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Jalaljalalshokouhi@hotmail.com Musculoskeletal X-Ray CT, Spiral & Multislice computed, Tomography Jalal jalal shokouhi- M.D.
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Spinal Imaging Skeletal Imaging Poly trauma Patients CT Arthrography Torsion Assessment Quantitative CT,Bone Densitometry
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Spinal Trauma Upper Cervical Spine lower Cervical Spine Thoracolumbar Spine Trauma to the Pelvis and Extremities Upper Extremity Ribs and Sternum Pelvis lower extremity Stress Fractures
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Intervertebral Disc Herniation and Degenerative Disease of the Spine Intervertebral Disc lesions Spinal Stenosis
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Infection and Inflammatory Processes Infectious arthritis Osteomyelitis Infectious Spondylitis and Spondylodiscitis Sacroiliitis Heterotopic Ossification (Myositis Ossificans) Soft-tissue Infections Bursitis
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Bone Tumors Primary Bone Tumors Skeletal Metastases Soft-Tissue Tumors
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Postoperative Changes and Complications Metallic Implants Nonunion and Arthrodesis Osteonecrosis
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Trauma Screening of poly traumatized patients Complex fractures Fractures in anatomically complex areas Fracture detection in patients with equivocal plain films,Preoperative planning and postoperative follow-up Nonunion Osteonecrosis
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Intervertrebral disk disease Herniated disk (lumbar spine) Foraminal stenosis (lumbar spine) Joint disease Shoulderinstability(CTarthrography) Miscellaneous All traditional indications for tomography Quantitative CT Rotational deformity
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CT as a second-line imaging tool Cervical and thoracic spine in degenerative diseases(MRI first) Bone tumors (radiography, MRI) Soft-tissue tumors (MRI, ultrasound) Arthritis, osteoarthritis (radiography, MRI, ultrasound)
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Radiology bone lesion Diagnostic featuresFeatures not diagnostic BenignMalignant Scintigraphy Stop Leave it alone or treat Normal uptake Increased uptake Stop, Evaluate for myeloma
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solitary Multifocal Obtain radiographs of affected areas If plain radiographs suggest no ST extension If plain radiographs suggest ST extension Evaluate for: 1.Metabolic bone disorder 2.Fibrous dysplasia 3.Eosinophilic granuloma 4.Enchondromatosis 5.Hemangiomatosis 6.Osteomyelitis 7.Metastases from carcinoma 8.Primary bone tumor with bone metastases 9.Multiple myeloma 10.Lymphoma CT No ST extension ST extension Stop MRI BiopsyBiopsy Bone tumor (primary) suggested All other possibilities Stop Biopsy if still unkown Treatment if diagnosis known
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