Musculoskeletal Imaging

Description:

Members of the Musculoskeletal (MSK) Division are responsible for the application and interpretation of all imaging examinations and procedures as they relate to the investigation of disorders of the musculoskeletal system, including bones, joints, and soft tissues.

Activities include:

  • Overseeing and interpreting all imaging examinations encompassing the range of disorders of the musculoskeletal system, including articular, degenerative, metabolic, hematopoietic, infectious, traumatic, vascular, congenital, and neoplastic diseases in both inpatients and outpatients across various imaging modalities including radiography, ultrasonography, computed tomography and magnetic resonance
  • Performing interventional procedures related to the musculoskeletal system including therapeutic injections and image-guided percutaneous biopsy/aspiration techniques under fluoroscopic, sonographic and CT guidance
  • Participating in scheduled conferences including departmental grand rounds, interdisciplinary conferences, peer-review case conferences and/or morbidity and mortality conferences
  • Participating in the supervision and teaching of medical students, residents and fellows

 

Signature MSK programs by site include:

University Hospital:

  • Fowler-Kennedy Sports Medicine Clinics
  • Arthroplasty


St. Joseph’s Health Care

  • Roth-McFarlane Hand and Upper Limb Centre
  • Rheumatology Centre


Victoria Hospital

  • London Regional Cancer Centre
  • Level 1 Trauma Centre
  • Children’s Hospital

 
List of the division members:
Dr. Aashish Goela
Dr. Alison Spouge
Dr. Greg Garvin
Dr. Ian Ross
Dr. Joanne Howey
Dr. Richard Haddad
Dr. Said Osman
Dr. Stephanie Leung
Dr. Stephany Pritchett
Dr. Vishal Kalia

 
List of current fellows under that division:

Dr. Artur Wozniak

Fellowship Information:

The Musculoskeletal Imaging Fellowship is a one-year post-residency training program which aims to provide comprehensive exposure to a broad range of musculoskeletal imaging modalities and procedures.  Fellows will develop skills that will enable them to handle complex musculoskeletal cases and transition to a consultant role in both academic and community practice settings.

For more information, please visit our fellowship website:

https://www.schulich.uwo.ca/medimaging/education/fellowship_programs/musculoskeletal_fellowship.html

 
Current Research:

Association between changes in knee load and effusion-synovitis: evidence of mechano-inflammation in knee osteoarthritis using high tibial osteotomy as a model

Clinical and cost-effectiveness of total hip replacement versus hip arthroscopy in 40-60 year olds with hip osteoarthritis: A randomized trial

Effect of body mass on cementless implant fixation for total knee replacement

Meniscal root repair healing at 2-years following Anterior Cruciate Ligament Reconstruction With or Without a Lateral Extra-Articular Tenodesis

PET/MRI of joint stiffness in total knee arthroplasty

Prevalence of Syndesmophytes in Thoracic Spine: Are they more common than we thought?

Quantitative evaluation of Lateral Articular Cartilage Morphology on Magnetic Resonance Imaging at 2-years following Anterior Cruciate Ligament Reconstruction with or without a Lateral Extra-Articular Tenodesis

Structural Vertebral Endplate Defects: Detection & Characterization on Clinical Imaging and Micro-CT

The Parallel Line Sign - A New MRI Finding Associated with Chronic Sacroiliitis: Prevalence, Characteristics, and Associations

Ultrasound-Guided Botulinum Injections in a Pure Population of Patients with Nonspecific Neurogenic Thoracic Outlet Syndrome: A Retrospective Case Series

Posters and Presentations:

Schulz J, Birmingham T, Maksymowych W, Lambert R, Pritchett S, Beier F, Giffin J, Appleton T. Bone Marrow Lesion Scores in Patients with Knee Osteoarthritis Undergoing Tibial Osteotomy: Reliability and Concurrent Validity of the Knee Inflammation MRI Scoring System (KIMRISS) [abstract]. Arthritis Rheumatol. 2020; 72 (suppl 10).

Schulz J, Birmingham T, Maksymowych W, Lambert R, Pritchett S, Beier F, Giffin J, Appleton T. OP0065 Inter-rater Reliability and Validity of Medial and Lateral Femoral Bone Marrow Lesions in Patients with Osteoarthritis Undergoing Tibial Osteotomy Using the Knee Inflammation MRI Scoring System (KIMRISS). Annals of the Rheumatic Diseases 2020;79:43-44.

Publications:

Hirji Z, Kaicker J, Ariyanayagam TA, Howey J, Choudur HN. Magnetic Resonance Imaging: Marrow Edema Patterns in Chronic Foot Pain. Indian Journal of Musculoskeletal Radiology, 2020 Jun 29; 2 (1): 26-31, DOI: 10.25259/IJMSR_10_2020.

Wang DJ, Alwafi L, Pritchett SL, Wehrli BM, Spouge ARI. The Imaging Spectrum of Synovial Sarcomas: A Pictorial Review From a Single-Centre Tertiary Referral Institution. Canadian Association of Radiologists Journal. February 2020. doi:10.1177/0846537119899284

Xu S, Berkovitz N, Li O, Garvin G, Reduction in Inappropriate MRI Knee Studies After Implementation of an Appropriateness Checklist: Experience at a Tertiary Care Centre, European Journal of Radiology 2020 Feb; 123:108781 (Published online December 10, 2019). doi: https://doi.org/10.1016/j.ejrad.2019.108781

Chen B, Xu Q, Wang L, Leung S, Chung J, Li S. An Automated and Accurate Spine Curve Analysis System. IEEE Trans Med Imaging, 2019 Aug; 7:124596–124605; DOI: 10.1109/ACCESS.2019.2938402.

Choudur HN, Hunjan JS, Howey JM, DeNardi F. Unusual presentation of a dermoid cyst in the ischiorectal fossa. Magnetic resonance imaging and ultrasound appearances. Skeletal Radiol, 2009 Sep 1; 38 (9): 921-4, DOI: 10.1007/s00256-009-0705-y.