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QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

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Page 1: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

QUIZ 4: Hip Imaging

Page 2: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

QUIZ 4: Hip Imaging

For a appropriate position of hip bilateraI examination one answer is wrong:

A. In axial plan the femoral necks are parallel to ischio-pubien part of pelvis

B. In coronal plan the field of view begins to top of iliac crest to greater trochanter

C. In coronal plan in the same slice femoral head, neck and diaphyse are seen together

D. The lower limb is internal rotation

Page 3: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

QUIZ 4: Hip Imaging

For a appropriate position of hip bilateraI examination one answer is wrong:

A. In axial plan the femoral necks are parallel to ischio-pubien part of pelvis

B. In coronal plan the field of view begins to top of iliac crest to greater trochanter

C. In coronal plan in the same slice femoral head, neck and diaphyse are seen together

D. The lower limb is internal rotation

Page 4: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

When a bilateral study of hip is more appropriate than an unilateral study with a surfacic coil?

A. for labral study

B. for aseptic osteonecrosis of femoral head

C. for a prothetic implant

D. for a “snaping” hip

QUIZ 4: Hip Imaging

Page 5: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

When a bilateral study of hip is more appropriate than an unilateral study with a surfacic coil?

A. for labral study

B. for aseptic osteonecrosis of femoral head

C. for a prothetic implant

D. for a “snaping” hip

QUIZ 4: Hip Imaging

Page 6: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

When you use Propeller sequence ?

A. To get a larger field of view

B. To increase spatial resolution

C. To reduce artefacts of motion ( arteries, intestinal peristaltism)

D. To decrease time of examination

QUIZ 4: Hip Imaging

Page 7: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

When you use Propeller sequence ?

A. To get a larger field of view

B. To increase spatial resolution

C. To reduce artefacts of motion ( arteries, intestinal peristaltism)

D. To decrease time of examination

QUIZ 4: Hip Imaging

Page 8: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

What is your best choice of sequence for labral arthro -MR study ?:

A. PD FATSAT with 3mm thickness slice

B. 3D sequence with strong T1W (FIESTA,TRUE FISP,BALANCED FFE)

C. T1 FDE high resolution

D. T1 FSE FATSAT

QUIZ 4: Hip Imaging

Page 9: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

What is your best choice of sequence for labral arthro -MR study ?:

A. PD FATSAT with 3mm thickness slice

B. 3D sequence with strong T1W (FIESTA,TRUE FISP,BALANCED FFE)

C. T1 FDE high resolution

D. T1 FSE FATSAT

QUIZ 4: Hip Imaging

Page 10: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

35 year old man, right groin pain, with hip limitation. professionnal soccer player ( Paris -Saint Germain Team)

QUIZ 4: Hip Imaging

Page 11: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

AP view Coro T2 FS Coro T2 FS

Ax T2 FS

QUIZ 4: Hip Imaging

Page 12: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

QUIZZ Hip Imaging

Basics Of MRI:How I Do It AFIIM -ISRA 2015

Only one proposition is incorrect:

A. The sphericity of the two femoral heads are abnormal

B. The symptomatology is referred to a potential Femoro Acetabular Impigment

C. The high signal of the femoral neck is related to a potential Osteoid Osteoma

D. An hip arthroraphy is needed ( MR or CT arthography)

Page 13: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

QUIZZ Hip Imaging

Basics Of MRI:How I Do It AFIIM -ISRA 2015

Only one proposition is incorrect:

A. The sphericity of the two femoral heads are abnormal

B. The symptomatology is referred to a potential Femoro Acetabular Impigment

C. The high signal of the femoral neck is related to a potential Osteoid Osteoma

D. An hip arthroraphy is needed ( MR or CT arthography)

Femoro Acetabular Impigement (FAI)

Page 14: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Basics Of MRI:How I Do It AFIIM -ISRA 2015

Femoro Acetabular Impigement (FAI) CAME type

QUIZ 4: Hip Imaging

Page 15: QUIZ 4: Hip Imaging Basics Of MRI:How I Do It AFIIM -ISRA 2015

Femoro-acetabular impigement (FAI) refers to a clinical syndrome of painful, limited hip motion resulting from certain types of underlying morphological abnormalities in the femoral head/neck

Cam type: technically, the word "cam" refers to a

bump on a rotating shaft that transmits force to another part of an engine

“Repetitiv micro traumatisme” lead to labral and chondral anterior lesion (MR arthro) .

This can lead to early degenerative disease.

Basics Of MRI:How I Do It AFIIM -ISRA 2015

Ganz R, Leunig M, Leunig-ganz K et-al. The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clin. Orthop. Relat. Res. 2008;466

QUIZ 4: Hip Imaging