Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
MRI of the knee has been performed @ 1.5T using a knee surface coil in three orthogonal planes including PD, PD FS and T1 weighted sequences.
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
MRI
Sagittal PD
www.GEIGERmsk.com
www.GEIGERmsk.com
Relevant images
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
Coronal PD FS
Coronal T1
www.GEIGERmsk.com
Relevant images
www.GEIGERmsk.com
Sagittal PD
www.GEIGERmsk.com
Imaging Findings
An area of periphyseal edema is present at the level of the lateral distal femoral physis. No other significant imaging findings are observed.
www.GEIGERmsk.com
www.GEIGERmsk.com
Diagnosis Please
?
www.GEIGERmsk.com
Final Diagnosis
www.GEIGERmsk.com
What is FOPE
FOPE (Focal Peryphiseal Edema) is a focal physeal alteration. Is a focal bone marrow edema pattern centered at the physis of the distal femur, proximal tibia, or proximal fibula that extends into the adjacent metaphysis and epiphysis. A painfull knee is its clinical manifestation. The cause of this appearance is unknown. It may be a manifestation of normal skeletal maturation (physiologic physeal fusion).
www.GEIGERmsk.com
FOPE
Has been reported to occur in young athletes in 75% of the cases (Zbojniewicz AJR 2011). This finding may also be accidental in asymptomatic adolescents that undergo a knee MRI. Is therefore to be considered an early stage of physiologic physeal fusion. It should not be mistaken for an abnormality and requires no invasive diagnostic procedure, and does not need imaging followup.
www.GEIGERmsk.com
www.GEIGERmsk.com
www.GEIGERmsk.com
References
www.GEIGERmsk.com
www.GEIGERmsk.com
Focal Periphyseal Edema (FOPE) zone on MRI of the adolescent knee: a potentiallypainful manifestation of physiologic physeal fusion? Zbojniewicz AM, Laor T. American Journal of Roentgenology 2011; 197: 998 1004. MRI of the Pediatric Knee. Pai DR, Strouse PJ. American Journal of Roentgenology 2011; 196: 101927. MR Imaging Insights into Skeletal Maturation: What Is Normal? Laor T, Jaramillo D. Radiology 2008; 250: 2838.
www.GEIGERmsk.com