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MRI is underutilized in pelvic imaging, and it's only a matter of time before radiologists and referring physicians are educated about its utility, according to Dr. Elizabeth Sadowski, an assistant professor of radiology at the University of Wisconsin, Madison.

Half of the people in the U.S. older than 50 could suffer fractures caused by osteoporosis over the next 13 years, according to a 2005 Surgeon General's report. Such ominous predictions move musculoskeletal conditions to the top of a long list of chronic diseases confronting baby boomers.

Identifying the origins of patellofemoral pain could help create consensus about its cause and treatment, saving patients from a therapeutic merry-go-round. Researchers using MRI and computer modeling techniques are closing in on these origins and are using imaging to chart biochemical changes that might trigger anatomic changes that produce pain.

Whole-body MR could complement -- in some cases, even replace altogether -- traditional bone scanning techniques, according to studies from Germany, Italy, and Spain released at the 2006 RSNA meeting in Chicago.

PET imaging to diagnose brain tumor and monitor recurrence after treatment is an evolving field of research. Investigators at the RSNA meeting presented studies revolving around five tracers, as well as various permutations of imaging combinations such as FDG-PET with MR spectroscopy. While results are promising, challenges remain before any of these research avenues becomes clinically routine.

PET imaging to diagnose brain tumor and monitor recurrence after treatment is an evolving field of research. Investigators at the RSNA meeting presented studies revolving around five tracers, as well as various permutations of imaging combinations such as FDG-PET with MR spectroscopy. While results are promising, challenges remain before any of these research avenues becomes clinically routine.

Radiologists perform most diagnostic and minimally invasive interventional musculoskeletal studies in the U.S., with some areas experiencing continuous growth. Data released last Wednesday at the RSNA meeting, however, suggest future turf battles between radiologists and surgeons are lurking on the horizon.

The 23-year-old patient, who suffered from injuries arising from a traffic accident, was asked to imagine playing tennis and walking around her house. The tennis request elicited activity in the supplementary motor area, while the house tour activated the parahippocampal gyrus, the posterior parietal cortex, and the lateral premotor cortex.

Contrary to popular practice, both pre- and postcontrast imaging is necessary for proper MR evaluation of articular cartilage repair, according to new research conducted in Japan. The small study could carry implications for treatment evaluation.

I recently completed a task that we expect will lead to a more refined search engine for the Diagnostic Imaging Web site and those of our sister publications at CMPMedica. The project required perusing some 400-plus articles in the radiology literature from the past 30 years, covering every conceivable subcategory, and tagging those that best define each clinical application and modality. It involved some tedious parsing of wheat from chaff but provided ample opportunity for reflection on how far radiology has come.

Two investigative studies have found that MR angiography at 3T produces quality images of the kidneys and excellent cardiac cine images. Researchers used high parallel imaging factors and a 32-element phased-array coil to increase spatial resolution and anatomic coverage.

Like an expanding bubble, the number of MR applications continues to rise exponentially. Looking back over the last 27 years, I see several major MRI epochs: low- to midfield systems (late 1970s to mid-1980s), 1.5T with 10 mT/m gradients (mid-1980s to mid-1990s), and 1.5T with echo-planar gradients (mid-1990s to early 2000s). We entered a new epoch a few years ago: 3T with echo-planar gradients. Examining changes currently occurring, and understanding why they occur, can help us predict further changes to come over the next decade.