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Diagnostics
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Advances in Musculoskeletal Imaging
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Advances in Musculoskeletal Imaging

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: closed (30 April 2022) | Viewed by 12109

Special Issue Editor

Prof. Dr. Kay Geert Armin Hermann

E-Mail Website
Guest Editor
Department of Radiology CCM, Charité-University Medicine, Charitepl 1, D-10117 Berlin, Germany
Interests: imaging of joints and arthritis; magnetic resonance imaging; computed tomography; plain radiography; medical e-learning; mobile learning
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Musculoskeletal disorders are currently one of the fastest-growing areas in diagnostic radiology, fueled in no small part by the vast amount of imaging studies of the skeletal system that occur every day. Therefore, many applications of artificial intelligence are focused on musculoskeletal changes as well. However, advances in device technology are also being made, including CT-like images in MRI, dual-energy CT, and especially photon-counting detectors as well as relentless efforts to reduce X-ray exposure while maintaining image quality. In ultrasonography, new generations of probes as well as AI-assisted post-processing techniques are helping to achieve unprecedented image quality. Given all the progress in the field, what efforts are being made to communicate all these technical innovations to the general radiologist and referring disciplines?

This Special Issue aims to bridge the gap between high-quality research in imaging diagnosis of the bone and joints to the practical application of this knowledge in our patients, who should always be the focus of our academic work!

Prof. Dr. Kay Geert Armin Hermann
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Published Papers (2 papers)

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Research

12 pages, 4595 KiB  
Article
Patellar Tracking in Total Knee Arthroplasty—Influence on Clinical and Functional Outcome
by Sebastian Dahlmann, Katharina Ziegeler, Anett Mau-Möller, Wolfram Mittelmeier and Philipp Bergschmidt
Diagnostics 2022, 12(5), 1082; https://doi.org/10.3390/diagnostics12051082 - 26 Apr 2022
Cited by 5 | Viewed by 4870
Abstract
Anterior knee pain is a common problem after primary total knee arthroplasty (TKA). The aim of this study was to find parameters in patellar positioning which influence the clinical and functional outcome after TKA. Included were 59 patients who underwent TKA, of which [...] Read more.
Anterior knee pain is a common problem after primary total knee arthroplasty (TKA). The aim of this study was to find parameters in patellar positioning which influence the clinical and functional outcome after TKA. Included were 59 patients who underwent TKA, of which three patients were treated bilaterally (n = 62 included knees). In a periodical follow-up of up to 5 years, each patient had to answer three questionnaires (HSS, WOMAC, SF-36) and underwent three radiographies of the knee (including merchant view) and a clinical examination, including Range Of Motion (ROM). All radiographs were evaluated by a single observer blinded to clinical data, who collected multiple parameters of sagittal and axial patellar alignment including newly developed methods for measuring patellar shift and tilt. Depending on the measurement results, three groups were built for each parameter and the influence on the outcome was determined. A lateral patellar tilt of more than 4° resulted in lower scores for both the HSS and WOMAC. The rarely investigated patellar facet angle showed a significantly inferior clinical and functional outcome in late follow-up of >24 months if lower than 142°, possibly due to progressive osteosclerotic changes of the patella caused by increased contact stress with corresponding patellar morphology. No significant difference was found for all other parameters. The newly developed method for measuring patellar shift has proven to be a valuable and easy instrument in the postoperative setting. Full article
(This article belongs to the Special Issue Advances in Musculoskeletal Imaging)
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9 pages, 2372 KiB  
Article
Osteo-Proliferative Lesions of the Phalanges on Radiography: Associations with Sex, Age, and Osteoarthritis
by Sandra Hermann, Iris Eshed, Iván Sáenz, Niclas Doepner, Katharina Ziegeler and Kay Geert A. Hermann
Diagnostics 2022, 12(3), 618; https://0-doi-org.brum.beds.ac.uk/10.3390/diagnostics12030618 - 02 Mar 2022
Viewed by 6245
Abstract
Objectives: The effects of aging such as osteophyte formation, acral shape changes, cortical tunneling, and bone porosity as well as enthesophytes can be studied in the X-rays of hands. However, during the interpretation of radiographs of the hands, misinterpretation and false-positive findings for [...] Read more.
Objectives: The effects of aging such as osteophyte formation, acral shape changes, cortical tunneling, and bone porosity as well as enthesophytes can be studied in the X-rays of hands. However, during the interpretation of radiographs of the hands, misinterpretation and false-positive findings for psoriatic arthritis often occur because periosteal proliferations of the phalanges are overinterpreted and too little is known about enthesophytes of the phalanges in this area. Method: It included a total of 1153 patients (577 men, 576 women) who presented themselves to the emergency department and received a radiography of their right hand to exclude fractures. The Osseographic Scoring System was used in a modified form to record osteophytes and enthesophytes. A linear regression model for periosteal lesions was computed with age, sex, osteophytes, and global diagnosis as covariables. The inter-reader agreement was assessed using ICC (two-way mixed model) on the sum scores of osteophytes and periosteal lesions. Results: Overall, men exhibited more periosteal lesions, demonstrated by a higher mean sum score of 4.14 vs. 3.21 in women (p = 0.008). In both sexes, the second and third proximal phalanx were most frequently affected by periosteal lesions, but the frequencies were significantly higher in men. The female sex was negatively associated with an extent of periosteal lesions with a standardized beta of −0.082 (p = 0.003), while age and osteophytes were positively associated with betas of 0.347 (p < 0.001) and 0.156 (p < 0.001), respectively. The distribution of osteophytes per location did not differ between men and women (p > 0.05). The inter-reader agreement was excellent for periosteal lesions with ICC of 0.982 (95%CI 0.973–0.989, p < 0.001). Conclusions: Special care should be taken not to confuse normal periosteal changes in aging with periosteal apposition in psoriatic arthritis. Full article
(This article belongs to the Special Issue Advances in Musculoskeletal Imaging)
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