Mihra Taljanovic
- Professor Emeritus
- Professor Emerita, Medical Imaging
Contact
- (520) 626-2015
- Steele Mem Chldrn's Rsrch Ctr, Rm. 7352
- Tucson, AZ 85724
- mihrat@radiology.arizona.edu
Awards
- Associate Section Editor Musculoskeletal Radiology
- British Journal of Radiology, Fall 2018
- Invited speaker of Turkish Radiological Society
- Turkish Radiological Society, Fall 2018
- Editorial Council
- Acta Medica Academica, Summer 2018
- AJR Distinguished Reviewer for 2017
- American Journal of Radiology, Spring 2018
- RadioGraphics- Editor’s Recognition Award for reviewing with Distinction
- RadioGraphics, Spring 2018
- RadioGraphics, Spring 2017
- RadioGraphics, Spring 2016
- Radiological Society of North America, Spring 2016
- AJR Distinguished Reviewer for 2016
- American Journal of Radiology, Spring 2017
- Faculty Mentoring Award
- College of Medicine, University of Arizona, Spring 2017
- Skeletal Radiology- Reviewer of Special Distinction for 2016
- Spring 2017
- Skeletal Radiology- Reviewer of Special Distinction for 2017
- Skeletal Radiology, Spring 2017
- Visiting Expert in Musculoskeletal Ultrasound, Invited by Ministry of Health of Singapore
- Ministry of Health of Singapore, Fall 2016
- 2016 RSNA Honored Educator Award
- RSNA, Summer 2016
- Listed as one of the top doctors in Tucson Lifestyle magazine
- Tucson Lifestyle magazine, Summer 2016
- Tucson Lifestyle Magazine Top Doctor
- Tucson Lifestyle Magazine, Summer 2016
- ABR Volunteer Service Award 2015
- American Board of Radiology, Spring 2016 (Award Finalist)
- Skeletal Radiology- Reviewer of Special Distinction for 2015
- Spring 2016
- Skeletal Radiology, Spring 2016
- ABR Volunteer Service Award 2014
- ABR, Spring 2015 (Award Nominee)
- RadioGraphics, Editor’s Recognition Award for reviewing with Distinction in 2014
- RSNA, Spring 2015 (Award Nominee)
Interests
Research
Musculoskeletal Radiology (MR, US, CT, Procedures)General Radiology, Ultrasonography and MRI of the wrist and hand, Ultrasonography and MRI of the ankle, Sonoelastography of the tibialis posterior tendon, Ultrasound in Rheumatology, Shear wave elastography of musculoskeletal system
Courses
2016-17 Courses
-
Diagnostic Radiology
RADI 850A (Spring 2017) -
Research
RADI 800 (Spring 2017) -
Diagnostic Radiology
RADI 850A (Fall 2016)
Scholarly Contributions
Books
- Hunter, T., Taljanovic, M., & Wild, J. (2017). Radiologic Guide to Orthopedic Devices. Cambridge University Press.
Chapters
- Taljanovic, M., & Gimber, L. (2017). Ultrasound Imaging Artifacts. In Pitfalls in Musculoskeletal Radiology(pp XI, 976). Springer International Publishing. doi:10.1007/978-3-319-53496-1More infoPitfalls in Musculoskeletal Radiology, edited by Wilfred CG. Peh.
Journals/Publications
- , E. P., Chang, E. Y., Tadros, A. S., Amini, B., Bell, A. M., Bernard, S. A., Fox, M. G., Gorbachova, T., Ha, A. S., Lee, K. S., Metter, D. F., Mooar, P. A., Shah, N. A., Singer, A. D., Smith, S. E., Taljanovic, M. S., Thiele, R., & Kransdorf, M. J. (2018). ACR Appropriateness Criteria Chronic Ankle Pain. Journal of the American College of Radiology : JACR, 15(5S), S26-S38.More infoChronic ankle pain is a common clinical problem whose cause is often elucidated by imaging. The ACR Appropriateness Criteria for chronic ankle pain define best practices of image ordering. Clinical scenarios are followed by the imaging choices and their appropriateness. The information is in ordered tables with an accompanying narrative explanation to guide physicians to order the right test. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
- , E. P., Fox, M. G., Chang, E. Y., Amini, B., Bernard, S. A., Gorbachova, T., Ha, A. S., Iyer, R. S., Lee, K. S., Metter, D. F., Mooar, P. A., Shah, N. A., Singer, A. D., Smith, S. E., Taljanovic, M. S., Thiele, R., Tynus, K. M., & Kransdorf, M. J. (2018). ACR Appropriateness Criteria Chronic Knee Pain. Journal of the American College of Radiology : JACR, 15(11S), S302-S312.More infoChronic knee pain is a condition that is frequently encountered. Imaging often plays an important role in narrowing down the potential causes and determining the most effective next steps. The ACR Appropriateness Criteria for Chronic Knee Pain provides clinicians with the best practices for ordering imaging examinations. The following narrative and accompanying tables should serve as useful guides to any clinician. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
- Gimber, L. H., Garland, L., Krupinski, E. A., Chadaz, T. S., Schwenk, M., Najafi, B., & Taljanovic, M. S. (2018). Diffusion Tensor Imaging of the Ankle as a Possible Predictor of Chemotherapy Induced Peripheral Neuropathy: Pilot Study. Current problems in diagnostic radiology.More infoChemotherapy induced peripheral neuropathy (CIPN) is seen in up to 75% of treated cancer patients and can drastically limit their medical management and affect quality of life. Clinical and electrodiagnostic testing for CIPN have many pitfalls. Magnetic resonance neurography (MRN) is being increasingly used in the evaluation of peripheral nerves. Diffusion tensor imaging (DTI) shows promise in the workup of peripheral nerves. In this prospective pilot study, we investigated a possible relationship between DTI and peripheral neuropathy of the ankle and foot in cancer patients treated with chemotherapy.
- Hirai Gimber, L., Taljanovic, M. S., Rockov, Z. A., Krupinski, E. A., Chadaz, T. S., & Rogers, L. F. (2018). The Veil of Obscuration: Additional Radiographic Sign of Posterior Shoulder Dislocation. Acta medica academica, 47(2), 165-175.More infoTo describe a new radiographic sign, "veil of obscuration", associated with posterior glenohumeral joint (shoulder) dislocations and determine its incidence and validity compared to other known classic radiographic signs.
- Kim, W., Porrino, J. A., Hood, K. A., Chadaz, T. S., Klauser, A. S., & Taljanovic, M. S. (2018). Clinical Evaluation, Imaging, and Management of Adolescent Idiopathic and Adult Degenerative Scoliosis. Current problems in diagnostic radiology.More infoWe provide a comprehensive review of the clinical presentation, imaging evaluation, classification, and management of adolescent idiopathic and adult degenerative scoliosis.
- Klauser, A. S., Buzzegoli, T., Taljanovic, M. S., Strobl, S., Rauch, S., Teh, J., Wanschitz, J., Löscher, W., & Martinoli, C. (2018). Nerve Entrapment Syndromes at the Wrist and Elbow by Sonography. Seminars in musculoskeletal radiology, 22(3), 344-353.More infoNerve entrapment syndromes of the upper extremity are associated with structural abnormalities or by an intrinsic abnormality of the nerve. Nerve entrapment syndromes generally have a typical clinical presentation, and findings on physical examination and in conjunction with electrodiagnostic studies imaging is used to evaluate the cause, severity, and etiology of the entrapment. With the development of high-frequency linear array transducers (12-24 MHz), ultrasound (US) is incomparable in terms of spatial resolution to depict morphological aspects and changes in nerves. US can identify the abnormalities causing entrapment, such as fibrous bands, ganglia, anomalous muscles, and osseous deformities, with the advantage of dynamic assessment under active and passive examination. US is a unique diagnostic modality that allows superb visualization of both large and small peripheral terminal nerve branches of the upper extremity and enables the correct diagnosis of various nerve entrapment syndromes.
- Mushtaq, R., Nolte, D., Shareef, F., & Taljanovic, M. S. (2018). Diffuse periostitis as the primary presenting radiological finding in an AML patient with disease relapse. Radiology case reports, 13(5), 965-969.More infoAcute myelogenous leukemia is a hematologic malignancy defined by the presence of myeloid blasts causing bone marrow infiltration. Evaluation and workup of acute myelogenous leukemia is based on comprehensive medical history, physical examination, laboratory evaluation, and bone marrow sampling. Magnetic resonance (MR) imaging is the study of choice in the evaluation of this disease including the initial evaluation, treatment follow-up, and complications. Herein, we report a case of relapse of the acute myelogenic leukemia in an adult patient who presented with diffuse periostitis in his lower extremities diagnosed on MR imaging and confirmed on Technetium bone scan, which also showed periostitis along the bilateral humeri. To our knowledge, this was not previously reported in the English literature.
- Taljanovic, M. S., Gimber, L. H., Omar, I. M., Klauser, A. S., Miller, M. D., Wild, J. R., & Chadaz, T. S. (2018). Imaging of Postoperative Infection at the Knee Joint. Seminars in musculoskeletal radiology, 22(4), 464-480.More infoPostoperative infections of the knee are uncommon but may occur with joint arthroplasties, fracture fixation, or after arthroscopic procedures. The ultimate diagnosis is made by joint aspiration or tissue sampling. Joint aspiration and tissue sampling can be performed under imaging guidance or intraoperatively. Imaging is an important adjunct to clinical and laboratory findings and should start with radiographs. Cross-sectional imaging including magnetic resonance (MR) imaging, computed tomography (CT), nuclear studies, and ultrasound (US) are frequently used if the diagnosis is in doubt and to evaluate the extent of disease. We discuss the current algorithm in the diagnosis of various postoperative infections of the knee joint. The article addresses the utility of radiography, MR imaging, CT, US, and the most commonly used nuclear studies in the diagnosis of various postoperative knee infections and the imaging appearances of these infections on each of these diagnostic modalities.
- Champlin, J., Porrino, J., Dahiya, N., & Taljanovic, M. (2017). A Visualization of the Distal Biceps Tendon. PM&R, 9(2), 210-215. doi:10.1016/j.pmrj.2016.10.005
- Gimber, L. H., Melville, D. M., Bocian, D. A., Krupinski, E. A., Del Guidice, M. P., & Taljanovic, M. (2017). Ultrasound Evaluation of Morton Neuroma Before and After Laser Therapy. AJR Am J Roentgenol, 208(2), 380-385. doi:10.2214/AJR.16.16403
- Kani, K., Porrino, J., Dahiya, N., Taljanovic, M., Mulcahy, H., & Chew, F. (2017). A Visualization of the Greater Trochanter and Peritrochanteric Soft Tissues. PM&R, 9(3), 318-324. doi:10.1016/j.pmrj.2016.10.004
- Kani, K., Porrino, J., Dahiya, N., Taljanovic, M., Mulcahy, H., & Chew, F. (2017). Visualization of the Plantar Aponeurosis. PM&R, 9(4), 422-427. doi:10.1016/j.pmrj.2016.10.016
- Kani, K., Porrino, J., Dahiya, N., Taljanovic, M., Mulcahy, H., & Chew, F. (2017). Visualization of the Soft Tissues at the Lateral and Medial Epicondyles of the Elbow. PM&R, 9(5), 533-539. doi:10.1016/j.pmrj.2016.10.017
- Klauser, A. S., Abd Ellah, M., Kremser, C., Taljanovic, M., Schmidle, G., Gabl, M., Cartes-Zumelzu, F., Steiger, R., & Gizewski, E. R. (2017). Carpal tunnel syndrome assessment with diffusion tensor imaging: Value of fractional anisotropy and apparent diffusion coefficient. European radiology.More infoTo quantitatively assess carpal tunnel syndrome (CTS) with DTI by evaluating two approaches to determine cut-off values.
- Klauser, A. S., Pamminger, M. J., Halpern, E. J., Abd Ellah, M. M., Moriggl, B., Taljanovic, M., Deml, C., Sztankay, J., Klima, G., & Jaschke, W. R. (2017). Sonoelastography of the Common Flexor Tendon of the Elbow with Histologic Agreement: A Cadaveric Study. Radiology. Radiology, 283(2), 486-491. doi:10.1148/radiol.2016160139
- Klauser, A. S., Pamminger, M., Halpern, E. J., Abd Ellah, M. M., Moriggl, B., Taljanovic, M. S., Deml, C., Sztankay, J., Klima, G., & Jaschke, W. R. (2017). Extensor tendinopathy of the elbow assessed with sonoelastography: histologic correlation. European radiology, 27(8), 3460-3466.More infoTo compare agreement between conventional B-mode ultrasound (US) and compression sonoelastography (SEL) of the common extensor tendons of the elbow with histological evaluation.
- Rosenberg, M., Groth, J., Taljanovic, M., & Mar, W. A. (2017). Myxoid-round cell liposarcoma: MRI appearance after radiation therapy and relationship to response. Radiology Case Reports, 12(4), 811-814. doi:10.1016/j.radcr.2017.06.017
- Taljanovic, M. S., Gimber, L. H., Klauser, A. S., Porrino, J. A., Chadaz, T. S., & Omar, I. M. (2017). Ultrasound in the Evaluation of Musculoskeletal Soft-Tissue Masses. Seminars in roentgenology, 52(4), 241-254.
- Champlin, J., Porrino, J., Dahiya, N., & Taljanovic, M. (2016). A Visualization of the Distal Biceps Tendon. PM & R : the journal of injury, function, and rehabilitation.
- Dezfuli, B., Taljanovic, M. S., Melville, D. M., Krupinski, E. A., & Sheppard, J. E. (2016). Accuracy of High-Resolution Ultrasonography in the Detection of Extensor Tendon Lacerations. Annals of plastic surgery, 76(2), 187-92.More infoLacerations to the extensor mechanism are usually diagnosed clinically. Ultrasound (US) has been a growing diagnostic tool for tendon injuries since the 1990s. To date, there has been no publication establishing the accuracy and reliability of US in the evaluation of extensor mechanism lacerations in the hand. The purpose of this study is to determine the accuracy of US to detect extensor tendon injuries in the hand.
- Gimber, L. H., Melville, D. M., Bocian, D. A., Krupinski, E. A., Guidice, M. P., & Taljanovic, M. S. (2016). Ultrasound Evaluation of Morton Neuroma Before and After Laser Therapy. AJR. American journal of roentgenology, 1-6.More infoThe objective of our study was to retrospectively assess for differences in imaging appearances of Morton neuromas before and after laser therapy using diagnostic ultrasound (US).
- Gimber, L. H., Melville, D. M., Klauser, A. S., Witte, R. S., Arif-Tiwari, H., & Taljanovic, M. S. (2016). Artifacts at Musculoskeletal US: Resident and Fellow Education Feature. Radiographics : a review publication of the Radiological Society of North America, Inc, 36(2), 479-80.
- Kani, K., Porrino, J., Dahiya, N., Taljanovic, M., Mulcahy, H., & Chew, F. (2016). A Visualization of the Greater Trochanter and Peritrochanteric Soft Tissues. PM & R : the journal of injury, function, and rehabilitation.
- Kani, K., Porrino, J., Dahiya, N., Taljanovic, M., Mulcahy, H., & Chew, F. (2016). Visualization of the Plantar Aponeurosis. PM & R : the journal of injury, function, and rehabilitation.
- Kani, K., Porrino, J., Dahiya, N., Taljanovic, M., Mulcahy, H., & Chew, F. (2016). Visualization of the Soft Tissues at the Lateral and Medial Epicondyles of the Elbow. PM & R : the journal of injury, function, and rehabilitation.
- Klauser, A. S., Pamminger, M. J., Halpern, E. J., Abd Ellah, M. M., Moriggl, B., Taljanovic, M. S., Deml, C., Sztankay, J., Klima, G., Gruber, L., & Jaschke, W. R. (2016). Sonoelastography of the Common Flexor Tendon of the Elbow with Histologic Agreement: A Cadaveric Study. Radiology, 160139.More infoPurpose To determine the correlation of the results of conventional B-mode ultrasonography (US) and compression sonoelastography with histologic results in common flexor tendons of the elbow in human cadavers. Materials and Methods Twenty-five common flexor tendons were evaluated in 16 fresh, unembalmed cadavers of 11 women with a median age of 85 years (range, 71-101 years) and five men with a median age of 78 years (range, 70-88 years). Informed consent was provided according to the last will of the donors. B-mode US results were classified as grade 1, normal tendon with homogeneous fibrillar pattern; grade 2, tendon thickening or hypoechoic areas and/or calcifications in less than 30% of the tendon; or grade 3, hypoechoic areas and/or calcifications greater than 30% of the tendon. Sonoelastographic results were grade 1, blue (hardest) to green (hard); grade 2, yellow (soft); and grade 3, red (softest). The intraclass correlation coefficient was calculated to determine agreement with histologic findings for each B-mode US, sonoelastographic, and combined B-mode US and sonoelastographic examination. Histologic results were grade 1, normal, with parallel fibrillar pattern; grade 2, mild tendinopathy, with cellular infiltration, angiogenesis, or fatty vacuoles; or grade 3, severe tendinopathy, with loss of parallel collagen structure and necrosis. Results Histologic alterations were detected in 44% (11 of 25) of biopsy specimens. Intraclass correlation with histologic results was 0.57 for B-mode US, 0.68 for sonoelastography, and 0.84 for the combination of the two approaches. Conclusion The addition of sonoelastography to B-mode US provided statistically significant improvement in correlation with histologic results compared with the use of B-mode US alone (P < .02). (©) RSNA, 2016 Online supplemental material is available for this article.
- Melville, D. M., Mohler, J., Fain, M., Muchna, A. E., Krupinski, E., Sharma, P., & Taljanovic, M. S. (2016). Multi-parametric MR imaging of quadriceps musculature in the setting of clinical frailty syndrome. Skeletal radiology.More infoFrailty is a common geriatric syndrome associated with loss of skeletal muscle mass (sarcopenia) conferring an increased risk of rapid decline in health and function with increased vulnerability to adverse outcomes. The purpose of this study was to investigate the correlation between diffusion tensor, T2 and intramuscular fat content values of the quadriceps muscle group and clinical frailty status using diffusion tensor MR imaging.
- Taljanovic, M. S., Alcala, J. N., Gimber, L. H., Rieke, J. D., Chilvers, M. M., & Latt, L. D. (2016). High-resolution US and MR imaging of peroneal tendon injuries--erratum. Radiographics : a review publication of the Radiological Society of North America, Inc, 35(2), 651.
- Taljanovic, M. S., Alcala, J. N., Gimber, L. H., Rieke, J. D., Chilvers, M. M., & Latt, L. D. (2016). High-resolution US and MR imaging of peroneal tendon injuries. Radiographics : a review publication of the Radiological Society of North America, Inc, 35(1), 179-99.More infoInjuries of the peroneal tendon complex are common and should be considered in every patient who presents with chronic lateral ankle pain. These injuries occur as a result of trauma (including ankle sprains), in tendons with preexisting tendonopathy, and with repetitive microtrauma due to instability. The peroneus brevis and peroneus longus tendons are rarely torn simultaneously. Several anatomic variants, including a flat or convex fibular retromalleolar groove, hypertrophy of the peroneal tubercle at the lateral aspect of the calcaneus, an accessory peroneus quartus muscle, a low-lying peroneus brevis muscle belly, and an os peroneum, may predispose to peroneal tendon injuries. High-resolution 1.5-T and 3-T magnetic resonance (MR) imaging with use of dedicated extremity coils and high-resolution ultrasonography (US) with high-frequency linear transducers and dynamic imaging are proved to adequately depict the peroneal tendons for evaluation and can aid the orthopedic surgeon in injury management. An understanding of current treatment approaches for partial- and full-thickness peroneal tendon tears, subluxation and dislocation of these tendons with superior peroneal retinaculum (SPR) injuries, intrasheath subluxations, and peroneal tendonopathy and tenosynovitis can help physicians achieve a favorable outcome. Patients with low functional demands do well with conservative treatment, while those with high functional demands may benefit from surgery if nonsurgical treatment is unsuccessful. Radiologists should recognize the normal anatomy and specific pathologic conditions of the peroneal tendons at US and MR imaging and understand the various treatment options for peroneal tendon and SPR superior peroneal retinaculum injuries. Online supplemental material is available for this article.
- Taljanovic, M. S., Goldberg, M. R., Sheppard, J. E., & Rogers, L. F. (2016). US of the intrinsic and extrinsic wrist ligaments and triangular fibrocartilage complex--normal anatomy and imaging technique. Radiographics : a review publication of the Radiological Society of North America, Inc, 31(1), e44.More infoInjuries of the intrinsic and extrinsic wrist ligaments can lead to chronic wrist pain and carpal instability, while injuries of the triangular fibrocartilage complex are a frequent cause of ulnar-sided wrist pain. Currently, magnetic resonance (MR) arthrography is the preferred imaging modality for the evaluation of these structures, but good results can also achieved with MR imaging without preceding arthrography and computed tomographic (CT) arthrography. Promising results have been published on ultrasonography (US) and sonoarthrography of the intrinsic wrist ligaments and the triangular fibrocartilage complex and on US of the majority of extrinsic wrist ligaments. Visualization of these structures can be achieved by using high-frequency linear transducers. US has the advantages of MR imaging and MR arthrography: lower cost, no known contraindication for imaging, and real-time technique with possible dynamic evaluation. This technique does not require imaging guided intraarticular injection of contrast medium prior to MR arthrography or CT arthrography and does not use ionizing radiation; however, US is operator dependent, which can be compensated for by using standardized imaging techniques. Supplemental material available at http://radiographics.rsna.org/lookup/suppl/doi:10.1148/rg.e44/-/DC1.
- Taljanovic, M. S., Hunter, T. B., Miller, M. D., & Sheppard, J. E. (2016). Gallery of medical devices: part 1: orthopedic devices for the extremities and pelvis. Radiographics : a review publication of the Radiological Society of North America, Inc, 25(3), 859-70.
- Taljanovic, M. S., Jones, M. D., Hunter, T. B., Benjamin, J. B., Ruth, J. T., Brown, A. W., & Sheppard, J. E. (2016). Joint arthroplasties and prostheses. Radiographics : a review publication of the Radiological Society of North America, Inc, 23(5), 1295-314.More infoJoint arthroplasty is the most frequently performed orthopedic procedure after fracture fixation. The major indications for any joint replacement are degenerative joint disease, inflammatory arthropathy, avascular necrosis, and complicated fractures. The major contraindications for any joint arthroplasty are systemic and joint infection and a neuropathic joint. The interpretation of radiographs in cases of joint arthroplasty is a significant part of many radiology practices, and correct recognition of the prosthetic devices and their complications by the radiologist is important. The article reviews the most common types of joint arthroplasties and prostheses of the upper and lower extremities and discusses the most frequent complications associated with their placement.
- Taljanovic, M. S., Jones, M. D., Ruth, J. T., Benjamin, J. B., Sheppard, J. E., & Hunter, T. B. (2016). Fracture fixation. Radiographics : a review publication of the Radiological Society of North America, Inc, 23(6), 1569-90.More infoThe basic goal of fracture fixation is to stabilize the fractured bone, to enable fast healing of the injured bone, and to return early mobility and full function of the injured extremity. Fractures can be treated conservatively or with external and internal fixation. Conservative fracture treatment consists of closed reduction to restore the bone alignment. Subsequent stabilization is then achieved with traction or external splinting by slings, splints, or casts. Braces are used to limit range of motion of a joint. External fixators provide fracture fixation based on the principle of splinting. There are three basic types of external fixators: standard uniplanar fixator, ring fixator, and hybrid fixator. The numerous devices used for internal fixation are roughly divided into a few major categories: wires, pins and screws, plates, and intramedullary nails or rods. Staples and clamps are also used occasionally for osteotomy or fracture fixation. Autogenous bone grafts, allografts, and bone graft substitutes are frequently used for the treatment of bone defects of various causes. For infected fractures as well as for treatment of bone infections, antibiotic beads are frequently used.
- Taljanovic, M. S., Melville, D. M., Gimber, L. H., Scalcione, L. R., Miller, M. D., Kwoh, C. K., & Klauser, A. S. (2016). High-Resolution US of Rheumatologic Diseases. Radiographics : a review publication of the Radiological Society of North America, Inc, 35(7), 2026-48.More infoFor the past 15 years, high-resolution ultrasonography (US) is being routinely and increasingly used for initial evaluation and treatment follow-up of rheumatologic diseases. This imaging technique is performed by using high-frequency linear transducers and has proved to be a powerful diagnostic tool in evaluation of articular erosions, simple and complex joint and bursal effusions, tendon sheath effusions, and synovitis, with results comparable to those of magnetic resonance imaging, excluding detection of bone marrow edema. Crystal deposition diseases including gouty arthropathy and calcium pyrophosphate deposition disease (CPPD) have characteristic appearances at US, enabling differentiation between these two diseases and from inflammatory arthropathies. Enthesopathy, which frequently accompanies psoriatic and reactive arthritis, also has a characteristic appearance at high-resolution US, distinguishing these two entities from other inflammatory and metabolic arthropathies. The presence of Doppler signal in examined joints, bursae, and tendon sheaths indicates active synovitis. Microbubble echo contrast agents augment detection of tissue vascularity and may act in the future as a drug delivery vehicle. Frequently, joint, tendon sheath, and bursal fluid aspirations and therapeutic injections are performed under US guidance. The authors describe the high-resolution US technique including gray-scale, color or power Doppler, and contrast agent-enhanced US that is used in evaluation of rheumatologic diseases of the wrist and hand and the ankle and foot in their routine clinical practice. This article demonstrates imaging findings of normal joints, rheumatoid arthritis, gouty arthritis, CPPD, psoriatic and reactive arthritis, and osteoarthritis. (©)RSNA, 2015.
- Vasilevska Nikodinovska, V., Gimber, L. H., Hardy, J. C., & Taljanovic, M. S. (2016). The Collateral Ligaments and Posterolateral Corner: What Radiologists Should Know. Seminars in musculoskeletal radiology, 20(1), 52-64.More infoLigamentous and tendinous structures of the posterolateral corner of the knee provide important static and dynamic stability to the knee joint and act in conjunction with anterior and posterior cruciate ligaments. Injuries of these structures are not uncommon. Failure to treat posterolateral corner injuries leads to posterolateral instability of the knee and subsequently poor outcome of cruciate ligament reconstructions. Currently, MRI is the diagnostic modality of choice in the evaluation of posterolateral corner injuries of the knee. We review normal MR imaging anatomy of the complex anatomical structures of the posterolateral corner of the knee, their biomechanical function, injuries, and current treatment options.
- Gao, L., Yuan, J. S., Heden, G. J., Szivek, J. A., Taljanovic, M. S., Latt, L. D., & Witte, R. S. (2015). Ultrasound elasticity imaging for determining the mechanical properties of human posterior tibial tendon: a cadaveric study. IEEE transactions on bio-medical engineering, 62(4), 1179-84.More infoPosterior tibial tendon dysfunction (PTTD) is a common degenerative condition leading to a severe impairment of gait. There is currently no effective method to determine whether a patient with advanced PTTD would benefit from several months of bracing and physical therapy or ultimately require surgery. Tendon degeneration is closely associated with irreversible degradation of its collagen structure, leading to changes to its mechanical properties. If these properties could be monitored in vivo, they could be used to quantify the severity of tendonosis and help determine the appropriate treatment. The goal of this cadaveric study was, therefore, to develop and validate ultrasound elasticity imaging (UEI) as a potentially noninvasive technique for quantifying tendon mechanical properties. Five human cadaver feet were mounted in a materials testing system (MTS), while the posterior tibial tendon (PTT) was attached to a force actuator. A portable ultrasound scanner collected 2-D data during loading cycles. Young's modulus was calculated from the strain, loading force, and cross-sectional area of the PTT. Average Young's modulus for the five tendons was (0.45 ± 0.16 GPa) using UEI, which was consistent with simultaneous measurements made by the MTS across the whole tendon (0.52 ± 0.18 GPa). We also calculated the scaling factor (0.12 ± 0.01) between the load on the PTT and the inversion force at the forefoot, a measurable quantity in vivo. This study suggests that UEI could be a reliable in vivo technique for estimating the mechanical properties of the PTT, and as a clinical tool, help guide treatment decisions for advanced PTTD and other tendinopathies.
- Gimber, L. H., Scalcione, L. R., Rowan, A., Hardy, J. C., Melville, D. M., & Taljanovic, M. S. (2015). Multiligamentous injuries and knee dislocations. Skeletal radiology, 44(11), 1559-72.More infoComplex capsular ligamentous structures contribute to stability of the knee joint. Simultaneous injury of two or more knee ligaments, aside from concurrent tears involving the anterior cruciate and medial collateral ligaments, is considered to be associated with femorotibial knee dislocations. Proximal tibiofibular joint dislocations are not always easily recognized and may be overlooked or missed. Patellofemoral dislocations can be transient with MR imaging sometimes required to reach the diagnosis. In this article, the authors describe the mechanism of injury, ligamentous disruptions, imaging, and treatment options of various types of knee dislocations including injuries of the femorotibial, proximal tibiofibular, and patellofemoral joints.
- Klauser, A. S., Abd Ellah, M. M., Halpern, E. J., Sporer, I., Martinoli, C., Tagliafico, A., Sojer, M., Taljanovic, M. S., & Jaschke, W. R. (2015). Meralgia paraesthetica: Ultrasound-guided injection at multiple levels with 12-month follow-up. European radiology.More infoTo evaluate the efficacy of ultrasound (US)-guided injections around the lateral femoral cutaneous nerve (LFCN) at different levels in meralgia paraesthetica (MP) patients.
- Klauser, A. S., Sailer-Hoeck, M., Abdellah, M. M., Taljanovic, M. S., Siedentopf, C., Auer, T., Brunner, J., & Jaschke, W. R. (2015). Feasibility of Ultrasound-Guided Sacroiliac Joint Injections in Children Presenting with Sacroiliitis. Ultraschall in der Medizin (Stuttgart, Germany : 1980).More infoPurpose: To evaluate the feasibility and effectiveness of US-guided sacroiliac joint injection in the treatment of sacroiliitis in children. Materials and Methods: This study was approved by the institutional review board and informed oral and written consent was obtained from the patients and their parents. In 13 patients (7 females and 6 males), 9 - 16 years (mean +/- std 11.39 +/-1.98), 18 sacroiliac joint (SI joint) injections were performed under US guidance. All patients suffered from severe sacroiliitis. US scanning was performed using a linear-array transducer operating at 5 - 18 MHz. Rating of the patients pain using a 0 - 10 dolorimetry scale on a visual analog score (VAS) was recorded before, immediately after and 3 months after injection to monitor severity and therapeutic response. Results: Injection could be performed in all patients without complication and showed good response immediately and 3 months after the injection with a decrease of the VAS (from mean +/- std 9.44 +/- 1.097 to 3.89 +/- 3.82, p
- Melville, D. M., Taljanovic, M. S., Scalcione, L. R., Eble, J. M., Gimber, L. H., DeSilva, G. L., & Sheppard, J. E. (2015). Imaging and management of thumb carpometacarpal joint osteoarthritis. Skeletal radiology, 44(2), 165-77.More infoPrimary osteoarthritis (OA) involving the thumb carpometacarpal (CMC) joint is a common and frequently debilitating disease. Clinical examination and radiographs are usually sufficient for diagnosis; however, familiarity with the cross-sectional anatomy is useful for diagnosis of this condition. The most widely used classification system for the radiographic staging of thumb carpometacarpal joint OA was first presented by Eaton and Littler, ranging from mild (stages I and II) to severe (stage IV) disease. If conservative treatment fails, surgical treatment is considered. A variety of surgical techniques have been developed and implemented for the management of this pervasive and disabling condition. The purpose of this article is to review the anatomy of the basal joints of the thumb, pathophysiology, preoperative imaging, and various surgical techniques that are utilized in the treatment of OA of the basal joints of the thumb with emphasis on normal postoperative radiographic findings and possible postoperative complications.
- Taljanovic, M. S., Gimber, L. H., Becker, G. W., Latt, L. D., Klauser, A. S., Melville, D. M., Gao, L., & Witte, R. S. (2015). Shear-Wave Elastography: Basic Physics and Musculoskeletal Applications. Radiographics : a review publication of the Radiological Society of North America, Inc, 37(3), 855-870.More infoIn the past 2 decades, sonoelastography has been progressively used as a tool to help evaluate soft-tissue elasticity and add to information obtained with conventional gray-scale and Doppler ultrasonographic techniques. Recently introduced on clinical scanners, shear-wave elastography (SWE) is considered to be more objective, quantitative, and reproducible than compression sonoelastography with increasing applications to the musculoskeletal system. SWE uses an acoustic radiation force pulse sequence to generate shear waves, which propagate perpendicular to the ultrasound beam, causing transient displacements. The distribution of shear-wave velocities at each pixel is directly related to the shear modulus, an absolute measure of the tissue's elastic properties. Shear-wave images are automatically coregistered with standard B-mode images to provide quantitative color elastograms with anatomic specificity. Shear waves propagate faster through stiffer contracted tissue, as well as along the long axis of tendon and muscle. SWE has a promising role in determining the severity of disease and treatment follow-up of various musculoskeletal tissues including tendons, muscles, nerves, and ligaments. This article describes the basic ultrasound physics of SWE and its applications in the evaluation of various traumatic and pathologic conditions of the musculoskeletal system. ©RSNA, 2017.
- Taljanovic, M., Abd ellah, M. M., Debbage, P., Jaschke, W., & Klauser, A. S. (2015). Future of Musculoskeletal Ultrasound. Current Radiology Reports.
- Taljanovic, M., Klauser, A., Scalcione, L. R., Gimber, L. H., Kwoh, C. K., & Miller, M. D. (2015). High-Resolution Ultrasound of Rheumatologic Diseases. Radiographics, 35(7), 2026-48.
- Taljanovic, M., Melville, D. M., Klauser, A. S., Latt, L. D., Arif-Tiwari, H., Gao, L., & Witte, R. S. (2015). Advances in Lower Extremity Ultrasound. Current Radiology Reports, 3(6).
- Taljanovic, M., Melville, D., & Del Giudice, M. (2015). Advances in Upper Extremity Musculoskeletal Ultrasound. Current Radiology Reports, 3(4).
- Davis, M. A., Scalcione, L. R., Gimber, L. H., Thompson, R. B., Avery, R. J., & Taljanovic, M. S. (2014). Paget sarcoma of the pelvic bone with widespread metastatic disease on radiography, CT, MRI, and 18F-FDG PET/CT with pathologic correlation. Clinical nuclear medicine, 39(4), 371-3.More infoWe report a case of Paget sarcoma of the left superior pubic ramus and disseminated metastatic disease in a 70-year-old man. Paget disease of the left hemipelvis with malignant degeneration in the region of the left superior pubic ramus was initially diagnosed on radiographs. Subsequent CT, MRI, PET/CT imaging, and CT-guided biopsy confirmed the diagnosis and showed extensive left-sided pelvic and abdominal lymphadenopathy with widespread metastatic disease to liver, spleen, and lungs.
- Farrow, L. D., Mahoney, A. P., Sheppard, J. E., Schickendantz, M. S., & Taljanovic, M. S. (2014). Sonographic assessment of the medial ulnar collateral ligament distal ulnar attachment. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 33(8), 1485-90.More infoThe purpose of this study was to determine whether the long distal attachment of the medial ulnar collateral ligament (MUCL) can be delineated on sonography.
- Gilbertson-Dahdal, D., Wright, J. E., Krupinski, E., McCurdy, W. E., & Taljanovic, M. S. (2014). Transphyseal involvement of pyogenic osteomyelitis is considerably more common than classically taught. AJR. American journal of roentgenology, 203(1), 190-5.More infoRadiologists are taught that pyogenic osteomyelitis in children rarely crosses the growth plate because terminal vessels of nutrient arteries loop at the physis, predisposing the metaphysis to hematogenous infection. However, we note that MRI frequently shows osteomyelitis involving both sides of the physis. The purpose of this article is to document our observation that pyogenic osteomyelitis crosses the growth plate more frequently in the pediatric patient population than is classically taught.
- Scalcione, L. R., Gimber, L. H., Ho, A. M., Johnston, S. S., Sheppard, J. E., & Taljanovic, M. S. (2014). Spectrum of carpal dislocations and fracture-dislocations: imaging and management. AJR. American journal of roentgenology, 203(3), 541-50.More infoThe objectives of this article are to discuss the imaging of carpal dislocations and fracture-dislocations and to review the ligamentous anatomy of the wrist, mechanisms of injury, and routine management of these injuries.
- Taljanovic, M. S., Melville, D. M., Scalcione, L. R., Gimber, L. H., Lorenz, E. J., & Witte, R. S. (2014). Artifacts in musculoskeletal ultrasonography. Seminars in musculoskeletal radiology, 18(1), 3-11.More infoDuring the past 2 decades, high-resolution ultrasonography (US) has been increasingly utilized in the diagnosis of musculoskeletal trauma and diseases with results comparable with MR imaging. US has an advantage over other cross-sectional modalities in many circumstances due to its superior spatial resolution and ability to allow dynamic assessment. When performing musculoskeletal US, the examiner has to be knowledgeable in the complex anatomy of the musculoskeletal system and US imaging technique. Additionally, he or she must be familiar with several common imaging artifacts in musculoskeletal US that may be mistaken for pathology, as well as several artifacts that frequently accompany pathologic conditions. These artifacts may occur with both B-mode gray-scale and Doppler imaging. In this article, we discuss common artifacts seen in musculoskeletal US and techniques to avoid or minimize these artifacts during clinical US examinations.
- Teh, J., Taljanovic, M. S., & Monu, J. (2014). International Skeletal Society outreach 2013: Rwanda. Skeletal radiology, 43(5), 563-5.More infoIt has been almost 20 years since the horrific events of the Rwandan genocide. Since that time, the country has made a remarkable recovery owing to good government and a great deal of aid. Health-care services are well organized, but remain short of resources and expertise. Musculoskeletal imaging (and treatment) is in its infancy. Given the huge strides that have been made in social order and stability, there is great hope for the future. It is proposed that future International Skeletal Society (ISS) outreach programs plan to make a meaningful commitment to developing expertise in specific hospitals.
- Ng, A. W., Griffith, J. F., Taljanovic, M. S., Li, A., Tse, W. L., & Ho, P. C. (2013). Is dynamic contrast-enhanced MRI useful for assessing proximal fragment vascularity in scaphoid fracture delayed and non-union?. Skeletal radiology, 42(7), 983-92.More infoTo assess dynamic contrast-enhanced magnetic resonance imaging (DCE MRI) as a measure of vascularity in scaphoid delayed-union or non-union.
- Nissim, L., Krupinski, E., Hunter, T., & Taljanovic, M. (2013). Exposure to, understanding of, and interest in interventional radiology in American medical students. Academic radiology, 20(4), 493-9.More infoThe purposes of this study were to determine the degree to which medical students are exposed to interventional radiology (IR) in medical school, to assess their knowledge of the field, and to gauge their interest in IR as a career choice.
- Monu, J. U., Kopakopa, D., & Taljanovic, M. (2012). ISS outreach Sub-Saharan Africa: Zambia 2011. Skeletal radiology, 41(12), 1493-4.
- Monu, J. U., Muyinda, Z., & Taljanovic, M. (2012). ISS outreach sub-Saharan Africa insight: Uganda 2011. Skeletal radiology, 41(11), 1347-8.
- Szeyko, L. A., Taljanovic, M. S., Dzioba, R. B., Rapiejko, J. L., & Adam, R. D. (2012). Vertebral coccidioidomycosis: presentation and multidisciplinary management. The American journal of medicine, 125(3), 304-14.More infoVertebral involvement is a severe complication of infection caused by Coccidioides species.
- Taljanovic, M. S., Karantanas, A., Griffith, J. F., DeSilva, G. L., Rieke, J. D., & Sheppard, J. E. (2012). Imaging and treatment of scaphoid fractures and their complications. Seminars in musculoskeletal radiology, 16(2), 159-73.More infoThe scaphoid is the most commonly fractured carpal bone, with frequent complications that are predisposed by its anatomical location, anatomical configuration (shape and length), and vascular supply. The most common mechanism of injury is a fall onto an outstretched hand. Imaging plays a significant role in the initial evaluation and treatment of scaphoid fractures and their complications. Radiography should be the first imaging modality in the initial evaluation and follow-up of scaphoid fractures. Computed tomography with its superb spatial resolution enables better visualization and characterization of the fracture line, and the amount of displacement and angulation of the fracture fragments. Using the metal reduction artifact with computed tomography allows good follow-up of scaphoid fractures despite surgical hardware. Magnetic resonance imaging without contrast is the imaging modality of choice for depiction of radiographically occult scaphoid fracture, bone contusion, and associated soft tissue injury; contrast-enhanced imaging aids assessment of scaphoid fracture nonunion, osteonecrosis, fracture healing after bone grafting, and revitalization of the necrotic bone after bone grafting. Proper identification and classification of scaphoid fracture and its complications is necessary for appropriate treatment. This article describes the normal anatomy, mechanism of injury, and classification of stable and unstable fractures, together with the imaging and treatment algorithm of scaphoid fractures and their complications with an emphasis on magnetic resonance imaging.
- Taljanovic, M. S., Malan, J. J., & Sheppard, J. E. (2012). Normal anatomy of the extrinsic capsular wrist ligaments by 3-T MRI and high-resolution ultrasonography. Seminars in musculoskeletal radiology, 16(2), 104-14.More infoThe anatomy of the extrinsic capsular wrist ligaments is complex. These ligaments are probably as important as the intrinsic interosseous ligaments for the maintenance of carpal stability. The extrinsic capsular wrist ligaments are frequently divided into dorsal, palmar, and collateral depending on their anatomical location. They have known origin and attachment sites with recognized anatomical variants. However, there is controversy in the literature related to their anatomy and nomenclature. In the past two decades, imaging has gained an important role in the evaluation of the extrinsic capsular wrist ligaments. Both 1.5-T magnetic resonance imaging (MRI) and magnetic resonance arthrography can provide good evaluation of the extrinsic capsular wrist ligaments; 3-T MRI with improved resolution provides better visualization of the same anatomical structures. Ultrasonography using high-resolution linear transducers allows good visualization of the extrinsic capsular wrist ligaments with results that are comparable with MRI. This article describes the normal anatomy of the dorsal, palmar, and collateral extrinsic capsular wrist ligaments on 3-T MRI and high-resolution ultrasonography.
- Tuite, M. J., Daffner, R. H., Weissman, B. N., Bancroft, L., Bennett, D. L., Blebea, J. S., Bruno, M. A., Fries, I. B., Hayes, C. W., Kransdorf, M. J., Luchs, J. S., Morrison, W. B., Roberts, C. C., Scharf, S. C., Stoller, D. W., Taljanovic, M. S., Ward, R. J., Wise, J. N., & Zoga, A. C. (2012). ACR appropriateness criteria(®) acute trauma to the knee. Journal of the American College of Radiology : JACR, 9(2), 96-103.More infoThere are more than 1 million visits to the ER annually in the United States for acute knee trauma. Many of these are twisting injuries in young patients who can walk and bear weight, and emergent radiography is not required. Several clinical decision rules have been devised that can considerably reduce the number of radiographic studies ordered without missing a clinically significant fracture. Although fractures are seen on only 5% of emergency department knee radiographs, 86% of knee fractures result from blunt trauma. In patients with falls or twisting injuries who have focal tenderness, effusion, or inability to bear weight, radiography should be the first imaging study performed. If radiography shows no fracture, MRI is best for evaluating for a suspected meniscal or ligament tear or patellar dislocation. Patients with knee dislocation should undergo radiography and MRI, as well as fluoroscopic angiography, CT angiography, or MR angiography. The ACR Appropriateness Criteria(®) are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
- Farrow, L. D., Mahoney, A. J., Stefancin, J. J., Taljanovic, M. S., Sheppard, J. E., & Schickendantz, M. S. (2011). Quantitative analysis of the medial ulnar collateral ligament ulnar footprint and its relationship to the ulnar sublime tubercle. The American journal of sports medicine, 39(9), 1936-41.More infoThe medial ulnar collateral ligament is the major soft tissue restraint to valgus displacement of the elbow. Currently, little has been published regarding the medial ulnar collateral ligament's ulnar footprint.
- Taljanovic, M. S., Nisbet, J. K., Hunter, T. B., Cohen, R. P., & Rogers, L. F. (2011). Humeral avulsion of the inferior glenohumeral ligament in college female volleyball players caused by repetitive microtrauma. The American journal of sports medicine, 39(5), 1067-76.More infoHumeral avulsion of the inferior glenohumeral ligament is a rare injury resulting from hyperabduction and external rotation, and it is most commonly seen with sports-related injuries, including those from volleyball. The anterior band of the inferior glenohumeral ligament is most commonly injured (93%), whereas the posterior band is infrequently injured. The axillary pouch humeral avulsion of the inferior glenohumeral ligament as a result of repetitive microtrauma has not been yet described in the English literature.
- Wise, J. N., Daffner, R. H., Weissman, B. N., Bancroft, L., Bennett, D. L., Blebea, J. S., Bruno, M. A., Fries, I. B., Jacobson, J. A., Luchs, J. S., Morrison, W. B., Resnik, C. S., Roberts, C. C., Schweitzer, M. E., Seeger, L. L., Stoller, D. W., & Taljanovic, M. S. (2011). ACR Appropriateness Criteria® on acute shoulder pain. Journal of the American College of Radiology : JACR, 8(9), 602-9.More infoThe shoulder joint is a complex array of muscles, tendons, and capsuloligamentous structures that has the greatest freedom of motion of any joint in the body. Acute (
- Nissim, L., Mackstaller, L., Hooten, J., Motamedi, K., Graham, A., & Taljanovic, M. (2010). Spindle Cell Sarcoma of the Popliteal Fossa Mimicking a Benign Vascular Lesion.. Radiology Case Reports, 5(1).
- Porrino, J. A., Kohl, C. A., Holden, D., Taljanovic, M., & Rogers, L. F. (2010). The importance of sagittal 2D reconstruction in pelvic and sacral trauma: avoiding oversight of U-shaped fractures of the sacrum. AJR. American journal of roentgenology, 194(4), 1065-71.More infoThe U-shaped sacral fracture can be overlooked without appropriate imaging. Radiographic and CT imaging of seven patients with U-shaped sacral fractures was reviewed.
- Porrino, J. A., Kohl, C. A., Taljanovic, M., & Rogers, L. F. (2010). Diagnosis of proximal femoral insufficiency fractures in patients receiving bisphosphonate therapy. AJR. American journal of roentgenology, 194(4), 1061-4.More infoThe purpose of this article is to describe the imaging features of proximal femoral insufficiency fractures in patients on long-term bisphosphonate therapy.
- Roberts, C. C., Daffner, R. H., Weissman, B. N., Bancroft, L., Bennett, D. L., Blebea, J. S., Bruno, M. A., Fries, I. B., Germano, I. M., Holly, L., Jacobson, J. A., Luchs, J. S., Morrison, W. B., Olson, J. J., Payne, W. K., Resnik, C. S., Schweitzer, M. E., Seeger, L. L., Taljanovic, M., , Wise, J. N., et al. (2010). ACR appropriateness criteria on metastatic bone disease. Journal of the American College of Radiology : JACR, 7(6), 400-9.More infoAppropriate imaging modalities for screening, staging, and surveillance of patients with suspected and documented metastatic disease to bone include (99m)Tc bone scanning, MRI, CT, radiography, and 2-[(18)F]fluoro-2-deoxyglucose-PET. Clinical scenarios reviewed include asymptomatic stage 1 breast carcinoma, symptomatic stage 2 breast carcinoma, abnormal bone scan results with breast carcinoma, pathologic fracture with known metastatic breast carcinoma, asymptomatic well-differentiated and poorly differentiated prostate carcinoma, vertebral fracture with history of malignancy, non-small-cell lung carcinoma staging, symptomatic multiple myeloma, osteosarcoma staging and surveillance, and suspected bone metastasis in a pregnant patient. No single imaging modality is consistently best for the assessment of metastatic bone disease across all tumor types and clinical situations. In some cases, no imaging is indicated. The recommendations contained herein are the result of evidence-based consensus by the ACR Appropriateness Criteria((R)) Expert Panel on Musculoskeletal Radiology.
- Rogers, L. F., & Taljanovic, M. (2010). FDA statement on relationship between bisphosphonate use and atypical subtrochanteric and femoral shaft fractures: a considered opinion. AJR. American journal of roentgenology, 195(3), 563-6.
- Taljanovic, M., Houdek, M. T., Warneke, J. A., Pollard, C. M., & Lindgren, E. A. (2010). Giant epidermal cyst of the gluteal region.. Radiology Case Reports, 5(4).
- Turecki, M. B., Taljanovic, M. S., Stubbs, A. Y., Graham, A. R., Holden, D. A., Hunter, T. B., & Rogers, L. F. (2010). Imaging of musculoskeletal soft tissue infections. Skeletal radiology, 39(10), 957-71.More infoPrompt and appropriate imaging work-up of the various musculoskeletal soft tissue infections aids early diagnosis and treatment and decreases the risk of complications resulting from misdiagnosis or delayed diagnosis. The signs and symptoms of musculoskeletal soft tissue infections can be nonspecific, making it clinically difficult to distinguish between disease processes and the extent of disease. Magnetic resonance imaging (MRI) is the imaging modality of choice in the evaluation of soft tissue infections. Computed tomography (CT), ultrasound, radiography and nuclear medicine studies are considered ancillary. This manuscript illustrates representative images of superficial and deep soft tissue infections such as infectious cellulitis, superficial and deep fasciitis, including the necrotizing fasciitis, pyomyositis/soft tissue abscess, septic bursitis and tenosynovitis on different imaging modalities, with emphasis on MRI. Typical histopathologic findings of soft tissue infections are also presented. The imaging approach described in the manuscript is based on relevant literature and authors' personal experience and everyday practice.
- Schweitzer, M. E., Daffner, R. H., Weissman, B. N., Bennett, D. L., Blebea, J. S., Jacobson, J. A., Morrison, W. B., Resnik, C. S., Roberts, C. C., Rubin, D. A., Seeger, L. L., Taljanovic, M., Wise, J. N., & Payne, W. K. (2008). ACR Appropriateness Criteria on suspected osteomyelitis in patients with diabetes mellitus. Journal of the American College of Radiology : JACR, 5(8), 881-6.More infoImaging of the diabetic foot is among the most challenging areas of radiology. The authors present a consensus of the suggested tests in several clinical scenarios, such as early neuropathy, soft-tissue swelling, skin ulcer, and suspected osteomyelitis. In most of these situations, magnetic resonance imaging (MRI) with or without contrast is the examination of choice. Most other imaging tests have complementary roles. For soft-tissue swelling or an ulcer, radiography and MRI with or without contrast are suggested. Bone scintigraphy with white blood cell scanning is used when MRI is contraindicated. In patients with diabetes without ulcers, radiography and MRI with or without contrast are suggested; bone scanning may be used when MRI is contraindicated.
- Taljanovic, M. S., Graham, A. R., Benjamin, J. B., Gmitro, A. F., Krupinski, E. A., Schwartz, S. A., Hunter, T. B., & Resnick, D. L. (2008). Bone marrow edema pattern in advanced hip osteoarthritis: quantitative assessment with magnetic resonance imaging and correlation with clinical examination, radiographic findings, and histopathology. Skeletal radiology, 37(5), 423-31.More infoTo correlate the amount of bone marrow edema (BME) calculated by magnetic resonance imaging(MRI) with clinical findings, histopathology, and radiographic findings, in patients with advanced hip osteoarthritis(OA).
- Taljanovic, M. S., Sheppard, J. E., Jones, M. D., Switlick, D. N., Hunter, T. B., & Rogers, L. F. (2008). Sonography and sonoarthrography of the scapholunate and lunotriquetral ligaments and triangular fibrocartilage disk: initial experience and correlation with arthrography and magnetic resonance arthrography. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, 27(2), 179-91.More infoThe purpose of this study was to determine the utility of sonography and sonoarthrography in evaluation of dorsal bands of the scapholunate ligament (SLL), lunotriquetral ligament (LTL), and triangular fibrocartilage (TFC) disk in correlation with arthrography and magnetic resonance arthrography (MRA).
- Taljanovic, M., Naples, J. C., Graham, M. L., & Hunter, T. B. (2007). Granulocyte-Stimulating Factor-Induced Bone Marrow Reconversion Simulating Neuroblastoma Metastases on MRI: Case Report and Literature Review.. Radiology Case Reports, 2(1).
- Taljanovic, M. S., Hunter, T. B., Freundlich, I. M., Mar, W. A., Smyth, S. H., & O'Brien, M. J. (2006). Misplaced devices in the chest, abdomen, and pelvis: Part I. Seminars in ultrasound, CT, and MR, 27(2), 78-97.More infoNumerous medical devices are used in the chest and fewer in the abdomen and pelvis. They are frequently seen on various radiological studies in daily practice. Knowing the specific name of the device is not important. However, knowing the proper positioning and function of the device is necessary. It is a duty of the reporting radiologist to recognize the malpositioning or breakage of a medical device and to inform the responsible physician promptly, since these complications can have undesirable consequences and sometimes a fatal outcome.
- Taljanovic, M. S., Hunter, T. B., Freundlich, I. M., Mar, W. A., Smyth, S. H., & O'Brien, M. J. (2006). Misplaced devices in the chest, abdomen, and pelvis: Part II. Seminars in ultrasound, CT, and MR, 27(2), 98-110.More infoNumerous medical devices are used in the chest and fewer in the abdomen and pelvis. They are frequently seen on various radiological studies in daily practice. Knowing the specific name of the device is not important. However, knowing the proper positioning and function of the device is necessary. It is a duty of the reporting radiologist to recognize the malpositioning or breakage of a medical device and to inform the responsible physician promptly, since these complications can have undesirable consequences and sometimes a fatal outcome.
- Fitzpatrick, K. A., Taljanovic, M. S., Speer, D. P., Graham, A. R., Jacobson, J. A., Barnes, G. R., & Hunter, T. B. (2004). Imaging findings of fibrous dysplasia with histopathologic and intraoperative correlation. AJR. American journal of roentgenology, 182(6), 1389-98.
- Taljanovic, M. S., Hulett, R. L., Graham, A. R., Graham, M. L., & Hunter, T. B. (2004). Acute lymphoblastic leukemia of the skin and subcutaneous tissues; the first manifestation of disease in a 6-month-old infant: a case report with literature review. Emergency radiology, 11(1), 60-4.More infoLeukemic infiltrate involving the skin and subcutaneous tissue was the first manifestation of disease in a 6-month-old female infant. Knowledge of age-related distribution patterns of the red (cellular) and yellow (fatty) marrow is crucial for the interpretation of magnetic resonance imaging (MRI) studies. Diffusely decreased signal intensity throughout the bone marrow on the T1-weighted images specifically involving the epiphyseal ossification centers in infants 6 months after their appearance should be suggestive of a marrow infiltrative/replacement process. Correlation with the peripheral blood smear and bone marrow aspirate are necessary for the diagnosis of leukemia.
- Steinway, M. L., Taljanovic, M. S., Hunter, T. B., Krupinski, E. A., & Grana, W. A. (2003). Rings and things on upper extremity radiographs of emergency patients. Emergency radiology, 10(1), 3-7.More infoRings, intravenous lines, and other objects on the injured upper extremities of trauma patients are frequently overlooked by radiology and emergency department (ED) personnel. This can impair proper radiologic evaluation of the injured extremity as well as negatively affect the quality of the patient's treatment. A 1-week sample of radiographs of injured upper extremities from the ED of University Medical Center (UMC), Tucson, Arizona, showed that 20% of the studies (19 of 95) contained at least one object on the injured upper extremity, but only one radiology report (1.1%) mentioned such an object. A review of 2489 upper extremity ED radiology reports from January to June 2002 showed only 47 reports (1.9%) that mentioned the presence of an overlying object. It is important to educate radiology department and ED personnel to remove upper extremity jewelry and place necessary medical devices on noninjured extremities.
- Taljanovic, M. S., Hunter, T. B., Fitzpatrick, K. A., Krupinski, E. A., & Pope, T. L. (2003). Musculoskeletal magnetic resonance imaging: importance of radiography. Skeletal radiology, 32(7), 403-11.More infoTo determine the usefulness of radiography for interpretation of musculoskeletal (MSK) magnetic resonance imaging (MRI) studies. DESIGNS AND PATIENTS: In a 1-year period, 1,030 MSK MRI studies were performed in 1,002 patients in our institution. For each study, the interpreting radiologist completed a questionnaire regarding the availability and utility of radiographs, radiological reports and clinical information for the interpretation of the MRI study.
- Taljanovic, M. S., Hunter, T. B., Krupinski, E. A., Alcala, J. N., Fitzpatrick, K. A., & Ovitt, T. W. (2003). Academic radiology: the reasons to stay or leave. Academic radiology, 10(12), 1461-8.More infoTo find major reasons why junior academic radiologists leave academia for private practice and to suggest future changes to motivate them to stay.
- Hunter, T. B., & Taljanovic, M. (2001). Overview of Medical Devices in Current Problems in Diagnostic Radiology. Mosby's Drug Reference for Health Professionals, 30(4), 89-140.
- Taljanovic, M. S., Carlson, K. L., Kuhn, J. E., Jacobson, J. A., Delaney-Sathy, L. O., & Adler, R. S. (2000). Sonography of the glenoid labrum: a cadaveric study with arthroscopic correlation. AJR. American journal of roentgenology, 174(6), 1717-22.More infoWe assessed the usefulness of sonography in evaluating the glenoid labrum in cadaveric specimens using arthroscopy as a standard of reference.
- Taljanovic, M., Lovrincevic, A., Lincender, L., & Vrcic, D. (1988). Definition of the average liver volume correlated with the body weight without CT signs of liver disease.. Radiologia Iugoslavica, 22 (suppl), 101-103.
Presentations
- Desoky, S. M., Arteaga, V., Vedantham, S., & Taljanovic, M. (2018, May). Comparison of Assessment of Medical Student Knowledge Following a Radiology Rotation by Radiology ExamWeb and Institutionally-created Final Examinations: Are the Exams Comparable and Does a Subspecialty Rotation Make a Difference in Performance?. 66th Annual Meeting of the Association of University Radiologists- AUR. Orlando, FL.
- Gimber, L. H., Latt, L. D., Zuniga, A. N., Krupinski, E. A., Chadaz, T. S., & Taljanovic, M. (2018, March). Ultrasound Shear Wave Elastography of the Lateral Ankle Ligaments in Healthy Subjects at Rest and Stress. 41st Annual Meeting of the Society of Skeletal Radiology (SSR). Austin, TX.
- Taljanovic, M., Esparza, M., Gimber, L. H., Chadaz, T. S., Truchan, L., Mothy, K., & Wild, J. R. (2018, March). Ultrasound Evaluation of Radial Nerve Palsy Associated with Humeral Shaft Fracture to Guide Operative Versus Conservative Treatment. 41st Annual Meeting of the Society of Skeletal Radiology (SSR). Austin, TX.
- Gimber, L. H., Garland, L. L., Krupinski, E., Chadaz, T., Johnson, K., Heidelberg, M. S., Najafi, B., & Taljanovic, M. (2017, March). MR Neurography and Diffusion Tensor Imaging as a Potential Biomarker of Chemotherapy Induced Peripheral Neuropathy. 40th Annual Meeting of the Society of Skeletal Radiology.
- Taljanovic, M., Esparza, M., Gimber, L. H., Chadaz, T. S., Truchan, L., Mothy, K., & Wild, J. R. (2017, Winter). Ultrasound Evaluation of Radial Nerve Palsy Associated with Humeral Shaft Fracture to Guide Operative Versus Conservative Treatment. 103rd Scientific Assembly and Annual Meeting,. Chicago, IL.
- Gimber, L. H., Garland, L. L., Krupinski, E., Chadaz, T., Johnson, K., Heidelberg, M. S., Najafi, B., & Taljanovic, M. (2016, December). MR Neurography and Diffusion Tensor Imaging as a Potential Biomarker of Chemotherapy Induced Peripheral Neuropathy. Orthopedic MSK Research ConferenceUniversity of Arizona, Dept of Orthopedics.
- Gimber, L. H., Gimber, L. H., Garland, L. L., Garland, L. L., Krupinski, E., Krupinski, E., Chadaz, T., Chadaz, T., Johnson, K., Johnson, K., Heidelberg, M. S., Heidelberg, M. S., Najafi, B., Najafi, B., Taljanovic, M., & Taljanovic, M. (2016, December). MR Neurography and Diffusion Tensor Imaging as a Potential Biomarker of Chemotherapy Induced Peripheral Neuropathy. RSNA 2016.
- Latt, D. L., Gao, L., Taljanovic, M., Szivek, J. A., Guerra, J. D., Klewer, J. A., & Witte, R. S. (2016, March). In Vivo Ultrasound Elasticity Imaging Differentiates Healthy From Diseased Tendons. ORS 2016 Annual Meeting. Orlando, Florida.
- Melville, D. M., DelGuidice, M., Bocian, D., Krupinski, E. A., & Taljanovic, M. (2016, March). Sonographic Evaluation of Morton’s Neuroma Prior and Following Laser Therapy. 39th Annual Meeting of the Society of Skeletal Radiology (SSR). New Orleans, LA: Society of Skeletal Radiology.
- Taljanovic, M., Latt, D. L., Gao, L., & Witte, R. S. (2016, March). In Vivo Ultrasound Tension Elastography Differentiates Healthy From Diseased Posterior Tibialis tendon. 39th Annual Meeting of the Society of Skeletal Radiology (SSR). New Orleans, LA: Society of Skeletal Radiology.
Poster Presentations
- Caruso, C., Latt, D. L., Clauser, A. S., Khwaya, A., & Taljanovic, M. (2018, November). Clinical, Radiographic, MRI, and US Evaluation of the Adult Acquired Flat Foot Deformity. 104rd Scientific Assembly and Annual Meeting- RSNA. Chicago, IL.
- Chadaz, T. S., Gimber, L. H., Krupinski, E., Hardy, J. C., & Taljanovic, M. (2018, April). Knee Joint Pathology with Joint Effusions Using Suprapatellar Compression Band on Knee MRI. 2018 Annual Meeting of the American Roentgen Ray Society (ARRS). Washington, D.C..
- Gimber, L. H., Krupinski, E. A., Turker, T., Becker, G. W., Sheppard, J. E., Chadaz, T., Desilva, G. L., & Taljanovic, M. (2018, March). Diffusion Tensor Imaging of the Median Nerve with Ultrasound Correlation in Patients with Carpal Tunnel Syndrome Before and After Flexor Retinacular Release. 41st Annual Meeting of the Society of Skeletal Radiology (SSR). Austin, TX.
- Gimber, L. H., Oats, S., MacKinnon, L., Taljanovic, M., Warneke, J. A., Seidel, M. J., & Fayad, L. M. (2018, March). The Postoperative MRI: Is It Tumor Recurrence or Nodular Scar?. 41st Annual Meeting of the Society of Skeletal Radiology (SSR). Austin, TX.
- Taljanovic, M., Gimber, L. H., Ahmad, A., Chadaz, T. S., & Latt, L. D. (2018, March). Comparison of Diagnostic Ultrasound and MRI in the Evaluation of the Peroneal Tendon Injuries in Correlation with Operative Findings. 41st Annual Meeting of the Society of Skeletal Radiology (SSR). Austin, TX.
- Taljanovic, M., Hardy, J., Krupinski, E., Gimber, L. H., & Chadaz, T. (2018, April/2018). Knee joint pathology with joint effusions using suprapatellar compression band on knee MRI. ARRS 2018.
- Gimber, L. H., Krupinski, E. A., Turker, T., Becker, G. W., Sheppard, J. E., Chadaz, T., Desilva, G. L., & Taljanovic, M. (2017, November). Diffusion Tensor Imaging of the Median Nerve with Ultrasound Correlation in Patients with Carpal Tunnel Syndrome Before and After Flexor Retinacular Release. Radiological Society of North America (RSNA). Chicago.
- Chadaz, T. S., Gimber, L. H., Becker, G. W., Morin, M., Klauser, A. S., & Taljanovic, M. (2016, November). Clinical Assessment and Imaging of Distal Radioulnar Joint Instability. RSNA.
- Chadaz, T. S., Gimber, L. H., Becker, G. W., Morin, M., Klauser, A. S., & Taljanovic, M. (2016, November). Clinical Assessment and Imaging of Distal Radioulnar Joint Instability. Radiological Society of North America (RSNA) Annual Conference. Chicago.
- Hannallah, J. R., Klein, M. J., Shridharani, S. M., Lebeau, L. G., & Taljanovic, M. (2016, September). Hydroxyapatite Deposition Disease (Tumoral Calcinosis-Like) Associated with Collagen Vascular Disease Rheumatoid Arthritis. 43rd Annual ISS Meeting, Closed Member’s Meeting. Paris, France: International Skeletal Society.
- Martinez, J. A., Chalasani, P., Witte, R. S., Kwoh, C. K., Hadden, A., & Taljanovic, M. (2016, April). Imaging Biomarkers of Aromatase-Inhibitor Induced Joint Pain. University of Arizona, Cancer Center Retreat. Banner University Medical Center, Tucson, AZ.
- Schmitz, H., Gao, L., Ingram, C. P., Klewer, J., Szivek, J. A., Taljanovic, M., Latt, D. L., & Witte, R. S. (2016, January). Ultrasound Elasticity Imaging of the Posterior Tibial Tendon using FOCUS Simulation Software. 27th Annual Undergraduate Biology Research Program Conference. Tucson, AZ.
Reviews
- Gimber, L. H., Hardy, J. C., Melville, D. M., Scalcione, L. R., Rowan, A., & Taljanovic, M. S. (2016. Normal Magnetic Resonance Imaging Anatomy of the Capsular Ligamentous Supporting Structures of the Knee(pp 356-367).More infoRecognition of the normal magnetic resonance (MR) imaging appearances of the capsular ligaments of the knee is of great importance. These ligaments contribute to stability of the knee joint and are frequently injured. In this article, we describe the normal MR imaging anatomy of the capsular ligaments of the knee including the lateral and medial collateral ligamentous complexes, the extensor mechanism, and the supporting ligamentous structures of the proximal tibiofibular joint. Normal MR imaging findings and important anatomic variants of the neurovascular structures of the knee are also described.
- Taljanovic, M. (2014. Imaging Musculoskeletal Trauma Interpretation and Reporting Andrea Donovan and Mark E. Schweitzer Chichester, UK: Wiley-Blackwell; 2012.More infoBook Review: Imaging Musculoskeletal Trauma Interpretation and Reporting Andrea Donovan and Mark E. Schweitzer Chichester, UK: Wiley-Blackwell; 2012. $133.49; 384 pages; 544 Illustrations/Figures (91 in full color). Article first published online: 24 FEB 2014. J. Magn. Reson. Imaging. Doi: 10.1002/jmri.24595
Case Studies
- Stubbs, A. Y., Taljanovic, M. S., Massey, B. Z., Graham, A. R., Friend, C. J., & Walsh, J. A. (2008. Myonecrosis of Behcet's disease(pp 357-60).More infoBehcet's disease is an inflammatory disease of unknown cause characterized by intermittent episodes of acute inflammation manifested by oral aphthous ulcers, genital ulcers, uveitis, and skin lesions. We report a rare case of myonecrosis associated with Behcet's disease. Myonecrosis of Behcet's disease can mimic soft tissue abscess and therefore awareness of this entity in the appropriate clinical setting is important for initiation of appropriate and timely treatment.
Others
- Eckstein, F., Buck, R. J., Burstein, D., Charles, H. C., Crim, J., Hudelmaier, M., Hunter, D. J., Hutchins, G., Jackson, C., Kraus, V. B., Lane, N. E., Link, T. M., Majumdar, L. S., Mazzuca, S., Prasad, P. V., Schnitzer, T. J., Taljanovic, M. S., Vaz, A., Wyman, B., , Le Graverand, M. H., et al. (2008). Precision of 3.0 Tesla quantitative magnetic resonance imaging of cartilage morphology in a multicentre clinical trial. Annals of the rheumatic diseases.More infoQuantitative MRI (qMRI) of cartilage morphology is a promising tool for disease-modifying osteoarthritis drug (DMOAD) development. Recent studies at single sites have indicated that measurements at 3.0 Tesla (T) are more reproducible (precise) than those at 1.5 T. Precision errors and stability in multicentre studies with imaging equipment from various vendors have, however, not yet been evaluated.
- Buljina, A. I., Taljanovic, M. S., Avdic, D. M., & Hunter, T. B. (2001). Physical and exercise therapy for treatment of the rheumatoid hand. Arthritis and rheumatism.More infoTo study the short-term effects of physical therapy (ice massage or wax packs, thermal baths, and faradic hand baths) and exercise therapy on the rheumatoid hand.