MSK Section Research Meeting 7-21-06 - PowerPoint PPT Presentation

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MSK Section Research Meeting 7-21-06

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  1. MSK Section Research Meeting7-21-06

  2. 2005-2006 Academic Year Publications • MR arthrography of the knee: how, why, when • MRI findings of femoral diaphyseal stress injuries in athletes. • Acromioclavicular joint osteoarthritis: comparison of findings derived from MR imaging and conventional radiolgraphy. • Fresh Osteochondral Allografts. • Posterior cruciate ligament recess and normal posterior capsular insertional anatomy: MR imaging of cadaveric knees. • MR imaging of the hip abductors: normal anatomy and commonly encountered pathology at the greater trochanter. • MR imaging of the finger tendons: normal anatomy and commonly encountered pathology. • Paraspinal muscle vasculature contributes to posterolateral spinal fusion. • Normal MR Imaging Anatomy of the Elbow. • MR Imaging of the Rotator Cuff Interval. • Magnetic resonance imaging of the hip.

  3. 2005-2006 Academic Year Publications • Pellegrini-Stieda disease: a heterogeneous disorder not synonymous with ossification/ calcification of the tibial collateral ligament – anatomic and imaging investigation. • Inflammation of Hoffa’s Fat Pad in the Setting of HIV: MR Imaging Findings in 5 Patients. • Painful stress fractures in the fabella in patients with total knee arthroplasty. • Hyperplastic callus formation in osteogenesis imperfecta type V • Magnetic resonance imaging of para-acetabular insufficiency fractures in patients with malignancy • MRI of anterior tibiotalar impingement • Radial and ulnar bursae of the wrist • Deep and superficial infrapatellar bursae of the knee • Pattern of osteophytes and enthesophytes in the proximal ulna • Imaging findings in asymptomatic patients with femoral diaphyseal stress injuries • Hypoplasia of the glenoid neck of the scapula

  4. 2005-2006 Academic Year Publications 22 Peer Review Publications (20 Peer Review Publications 2004-2005) (21 Peer Review Publications 2003-2004)

  5. Collaborators • Graeme Bydder • Ultrashort TE Imaging • Parviz Haghighi • Pathology • Rob Pedowitz • Orthopedic surgery

  6. Fellow Requirements • One didactic lecture • One research project • 2 weeks to choose a project • After 2 week time period, project will be assigned • Case preparation • Divide into individual cases and label folder with diagnosis • Folder should contain a word document • Origin of case (telerad location/ VA/ Thornton/ Scripps/ Hillcrest) • Identifying info of patient • Pertinent history • All cases should be loaded into MIRC server (Amil will direct) as well as computer in telerad room

  7. Projects • Writing • Case reports • Pictorial essays • Chapters • Doing and Writing • Retrospective review • Prospective studies • Lab projects • Imaging projects

  8. IRB Approval • Required for: • All review of medical records • All retrospective review • Any study involving patients/ informed consent • Website: http//medicine.ucsd.edu/humsub/ • Types of approval: • Regular • Expedited • UCSD and VA approval • Share a common IRB committee • Once UCSD IRB approval acquired, must pass an administrative approval by VA R&D committee

  9. Steps to Begin Project • Idea!! • Verify the validity and novelty of the idea • Literature search (PUB MED) • Key articles (E-journal www.ucsd.edu) • Establish target journal • Discuss authorship and work responsibilities • Study design • Objective • Basic materials and methods • Data analysis • Good idea to touch base with statistician to be sure design is statistically valid • Paul Clopton (VA extension 3534) • Write • According to target journal instructions to authors • Submit

  10. Authorship • If you write and submit the article to the journal, you will be the first author • If you do not submit the article to the journal, you WILL NOT be the first author unless arrangements have been made and approved by the lead author • With authorship comes the burden of justification for your role in a project

  11. Study Design: Cadaveric Projects • Contact person Deb Trudell (VA extension 7058) • Protocol Description Worksheet • Study description • Specimen request • MR technique (very specific) • Imaging time • Wednesday 9 pm start time • Sunday 5 pm start time

  12. Imaging Policy • All MR images obtained for studies must be put in jpeg format the night of imaging, placed in a folder on the Neuroradiology PACS station on your VA sign in • Request 2 CD’s of the data to be written by Mike Olds (leave note on his door) • One CD for your records which should be placed on the Research computer in a folder with the project name • One CD should be submitted to lead author • Any photographs of gross anatomy/ dissections, etc for projects should be placed on the Research computer with a CD submitted to lead author

  13. Meeting Presentation • Funding for abstract presentation at major scientific meetings • Deadlines: • ARRS October 1, 2006 Deadline • (Meeting May 6-11, 2007 Orlando) • SSR October ? deadline • (Meeting March 2007, Orlando) • ISMRM ?? Deadline October • (Meeting May 19-25, 2007 Berlin) • RSNA April 15 • (Meeting Nov-Dec. 2007, Chicago) • International Skeletal Society ?? deadline • (September 2007, Budapest)

  14. Amil Research • Radiology projects: • Accessory muscles of the ankle • Accessory muscle of the wrist or knee • MR arthroscopic correlation • Computer projects: • PowerPoint to flash conversion • Friday conference on the internet • Resident musculoskeletalradiology curriculum online • Structured reporting MIRC

  15. Amil Research • Educational projects: • Fractures • Arthritis • Hardware Post op complications • Incidental findings • Skeletal scintigraphy

  16. Tudor Research • Review article • Bone within Bone appearance • HIV Manifestations in MSK • Periosteal reaction (possible poster) • MSK findings of illicit drugs (possible poster) Rick Arigo • Radiologic MSK anthropology (possible poster) • Atlanto occipital atlas dissociation (possible poster) Toni Roth • Fat in tendon sheaths: Predictor of adjacent fractures (possible poster) Ugne Skripkus • Foreign bodies (possible poster) • Rice bodies (possible poster) • Corner fractures of the cervical spine Debra Chang

  17. Tudor Research • Metatarsal head shape (Hamid Torshizy) • Stress fracture atlas (Luke Hiller) • C1 CPPD (Luke Hiller) • Border jumper injuries • Ligaments that ossify (Post tib fib) / Retrospective review of ankle fractures (James Chang) • Cross sectional criteria for protrusio • Bone formers and THR: Does DISH improve noncemented THR outcome • 3D reformats: Do these help the orthopedist

  18. Don’s Research •    SNAC wrist Debra Chang •    Spring ligament anatomy Dean Bruce

  19. CBC Research:Writing • Chapters • Post-operative Elbow (Co-Authors: Steinbach/ Beltran/ Morrison/ Chung) Debra Chang • Post-operative Wrist and Hand (Co-Authors: Steinbach, Beltran/ Morrison/ Chung) Nick Panchal • Clinical • Hoffitis in HIV patients • Torshizy • MR imaging of the hip • Hong • Research • MR imaging and MR arthrography in cadaveric specimens with existing meniscal tears and created lesions Accepted for Publication Accepted for Publication

  20. CBC Research:Anatomic Pathologic Correlation • 1st MCP anatomy • Anatomy of the thenar eminence • Anatomy of the hypothenar eminence • Reflected Head of Rectus Femoris and Assoc Pathology • Standard MR imaging versus of MR arthrography for evaluation of radial and ulnar collateral ligament injuries in the thumb (created lesions in cadavers) • MR classification for finger OA • Aguiar • DIP and PIP anatomy • Aguiar • Muscular attachment to humerus • Inferior aspect of Intertubercular sulcus • Posteromedial knee anatomy (bursa) Accepted Presentation ISS/ RSNA 2006 Accepted Presentation ISS/ RSNA2006

  21. MSK Imaging Research Group • Imaging of the Calcified Layers of Cartilage with UTE Application • Multiple phases of data collection/ analysis to work toward several goals • UTE optimization at 3T • Comparison of UTE to standard clinical sequences for evaluation of the deepest layers of cartilage • Characterization of patterns of OA in the setting of deep layer lesions (association with T2 mapping and dGEMRIC type techniques) • Clinical applications • Biomechanical correlation

  22. Translational Cartilage Research • Radiology • Christine Chung (Associate Professor Radiology) • Graeme Bydder (Professor Radiology) • Donald Resnick (Professor Radiology) • Shantanu Sinha (Professor Physics) • Robert Orth (Radiology Resident) • Hamid Torshizy (Medical student) • Richard Znamirowski (MRI technologist) • Nick Pinto (MRI technologist) • Deb Trudell (Research assistant and MRI technologist) • Bioengineering • Robert Sah (Professor Bioengineering) • Won Bae (Assistant Research Assistant) • John Lee (NIH funded medical student)

  23. Translational Cartilage Research • Orthopedics • William Bugbee (Assistant Professor Orthopedics) • Robert Pedowitz (Associate Professor Orthopedics) • Pathology • Parviz Haghighi (Professor Pathology) • Darryl D’Lima (Director Orthopedic Research Center Scripps Clinic) • Jianfen Chen (Research assistant) • Statistics • Tanya Wolfson (Staff Statistician)

  24. MSK Imaging Research Group • Lab meetings Wednesdays 3 pm VA conference room • Physics meetings will begin August • To follow clinical conference 7:45 – 8:30