Independence Imaging at Vincera uses advanced imaging equipment and custom protocols to provide accurate diagnosing for core issues. Our radiologists from Thomas Jefferson University Hospital specialize in often difficult diagnosis of pelvic, groin, buttocks and hip pain. Their experience with more than 10,000 dedicated MRI exams for core muscle and groin injuries over the last 10 years and the latest imaging technology have led to accurate diagnoses, and ultimately better treatment and recovery.
MRI & Arthrography
MRI allows for a more precise definition of soft tissue structures. MRI is often used to visualize the muscles and their attachments. MRI is particularly useful in diagnosing muscle strains, avulsions, ligamentous injury, core muscle injuries, inflammation, and tumors. Contrast material can be injected into the bloodstream, the gastrointestinal or genitourinary tract, or joint spaces for MRI to allow for more precise visualization, which is called an arthogram.
X-Ray & Arthrography
X-rays are useful for visualizing the bones of the spinal column, hips, arms, and legs can be used to diagnose fractures, misalignment, dislocations, and tumors. X-rays do not accurately diagnose differentiating soft tissue structures.
Sometimes contrast agents are injected into joint spaces or cavities to allow for more precise visualization of certain structures. For example, an arthrogram refers to an X-ray of a joint after contrast has been injected into the joint space- this allows for better visualization of the cartilage within the joint and can help diagnose arthritis or labral tears.
In conjunction with MRI, a diagnostic ultrasound is often performed to assess for injuries that can only be seen while moving the core or hip (dynamic ultrasound). This includes the assessment for inguinal or abdominal wall hernias, snapping iliopsoas, snapping iliotibial band and snapping rib syndromes. Ultrasound is often used to exactly determine where the pain comes from by having the patient point to the maximum area of tenderness and then using ultrasound to assess which structures (e.g. tendon, muscle) are underlying the most painful spot.
MRI for Core Muscle Injuries
Dr. Meyers and leading radiologists at Thomas Jefferson University in Philadelphia were the first group to develop MR imaging techniques and protocols dedicated to the diagnosis of core and pelvis injuries. This MRI technique is 92% accurate and can reveal other problems, such as “soft” musculoskeletal findings, tiny avulsions fractures, peculiar edema patterns, or intrinsic hip pathology. It is both sensitive and specific for various injuries about the pubic symphysis specifically for rectus abdominis and adductor pathology and also involving the hip and visceral pelvis. Additionally, this MRI of the pelvis uses both surface coil and send-receive body coil, as well as oblique planes to maximize sensitivity and specificity for osseous and musculotendinous pathology of the pelvis.