MSK Section Research Meeting 7-21-06

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MSK Section Research Meeting7-21-06
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2005-2006 Academic Year Publications

• MR arthrography of the knee how, why, when
• MRI findings of femoral diaphyseal stress
  injuries in athletes.
• Acromioclavicular joint osteoarthritis
  comparison of findings derived from MR imaging
  and conventional radiolgraphy.
• Fresh Osteochondral Allografts.
• Posterior cruciate ligament recess and normal
  posterior capsular insertional anatomy MR
  imaging of cadaveric knees.
• MR imaging of the hip abductors normal anatomy
  and commonly encountered pathology at the greater
  trochanter.
• MR imaging of the finger tendons normal anatomy
  and commonly encountered pathology.
• Paraspinal muscle vasculature contributes to
  posterolateral spinal fusion.
• Normal MR Imaging Anatomy of the Elbow.
• MR Imaging of the Rotator Cuff Interval.
• Magnetic resonance imaging of the hip.

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2005-2006 Academic Year Publications

• Pellegrini-Stieda disease a heterogeneous
  disorder not synonymous with ossification/
  calcification of the tibial collateral ligament
  anatomic and imaging investigation.
• Inflammation of Hoffas Fat Pad in the Setting of
  HIV MR Imaging Findings in 5 Patients.
• Painful stress fractures in the fabella in
  patients with total knee arthroplasty.
• Hyperplastic callus formation in osteogenesis
  imperfecta type V
• Magnetic resonance imaging of para-acetabular
  insufficiency fractures in patients with
  malignancy
• MRI of anterior tibiotalar impingement
• Radial and ulnar bursae of the wrist
• Deep and superficial infrapatellar bursae of the
  knee
• Pattern of osteophytes and enthesophytes in the
  proximal ulna
• Imaging findings in asymptomatic patients with
  femoral diaphyseal stress injuries
• Hypoplasia of the glenoid neck of the scapula

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2005-2006 Academic Year Publications

• 22 Peer Review Publications
• (20 Peer Review Publications 2004-2005)
• (21 Peer Review Publications 2003-2004)

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Collaborators

• Graeme Bydder
• Ultrashort TE Imaging
• Parviz Haghighi
• Pathology
• Rob Pedowitz
• Orthopedic surgery

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Fellow Requirements

• One didactic lecture
• One research project
• 2 weeks to choose a project
• After 2 week time period, project will be
  assigned
• Case preparation
• Divide into individual cases and label folder
  with diagnosis
• Folder should contain a word document
• Origin of case (telerad location/ VA/ Thornton/
  Scripps/ Hillcrest)
• Identifying info of patient
• Pertinent history
• All cases should be loaded into MIRC server (Amil
  will direct) as well as computer in telerad room

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Projects

• Writing
• Case reports
• Pictorial essays
• Chapters
• Doing and Writing
• Retrospective review
• Prospective studies
• Lab projects
• Imaging projects

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IRB Approval

• Required for
• All review of medical records
• All retrospective review
• Any study involving patients/ informed consent
• Website http//medicine.ucsd.edu/humsub/
• Types of approval
• Regular
• Expedited
• UCSD and VA approval
• Share a common IRB committee
• Once UCSD IRB approval acquired, must pass an
  administrative approval by VA RD committee

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Steps to Begin Project

• Idea!!
• Verify the validity and novelty of the idea
• Literature search (PUB MED)
• Key articles (E-journal www.ucsd.edu)
• Establish target journal
• Discuss authorship and work responsibilities
• Study design
• Objective
• Basic materials and methods
• Data analysis
• Good idea to touch base with statistician to be
  sure design is statistically valid
• Paul Clopton (VA extension 3534)
• Write
• According to target journal instructions to
  authors

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Authorship

• If you write and submit the article to the
  journal, you will be the first author
• If you do not submit the article to the journal,
  you WILL NOT be the first author unless
  arrangements have been made and approved by the
  lead author
• With authorship comes the burden of justification
  for your role in a project

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Study Design Cadaveric Projects

• Contact person Deb Trudell (VA extension 7058)
• Protocol Description Worksheet
• Study description
• Specimen request
• MR technique (very specific)
• Imaging time
• Wednesday 9 pm start time
• Sunday 5 pm start time

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Imaging Policy

• All MR images obtained for studies must be put in
  jpeg format the night of imaging, placed in a
  folder on the Neuroradiology PACS station on your
  VA sign in
• Request 2 CDs of the data to be written by Mike
  Olds (leave note on his door)
• One CD for your records which should be placed on
  the Research computer in a folder with the
  project name
• One CD should be submitted to lead author
• Any photographs of gross anatomy/ dissections,
  etc for projects should be placed on the Research
  computer with a CD submitted to lead author

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Meeting Presentation

• Funding for abstract presentation at major
  scientific meetings
• Deadlines
• ARRS October 1, 2006 Deadline
• (Meeting May 6-11, 2007 Orlando)
• SSR October ? deadline
• (Meeting March 2007, Orlando)
• ISMRM ?? Deadline October
• (Meeting May 19-25, 2007 Berlin)
• RSNA April 15
• (Meeting Nov-Dec. 2007, Chicago)
• International Skeletal Society ?? deadline
• (September 2007, Budapest)

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Amil Research

• Radiology projects
• Accessory muscles of the ankle
• Accessory muscle of the wrist or knee
• MR arthroscopic correlation
• Computer projects
• PowerPoint to flash conversion
• Friday conference on the internet
• Resident musculoskeletalradiology curriculum
  online
• Structured reporting MIRC

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Amil Research

• Educational projects
• Fractures
• Arthritis
• Hardware Post op complications
• Incidental findings
• Skeletal scintigraphy

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Tudor Research

• Review article
• Bone within Bone appearance
• HIV Manifestations in MSK
• Periosteal reaction (possible poster)
• MSK findings of illicit drugs (possible poster)
  Rick Arigo
• Radiologic MSK anthropology (possible poster)
• Atlanto occipital atlas dissociation (possible
  poster) Toni Roth
• Fat in tendon sheaths Predictor of adjacent
  fractures (possible poster) Ugne Skripkus
• Foreign bodies (possible poster)
• Rice bodies (possible poster)

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Tudor Research

• Metatarsal head shape (Hamid Torshizy)
• Stress fracture atlas (Luke Hiller)
• C1 CPPD (Luke Hiller)
• Border jumper injuries
• Ligaments that ossify (Post tib fib) /
  Retrospective review of ankle fractures (James
  Chang)
• Cross sectional criteria for protrusio
• Bone formers and THR Does DISH improve
  noncemented THR outcome
• 3D reformats Do these help the orthopedist

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Dons Research

•    SNAC wrist Debra Chang
•    Spring ligament anatomy Dean Bruce

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CBC ResearchWriting

• Chapters
• Post-operative Elbow (Co-Authors Steinbach/
  Beltran/ Morrison/ Chung) Debra Chang
• Post-operative Wrist and Hand (Co-Authors
  Steinbach, Beltran/ Morrison/ Chung) Nick Panchal
  
• Clinical
• Hoffitis in HIV patients
• Torshizy
• MR imaging of the hip
• Hong
• Research
• MR imaging and MR arthrography in cadaveric
  specimens with existing meniscal tears and
  created lesions

Accepted for Publication
Accepted for Publication
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CBC ResearchAnatomic Pathologic Correlation

• 1st MCP anatomy
• Anatomy of the thenar eminence
• Anatomy of the hypothenar eminence
• Reflected Head of Rectus Femoris and Assoc
  Pathology
• Standard MR imaging versus of MR arthrography for
  evaluation of radial and ulnar collateral
  ligament injuries in the thumb (created lesions
  in cadavers)
• MR classification for finger OA
• Aguiar
• DIP and PIP anatomy
• Aguiar
• Muscular attachment to humerus
• Inferior aspect of Intertubercular sulcus
• Posteromedial knee anatomy (bursa)

Accepted Presentation ISS/ RSNA 2006
Accepted Presentation ISS/ RSNA2006
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MSK Imaging Research Group

• Imaging of the Calcified Layers of Cartilage with
  UTE Application
• Multiple phases of data collection/ analysis to
  work toward several goals
• UTE optimization at 3T
• Comparison of UTE to standard clinical sequences
  for evaluation of the deepest layers of cartilage
• Characterization of patterns of OA in the setting
  of deep layer lesions (association with T2
  mapping and dGEMRIC type techniques)
• Clinical applications
• Biomechanical correlation

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Translational Cartilage Research

• Radiology
• Christine Chung (Associate Professor Radiology)
• Graeme Bydder (Professor Radiology)
• Donald Resnick (Professor Radiology)
• Shantanu Sinha (Professor Physics)
• Robert Orth (Radiology Resident)
• Hamid Torshizy (Medical student)
• Richard Znamirowski (MRI technologist)
• Nick Pinto (MRI technologist)
• Deb Trudell (Research assistant and MRI
  technologist)
• Bioengineering
• Robert Sah (Professor Bioengineering)
• Won Bae (Assistant Research Assistant)
• John Lee (NIH funded medical student)

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Translational Cartilage Research

• Orthopedics
• William Bugbee (Assistant Professor Orthopedics)
• Robert Pedowitz (Associate Professor Orthopedics)
• Pathology
• Parviz Haghighi (Professor Pathology)
• Darryl DLima (Director Orthopedic Research
  Center Scripps Clinic)
• Jianfen Chen (Research assistant)
• Statistics
• Tanya Wolfson (Staff Statistician)

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MSK Imaging Research Group

• Lab meetings Wednesdays 3 pm VA conference room
• Physics meetings will begin August
• To follow clinical conference 745 830