When to use
MSK CT is the standard for complex fractures (acetabulum, calcaneus, scaphoid), orthopedic pre-surgical planning, torsional profile of limbs and focal bone lesions. For soft tissue, ligaments and bone marrow, MRI is superior.
What to evaluate
- Fractures: line, displacement, fragments, articular involvement.
- Focal bone lesions: matrix, margin pattern, periosteal reaction.
- Articular surfaces and congruence.
- Intra-articular loose bodies.
- Adjacent soft tissues (limited vs MRI).
Interactive template
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Técnica:
Aquisição volumétrica sem contraste.
Análise:
- Fraturas: ausentes.
- Lesões ósseas agressivas: ausentes.
- Peças sacrococcigeas: alinhadas e de morfologia preservadas.
- Articulações sacroilíacas: regulares, sem erosões subcondrais.
- Derrame articular: ausente.
- Forames sacrais: amplos, com livre emergência das raízes neurais.
- Planos musculoadiposos: preservados, sem formações com efeito expansivo.
Comparação:
Em relação ao exame de não se observam alterações significativas.
Conclusão:
Exame dentro dos limites da normalidade.
How to use
- Replace each [...] with the exam's measurement or descriptor.
- Adapt the conclusion to your service protocol before signing.
- Use the template as a starting point — not a replacement for physician review.
- In Laudos.AI, dictate findings in natural speech and the AI structures text in this format for review.
Frequently asked
- When CT instead of XR for fracture?
- Strong clinical suspicion with inconclusive radiograph (scaphoid, occult scaphoid, ribs, coronoid), complex fractures for surgical planning, and assessment of union.
- Lytic bone lesion — when MRI complements?
- Whenever primary tumor or metastasis is suspected — MRI better evaluates the marrow component and soft-tissue extension.
References
- ACR Appropriateness Criteria — Acute Trauma to the Foot/Ankle/Wrist.