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Trispiral tomography and magnetic resonance imaging of the wrist
1Hand Service, Hospital for Joint Diseases, New York City.
Abstract:
Tomography, which permits a far more accurate visualization of lesions than conventional radiographs, is conducted via several different methods, depending on the specific movement of the x-ray tube. Linear tomography is the simplest method but produces images that appear streaked. Zonotomography, which uses an elliptical or figure-8 movement of the x-ray tube, creates a uniform blurring of structures and a much clearer resolution of the plane of focus. Even sharper images are produced by multidirectional trispiral tomography, which is described as well as its application to specific anatomic areas of the wrist. The normal anatomy and a variety of problems of the wrist as visualized with magnetic resonance imaging are also described.