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Imaging Anatomy: Magnetic Resonance Imaging, Computed Tomography, Positron Emission Tomography and Other Novel Imaging Techniques

  • Franz Kainberger
  • Lena Hirtler
  • Hannes Platzgummer
  • Florian Huber
  • Janina Patsch
  • Claudia Weidekamm
Chapter

Abstract

New concepts of the cross-sectional imaging anatomy have to be considered in the investigation and interpretation of arthritis of the hand. With high-resolution techniques and dedicated post-processing options, a precise location of synovitis, chondropathy, osteitis and crystal depositions is possible with the potential to specify the patterns of arthritis and to perform “virtual biopsies”. The autoimmune reaction starts in the synovium and subsynovium at sites of predilection and then involves the capsular ligaments, the synovium, the cartilage and the subchondral bone. Thus, characteristic patterns of ligament insufficiency, which influence the kinetic chains of grip movements, of distribution within synovial spaces and of bone destruction, can be described. For the latter, the anatomic concepts of pseudoerosions, the osteocartilaginous unit and the calcified lamella are helpful in image interpretation. Within these models, established theories (bare area concept, subchondral bordering lamella, enthesis concept and others) are integrated.

Keywords

Computed tomography (CT) Magnetic resonance imaging (MRI) High-resolution peripheral quantitative computed tomography (HRpqCT) Arthritis Wrist Finger joints Anatomy Ulnar drift Carpal instability Erosion Joint space narrowing Kinetic chains Synovitis 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Franz Kainberger
    • 1
  • Lena Hirtler
    • 2
  • Hannes Platzgummer
    • 1
  • Florian Huber
    • 1
  • Janina Patsch
    • 1
  • Claudia Weidekamm
    • 1
  1. 1.Division of Neuro- and Musculoskeletal Radiology, Department of Biomedical Imaging and Image-Guided TherapyMedical University of ViennaViennaAustria
  2. 2.Division of Anatomy, Center for Anatomy and Cell BiologyMedical University of ViennaViennaAustria

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