2024 ARRS ANNUAL MEETING - ABSTRACTS

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E2154. A Picture is Worth a Thousand Words: Integration of Photography into Musculoskeletal Imaging Interpretation and Procedures
Authors
  1. Lauren Fane; Case Western Reserve University, School of Medicine
Background
Limitations and challenges of traditional musculoskeletal (MSK) imaging (e.g., laterality errors, recall bias, wound localization). Photography integration into traditional medical imaging.

Educational Goals / Teaching Points
Visible light imaging (photography) is a cheap, readily available, and easily integrated medium into traditional MSK imaging modalities such as CT, MRI, and US. Photography can be used in all facets of MSK radiology, including acquisition, interpretation, procedures, and education. Photography has potential to improve accuracy, confidence, bias, and outcomes in MSK radiology.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Image Acquisition: how photography can be used in MSK imaging acquisition; photograph types; technical considerations and challenges. Image Interpretation: imaging interpretation benefits (diagnostic accuracy, diagnostic confidence, satisfaction of search, and improved interpretation time). Utility in remote/teleradiology imaging interpretation. Photograph utility in otherwise traditional imaging occult abnormality identification. Procedures. Photography for visual documentation of MSK tumor biopsy trajectories. Demarcation of site of MSK pathology for surgery. Collected specimens or fluids. Visual proof of used appliances. Impact on success rates and outcomes. Education: hands-on learning; case-based teaching. Limitations: lack of standardization; risk of misinterpretation; medicolegal issues.

Conclusion
Visible light imaging (photography) is a cheap, readily available, and easily integrated medium into traditional MSK imaging modalities such as CT, MRI, and US. Photography can be used in all facets of MSK radiology, including acquisition, interpretation, procedures, and education. Photography has potential to improve accuracy, confidence, bias, and outcomes in MSK radiology.