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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Archives of orthopaedic and trauma surgery 116 (1996), S. 106-107 
    ISSN: 1434-3916
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The prevalence of lumbar disc degeneration in subjects suffering from low-back pain (n = 207; age range 10–49 years) and in age-matched asymptomatic controls (n = 216) was investigated by magnetic resonance imaging. The percentage of subjects with degenerated discs increased with age; starting from the age of 15 years, this increase was more rapid in subjects with low-back pain. Concurrently, the number of degenerated discs was higher in the pain group than in controls. Lumbar disc degeneration manifests earlier and in a greater percentage of subjects with low-back pain than in asymptomatic controls.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Archives of orthopaedic and trauma surgery 116 (1997), S. 106-107 
    ISSN: 1434-3916
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The prevalence of lumbar disc degeneration in subjects suffering from low-back pain (n = 207; age range 10–49 years) and in age-matched asymptomatic controls (n = 216) was investigated by magnetic resonance imaging. The percentage of subjects with degenerated discs increased with age; starting from the age of 15 years, this increase was more rapid in subjects with low-back pain. Concurrently, the number of degenerated discs was higher in the pain group than in controls. Lumbar disc degeneration manifests earlier and in a greater percentage of subjects with low-back pain than in asymptomatic controls.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 0942-0940
    Keywords: MRI ; back muscle atrophy ; lumbar disc herniation ; microdiscectomy ; percutaneous nucleotomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We assessed in this study the potential development of postoperative muscle atrophy in the operation area in 39 patients treated by either microdiscectomy or percutaneous nucleotomy for lumbar disc herniation. The cross-sectional areas of the lumbar muscles were measured on magnetic resonance images created on the day preceding the operation and 6 months postoperatively. The cross-sections of the lumbar muscles remained unchanged during the observation period in all treated patients indicating that no muscle atrophy had developed in the operation area. Since peroperative tissue trauma may correlate with subsequent muscle denervation and atrophy, this finding may be due to the tissue sparing nature of microdiscectomy and percutaneous nucleotomy, thus encouraging the use of these techniques in the treatment of lumbar disc herniation.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 7 (1997), S. S263 
    ISSN: 1432-1084
    Keywords: Key words: Magnetic resonance (MR) ; low-field-strength imaging ; Magnetic resonance (MR) ; high-field-strength imaging ; Quality assurance
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Magnetic resonance (MR) field strength is one of the key aspects to consider when purchasing MR equipment. Other aspects include the gradient system, coil design, computer and pulse sequence availability, purchase cost, local reimbursement policies, and current opinion within the medical community. Our objective here is to evaluate the decision-influencing aspects of the MR market, with a focus on some specific areas such as high resolution studies, examination times, special techniques, instrumentation, open design magnets, costs and reimbursement policies, academic and industrial interests, contrast media, clinical efficacy, and finally, clinicians' preferences. Certainly the advantage of high-field is a higher signal-to-noise ratio and improved resolution. With a high-field unit, higher spatial resolution images and higher temporal resolution images can be obtained. Typical imaging times needed to produce clinically diagnostic images are about 3 times longer at 0.1 T than at 1.0 or 1.5 T. High-field-related advanced techniques, such as functional imaging, spectroscopy and microscopy, may become clinically useful in the near future. As long as there is an unlimited demand for MR examinations, it appears financially profitable to run a high-field system, despite the associated higher costs. However, if demand for MR becomes saturated, low-field systems will cause less financial strain on the reimbursement organisation and service provider. Recent emphasis on cost containment, the development of interventional techniques, the increased use of MR for patients in intensive care and operating suites, the deployment of magnets in office suites, and the development of new magnet configurations, all favour the supplementary use of low-field systems. Hence, MR units of all field strengths have a role in radiology.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-2102
    Keywords: Key words MRI • Kinematic MRI • Joint • Interventional ; Schlüsselwörter MRT • Kinematische MRT • Gelenk • Intervention
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die kürzlich eingeführten bildgebenden Systeme mit horizontal offener Konfiguration ermöglichen die Darstellung von Knie, Hüfte oder Schulter über den gesamten Bewegungsbereich, war bisher mit konventionellen MR-Systemen nicht möglich. Für genauere und reproduzierbare Untersuchungen können spezielle Gelenkbewegungsgeräte verwendet werden. Bei der Halswirbelsäule kann die funktionelle NMR-Darstellung im Hinblick auf die Beurteilung der Stabilität der Ligamenta alaria bei Patienten mit Spätfolgen eines Schleudertraumas und bei Patienten mit rheumatoider Arthritis von Nutzen sein, wenn klinisch eine zervikale Myelopathie oder superiore migration des Dens axis vermutet wird. Bei der Schulter kann eine Abduktionsstudie des vollen Bewegungsbereichs bei der Beurteilung eines Auftreffens des Tendo supraspinatus von Nutzen sein. Zur Beurteilung einer patellofemoralen Fehlstellung sollte der Quadrizeps belastet werden, da auf diese Weise die damit verbundene kontrahierende Muskulatur und verbundene Weichteilstrukturen beurteilt werden können. Die Lage des Caput femoris im Verhältnis zum Azetabulum in verschiedenen Stellungen kann beurteilt werden. Scanner mit offener Konfiguration ermöglichen während des Scannens Zugang zum Patienten und gestatten somit eine Überwachung von Interventionsverfahren durch MRT. Diese Interventionen umfassen die Aspirationszytologie/-biopsie sowie verschiedene Drainageverfahren.
    Notes: Summary The recently introduced horizontally open configuration imagers allow imaging of knee, hip or shoulder during whole range of motion, which is not possile in conventional MR imagers. Special joint motion devices can be used to provide accurate and reproducible studies. In cervical spine, functional MR imaging may be useful in evaluating alarligament stability in patients with late sequelae of a whiplash injury, and in patients with rheumatoid arthritis who are clinically suspected of having a cervical myelopathy or superior migration of the odontoid process. In shoulder, full range of motion abduction study may be helpful in assessing the supraspinatus tendon impingement. To evaluate patellofemoral malalignment, quadriceps loading is recommended since associated contracting muscles and related soft tissue structures can be evaluated. The position of the femoral head relative to the acetabulum during different positions can be assessed. Open-configuration scanners provide an access to patients during scanning procedure, and therefore permit interventional procedures to be monitored with MRI. Such interventions include aspiration cytology/biopsy and different drainage procedures.
    Type of Medium: Electronic Resource
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