Radiographics : a review publication of the Radiological Society of North America, Inc
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Computed tomographic (CT) enterography is a diagnostic examination that is increasingly being used to evaluate disorders of the small bowel. An undesirable consequence of CT, however, is patient exposure to ionizing radiation. This is of particular concern with CT enterography because patients tend to be young and require numerous follow-up examinations. ⋯ The drawback to dose reduction strategies is degradation of image quality due to increased image noise. However, image noise can be reduced with commercial iterative reconstruction and denoising techniques. With a combination of low-dose techniques and noise-control strategies, one can markedly reduce radiation dose at CT enterography while maintaining diagnostic accuracy.
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Traumatic elbow injuries are commonly encountered in the emergency department setting, but their complexity and clinical significance often go unrecognized at the initial evaluation. Initial imaging in patients with elbow trauma should not only help identify major injuries that require immediate intervention but also allow detection of other, often more subtle injuries that may lead to instability or poor functional outcomes if appropriate treatment is delayed. Awareness and detection of these injuries may be improved by a better-developed and more intuitive understanding of the mechanisms that underlie the most common injury patterns. ⋯ Injury patterns are explained in the context of the responsible force mechanism by using three-dimensional modeling and animation, with emphasis on the functional impact of associated secondary bone and soft-tissue injuries. The utility of cross-sectional imaging modalities such as computed tomography and magnetic resonance imaging in the acute care setting is discussed, and specific imaging guidelines are provided. Supplemental material available at http://radiographics.rsna.org/lookup/suppl/doi:10.1148/rg.333125176/-/DC1.
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Ancient Egyptian and Peruvian mummies are extremely valuable historical remains, and noninvasive methods for their examination are desirable. The current standard of reference for radiologic imaging of mummies is computed tomography (CT), with tissue having a homogeneous appearance on all CT images. It was long believed that ancient mummified tissue could not be studied with magnetic resonance (MR) imaging because of the low water content in mummies. ⋯ CT was found to provide superior detail of the anatomic structures, mainly because of its higher spatial resolution. The signal intensity of mummified tissue varied greatly on MR images; thus, the quality of these images is not yet comparable to that of clinical MR images, and further research will be needed to determine the full capacity of MR imaging in this setting. Nevertheless, additional information may theoretically be obtained with MR imaging, which should be viewed as complementary to, rather than a replacement for, CT.
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The aim of this study was to test the value of computed tomography (CT)-guided endoscopy in the scientific study of mummified remains and the recovery of unidentified objects from ancient mummified remains. CT-guided endoscopy was performed on an Egyptian mummy from the Late Period to help retrieve an unidentified object from its skull. The combined use of CT and endoscopy facilitated the recovery of the object, minimizing further damage to the remains and to the object itself. ⋯ It was confirmed that the object was a monocotyledon stem fragment. Relying on the existing literature on mummification and excerebration methods in ancient Egypt, we concluded that the stick was probably used for transnasal removal of the brain. The results of this study demonstrate the great potential of CT-guided endoscopy for minimally invasive recovery of small unidentified items from mummies that could yield important information about mummification procedures and the materials used to preserve bodies.
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Suicide is one of the leading causes of death in multiple age groups. Therefore, it is important that radiologists be aware of this commonly encountered entity. Attempted suicide may take a variety of forms; those discussed by the authors include sharp force injury, immolation and inhalation, ingestion, hanging, firearm use, jumping from a height, and drowning. ⋯ When a suicide attempt is unsuccessful, it is important to be familiar with the complications that may contribute to delayed mortality and morbidity. The radiologist plays an integral role in the acute medical or surgical management of patients who have attempted suicide. In addition, imaging examinations may provide useful forensic information.