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Thursday, 31 October 2024
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Myelography
A myelography is a radiographic imaging procedure to visualize the spinal canal, the spinal cord, cerebrospinal fluid (CSF), intervertebral disks and nerve roots. A special contrast agent (dye) is injected through a needle into the subarachnoid space of the spinal canal. A myelogram provides a very detailed picture of the spinal cord and spinal column. A fluoroscopy displays the bones and the fluid-filled space of the spine also in motion. An additional computerized tomography (CT or CAT) scan helps to differentiate the spinal conditions better. The indications include disc herniation, spinal stenosis, tumor, and vertebral fracture.

See also Myeloscintigraphy, Fluoroscopic System, Hounsfield Unit, Bone Densitometry, Nonionic Contrast Agents.
Administration
Administration in medical imaging refers to the administration of contrast agent (dye) or radioactive material (radiopharmaceutical) into the body by injection, oral administration or by other route.
Arthrography
An arthrography is a radiographic examination of a joint (such as the knee, shoulder, hip, elbow or wrist) that requires an injection of a contrast medium into the joint space.
For an opaque x-ray arthrography a water-soluble iodinated contrast agent is injected and a series of fluoroscopic controlled images is produced. Magnetic resonance arthrography combines the arthrogram with MRI. A small quantity of gadolinium contrast agent is added to the injection into the joint space. The traditional radiographic images are followed by an MRI of the extremities. A non-invasive possibility is an indirect MR arthrography, which doesn't require the injection into the joint. The dye is given prior to the imaging procedure.
The contrast fluid produces a bright signal and allows evaluation of small defects of the joint capsule, assessment of articular surface and labral cartilage, and in case of an indirect arthrogram also of the surrounding soft tissue. If a gaseous medium is used, this exam is called pneumoarthrography and a combination with liquid contrast is used in double-contrast arthrography.
MR arthrography is often used to evaluate hip and acetabular labrum, shoulder rotator cuff and glenoid labrum (see Shoulder MRI), and less often in wrist and knee MRI studies. Also combinations of CT and nuclear medical techniques with arthrography are available.
Post-Processing
Digital images can be manipulated for evaluation in various ways. Post-processing includes: Subtraction, addition, rotation, inversion, multiplanar reconstruction (MPR), maximum intensity projection (MIP), etc.
Subtraction is particularly useful in contrast enhanced examinations. The pre contrast images are subtracted from the images after an injection of contrast agents (sometimes also called dye) for better tumor detection. See also Contrast Enhanced Computed Tomography, Digital Subtraction Angiography and Active Zone.
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 [last update: 2023-11-06 02:01:00]