OBJECTIVE. The purpose of this study was to evaluate the MRI features of the “MR corner sign” and to determine its diagnostic usefulness in ankylosing spondylitis. We reviewed the spinal MR images of 52 patients with ankylosing spondylitis and compared these images with those of 52 age- and sex-matched control subjects.CONCLUSION. The MR corner sign was defined as a triangular and sharply marginated corner abnormality in a vertebral body unassociated with osteophytes or Schmorl's node. MR corner lesions were significantly more common in the ankylosing spondylitis group than in the control group (Fisher's exact test, p < 0.001). The sensitivity, specificity, and positive and negative predictive values of the MR corner sign were 44%, 96%, 92%, and 63%, respectively. The most frequent feature of signal intensity was a Modic type II change (77%). In patients with ankylosing spondylitis, the MR corner sign was fre quently seen at the thoracolumbar junction, whereas degenerative corner lesions were commonly see...

Yeoh H, et al. Korean J Radiol. 2021 Nov;22(11):1850-1857. https://doi.org/10.3348/kjr.2021.0140

Objectives: The purpose of this study was to evaluate serial changes in sonographic findings of a rotator cuff tendon after rotator cuff repair.Methods: Sixty‐five arthroscopically repaired rotator cuff tears (43 full‐thickness tears and 22 partial‐thickness tears) were retrospectively included in this study. Serial sonographic examinations were performed at 5 weeks, 3 months, and 6 months after surgery. The sonographic findings of the repaired tendon were assessed for a recurrent tear, tendon thickness, morphologic tendon characteristics, vascularity, and bursitis at each time point.Results: Four recurrent tears occurred within 3 months of surgery. The postoperative tendon thickness decreased from 5 weeks to 6 months after surgery (P = .001). There were significant changes in the morphologic tendon characteristics, including the echo texture, fibrillar pattern, and surface irregularity of the repaired tendon, from 5 weeks to 6 months after surgery (P < .001). Additionally, subacromial‐subdeltoid bursitis and the vascularity of the repaired tendon decreased postoperatively over time.Conclusions: Serial sonography after arthroscopic rotator cuff repair was useful for monitoring the postoperative changes in a repaired tendon. The morphologic appearance of the repaired tendon and peritendinous soft tissue changes improved over time and nearly normalized within 6 months of surgery.

A deep radiomics model can be used to diagnose osteoporosis on hip radiographs with superior diagnostic performance than models using only clinical and texture features, which may enable opportunis... Purpose To develop and validate deep radiomics models for the diagnosis of osteoporosis using hip radiographs. Materials and Methods A deep radiomics model was developed using 4924 hip radiographs ...

The present study was performed to determine whether MRI findings can predict the degree of knee joint laxity in patients undergoing ACL reconstruction and whether the accuracy of the prediction is affected by the MRI acquisition time. We assessed prospectively collected data of 154 knees with ACL tears. The presence or absence of four primary findings of ACL tears, i.e., nonvisualization, discontinuity, abnormal signal intensity, and abnormal shape of the ACL, and five secondary findings, i.e., anterior translation of the tibia relative to the femur (≥7 mm), posterior cruciate ligament angle (3 months, 65 knees). Nonvisualization was related to the results of the Lachman test [Odds ratio (OR), 2.6; 95% confidence interval (CI), 1.2–5.5]. Anterior translation of the tibia relative to the femur was related to the results of the pivot shift test (OR, 3.8; 95% CI, 1.6–9.4). In subgroup comparisons of the early and late MRI groups, anterior translation of the tibia relative to the femur was related to the results of the pivot shift test in the early MRI group (OR, 4.5; 95% CI, 1.4–14.4). In contrast, no MRI findings had statistically significant relationships with physical findings in the late MRI group. Our study indicates that MRI findings may have some usefulness for predicting the grade of knee laxity in patients with symptomatic ACL injury, but its value is limited, especially in patients with a longer time interval between injury and the performance of MRI.