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Course Description

This course utilizes content from the textbook “Essential Musculoskeletal MRI” by Michelle A. Wessely BSc, DC, DACBR, FCCR, FCC, Dip MEd and Martin F. Young BSc, DC, FCC, MEWI © 2011, published by Elsevier.

Instructional Level: Beginner to Intermediate

This clinically based course is written by experts in both musculoskeletal MRI and musculoskeletal medicine.  Essential topics discussed such when and why patients should be referred for this type of imaging and information that allows clinicians to hone their MRI reading skills and to interpret their findings in conjunction with patient symptoms.  Included is the appearance of normal anatomy under MRI, as well as, the radiological features of the most commonly encountered regional pathologies, with emphasis on those with musculoskeletal relevance.

Module Description

Included in Module 1: The Spine and Lower Extremities

Chapter 1:  Magnetic Resonance: Principles and Application to Diagnostic Imaging
Chapter 2:  The Cervical Spine
Chapter 3:  The Thoracic
Chapter 4:  The Lumbar Spine
Chapter 5:  The Hip and Pelvis
Chapter 6:  The Knee
Chapter 7:  The Ankle and Foot

Module Goals

Module 1: The Spine and Lower Extremities

Course Goals and Objectives
Course Goals:This course is intended to instruct the professional through a self-paced study of Musculoskeletal MRI of The Spine and Lower Extremities.
Professional Learning Objectives
  1. Discuss the principles and application to diagnostic imaging.
  2. Differentiate between repetition time (TR) and echo time (TE).
  3. Identify gadolinium as the most common paramagnetic contrast agent.
  4. Explain clinical indications for diagnostic imaging of the cervical spine.
  5. Identify the primary role of the facet joint.
  6. Define a disc bulge.
  7. Demonstrate knowledge in the appearance of the pannus on T1- weighted images when evaluating inflammatory arthropathies.
  8. Discuss the radiographic appearance of osteoblastomas.
  9. Demonstrate knowledge in the prevalence of osteomyelitis in the cervical spine.
  10. Identify the modality of choice to assess osseous lesions such as fractures.
  11. Explain why out-of-phase gradient echo is used to provide better lesion detection.
  12. Discuss the appropriate appearance of the spinal cord on all pulse sequences.
  13. Demonstrate knowledge in the occurrence of injury to the thoracic spine as compared to the adjacent cervical and lumbar region.
  14. Identify the most common spinal fracture affecting women and occurring in the thoracic spine.
  15. Discuss differential diagnosis of low back pain.
  16. List indications for magnetic resonance (MR) imaging of the lumbar spine.
  17. Discuss the contraindications of gadolinium while breastfeeding.
  18. Explain why coronal images are not routinely used in evaluation of the lumbar spine.
  19. Demonstrate knowledge in pathological imaging of disc disease.
  20. Define what it means to have a sequestrated disc.
  21. Explain the initial finding on MR imaging post-surgically.
  22. Discuss the importance of the history and examination of the hip and pelvis prior to imaging.
  23. Discuss the pathological finding of avascular necrosis (AVN) in the hip and pelvis.
  24. Demonstrate knowledge in the association of synovial herniation pits and femoroacetabular impingement syndrome.
  25. Identify the greatest advantage of MR imaging when assessing the knee.
  26. Explain the incidence of discoid meniscus.
  27. Discuss important soft tissue structures identified on MR imaging, such as the bursae.
  28. Identify at which point the plicae become clinically significant.
  29. Demonstrate knowledge in chondromalacia patellae.
  30. Define what it means to have a true meniscal tear.
  31. Discuss the procedure and sequences for MR imaging of the ankle and foot.
  32. Identify tendons that are prone to rupture in the ankle and foot.
  33. Discuss pathological osseous conditions.
  34. Discuss Morton’s metatarsalgia.