Clinical Case Challenge
Essential Imaging In Rheumatology
Applying knowledge appropriately to everyday clinical situations is the goal of all clinicians. This App was formulated to help us just do that, apply the information acquired from “Essential Imaging In Rheumatology” textbook to real clinical situations.
Dr John M O’Neill
Musculoskeletal Imaging Specialist
Associate Professor McMaster University/St Joseph’s Healthcare
Hamilton, Ontario, Canada
Dr Kim Legault
Division Rheumatology, Department Medicine
Hamilton, Ontario, Canada
- 4 sections are presented with varying clinical information. All cases are drawn from real clinical cases.
- Section 1 is “Spot diagnosis”, whereby one or more diagnostic images are presented and one formulates the best possible answer, sometimes easier said than done. There may be a differential and we will discuss how we chose the final diagnosis.
- Section 2 , “Extended Cases”, are presented as close as possible to the real-life clinical presentation. This section opens with clinical history and physical examination findings, after which one is asked to first choose a differential diagnosis and then the most appropriate imaging. Imaging studies that were requested in this particular case by the rheumatologist are then presented for one to formulate a final diagnosis.
- Section 3 ,“Short Cases”, diagnostic imaging studies are presented for review followed by the “real life” clinical information in that case. One should assess whether the initial diagnosis is altered when reviewed in addition to the clinical information
- Section 3 are "Spot Cases", but with a little twist from those in section 1.
- All sections are referenced to the appropriate chapter in the “Essential Imaging In Rheumatology” textbook.
How To Guide/Feedback
- Once introduction is complete an “Index” button will appear to bring you to the index page
- Choose the section you would like to enter first and tap that button. We have organized the index in a sequential pattern that we felt would build upon each preceding section but you are free to navigate.
- Once a section is open one can tap the arrows on the right or left side of the page to proceed to the next or previous page or swipe in the appropriate direction.
- At the completion of each section the main index page reappears for the next selection.
- The index button is always present in the top left corner and can be accessed at any time to select a different section of the App
- The “random" setting will randomly select cases from all sections for review
- When viewing case image sets, tapping on the left or right will allow navigating between images.
We welcome your comments and feedback on this App
- This App is founded upon and supplements the textbook “Essential Imaging In Rheumatology"
- Essential Imaging in Rheumatology, John O’Neill MD - New York: Springer Science+Business Media; 2015
- ISBN 978-1-4939-1672-6
- ISBN 978-1-4939-1673-3 (eBook)
- DOI 10.1007/978-1-4939-1673-3
- Library of Congress Control Number: 2014955607
"Essential Imaging In Rheumatology" has received excellent peer reviews in leading rheumatology and radiology journals which have highlighted the strong educational offerings .....explores all current methods of imaging and imaging techniques related to common rheumatic symptoms and specific rheumatic diseases...... well-written and comprehensive resource in its coverage of the rheumatic diseases as well as its description of multiple imaging modalities ....the authors have done an excellent job tying the clinical aspects of rheumatic diseases to the radiographic findings.........It is a concise reference source for radiologists and rheumatologists delivering up-to-date and complete information on the imaging of rheumatic disease.....the 17 chapters (426 pages in total) are well laid out, the content of each is concise, and the text within each section is clearly written, with ample tables, illustrations, and images...........excellent tables of various classi cation systems, nomenclature, and diagnostic criteria. Each section covers the individual topic with clarity and detail, providing many case examples as well as common clinical presentations............caters to a large target audience of general radiologists, radiology residents, and, in particular, rheumatologists at all levels of training for whom it will be a most excellent resource.
There are many books, journals, and online resources available to individual groups of both rheumatologists and radiologists but very few that cater to both in one product. This book aims to do just that and is intended for all comers from the fields of rheumatology and radiology with a unique approach.
The 17 chapters (426 pages in total) are well laid out, the content of each is concise, and the text within each section is clearly written, with ample tables, illustrations, and images. The book is divided into two main parts. The first part, “Introduction,” comprises four chapters. The first chapter, “Introduction to Imaging,” seems targeted to nonradiologists but is a nice overview of some basic physics and includes general terminology and lists advantages and disadvantages to the various imaging modalities. No doubt rheumatologists, particularly those in training, would find this chapter most useful. The table on contraindications to magnetic resonance imaging is somewhat misleading as almost all listed are relative contraindications and others are not contraindications at all. The remaining chapters in this section are also aimed predominantly at nonradiologists and discuss a diagnostic approach to image analysis and some common image-guided interventional procedures for both diagnosis and treatment. Chapter 3 is divided in terms of muscle, fascia, tendon, ligament, nerve, bursa, bone, joints, cartilage and effusions, each of which is discussed in detail in terms of anatomy and the strengths of various imaging modalities.
The second part (“Imaging in Rheumatology”) is divided into 13 separate chapters on individual arthritides, including separate chapters on topics such as infection, diabetic foot, and bone and synovial tumors. The chapters each follow a similar pattern, and most include excellent tables of various classification systems, nomenclature, and diagnostic criteria. Each section covers the individual topic with clarity and detail, providing many case examples as well as common clinical presentations. In each of the chapters, the authors have included appropriate and up-to-date references.
Images are generally of good quality and plentiful, with clear image legends. The matte finish does not do some of the images justice compared with the glossy finish of some other books; however, there are accompanying applications due out for both iOS and android users that will not doubt be a great addition once available.
One of the real strengths of this book is the appendix, which describes in detail the various scoring systems used, albeit predominantly in research settings. It is very difficult to find this information in one place and so this section is most welcome, not to mention up to date.
Ultimately, the book succeeds in what the editor sets out to achieve in merging clinical presentations with imaging patterns of disease in a wide gamut of rheumatologic disorders. Retailing at $249.00 for the hardcover edition (eBook is available for $189.00), this book is not cheap. Although there are some excellent alternative books available that may contain more detail and therefore are targeted at fellowship-trained musculoskeletal radiologists, this book is nonetheless comprehensive and caters to a large target audience of general radiologists, radiology residents, and, in particular, rheumatologists at all levels of training for whom it will be a most excellent resource.
- Reviewed by Darra T. Murphy, MB BCh BAO, MRCPI, FFR(RCSI), FRCPC
- Review published by Radiology, Volume 227: Number 2, pages 356-357
Imaging is an essential component in both the diagnosis and management of rheumatic disease, and imaging interpretation is a skill every rheumatologist strives to master. As a rheumatology fellow, imaging was one of the most daunting and challenging areas of the specialty. Useful comprehensive resources were and are both welcome and appreciated.
A new rheumatology title, Essential Imaging in Rheumatology, is a valuable resource in our field. The book's editor is Dr. John O'Neill, an Associate Professor of Radiology at McMaster University, Hamilton, Ontario. The other contributions are all rheumatologists from McMaster, making this a decidedly Canadian publication!
Essential Imaging in Rheumatology explores all current methods of imaging and imaging techniques related to common rheumatic symptoms and specific rheumatic diseases. This is a well-written and comprehensive resource in its coverage of the rheumatic diseases as well as its description of multiple imaging modalities, including radiographs, ultrasound, bone scan, CT, and MRI. Each section starts with an overview of the clinical aspects of the disease followed by an indepth discussion of the imaging modalities, including examples of high-resolution images, used in diagnosis and management.
The authors have done an excellent job tying the clinical aspects of rheumatic diseasesto the radiographic findings. This is an important feature for new learners as they appreciate the relationship between clinical and radiographic findings. The more experienced learner will appreciate exploring some of the more rare diseases or more esoteric radiographic findings.
This book should be recommended to all PGY-4 and -5 rheumatology trainees as essential reading. It is a concise reference source for radiologists and rheumatologists delivering up-to-date and complete information on the imaging of rheumatic disease.
- Reviewed by Andy Thompson, MD, FRCPC, MHPE Associate Professor of Medicine, Division of Rheumatology, Department of Medicine, Schulich School of Medicine, Western University London, Ontario
- Review published by The Canadian Rheumatology Association Journal 2015, Volume 25: Number 3
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