Which is better for secondary imaging for shoulder tendinopathy? MRI or Ultrasound?5 answersMRI is recommended as a secondary imaging modality for shoulder tendinopathy. It provides more information about the extent of tendons and has a lower artifact risk. MRI is more sensitive than ultrasound (US) in identifying labral and capsular pathologies. It is also useful in cases where the diagnosis is uncertain on US. However, ultrasound can be considered as a primary modality for imaging rotator cuff pathologies due to its rapid real-time non-invasive cross-sectional imaging of the joint. Ultrasound has high sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) in diagnosing supraspinatus tendon, infraspinatus tendon, biceps tendons, and subscapularis tendons. It is readily available and cost-effective. Ultrasound can be used as a complementary tool to US when MRI is not allowed.
What are the advantages and disadvantages of using opto acoustics ultrasonic medical devices?5 answersOpto-acoustic ultrasonic medical devices have several advantages and disadvantages. One advantage is their ability to scan organs in the human body, such as the cardiovascular system and the heart, from outside the body, providing imaging of the scanned tissue. Another advantage is their use in dentistry, where they offer improved visualization, ease of operation, and precise cutting ability, making them widely used in various dental procedures. Additionally, these devices have a simple structure and are easy to operate. However, there are also some disadvantages. One disadvantage is the potential interference with cardiac pacemakers. Another disadvantage is the low cutting efficiency compared to conventional high-speed or low-speed air-turbine tools in dentistry. It is important to consider these advantages and disadvantages when using opto-acoustic ultrasonic medical devices.
What kind of imaging in facial palsy, mri or ultrasound or botg?5 answersFacial palsy can be evaluated using both MRI and ultrasound imaging techniques. MRI is useful for detecting severe facial nerve damage and can provide information about inflammation and the presence of tumors or other abnormalities. On the other hand, ultrasound is preferred for evaluating superficial soft tissues, such as facial muscles, and can be used for pre-procedure localization of target muscles in cosmetic procedures. Facial nerve ultrasonography has also been found to be useful in the functional and structural assessment of early-stage Bell's palsy. Therefore, both MRI and ultrasound have their own advantages in the imaging of facial palsy, with MRI being more suitable for detecting severe damage and ultrasound being more suitable for evaluating superficial soft tissues and guiding procedures.
What are the pros and cons of breast MRI compared to x ray mammography or dbt?5 answersBreast MRI has several advantages compared to x-ray mammography or DBT. MRI is more accurate in detecting breast cancer, especially in women at high risk. It has a higher detection rate of breast cancer compared to mammography alone, and when used in combination with mammography, it further increases the detection rate. MRI is particularly effective in detecting smaller cancers with less lymph node involvement, leading to improved survival and mortality outcomes. However, there are some drawbacks to MRI screening. MRI is less specific than mammography, which can result in false positives and overestimation of disease. Additionally, the use of MRI in the preoperative setting has not consistently shown improved clinical outcomes, such as lower rates of re-excision or breast cancer recurrence. Despite these drawbacks, MRI is still recommended as the optimum screening modality for women at high risk of breast cancer.
Is there an established advantage of mri over ultrasound in birads 3 breast lesions?3 answersBreast MRI has been shown to have advantages over ultrasound in the evaluation of BIRADS 3 breast lesions. Several studies have demonstrated a high level of agreement between MRI and ultrasound in diagnosing BIRADS 3 lesions, indicating that MRI can be a valuable tool in these cases. MRI has been found to increase the positive predictive value (PPV) and reduce false-positive biopsies when compared to ultrasound. Additionally, MRI has been shown to have a high sensitivity and negative predictive value (NPV) in detecting breast cancer, making it a reliable method for excluding malignancy in BIRADS 4A and 4B lesions. However, it should be noted that the diagnostic performance of MRI can vary depending on the specific technique used, such as dynamic contrast-enhanced MRI (DCE-MRI) or diffusion-weighted imaging (DWI). Overall, breast MRI can provide valuable information in the evaluation of indeterminate breast lesions and help guide clinical decision-making, potentially avoiding unnecessary biopsies and follow-up procedures.
What are the disadvantages of an MRI scan?4 answers