Gordon Andrews's research while affiliated with University of British Columbia and other places

Publications (35)

Article
Full-text available
Dual-energy CT (DECT) provides insights into the material properties of tissues and can differentiate between tissues with similar attenuation on conventional single-energy imaging. In the conventional CT scanner, differences in the X-ray attenuation between adjacent structures are dependent on the atomic number of the materials involved, whereas i...
Article
Abdominal trauma, one of the leading causes of death under the age of 45, can be broadly classified into blunt and penetrating trauma, based on the mechanism of injury. Blunt abdominal trauma usually results from motor vehicle collisions, fall from heights, assaults, and sports and is more common than penetrating abdominal trauma, which is usually...
Article
Objectives To compare the scan acquisition time, radiation dose, subjective and objective image quality of two dual-source CT scanners (DSCT) for detection of acute pulmonary embolism.Methods Two hundred twenty-one scans performed on the 2nd-generation DSCT and 354 scans on the 3rd-generation DSCT were included in this large retrospective study. In...
Chapter
The elbow is a complex hinge synovial joint. It is comprised of three bones and three articulations, allowing for flexion, extension, supination, and pronation of the forearm. The elbow is less commonly imaged than many of the other large joints in the musculoskeletal system, usually limited to competitive and recreational athletes, as well as thos...
Article
Shoulder disease is common in the athletic population and may arise as a consequence of a single traumatic episode or multiple repeated events. Associated labroligamentous injuries can result in substantial disability. Specific athletic and occupational activities result in predictable injury patterns. Imaging in general and magnetic resonance (MR)...
Article
The high morbidity and mortality associated with cervical spine injuries makes identification and classification essential. It is important to have a systematic approach to evaluation, especially in the trauma setting with other distracting injuries. Understanding the anatomy and biomechanics enables rapid and accurate interpretation of images. In...
Article
A 56-year-old previously well left-handed woman presents to her family physician with a 2-year history of pain and stiffness in her left shoulder. She describes a constant ‘ache’ that became ‘sharp’ when playing tennis or golf. Over the last 2 months, the pain has become increasingly worse and she has had to reduce her tennis matches from four time...
Article
Full-text available
A 35-year-old female patient with previous left knee anterior cruciate ligament repair for a skiing injury presented six years later with a traumatic lateral patellar subluxation. Radiographs and magnetic resonance imaging of her left knee joint showed an ossific structure in the region of the lateral meniscus. This was diagnosed as a meniscal ossi...
Article
MRI is a common tool in the evaluation of musculoskeletal injury that allows the clinician to pinpoint specific pathologies. The patient's history and physical exam play a critical role in the diagnosis of sports injuries, however, complementary imaging can play an important role in determining the nature and extent of injury. With the widespread u...
Article
Full-text available
At the end of this article, the reader should be able to (1) recognise normal anatomy and anatomical variants of the extensor mechanism of the knee on various imaging modalities, including plain film, ultrasound and MRI; (2) diagnose a broad spectrum of EM injuries in adult and paediatric patients including patellar and quadriceps tendinopathy, Osg...
Article
Full-text available
Rotator cuff pathology is routinely evaluated in many imaging centers with both magnetic resonance imaging (MRI) and ultrasound. Despite good diagnostic accuracy using each of these modalities, certain limitations persist. In this pictorial essay, we describe five potential "troublemakers" of rotator cuff pathology which are recurrent themes in our...
Article
This study aimed to investigate whether a commercially available time-efficient T2 mapping sequence will demonstrate findings of articular cartilage degeneration based on T2 relaxation values (RV) and color maps, using subchondral bone marrow edema (BME) as a marker for chondral damage. The patient group consisted of 88 subjects who underwent knee...
Article
CCTA is sensitive and specific for detecting CAD, but the impact on patient management and outcomes is unknown. We describe our experience with consecutive cases performed at a single CCTA centre. Coronary calcium scoring and contrast-enhanced coronary CT angiograms were performed on 114 patients using a Toshiba 64-slice scanner and standard protoc...
Article
The adult tarsal navicular is an integral part of the midfoot. Many unique pathological conditions affect its function, and while subtle in their presentation, they can be significant sources of pain and deformity. Recognition of these abnormalities in imaging is essential to obtaining prompt diagnoses and instigating early management interventions...
Article
Full-text available
Objective: This article presents the imaging findings of proximal tibiofibular joint disorders that can cause lateral knee pain. Conclusion: The proximal tibiofibular joint is often neglected in the evaluation of lateral knee pain. The images presented in this article highlight the diverse disorders of this area. Because this joint is usually in...
Conference Paper
PURPOSE/AIM 1. Review optimized MR imaging technique in high performance throwing athletes, with emphasis on MR arthrography. 2. Illustrate normal variants of particular relevance in this patient group. 3. Discuss the unique MR imaging findings of shoulder injuries in the overhead throwing athlete and contrast them with those in conventional patien...
Conference Paper
PURPOSE/AIM 1.To present the imaging modalities and techniques used in the diagnosis of traumatic diaphragmatic injury. 2.To discuss various imaging findings of diaphragmatic injuries seen on both plain films and MDCT with suitable examples. 3.To illustrate the advantages of MDCT in diagnosis of diaphragmatic tears and other associated injuries. C...
Conference Paper
PURPOSE/AIM The purpose of this exhibit is: 1. To review updated anatomical concepts regarding the biceps pulley and rotator interval 2. To discuss pathology and evidence based techniques for interpretation of the biceps pulley and rotator interval 3. To explain the clinical utility of identifying biceps pulley lesions CONTENT ORGANIZATION 1. Clin...
Conference Paper
PURPOSE/AIM Incomplete involution of the urachus during development can give rise to a range of anomalies including a complete fistula, a sinus, a diverticulum and a cyst. These remnants are affected by a variety of pathological processes including infection, primary and secondary neoplasms and general pelvic and abdominal processes such as endomet...
Conference Paper
PURPOSE/AIM -Provide an approach to imaging of benign cystic neck lesions. -Define characteristics of benign cysts with US, CT, and MR imaging. -Present the common complications shared by the different cystic neck lesions -Review the unique imaging features of the benign cystic lesions of the neck. CONTENT ORGANIZATION -Characteristic imaging feat...
Conference Paper
PURPOSE/AIM 1.To present imaging modalities and techniques used in the diagnosis of acute thoracic injury. 2.To demonstrate and discuss pertinent plain film and MDCT findings of traumatic visceral, vascular and osseous injuries of the thorax. 3.To illustrate the advantages of MDCT in diagnosis of thoracic injuries. CONTENT ORGANIZATION 1.Etiology,...

Citations

... The dependence of the CT number in a specific material against the tube voltage, in general, occurs due to different attenuation coefficient, which is strongly influenced by two aspects, i.e., the energy of the incident photon and the effective atomic number of the material (McCollough et al., 2015;Hamid et al., 2021). Each material has a different behaviour regarding its dependence on the energy of the incident photon (Mahmoudi et al., 2016;Saini et al., 2021). ...
... Iodine maps can also enhance the visualization of extraluminal iodine components, therefore helping the detection of urinary leakage in trauma patients [21] or as a result of iatrogenic damage [22]. ...
... Iron maps have potential to quantify iron deposition in myocardium similar to MRI additional validated cardiothoracic applications include myocardial perfusion, myocardial ischemia, aortic disease, endoleak, and pulmonary perfusion defects [41,46]. Recent studies have shown that pulmonary angiography on newer DECT scanners results in improved subjective and objective image quality without increased radiation exposure as compared to older generation DECT scanners and standard CT image acquisition [48,49]. By using a combination of low keV virtual monenergistic images to boost contrast enhancement as well as iodine density map images to visualize and quantify enhancement, pulmonary perfusion defects of pulmonary arterial or venous origin that may have been missed on an initial screening are better detected (Fig. 8) [53]. ...
... Osteokondritis disekans, sıklıkla kapitellum anteriolateraline lokalize olmaktadır [12]. Kapitellum psödodefekti ise tipik olarak daha posteriorda yerleşir [13]. Eşlikçi kemik iliği ödemi yokluğu ve posterior lokalizasyonu osteokondral lezyonlardan ayırt edici özellikleridir [14]. ...
... Эти варианты ИС требуют дифференцированного терапевтического и хирургического подхода (табл. 1) [10][11][12]. ...
... Myelination begins at approximately 4 months of age and continues well into adolescence. [12,15] Myelin not only serves as an insulator for nerve fibers but it also allows fibers to transfer information more quickly. Interestingly, there is not a direct correlation between the total number of neocortical neurons and the number of myelinated callosal fibers. ...
... root avulsion fractures are also referred to as meniscal ossicles by some authors [5,10,36]. Other authors, however, define meniscal ossicles as mature bone embedded within the substance of the meniscus [38,43,47]. Meniscal ossicles are rare findings with a reported prevalence of 0.15 % in 1,287 consecutive MrI examinations [40]. ...
... The diagnostic value of MR studies; however, have been shown to vary considerably with field strength (1)(2)(3). Also certain pathologies are better seen in specific sequences and imaging planes, and can easily be missed if the study is substandard in image acquisition and planning (4,5). ...
... Indeed, trabeculae subjected to this forced process exhibit microfractures, accompanied by the presence of BME on MRI. Mild trauma causes the appearance of BME without detectable damage to the cellular elements, whereas more severe trauma causes the appearance of microfractures and hemorrhage in the trabecular bone [10,12,14]. ...
... The four muscles of the quadriceps (namely, the vastus medialis, vastus lateralis, vastus intermedius, and rectus femoris), tendon of the quadriceps, patella, patellar tendon attachment to tibia, and retinaculum are the critical components of knee extension [6,7]. A concurrent, unexpected quadriceps tendon rupture on both sides after total knee arthroplasty is an unlikely orthopedic injury [8,9]. A disturbance in the extensor mechanism is a severe consequence of total knee arthroplasty, with a reported incidence of 0.17 to 2.5 percent [10,11]. ...