Rob VanDoninck and Karen Atkins

Ultrasound
A small hospital's experience mitigating sonographer injuries
Small hospitals without onsite access to high-end imaging modalities such as CT or MRI rely heavily on the diagnostic capabilities of ultrasound. Combined with rising financial pressures and case loads, this can result in high vulnerability to work-related injuries. Contributing writers Rob VanDoninck and Karen Atkins share how their hospital tackled this issue.
July 13, 2009
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A 47-year-old female patient with chronic pain in the left lower back/buttock with unknown cause. PET demonstrated focally increased FDG uptake at the left facet L3-4 l. MRI shows minimal fluid, but no edema. Follow-up PET-MRI after six months shows a similar pattern. The patient is on the waiting list for targeted facet joint infiltration (typically not covered by insurance in the Netherlands).
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Sagittal view of the scapula showing a comminuted fracture of the inferior portion, imaged with computed tomography (CT, left image) and by an ultrashort time of echo (UTE) sequence (right image) on MRI. Both images appear similar, with an identical representation of the fracture, illustrating the potential of UTE to create CT-like images and suggesting that both imaging modalities could be interchangeable in clinical practice. All images and captions courtesy of Prof. Benjamin Fritz, MD.
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