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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 2 min.
13 topics, 44 min.
RA & SPA in the Synovial Joints
4 m.Rheumatoid Arthritis - Inside Out Hypothesis
3 m.MRI & Rheumatoid Arthritis
9 m.Synovium Impact of Rheumatoid Arthritis
4 m.Spondyloarthropathies: Spectrum of Disorders
5 m.Imaging Characteristics of Spondyloarthropathies
4 m.Dactylitis
3 m.Psoriatic Onycho-pachydermo-periostitis
2 m.Psoriasis
2 m.Enthesitis
3 m.Chest Wall Involvement
4 m.Axial Involvement
6 m.Osteoarthrosis & Degenerative Enthesopathy
3 m.3 topics, 9 min.
7 topics, 37 min.
2 topics, 13 min.
11 topics, 42 min.
Introduction to Crystal Induced Arthropathies
3 m.Gout
8 m.Gout: Tendon Abnormalities & Tophi
3 m.Dual Energy CT
1 m.CPPD Deposition Disease/Chondrocalcinosis
3 m.Pyrophosphate Arthropathy
3 m.CPPD: Associated Diseases
4 m.Basic Calcium Phosphate Deposition Disease
2 m.Calcium HA Deposition Disease
12 m.Calcification of Discs
4 m.Cuff-Tear Arthropathy/Milwaukee Shoulder
3 m.5 topics, 15 min.
4 topics, 10 min.
9 topics, 26 min.
Cartilage Abnormalities
5 m.Osteoarthrosis: Subchondral Cysts
3 m.Osteoarthrosis: Osteophytes
4 m.Osteoarthrosis: Osteophytes in the Knee
2 m.Osteoarthrosis: Meniscal Abnormalities
3 m.Osteoarthrosis: Ligament Abnormalities and Bone Marrow Changes
3 m.Osteoarthrosis: Compartmental Analysis of the Knee
5 m.Digital Osteoarthrosis
4 m.Wrist Osteoarthrosis
2 m.3 topics, 10 min.
1 topic, 1 min.
1 topic, 1 min.
3 topics, 17 min.
0:00
<v ->And then finally,
0:01
and I'm only gonna cover this on one slide.
0:05
This entity, adverse local tissue reaction to arthroplasty
0:10
sometimes a fancy name,
0:12
aseptic lymphocytic vasculitis-associated lesion or ALVAL.
0:18
This basically is a category of disease
0:22
in which there is a hypersensitivity reaction
0:25
to what has been used for the joint replacement.
0:29
I see abnormalities most commonly about the hip,
0:33
but also occasionally about the knee and elsewhere.
0:36
And it may be a reaction to metal irons,
0:39
particularly when you're dealing with metal
0:40
on metal (indistinct) or other products
0:44
that can lead to particles that produce this reaction.
0:49
The MR imaging findings that are found
0:52
are masses, they're complex and signal intensity.
0:57
They may be related to capsular defects.
1:01
They may contain fluid, metallic debris
1:05
and thickened synovium.
1:07
And you can see here some examples taken
1:09
from a very nice article by Fritz and others
1:13
in RadioGraphics.
1:15
So be aware of these particular findings
1:18
and the role for MR imaging in their assessment.
1:23
We've reached the end of segment two.
1:25
So again, I'm gonna turn to Marcelo
1:28
to discuss his cases at this point.
Interactive Transcript
0:00
<v ->And then finally,
0:01
and I'm only gonna cover this on one slide.
0:05
This entity, adverse local tissue reaction to arthroplasty
0:10
sometimes a fancy name,
0:12
aseptic lymphocytic vasculitis-associated lesion or ALVAL.
0:18
This basically is a category of disease
0:22
in which there is a hypersensitivity reaction
0:25
to what has been used for the joint replacement.
0:29
I see abnormalities most commonly about the hip,
0:33
but also occasionally about the knee and elsewhere.
0:36
And it may be a reaction to metal irons,
0:39
particularly when you're dealing with metal
0:40
on metal (indistinct) or other products
0:44
that can lead to particles that produce this reaction.
0:49
The MR imaging findings that are found
0:52
are masses, they're complex and signal intensity.
0:57
They may be related to capsular defects.
1:01
They may contain fluid, metallic debris
1:05
and thickened synovium.
1:07
And you can see here some examples taken
1:09
from a very nice article by Fritz and others
1:13
in RadioGraphics.
1:15
So be aware of these particular findings
1:18
and the role for MR imaging in their assessment.
1:23
We've reached the end of segment two.
1:25
So again, I'm gonna turn to Marcelo
1:28
to discuss his cases at this point.
Report
Faculty
Donald Resnick, MD
Professor Emeritus, Department of Radiology
University of California, San Diego
Carlos H. Longo, MD
Head of Radiology
Hospital Beneficência Portuguesa de São Paulo
Abdalla Skaf, MD
Head of the Department of Diagnostic Imaging Hospital HCor / Medical director of ALTA diagnostics (DASA group)
HCOR / DASA / TELEIMAGEM
Rodrigo Aguiar, MD, PhD
Professor of Radiology
Federal University of Paraná - Brazil
Marcelo D’Abreu, MD
Head of Radiology
Hospital Mae de Deus
Tags
Musculoskeletal (MSK)
MSK
MRI
Knee
Hip & Thigh
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