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Section Summary

MSK knee The musculoskeletal imaging section of OHSU Diagnostic Radiology provides comprehensive evaluation of bones, joints, muscles, and nerves. A complete spectrum of imaging modalities is employed, including MRI, CT, ultrasound, x-ray and fluoroscopy, and all studies are performed on state of the art equipment. We use the latest imaging techniques in order to address the specific concerns of our referring clinicians.

The section also maintains a robust musculoskeletal interventional practice, offering a wide array of services performed on a daily basis. These include fluoroscopic- and CT-guided joint injections; CT-guided spine, pelvic, and extremity bone and soft tissue biopsies; ultrasound-guided biopsies, aspirations, and injections; and CT-guided osteoid osteoma RFA (radiofrequency ablation).MSK heel

All musculoskeletal radiologists are certified by the American Board of Radiology and have completed muscloskeletal fellowships.MSK hand

We work closely with referring clinicians in orthopedic surgery, sports medicine, physical medicine and rehabilitation, rheumatology, and other clinical services and in order to provide the best possible care for our patients. We hold weekly and monthly case conferences with referring clinicians to discuss patient care, imaging findings, and intervention.

COMPREHENSIVE ROUTINE IMAGING SERVICES PROVIDED:

Fracture Imaging
Ligament Imaging
Muscle and Tendon Imaging
Joint Instability Evaluation
Cartilage Evaluation
Rheumatologic Disease Imaging
Spine Alignment Evaluation
Bone and Soft Tissue Tumor Imaging
MR and CT Arthrography
Diagnostic and Therapeutic Joint Injections

ADVANCED IMAGING SERVICES PROVIDED:

Hardware Assessment
Bone Biopsy
Spine Biopsy
Muscle and Other Soft Tissue Biopsy
Osteoid Osteoma RF (Radiofrequency) Ablation
Iliopsoas Bursography
Muscle and Tendon Ultrasound
Imaging of Peripheral Nerves

We offer a one year MSK Imaging fellowship program.

Visit our Fellowship page

In addition to our busy clinical service, the musculoskeletal faculty takes great pride in providing exceptional teaching in the radiology residency program and musculoskeletal radiology fellowship. Direct teaching occurs throughout the day at the workstation and in the procedure suite, complemented by weekly didactic and case conferences. A complete teaching curriculum ensures that our trainees are taught the most current topics and procedural techniques.

We also have several ongoing academic projects including scientific research, educational exhibits, international teaching efforts, and national, regional, and institutional lectures. Recent examples include:

Publications and Abstracts:

  • Signal polarity restoration in a three-dimensional inversion recovery sequence used with delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC). Journal of Magnetic Resonance Imaging.
  • In vivo MRI of fresh stored osteochondral allograft transplantation with delayed gadolinium-enhanced MRI of cartilage: protocol considerations and recommendations. Magnetic Resonance in Medicine.
  • Assessment of fresh osteochondral allograft (OCA) transplants to the distal femur using delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) and zonal T2 mapping at one and two years. Journal of Bone and Joint Surgery (awaiting publication).
  • Wrist MRI: the triangular fibrocartilage complex and scapholunate and lunotriquetral Ligaments. 2013 ARRS Categorical Course: Body MRI. Size-appropriate radiation doses in pediatric body CT: a study of regional community adoption in the United States. Pediatric Radiology, accepted for publication, 2013.

Educational Exhibits:

  • Pigmented villonodular synovitis: a “blooming” topic of discussion. Radiological Society of North America 98th Scientific Assembly and Annual Meeting, 2012.

National Presentations and CME:

  • “Wrist MRI: the TFCC and intrinsic ligaments.” American Roentgen Ray Society Meeting Categorical Course, Washington, DC, 2013.
  • “X-ray: focus on common fractures.” 43rd Annual Primary Care Review, sponsored by Oregon Health & Science University, Portland, Oregon, 2012.
  • “Making sense of the post-op knee.” 2012 Imaging Update in the Rose City, co-sponsored by the Oregon Radiological Society and Oregon Health & Science University, Portland, Oregon, 2012.
  • “Radiology review of the knee.” Orthopedics for Primary Care: The Knee, sponsored by Oregon Health & Science University, Portland, Oregon, 2012.