Basics Of MRI:How I Do It AFIIM -ISRA 2015 QUIZ 3: Shoulder Imaging

What is the mean goal of T1WS ? : A : to analyze the trophicity and /or the fatty degeneration of the muscles of rotator cuff B: to find a kyst of spino- glenoid notch C: to detect a labral tear D: to detect a adhesive capsulitis What is the mean goal of T1WS ? : A : to analyze the trophicity and /or the fatty degeneration of the muscles of rotator cuff B: to find a kyst of spino- glenoid notch C: to detect a labral tear D: to detect a adhesive capsulitis Basics Of MRI:How I Do It AFIIM -ISRA 2015 QUIZ 3: Shoulder Imaging

What is the mean goal of T1WS ? : A to analyze the trophicity and /or the fatty degeneration of the muscles of rotator cuff A : to analyze the trophicity and /or the fatty degeneration of the muscles of rotator cuff B: to find a kyst of spino- glenoid notch C: to detect a labral tear D: to detect a adhesive capsulitis What is the mean goal of T1WS ? : A to analyze the trophicity and /or the fatty degeneration of the muscles of rotator cuff A : to analyze the trophicity and /or the fatty degeneration of the muscles of rotator cuff B: to find a kyst of spino- glenoid notch C: to detect a labral tear D: to detect a adhesive capsulitis Basics Of MRI:How I Do It AFIIM -ISRA 2015 QUIZ 3: Shoulder Imaging

You must use T2W versus PD on coronal plan. Why? A: to differentiate yellow vs hematopoietic marrow B: to analyse the superieur and inferieur labral C: to avoid the “magic angle “on the tendon of the supra spinatus D: to optimize the “scintigraphic effect “ You must use T2W versus PD on coronal plan. Why? A: to differentiate yellow vs hematopoietic marrow B: to analyse the superieur and inferieur labral C: to avoid the “magic angle “on the tendon of the supra spinatus D: to optimize the “scintigraphic effect “ Basics Of MRI:How I Do It AFIIM -ISRA 2015 QUIZZ: Shoulder Imaging QUIZ 3: Shoulder Imaging

You must use T2W versus PD on coronal plan. Why? A: to differentiate yellow vs hematopoietic marrow B: to analyse the superieur and inferieur labral to avoid the “magic angle “on the tendon of the supra spinatus C: to avoid the “magic angle “on the tendon of the supra spinatus D: to optimize the “scintigraphic effect “ You must use T2W versus PD on coronal plan. Why? A: to differentiate yellow vs hematopoietic marrow B: to analyse the superieur and inferieur labral to avoid the “magic angle “on the tendon of the supra spinatus C: to avoid the “magic angle “on the tendon of the supra spinatus D: to optimize the “scintigraphic effect “ Basics Of MRI:How I Do It AFIIM -ISRA 2015 QUIZZ: Shoulder Imaging QUIZ 3: Shoulder Imaging

In which goal the sequence as PROPELLER (BLADE…)are needed? A: to increase the Fat Sat quality B: to limitate the Specific Absortion Rate C: to decrease the motion artefacts D: to increase the RSN (signal/noise) In which goal the sequence as PROPELLER (BLADE…)are needed? A: to increase the Fat Sat quality B: to limitate the Specific Absortion Rate C: to decrease the motion artefacts D: to increase the RSN (signal/noise) Basics Of MRI:How I Do It AFIIM -ISRA 2015 QUIZ 3: Shoulder Imaging

In which goal the sequence as PROPELLER (BLADE…)are needed? A: to increase the Fat Sat quality B: to limitate the Specific Absortion Rate to decrease the motion artefacts C: to decrease the motion artefacts D: to increase the RSN (signal/noise) In which goal the sequence as PROPELLER (BLADE…)are needed? A: to increase the Fat Sat quality B: to limitate the Specific Absortion Rate to decrease the motion artefacts C: to decrease the motion artefacts D: to increase the RSN (signal/noise) Basics Of MRI:How I Do It AFIIM -ISRA 2015 QUIZ 3: Shoulder Imaging

To see the muscle supra spinatus and its tendon in a same slice, which is the best position of the shoulder? A: Neutral position,arm layed on the table B: Internal rotation,f or arm on the belly of the patient C: Extern rotation, abduction. D: Neutral rotation,horizontal arm To see the muscle supra spinatus and its tendon in a same slice, which is the best position of the shoulder? A: Neutral position,arm layed on the table B: Internal rotation,f or arm on the belly of the patient C: Extern rotation, abduction. D: Neutral rotation,horizontal arm Basics Of MRI:How I Do It AFIIM -ISRA 2015 QUIZ 3: Shoulder Imaging

To see the muscle supra spinatus and its tendon in a same slice, which is the best position of the shoulder? A: Neutral position,arm layed on the table B: Internal rotation,f or arm on the belly of the patient C: Extern rotation, abduction. D: Neutral rotation,horizontal arm To see the muscle supra spinatus and its tendon in a same slice, which is the best position of the shoulder? A: Neutral position,arm layed on the table B: Internal rotation,f or arm on the belly of the patient C: Extern rotation, abduction. D: Neutral rotation,horizontal arm Basics Of MRI:How I Do It AFIIM -ISRA 2015 QUIZ 3: Shoulder Imaging

35-year old women, no history of trauma, nor tendinitis, presents a sudden painful of the left shoulder girdle with progressive weakness of the arm. Inflammatory tests are negative Basics Of MRI:How I Do It AFIIM -ISRA 2015 CORO T2 FS SAG T2 FS SAG T1 QUIZ 3: Shoulder Imaging

Basics Of MRI:How I Do It AFIIM -ISRA 2015 T1 T1 Gd+ CORO T2 FS MRA Only one proposition is wrong: A.Hypersignal T2 of the deltoid m. B.Hypersignal T2 of the infra-spinatus m. C.Hypersignal T2 of the supra-spinatus m. D.Osteoarthritis of the Acromio-clavicular joint with slight effusion Only one proposition is wrong: A.Hypersignal T2 of the deltoid m. B.Hypersignal T2 of the infra-spinatus m. C.Hypersignal T2 of the supra-spinatus m. D.Osteoarthritis of the Acromio-clavicular joint with slight effusion SAG T2 FS

QUIZ 3: Shoulder Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015 T1 T1 Gd+ CORO T2 FS MRA Only one proposition is wrong: A.Hypersignal T2 of the deltoid m. B.Hypersignal T2 of the infra-spinatus m. C.Hypersignal T2 of the supra-spinatus m. D.Osteoarthritis of the Acromio-clavicular joint with slight effusion Only one proposition is wrong: A.Hypersignal T2 of the deltoid m. B.Hypersignal T2 of the infra-spinatus m. C.Hypersignal T2 of the supra-spinatus m. D.Osteoarthritis of the Acromio-clavicular joint with slight effusion SAG T2 FS Parsonage Turner Syndrom

Parsonage Turner syndrome is an acute idiopathic brachial neuritis Parsonage Turner syndrome is an acute idiopathic brachial neuritis Diagnosis is made with a combination of history, EMG (which demonstrates denervation changes, especially of the suprascapular nerve) and imaging Diagnosis is made with a combination of history, EMG (which demonstrates denervation changes, especially of the suprascapular nerve) and imaging the most frequently involved muscles are supraspinatus and infraspinatus (innervated by suprascapular nerve) followed by deltoid (innervated by axillary nerve) the most frequently involved muscles are supraspinatus and infraspinatus (innervated by suprascapular nerve) followed by deltoid (innervated by axillary nerve) Parsonage Turner syndrome is an acute idiopathic brachial neuritis Parsonage Turner syndrome is an acute idiopathic brachial neuritis Diagnosis is made with a combination of history, EMG (which demonstrates denervation changes, especially of the suprascapular nerve) and imaging Diagnosis is made with a combination of history, EMG (which demonstrates denervation changes, especially of the suprascapular nerve) and imaging the most frequently involved muscles are supraspinatus and infraspinatus (innervated by suprascapular nerve) followed by deltoid (innervated by axillary nerve) the most frequently involved muscles are supraspinatus and infraspinatus (innervated by suprascapular nerve) followed by deltoid (innervated by axillary nerve) Basics Of MRI:How I Do It AFIIM -ISRA 2015 Parsonage MJ, Turner JW. Neuralgic amyotrophy; the shoulder-girdle syndrome. Lancet. 1948;1 (6513): QUIZ 3: Shoulder Imaging