MSK Ultrasound Imaging & Procedures
We are one of the few centers in the country to provide a full range of diagnostic musculoskeletal ultrasound. Ultrasound is an effective guide for procedures such as dry needling/tenotomy/injection /aspiration of joints, bursas, ganglion cysts, muscles and tendons; treatment of "sports hernia," tennis elbow, plantar fasciitis, calcific rotator cuff tendinitis and other chronic conditions.
We have many scanners available to accommodate patient needs and comfort, including 3 Tesla high field and open scanners.
Advanced Sports Imaging — We have pioneered imaging diagnosis of many athletic injuries.
Dynamic Contrast — used to evaluate vascularity of bone and soft tissue.
Contrast can be injected directly into the joint (direct MR arthrograhy) or given intravenously, diffusing over time into the joint (indirect MR arthrography).
Arthrography & Diagnostic/Therapeutic Joint Injection/Aspiration
Arthrography can be combined with CT or MRI. For suspected joint infection, aspiration can be performed. For painful joints anesthetic and steroid can be injected. This technique can also be used if it is unclear whether pain is from the joint.
Multidetector CT (MDCT) markedly improves quality of images, while reducing metal artifact. MDCT is excellent for visualization of bones and soft tissues; 3D images can be obtained.
This is especially useful when there is metal in the region which limits effectiveness of MRI, or when the patient has a contraindication for MRI.
(service provide by the Nuclear Medicine Division)
Includes DEXA, PET scan, PET-CT, bone scan (whole body/three phase), Gallium scan, labeled WBC.
This procedure can be used in planning spine surgery in order to determine which disc is the actual pain generator
Vertebroplasty can be used for treatment of osteoporotic compression fractures as well as other pathology. The cement can stabilize the vertebral body against further collapse and reduced associated pain in 90% of patients within 24-48 hours.
Bone/Soft Tissue Biopsy
We have extensive experience in performing safe, pain-free biopsy of bone and soft tissue lesions and suspected infection. We utilize conscious sedation and imaging guidance to provide patient comfort while accurately localizing the biopsy site and avoiding potential complications.
We perform thermal radiofrequency ablation (destruction) of tumors including osteoid osteomas (benign but painful tumors that affect adolescents and young adults). Most osteoid osteoma patients have complete resolution of symptoms after one week.
Lumbar Nerve Block/Facet Joint Injection
For diagnosis or treatment of lower back or radiating radicular pain.