The purpose of this paper was to illustrate the role of diagnostic imaging in superficial and deep fibromatosis through a review of the use of different imaging modalities, including radiography, ultrasound (US), computed tomography (CT), magnetic resonance imaging (MRI), angiography and scintigraphy. In particular, in agreement with published data, it emphasises the crucial role of MRI as the primary modality providing the information needed for management decisions, preoperative planning and follow-up of these lesions.
Klippel-Trenaunay syndrome (KTS) is an uncommon congenital condition, resulting in vascular malformations affecting capillary, venous, and lymphatic systems and bone and/or soft tissue hypertrophy. Magnetic Resonance Angiography (MRA) may be useful in assessing the severity of the disease and for treatment planning. We present two cases of two white men with the typical clinical presentation of Klippel-Trenaunay syndrome i.e. vascular malformations (capillary, venous and lymphatic) and localized bone and/or soft tissues hypertrophy. Splenic hemangiomas were evidenced in both patients and Magnetic Resonance Angiography was helpful in assessing and delineating the abnormal venous drainage system. KTS is a complex disorder whose true prevalence and etiology are still unknown. In most cases the emblematic clinical manifestation consisting in vascular malformations and extremity overgrowth is represented. KTS may be associated with several different conditions including scoliosis and splenic hemangiomas. The presence of the lateral marginal vein (LMV) is pathognomonic. Imaging is fundamental in confirming the diagnosis and for therapeutic strategies. An effective treatment does not exist to date and a multidisciplinary approach is usually required to prevent complications.
Aim: The present study aimed to examine meniscal morphology in an adult population in vivo through computed tomographic images, including research into morphological differences related to osteoarthritis, ageing and the meniscal location within the knee joint and a proposal for a supplementation of the current morphological classification. Materials and Methods: Computed tomographic images of the knee for 118 patients were retrieved from the picture archiving and communication system of our Institute and included in this retrospective study. Each meniscus was subject to manual segmentation and converted into three-dimensional surfaces. The degree of osteoarthritis was determined for both the medial and lateral compartments of the knee. Statistical analysis was performed to search for any morphological difference related to osteoarthritis, ageing or the meniscal location within the knee joint. Furthermore, additional subcategories of the current morphological classification were proposed and applied to each meniscal reconstruction. Results: We did not observe the presence of discoid or Vshaped menisci. No statistically significant difference was found related to osteoarthritis, ageing or the meniscal location within the knee joint. A prevalence of morphological subcategories indicating a symmetry of the width of the anterior and posterior horns, both with rounded shape,
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