Content
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1Mert of the shoulder joint
- 1.1Who should take this test?
- 1.2Indications
- 1.3Contraindications
- 1.4What diseases does the procedure diagnose?
- 1.5How to prepare for the procedure?
- 1.6How does the magnetic shoulder scan?
- 2Mert shoulder joint - prices in Moscow
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3Mert of the shoulder joint
- 3.1Contraindications to NMR
- 3.2Preparation for MRI
- 3.3Method of conducting
- 3.4Interpretation of results
- 3.5Cost of shoulder joint in Moscow
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4Mert of the shoulder joint - which shows the features of the procedure
- 4.1Advantages
- 4.2Indications for MRI of the shoulder joint
- 4.3Contraindications to MRI of the shoulder joint
- 4.4Alternative methods
- 4.5How MRI of the Shoulder Joint
- 4.6Preparation for MRI of the shoulder joint
- 4.7Contrast enhancement
- 4.8Doctor's report
- 4.9The possibility of research for children
- 4.10Where can I make an MRI of the shoulder joint
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5Mert of the humeral joint: how to do what you can find, photo shots
- 5.1To whom is the MRI assigned?
- 5.2How is diagnostics performed?
- 5.3How to prepare for the study
- 5.4Who is contraindicated in the study
Mert of the shoulder joint
Often, for accurate diagnosis of shoulder joint disease, medical examination is not enough, and even X-ray examination can not always give a reliable estimate of joint status.
That is why, most often in this case, Mirt of the shoulder joint is appointed. Magnetic resonance imaging is not only more accurate, but also completely safe, it does not have a radiation load on the human body.
At the same time, this technique is highly informative and allows revealing a variety of pathologies.
Who should take this test?
The shoulder joint can be appointed by any specialist, but most often the direction of the scan is given by a therapist, traumatologist or surgeon.
This procedure is unique in that, with relative safety, you can get the most accurate and reliable results.
This is a universal method of investigation, because during the scan the doctor-diagnostician has an opportunity to assess the condition of both soft and bone tissues in this part of the body.
Indications
- It is used for diseases of cuff-rotators, as well as shoulder ligaments and muscles.
- It is prescribed in case of any injuries of the shoulder joint: domestic, sports or industrial.
- MRI of the shoulder is an indispensable type of diagnosis for such chronic diseases: arthritis, rheumatoid polyarthritis, as well as ankylosing spondylitis and osteoarthritis.
- This procedure is recommended in the event that there are pathological changes in the area of periarticular bags.
- Scanning is indicated with infringement of tendons, as well as nerve endings in the region of the shoulder joint.
- It is used for severe pain in the shoulder, when the cause is unknown.
- It is prescribed for damage to the joints of both the back and front. In this case, a pathological accumulation of fluid in the joint cavity is usually observed.
- This is an indispensable type of diagnosis for suspected neoplasms, including cancer.
- It is used in cancer diseases to assess metastatic lesions in the area of this joint.
Rupture of the joint lip
Contraindications
Despite the fact that this procedure does not have a radiation effect on the body, and it is completely safe, there are a number of conditions under which scanning is not performed:
- Any metal objects or devices that can not be removed for the time of the shoulder joint. Among them: heart valves, neurostimulators, pacemakers, medical shunts, prostheses and implants.
- Contrast scanning is prohibited in cases of heart failure, kidney failure, and allergic reaction to the drug gadolinium.
- It is forbidden to perform the procedure in the early stages of pregnancy, as well as children under the age of seven.
- Do not apply this type of diagnosis to people who are afraid of enclosed space, the exception is scanning in an open type tomograph.
- It is necessary to abandon the procedure to those who have on the body tattoos, painted with paint, which contains metal particles.
What diseases does the procedure diagnose?
- Reveals bursitis, as well as arthritis of the shoulder joint.
- Will detect any degenerative processes on the surface of the joint.
- Diagnoses osteoporosis and Hass disease.
- Will show connective tissue diseases, as well as any joint injuries.
- Will detect any neoplasm, cancer, metastatic tissue damage.
- Identifies foci of infection and inflammation in the joint area.
How to prepare for the procedure?
- When carrying the shoulder joint, the patient will be asked to change into disposable medical clothes, as well as remove all metal ornaments, watches, glasses.
- If scanning is done without contrast, then a special diet will not be required. When using contrast, you should stop eating and drinking five hours before the examination.
- Before contrast MRI it is worth making sure that you are not allergic to the drug gadolinium, it is on its basis usually created a contrast agent.
- Remind the diagnostic doctor of chronic diseases, as well as the fear of enclosed space or possible pregnancy.
- Remember that scanning requires a complete immobility of the person, otherwise the results will be inaccurate. If you doubt that you can lie without moving, you should drink a sedative.
It is worth noting that, in comparison with many alternative methods of research of this area, the Murt of the shoulder joint does not require special preparation.
It can be carried out on the day of appointment, and the patient will not need rehabilitation after it.
How does the magnetic shoulder scan?
- The patient occupies a horizontal position on the apparatus table, its limbs are fixed with fixing straps, and the head with a special roller. These devices will prevent accidental body movements that can distort the research data.
- If necessary, the contrast drug is injected intravenously, it will quickly spread through the system of blood vessels, brighten them, increasing visualization.
- The table moves into the tunnel of the device, magnetic scanning begins.
- The ring of the device moves around the area being scanned, making a multitude of layered images of the joint, which the diagnostician can combine into a single three-dimensional image of the organ under study.
- During the procedure, the patient does not feel anything, no pain, no discomfort.
- Mert of the shoulder joint lasts about half an hour, with a contrast - about twice as large.
- After the study is completed, the patient can leave the office, he can return to the usual routine of the day.
The final step is to wait until the diagnostician prepares the scan results.
Usually it takes no more than an hour, in severe cases it can take a day. Pictures received as a result of the procedure, as well as their interpretation, the patient receives on hands. With them, it is worth to go to the specialist who gave the direction to Mert shoulder joint.
A source: http://SimptoMer.ru/metody/mrt-plechevogo-sustava
Mert shoulder joint - prices in Moscow
- Medical centers, MRT metro station Savyolovskaya, Poltava street, 2, 1-2 floorPrice:
- Magnetic resonance imaging of one shoulder joint
- Magnetic resonance imaging of one shoulder joint
- Magnetic resonance imaging of the cervical spine and one shoulder joint
- Magnetic resonance imaging of the cervical spine and one shoulder joint
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Price:
- A comprehensive study of the cervical spine and shoulder joint ("Pain in the shoulder")
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Price:
- MRI of the shoulder joint of children from 5 years
- Medical centers, MRI m. Nizhegorodskaya, Nizhegorodskaya street, 83c1, 1 floorPrice:
- Magnetic resonance imaging of one shoulder joint
- Magnetic resonance imaging of one elbow joint
- Magnetic resonance imaging of one wrist joint (not including the wrist)
- Magnetic resonance imaging of one hand (not including the wrist joint)
- Price:
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Price:
- MRI of the shoulder joint (1 joint)
- MRI of the shoulder joint (1 joint)
- Price:
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- MRI of 2 paired joints (to choose from): knee, hip, elbow, shoulder
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Price:
- MRI of the shoulder joint (one)
- MRI of the shoulder joint (one)
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- Magnetic resonance imaging of the shoulder joint
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- MRI of two shoulder joints
- Medical centers, MRI The Moscow region, Korolev, Prospekt Kosmonavtov, 3bPrice:
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Price:
- MRI of the joint (knee, ankle, shoulder, elbow, wrist)
- MRI of two joints (knee, ankle, shoulder, elbow, wrist)
- Medical centers, MRI m. Kaluzhskaya, Akademika Chelomeya, 10b, from the metro 10 minutes on foot or 123 shuttles to the stop "4th maternity hospital"Price:
- Price:
- Medical centers, MRI m. Gagarin square, Ordzhonikidze street, 11 building 10Price:
- MRI of the shoulder joint (1 joint)
- MRI of the shoulder joint (1 joint)
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Price:
- Magnetic resonance imaging of the shoulder joint
- Magnetic resonance imaging of 2-brachial joints
- Medical centers, MRI m. Marxist, Vorontsovskaya street, 8c6, entrance from the courtyardPrice:
- MRI (magnetic resonance imaging) of the shoulder joint
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Price:
- Magnetic resonance imaging of the shoulder or elbow joint
- Medical centers, MRI The Moscow region, Mytischi, Mira street, 32A, 1 floorPrice:
- MRI of the shoulder joint with contrast
- MRI of the shoulder joint with contrast
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- Medical centers, MRT m. VDNH, Kasatkina, 3Price:
- MRI of the shoulder joint (one joint)
- MRI of the shoulder joint (one joint)
- Medical centers, MRI The Moscow region, Shchelkovo district, Shchelkovo, Central street, 63, 1 floorPrice:
- Price:
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Price:
- Magnetic resonance imaging of one shoulder joint
- Magnetic resonance imaging of one elbow joint
- Magnetic resonance imaging of one wrist joint
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Price:
- MRI of 2 shoulder joints
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Price:
- Magnetic resonance imaging of the shoulder joint
- Magnetic resonance imaging of 2-brachial joints
- Medical centers, MRI m. Kaluzhskaya, str. Obrucheva, etc. 21APrice:
- Magnetic resonance imaging of one shoulder joint
- Magnetic resonance imaging of one elbow joint
- Magnetic resonance imaging of one wrist joint (not including the wrist)
- Magnetic resonance imaging of one hand (not including the wrist joint)
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Price:
- MRI of the shoulder joint (one joint)
- MRI of the shoulder joint (one joint)
- MRI of the shoulder joint (one joint)
- Price:
- Medical centers, MRI m. Perovo, highway Enthusiasts, 62Price:
- MR imaging of the shoulder joint
A source: https://zoon.ru/msk/m/mrt_plechevogo_sustava/
Mert of the shoulder joint
Mert of the shoulder jointIs a tomographic technique that allows one to investigate the structures that form the humerus, using the phenomenon of magnetic resonance imaging.
It visualizes the overall configuration of the joint, the head of the humerus, the acromial-clavicular junction, the synovial bags, the tendon-ligament apparatus and regional muscles.
MRI reveals fractures, dislocations, autoimmune and inflammatory changes, tumor formations, ruptures and stretching of ligaments and muscles, detachment of tendons, accumulation of synovial effusion and hemorrhagic fluid in the cavity of the joint capsules. If necessary, the study is complemented by intravenous or intra-articular injection of contrast media.
Mert of the shoulder jointIs a tomographic technique that allows one to investigate the structures that form the humerus, using the phenomenon of magnetic resonance imaging.
It visualizes the overall configuration of the joint, the head of the humerus, the acromial-clavicular junction, the synovial bags, the tendon-ligament apparatus and regional muscles.
MRI reveals fractures, dislocations, autoimmune and inflammatory changes, tumor formations, ruptures and stretching of ligaments and muscles, detachment of tendons, accumulation of synovial effusion and hemorrhagic fluid in the cavity of the joint capsules. If necessary, the study is complemented by intravenous or intra-articular injection of contrast media.
Magnetic resonance imaging of the shoulder joint, as a rule, is used in obviously difficult diagnostic situations and when insufficient informativity of widely used imaging methods - ultrasound scanning, radiography and others. Among the diseases and pathological conditions of MRI can be required:
- Shoulder Injuries:fracture of the head of the humerus, dislocation of the shoulder, damage to the ligaments, muscles and tendons. They are accompanied by pain, restriction of movements, defoguration of the joint and its increase in volume, the formation of subcutaneous hematomas. In fractures, there are bone crepitations and pain sensations with axial load.
- Benign and malignant tumors. In the early stages do not cause clinical symptoms. When reaching a significant size can be determined visually, to restrain movement in the shoulder joint, making them painful.
- Deforming osteoarthritis, impingment-syndrome.Are manifested a gradual decrease in the volume of movements in the joint, a violation of its normal configuration, morning stiffness and crunch.
- Rheumatoid arthritisand other autoimmune lesions.They are accompanied by pain, edema of surrounding tissues, decreased mobility of the shoulder and general symptoms - subfebrile condition, decreased appetite, weakness. As a rule, other joints are affected.
- Anomalies of development.Can be congenital or acquired. Are manifested by hyper- or hypoplasia of anatomical structures with preservation or disturbance of movements in the shoulder joint.
- Preparation for surgical treatmentand monitoring its results.Magnetic resonance imaging details the size of pathological formations and their interaction with healthy tissues. This allows you to make the right order of the surgeon's actions during the operation.
Mert of the shoulder joint with intravenous contrast is used for detailed study of blood vessels and differential diagnosis between benign tumors and cancerous tumors. Intra-articular injection of contrast agents in detail visualizes the joint cracks and the cavity of the shoulder joint.
Contraindications to NMR
The method of NMR tomography has limitations in the application, which apply to studies of any anatomical area, including the shoulder joint. These include:
- Metallic foreign bodies. Metalware for osteosynthesis (plates, pins), vascular clips, artificial heart valves and other similar elements implanted in the patient's body are able to shift under the influence of magnetic nuclear radiation, harming others fabrics.
- Electronic devices. Hearing aids, pacemakers and the like can fail under the influence of magnetic waves generated by a tomograph.
- Pregnancy in the first trimester. The effect of NMR on intrauterine fetal development has not been fully studied, therefore, the potential teratogenic effect can not be ruled out.
- Claustrophobia, mental disorders, age 6 years, severe pain syndrome. The inability of patients to maintain a static position throughout the study significantly reduces the quality of the images obtained.
- The need for constant monitoring of vital indicators. The procedure of MR scanning excludes the possibility of carrying out artificial ventilation of the lungs, continuous control of the heart rhythm or intravenous drip administration of drugs.
The use of contrast enhancement during the shoulder joint MG also has certain contraindications. This list includes:
- Allergy to contrast drug. Conducting contrast agents for patients with individual intolerance can cause severe allergic reactions.
- Severe renal insufficiency. Violation of the excretory function of the kidneys leads to a delay in contrast agents in the patient's body.
- Hemolytic anemia, type 2 diabetes mellitus.Contrasting drugs can cause exacerbations of these diseases and seriously worsen the patient's condition.
Preparation for MRI
In order to eliminate the threat to the health of the patient and obtain the most informative pictures, it is recommended to follow certain rules. Preparation of the patient for the passage of Mgr shoulder joint implies:
- Provision of the following medical documentation to the radiologist: referral to the MRI from the attending physician, conclusion related experts, research protocols, excerpts from the case histories and an outpatient card for the main disease.
- Informing the diagnostic doctor about the existing contraindications to MRI.
Patients who are unable to maintain a fixed state during tomography, are assigned sedatives, neuroleptanalgesia or anesthesia is performed. Planning a study with contrast enhancement requires additional preparatory measures:
- Staging of allergens with the injected contrast medium. Its carrying out and obtaining a negative result excludes the development of anaphylactic reactions in the patient during the scan.
- Evaluation of the excretory function of the kidneys. It is required for patients with nephrologic pathologies, in which the ability to excretion decreases. Includes OAM, biochemical blood test, Reberg's test.
- Observance of hunger. 4-6 hours before the introduction of contrast, it is recommended to refrain from eating.
Method of conducting
- The x-ray doctor reassembles anamnesis, clarifies the presence of metallic or electronic implants in the body and explains the course of performing magnetic resonance imaging.
- The patient is taken to a separate locker room, where they are offered to change into a disposable undergarment or a special gown. It is also necessary to remove metal objects - jewelry, removable orthodontic structures, hearing aids, etc.
- Then the patient passes into the room with an MR scanner, lies on the scanner's couch. If necessary, he is administered sedatives or contrast preparations.
- The position of the patient's body inside the scanner lies on the back, head to the magnet, hands lie along the trunk or are slightly turned outward. The palm is placed on the rib with the thumb up. In the armpit and under the elbow are placed rollers. If necessary, the examined hand can be fixed with straps. A flexible or surface RF coil is applied directly to the shoulder, as close as possible to the center of the magnet.
- Depending on the purpose and protocol of the procedure, Mgr of the shoulder joint can last from 20 to 30 minutes.
- The native study is painless, the patient hears only the hum and the clicks that the tomograph emits during the execution of the pictures. The introduction of contrast can be accompanied by mild nausea, dizziness or malaise. These side effects go away on their own several hours later.
- Preparation of the study results takes from 2-3 hours to 1 day. They can include digital media (CD-ROM, USB-drive) with the received tomograms, printed copies, written opinion of a radiologist with a preliminary diagnosis and description pictures.
Interpretation of results
When visualizing the shoulder joint of the shoulder, all regional anatomical formations have definite characteristics.
The head of the humerus is located in the joint cavity, uniform, clearly separated from the surrounding tissues. The cartilage coating is uniformly thick and structured.
In the joint cavity and synovial bags contains a small amount of synovial fluid. Cartilaginous ligament, ligaments and tendons are clearly differentiated, homogeneous, do not contain deformation sites.
The acromial-clavicular connection is displayed as a smooth-walled uniform gap. The muscle fibers on the tomogram have clear contours and a uniform signal.
- Violation of the structural integrity of bones, the formation of fragments, displacement of the joint surfaces relative to each other, their out-of-bounds joint capsule with a rupture of the latter, edema of adjacent tissues, accumulation of blood in the joint - signs of fractures of bones and dislocation of the shoulder the joint.
- Deformation, violation of uniformity and integrity of the beak-acromial, beak-clavicular, humerous ligament, supraspinatus, subacute and subscapular muscles, a long head of the biceps and their tendons, cartilaginous lips indicate traumatic injuries and breaks.
- Formations of different densities, not related to normal anatomical structures of the shoulder joint, indicate the development of tumors. Benign neoplasms have a uniform signal, clear boundaries and a weak degree of vascularization, in While cancer is characterized by germination in neighboring tissues, pronounced angiogenesis and signs of decay in center.
- Degeneration of the cartilage layer, deformation of articular surfaces and disruption of the general configuration of the shoulder joint, the formation of osteophytes is a manifestation of osteoarthritis and impingment syndrome.
- The pronounced increase or decrease in the size of the bones forming the shoulder joint, the hypo- or atrophy of the muscles, deformations of ligaments and tendons or their complete absence characterize congenital or acquired anomalies development.
- Progressive narrowing of the joint gap or ankylosis, a decrease in the signal from the bone structures, an increase in the number of synovial fluid, thickening of the joint capsule - signs of rheumatoid arthritis or other autoimmune diseases of the shoulder the joint.
- A large amount of effusion filling the cavities of subacromial and submandibular synovial bags and increasing the joint capsule in the volume, a thickening of the synovial membrane indicates its inflammation - synovitis.
Cost of shoulder joint in Moscow
On a fee basis, the procedure is carried out by both state and commercial clinics.
The base cost of the research is determined by the tomograph brand, its capacity, type of construction (closed, open), load-carrying capacity of the table.
Usually it also includes the issuance of a medical report and received tomographic images.
In addition, additional payment may be required for the contrast drug taking into account the patient's weight, anesthesia, angiographic and other regimens. When archiving research data on a disk or flash card, issuing duplicates on request, the price of the Mgr shoulder joint in Moscow increases.
In Moscow, the shoulder joint is worth 6605 rubles. (average). The procedure can be completed at 234 addresses.
A source: http://www.krasotaimedicina.ru/treatment/mri-trauma/shoulder-joint
Mert of the shoulder joint - which shows the features of the procedure
- Time spending:60 minutes
- The need for a contrast agent:according to the doctor's testimony
- Necessity of preliminary preparation:no
- Presence of contraindications:Yes
- Limitations:weight - up to 180 kg, waist - no more than 140 cm, waist height - no more than 32 cm
- Time of preparation of the conclusion:30-60 minutes
- Children:from 7 years
To register, ask questions related to the procedure, and clarify the price of MRI of the shoulder joint in our Moscow centers, you can call+7 (495) 363-40-76; information about the cost and any other information is available 24 hours a day.
MRI of the shoulder jointIs a diagnostic study that is used as an additional method for diagnosing diseases and injuries of this joint. The tomography allows to reveal infringements of structure of bones, cartilage, muscles and tendons that allows to establish or install authentically the diagnosis in doubtful cases.
Advantages
MRI does not give a radiation load to the body, so the procedure is allowed to be repeated many times. The device is able to create images of structures in any plane and with the desired magnification.
If you have a question about where to make an MRI of the shoulder joint in Moscow, you can contact our center - we carry out diagnostics on modern high-precision devices with open and closed contours:
- Optima MR360 Advance, General Electric (USA) - closed loop, tension, T;
- Magnetom C, Siemens (Germany) - open circuit, tension, 5 T;
- BrivoMR, General Electric (USA) - closed loop, tension, T;
- Signa Ovation, General Electric (USA) - open circuit, tension, 5 T;
- NT Intera, Philips Medical System (Netherlands) - closed loop, tension, T;
- Magnetom Aera, Siemens (Germany) - closed loop, tension, T;
- Magnetom Verio, Siemens (Germany) - closed loop, 3 T;
- Gyroscan, Philips (Netherlands) - closed loop, tension, T;
- Magnetom Symphony, Siemens (Germany) - closed loop, tension, T;
- Achieva MSG GmBH, Philips (Germany) - closed loop, tension, T;
- Magfinder2, AILAB Co (Korea) - open contour, tension, 2 T;
- Aperto, Hitachi (Japan) - open contour, tension, T;
- Analogic Scientific OpenMark 4000 (USA) - open contour, tension, T;
- Az-300 (Russia) - open circuit, tension, T.
In comparison with other joints, the humerus has a complex structure.
Determine which structures are damaged by the pathological process, and it is sometimes difficult to make a diagnosis.
Thanks to MRI, it is possible to accurately identify the location and condition of all anatomical elements, which helps in diagnosis and treatment.
In some cases, such as joint bleeding or purulent bursitis, MRI helps to avoid invasive (conductive with damage to the skin) research, for example, puncture (puncture) of the joint or arthroscopy.
Indications for MRI of the shoulder joint
- humerus periarthritis (inflammation of the tendons surrounding the shoulder joint);
- arthritis (infectious, rheumatic, allergic, etc.);
- connective tissue diseases with joint damage (rheumatoid arthritis, ankylosing spondylitis, systemic lupus erythematosus);
- bursitis (inflammation of the joint bag);
- suspicion of accumulation of pus or blood in the joint;
- sports and other injuries (rupture of the joint capsule, ligament and tendons, bone fracture in the area of the joint surface, etc.);
- abnormalities of the development of the shoulder joint (hypoplasia, etc.);
- intermittent hydratrosis (periodic accumulation of fluid in the joint cavity);
- habitual dislocation (repeated more than 2 times);
- chronic pain, stiffness and edema of tissues in the shoulder region;
- circulatory disorders of the upper limb;
- tumors and metastases of the joint, periarticular soft tissues and bones;
- suspected infringement of tendons;
- instability of the shoulder joint;
- Hass disease and other osteochondropathies of the shoulder joint.
Contraindications to MRI of the shoulder joint
Examination should not be carried out if there are metal elements in the body: a pacemaker, an insulin pump, vascular clips, etc.
, since the magnetic field created during the operation of the apparatus disrupts the operation of the artificial pacemaker, and the ferromagnet metals move and warm up under the influence of the electromagnetic field.
Titanium dentures and other metal structures, dental implants and braces (ceramic, plastic and polymeric) do not prohibit the MRI, since they are made of materials that do not attract magnet.
With claustrophobia, the procedure is performed on an apparatus with an open circuit or in a medical dream.
For MRI of the shoulder joint with a contrast contraindications are pregnancy and lactation - the drug can have a harmful effect on the fetus and penetrates into breast milk.
The procedure is not indicated for chronic renal failure - in this case, the removal of the drug from the body is disrupted.
Another limitation is the intolerance of contrast medium: it is possible to develop an allergic reaction.
Alternative methods
- computed tomography (CT) or radiography; while clear signs of inflammation or damage will be noticeable almost as distinctly as with MRI. In most cases, the magnetic resonance imaging of the shoulder joint is more reliable and accurate than other methods, however, with suspicion of periarticular fractures, radiographic methods are equivalent.
- ultrasound (ultrasound);
- endoscopic technique - arthroscopy.
How MRI of the Shoulder Joint
Before the procedure, you will have to remove all metal objects from yourself.
Examination is carried out in a horizontal position; hands, chest and head are fixed. The table rides into the ring part of the apparatus, so that the area of the shoulder joints is within the tunnel of the tomograph. During the operation of the device, the ring will rotate around the area under investigation.
When scanning, the device makes a noise, so at the request of the examination you can wear earplugs.
To obtain clear pictures throughout the MRI procedure, you will need to remain still.
If the study is carried out with contrast, the drug is injected into the vein immediately before it is carried out.
MRI is not accompanied by any unpleasant sensations, but if you are so comfortable, during the examination a close person may be near.
Preparation for MRI of the shoulder joint
The procedure is performed without any preliminary preparation. The patient does not need to change the usual way of life, follow a diet or refuse to take his medications.
If you have a procedure, you need to take a doctor's referral, an extract from an outpatient card, pictures of previous examinations or other documents related to the disease.
In our center, the MRI of the shoulder joint can be made without direction.
Contrast enhancement
With tomography, contrast is used in cases where it is necessary to better study all the structures of the upper part of the shoulder.
In the diagnosis of shoulder pathology, contrasted MRI is performed more often than when examining other joints.
Pain, stiffness and other symptoms can occur in many diseases, which requires a very careful study of all anatomical elements. Contrast substance is administered intravenously.
In our clinic we mainly use gadolinium-based products, such as Omniskan, Magnevist. They are low in toxicity, very rarely cause allergies and are quickly eliminated from the body. The contrast passes through the vessels and accumulates in the tissues, thereby allowing them to be better visualized.
Doctor's report
The doctor's report is usually written within an hour, and in difficult cases it is issued the next day.
The patient is given pictures and the description attached to them; with them he returns to the doctor who sent him for examination.
Also, the results can be recorded on an electronic medium or sent to the post office.
If the MRI is performed on the patient's own initiative, they need to be addressed to a specialist for their interpretation:
- injuries and osteochondropathies are usually dealt with by traumatologists;
- When revealing arthrosis or arthritis, depending on its causes, you should consult a rheumatologist (lupus, rheumatoid arthritis) or therapist (rheumatism); Sometimes these diseases require the help of a traumatologist (traumatic arthritis) or a surgeon (purulent bursitis);
- Malignant and benign neoplasms require consultation of an oncologist.
The possibility of research for children
MRI of the shoulder joint can be carried out from the moment the child is able to lie quietly during the study. The conditional age limit is 7 years.
Where can I make an MRI of the shoulder joint
Residents of Moscow can make an MRI of the shoulder joint in all areas of the city:
- Central Administrative District (Central Administrative District);
- SEAD (South-Eastern Administrative District);
- CAO (Northern Administrative District);
- VAO (Eastern Administrative District);
- ZAO (Western Administrative District);
- SZAO (North-Western Administrative District);
- SWAD (South-Western Administrative District);
- NEAD (North-Eastern Administrative District);
- South Administrative District (Southern Administrative District);
- ZelAAO (Zelenograd Administrative District);
- TAO (Troitsky administrative district);
- NAO (Novomoskovsk administrative district).
A source: https://mrt-v-msk.ru/vidy-diagnostiki/mrt-plechevogo-sustava/
Mert of the humeral joint: how to do what you can find, photo shots
Very often patients experience pain in the shoulder and can not determine the cause of the ailment. To the doctor could accurately and fully diagnose the disease, an MRI of the shoulder joint is performed.
As you know, the joints of the shoulder have a difficult build, so a doctor without a photo can not always immediately determine exactly which part is damaged. Radiography allows studying only bone structures.
Magnetic resonance imaging also provides data on the state of all parts of the joints, providing ample opportunities for diagnosis and treatment.
Among the advantages of this method of research are the following features:
- If compared in radiography, the MRI of the shoulder region is absolutely safe and has no negative consequences for the patient.
- In particular, you can get detailed information about the state of cartilage, soft tissues and joints.
- Using the diagnostic method, you can identify both healthy and damaged tissue.
- The doctor has the opportunity to assess how much the injury is extensive and in what area it is located.
- This method is used for both adults and children.
- Invasive intervention in the MRI of the shoulder joint is not required.
- Diagnosis can detect edema and necrosis at the time of the onset of pathology.
To whom is the MRI assigned?
Diagnostic examination is done if the patient experiences severe unbearable pain. Often this method is used if the doctor reveals joint dislocation, arthritis, polyarthritis, osteoarthritis.
Also, the study is appointed if there is a pathology of the periarticular bag, metastasis and any new growth in the joint area is observed. Often, the MRI of the shoulder joint is performed with domestic and sports trauma, with tendon, ligament and muscle disease.
In addition, bone tumor is diagnosed in this way.
Thus, the main indications for magnetic tomography are:
- Severe and persistent pain;
- Tumors and injuries of a sports or household type;
- Presence of chronic arthritis;
- Rupture and tissue damage;
- Rupture of the joint capsule;
- The presence of pinching of the tendon and nerve;
- Shoulder dislocation.
How is diagnostics performed?
MRI of the shoulder joint is carried out with the help of tomographs with a magnetic field of 1.5 T.
This method is convenient because it allows you to conduct research in an oblique coronal, axital and oblique sagittal plane.
Thanks to this, the doctor receives accurate and comprehensive information about the disease.
Before the magnetic tomography should be carefully prepared, remove all clothing with metal parts. The doctor puts the patient on a special table, fixes the body with rollers and belts, ensuring complete immobility.
The platform moves, after which the person is inside a kind of tunnel.
In order for the patient to communicate with the doctor, a special bulb is placed in his hands, on which the feedback button is placed. Inside there is ventilation and lighting.
When examining children or the elderly, it is recommended to come with relatives so that the patient is not afraid of the procedure.
Virtually all diseases have inflammation or trauma. To detect them, you do not need to use contrast enhancement. This rule works with MRI of the knee, shoulder and all others.
To check the mechanical functions of the joints, MRI artography is prescribed, which is a kind of magnetic tomography. It is direct and indirect, the latter option is used for MRI of the shoulder joint.
This method of diagnosis is the introduction of an intravenous contrast agent.
Its volume is calculated based on the patient's body weight.
After this, for twenty minutes the patient has to actively move the shoulder joint to provide the necessary load.
After this, art is carried out, which allows you to get full information about the presence of the inflammatory process and the condition of the joint lip. After the drug enters the blood, the tumor can be easily seen due to the presence of a branched blood network.
How to prepare for the study
- To pass the MRI of the shoulder joint, you need to make an appointment at a medical center.
- It is important before the beginning of the procedure to warn the doctor about the presence of insert implants. Also it is necessary to inform if there is claustrophobia.
- On the examination you need to come in comfortable light clothing, on which there are no metal parts.
- It is necessary to have a doctor's referral, results of early studies, if any, an outpatient card, an extract from the medical history. In particular, it is recommended to take a light robe with you, since the doctor may ask you to change your clothes.
Who is contraindicated in the study
MRI of the shoulder joint is not performed if the following contraindications are present:
- The patient has a hearing aid, a pacemaker or an implant.
- The patient has inadequate behavior, the doctor diagnoses a panic attack or psychomotor agitation.
- Since the table of the device is able to withstand only a certain load, people weighing more than 120 kilograms can not undergo a survey.
- The procedure is not carried out if the patient has metal clips in the vascular region or metal shavings in the eyeball.
- Claustrophobia is the main contraindication to the study.
- Also, magnetic tomography is not performed. If a woman has an intrauterine device.
- During breastfeeding, the procedure is not carried out.
The average cost of the procedure, which is carried out with a device with a capacity of 1.5 T, without the use of a contrast medium, is 2500-5000 rubles. When using contrast, the price increases. Including the amount affects the power of the device used.
A source: http://sustav.info/analizy/tomogramma/mrt-plechevogo-sustava.html