Thoracic Spine & Ribs Eval Flashcards
general indications for routine radiologic T-spine & ribs
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
smooth lines for t-spine
anterior & posterior bodies
spinolaminar line
articular pillars
general indications for CT
acute trauma
degenerative conditions
post-op assessment
infxn
image guided intervention
neoplasm
inflammatory lesions
congenital
cord syrinxes
MRI indications for t-spine
trauma w/ cord encroachment
DDD
neoplasm
intrinsic spinal cord path
congenital
infxn
cord masses
pre / post op assessment
meningeal abnormalities
age > or equal to 16, blunt trauma meeting criteria for thoracic & lumbar imaging
CT
age > or equal to 16, acute thoracic or lumbar spine injury detected on x-ray or CT, neurlogic abnormalities
MRI
child, younger than 16, suspected thoracolumbar spine trauma
x-ray thoracic and lumbar
suspected rib fx from minor blunt trauma - injury confined to ribs
x-ray chest
neurogenic TOS, initial imaging and follow-up imaging after surgery or intervention
MRI and x-ray chest
arterial TOS, initial imaging and follow-up imaging after surgery or intervention
CTA, MRA**, X-RAY, US duplex w/ doppler subclavian artery & vein, arteriography
child, congenital scoliosis
x-ray complete spine
MRI complete spine
child 0-9 , early onset idiopathic scoliosis
x-ray complete spine
MRI complete spine
new back pain, previously treated VCF or multiple VCFs
CT spine area
MRI spine area
best view to see thoracic intervertebral foramin
lateral
best view to see thoracic z-joint
oblique 70 deg