examination one answer is wrong: A.In axial plan the femoral necks are parallel to ischio-pubien part of pelvis B.In coronal plan the field of view begins to top of iliac crest to greater trochanter C.In coronal plan in the same slice femoral head, neck and diaphyse are seen together D.The lower limb is internal rotation

Basics Of MRI:How I Do It AFIIM -ISRA 2015 When a bilateral study of hip is more appropriate than an unilateral study with a surfacic coil? A.for labral study B.for aseptic osteonecrosis of femoral head C.for a prothetic implant D.for a “snaping” hip QUIZ 4: Hip Imaging

Basics Of MRI:How I Do It AFIIM -ISRA 2015 When a bilateral study of hip is more appropriate than an unilateral study with a surfacic coil? A.for labral study B.for aseptic osteonecrosis of femoral head C.for a prothetic implant D.for a “snaping” hip QUIZ 4: Hip Imaging

Basics Of MRI:How I Do It AFIIM -ISRA 2015 When you use Propeller sequence ? A.To get a larger field of view B.To increase spatial resolution C.To reduce artefacts of motion ( arteries, intestinal peristaltism) D.To decrease time of examination QUIZ 4: Hip Imaging

Basics Of MRI:How I Do It AFIIM -ISRA 2015 When you use Propeller sequence ? A.To get a larger field of view B.To increase spatial resolution C.To reduce artefacts of motion ( arteries, intestinal peristaltism) D.To decrease time of examination QUIZ 4: Hip Imaging

Basics Of MRI:How I Do It AFIIM -ISRA 2015 What is your best choice of sequence for labral arthro -MR study ?: A.PD FATSAT with 3mm thickness slice B.3D sequence with strong T1W (FIESTA,TRUE FISP,BALANCED FFE) C.T1 FDE high resolution D.T1 FSE FATSAT QUIZ 4: Hip Imaging

Basics Of MRI:How I Do It AFIIM -ISRA 2015 What is your best choice of sequence for labral arthro -MR study ?: A.PD FATSAT with 3mm thickness slice B.3D sequence with strong T1W (FIESTA,TRUE FISP,BALANCED FFE) C.T1 FDE high resolution D.T1 FSE FATSAT QUIZ 4: Hip Imaging

35 year old man, right groin pain, with hip limitation. professionnal soccer player ( Paris -Saint Germain Team) professionnal soccer player ( Paris -Saint Germain Team) 35 year old man, right groin pain, with hip limitation. professionnal soccer player ( Paris -Saint Germain Team) professionnal soccer player ( Paris -Saint Germain Team) Basics Of MRI:How I Do It AFIIM -ISRA 2015 QUIZ 4: Hip Imaging

Basics Of MRI:How I Do It AFIIM -ISRA 2015 AP view Coro T2 FS Ax T2 FS QUIZ 4: Hip Imaging

QUIZZ Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015 Only one proposition is incorrect: A.The sphericity of the two femoral heads are abnormal B. The symptomatology is referred to a potential Femoro Acetabular Impigment C. The high signal of the femoral neck is related to a potential Osteoid Osteoma D. An hip arthroraphy is needed ( MR or CT arthography ) Only one proposition is incorrect: A.The sphericity of the two femoral heads are abnormal B. The symptomatology is referred to a potential Femoro Acetabular Impigment C. The high signal of the femoral neck is related to a potential Osteoid Osteoma D. An hip arthroraphy is needed ( MR or CT arthography )

QUIZZ Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015 Only one proposition is incorrect: A.The sphericity of the two femoral heads are abnormal B. The symptomatology is referred to a potential Femoro Acetabular Impigment The high signal of the femoral neck is related to a potential Osteoid Osteoma C. The high signal of the femoral neck is related to a potential Osteoid Osteoma D. An hip arthroraphy is needed ( MR or CT arthography ) Only one proposition is incorrect: A.The sphericity of the two femoral heads are abnormal B. The symptomatology is referred to a potential Femoro Acetabular Impigment The high signal of the femoral neck is related to a potential Osteoid Osteoma C. The high signal of the femoral neck is related to a potential Osteoid Osteoma D. An hip arthroraphy is needed ( MR or CT arthography ) Femoro Acetabular Impigement (FAI )

Basics Of MRI:How I Do It AFIIM -ISRA 2015 Femoro Acetabular Impigement (FAI ) CAME type QUIZ 4: Hip Imaging

Femoro-acetabular impigement (FAI) refers to a clinical syndrome of painful, limited hip motion resulting from certain types of underlying morphological abnormalities in the femoral head/neck Cam type: technically, the word "cam" refers to a bump on a rotating shaft that transmits force to another part of an engine “Repetitiv micro traumatisme” lead to labral and chondral anterior lesion (MR arthro). This can lead to early degenerative disease. Femoro-acetabular impigement (FAI) refers to a clinical syndrome of painful, limited hip motion resulting from certain types of underlying morphological abnormalities in the femoral head/neck Cam type: technically, the word "cam" refers to a bump on a rotating shaft that transmits force to another part of an engine “Repetitiv micro traumatisme” lead to labral and chondral anterior lesion (MR arthro). This can lead to early degenerative disease. Basics Of MRI:How I Do It AFIIM -ISRA 2015 Ganz R, Leunig M, Leunig-ganz K et-al. The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clin. Orthop. Relat. Res. 2008;466 QUIZ 4: Hip Imaging