Thoracic Spine & Ribs Eval Flashcards

1
Q

general indications for routine radiologic T-spine & ribs

A

trauma
pain radiating around chest wall
ROM limitations
pre-op/post-op
malignancies
OP/compression fx
arthropathy
health conditions associated w/ spinal abnormality
evaluate scoliosis & kyphosis
suspected congenital abnormality
monitoring known abnormality
suspected instability

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2
Q

smooth lines for t-spine

A

anterior & posterior bodies
spinolaminar line
articular pillars

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3
Q

general indications for CT

A

acute trauma
degenerative conditions
post-op assessment
infxn
image guided intervention
neoplasm
inflammatory lesions
congenital
cord syrinxes

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4
Q

MRI indications for t-spine

A

trauma w/ cord encroachment
DDD
neoplasm
intrinsic spinal cord path
congenital
infxn
cord masses
pre / post op assessment
meningeal abnormalities

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5
Q

age > or equal to 16, blunt trauma meeting criteria for thoracic & lumbar imaging

A

CT

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6
Q

age > or equal to 16, acute thoracic or lumbar spine injury detected on x-ray or CT, neurlogic abnormalities

A

MRI

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7
Q

child, younger than 16, suspected thoracolumbar spine trauma

A

x-ray thoracic and lumbar

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8
Q

suspected rib fx from minor blunt trauma - injury confined to ribs

A

x-ray chest

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9
Q

neurogenic TOS, initial imaging and follow-up imaging after surgery or intervention

A

MRI and x-ray chest

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10
Q

arterial TOS, initial imaging and follow-up imaging after surgery or intervention

A

CTA, MRA**, X-RAY, US duplex w/ doppler subclavian artery & vein, arteriography

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11
Q

child, congenital scoliosis

A

x-ray complete spine
MRI complete spine

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12
Q

child 0-9 , early onset idiopathic scoliosis

A

x-ray complete spine
MRI complete spine

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13
Q

new back pain, previously treated VCF or multiple VCFs

A

CT spine area
MRI spine area

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14
Q

best view to see thoracic intervertebral foramin

A

lateral

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15
Q

best view to see thoracic z-joint

A

oblique 70 deg

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