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Note also prominent subchondral cysts at the same joints and lack of involvement of the MCPJs prompt one to think about CPPD and more importantly its associated etiologies such as hemochromatosis (which shouldn’t be missed). the “seagull” appearance. The disease may progress with eventual ankylosis. The lack of marginal erosions, periosteal reaction, and new bone formation, other than osteophytes, helps to separate the disease from psoriatic arthropathy. Other Joints The most classic sites involved in osteoarthritis include the acromioclavicular and sternoclavicular joints, cervical spine, lumbar spine, hips, knees, and first MTP joints.

17 Supraspinatus: (a) transverse US image demonstrating the rotator cuff interval and (b) corresponding transducer position. (c) US supraspinatus tendon using 4-D transducer, (a) axial, (b) sagittal, (c) coronal, and (d) 3-D reconstruction. Arrows supraspinatus tendon, GT greater tuberosity, B long head of the biceps tendon, arrowhead subscapularis where blood vessels are small and increased flow may be difficult to detect with color Doppler. Intravenous contrast agents are available for ultrasound.

Stochastic effects are random occurrences such as the induction of genetic defects and cancer, the severity but not the probability of which is independent of dose, and have no threshold below which the effect will not occur. Deterministic effects are directly related to 1 Introduction to Imaging b Risk is proportional to dose Severity of effect Stochastic effect of radiation exposure % Risk a 29 Deterministic effect of radiation exposure Threshold below which no effect is observed Dose Dose Fig.

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A color atlas of Complete Denture Fabrication


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