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Biomedical subjects

I Y Tsou

Publications and source records attributed to I Y Tsou.

2 recordsLinked to original sources

Overview of imaging in rheumatologic diseases.

The role of radiology in rheumatologic diseases has for many years been confined to conventional radiography alone. The advances in medicine placed great demands on earlier and more accurate evaluation of these diseases. Conventional radiographs have been used as diagnostic aids and radiographic features and measurements are well established. However, the newer technologies, such as ultrasound, computed tomography and magnetic resonance imaging (MRI) have recently influenced accuracy of diagnosis and allowed for earlier detection and a more comprehensive evaluation of the results of therapy. One leading example is the significant role MRI plays in the early detection of avascular necrosis, especially of the hips. The clinical benefits of the newer modalities in radiology are being increasingly recognised and its full potential realised by both rheumatologists and radiologists.

Diagnostic Imaging

The lumbosacral lucent cleft.

BACKGROUND: The lumbosacral lucent cleft was first described in association with traumatic injuries to the neck. However, we have observed this sign to be present in patients with no precursor of trauma, and we reviewed the incidence of lucent cleft sign in our local population and any characteristic features of the lucent cleft. METHODS: Four-hundred and thirty lumbosacral spine radiographs were examined prospectively over an 8-month period, with correlation with clinical findings. Follow-up radiographs were obtained at 1, 3 and 6 months for patients with the lucent cleft sign. FINDINGS: Nineteen patients (4.4%) were found to have lucent clefts in their lumbosacral spine X-rays. No significant change in the number and features to the lucent clefts was noted even when the symptoms had resolved after 6 months. All the lucent clefts were linear, horizontally oriented and located at the anterior edge of the adjacent vertebral body. CONCLUSION: The lucent cleft sign in the spine, which has so far been described in association with has spinal trauma may be completely innocuous in patients with little or no symptoms.

Adolescent