Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

12,135 results found
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Xiphoid shape variations

There is considerable anatomic variation in the shape of the xiphoid of the sternum: xiphoid ending is classified as single, double, or triple. xiphoid size varies (e.g. elongated process) xiphoid morphology (e.g. ventral or dorsal deviation, hook-like, reverse S-shape). Clinical presentatio...
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X-linked Opitz G/BBB syndrome

X-linked Opitz G/BBB syndrome (XLOS) is an x-linked disorder with a spectrum of congenital anomalies. Anomalies that may be seen are: facial anomalies  ocular hypertelorism prominent forehead widow's peak broad nasal bridge anteverted nares cleft lip and/or palate  laryngotracheoesophage...
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X-marks-the-spot sign (large bowel volvulus)

The X-marks-the-spot is a sign of complete bowel volvulus and refers to the crossing loops of the bowel at the site of the transition. It has been reported to improve diagnostic confidence in detecting caecal and sigmoid volvulus. This is in contrast to the split-wall sign which indicates partia...
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X-ray artifacts

Artifacts can present in a variety of ways including abnormal shadow noted on a radiograph or degraded image quality and have been produced by artificial means from hardware failure, operator error and software (post-processing) artifacts.  There are common and distinct artifacts for film, comp...
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X-ray film

X-ray film displays the radiographic image and consists of emulsion (single or double) of silver halide (silver bromide (AgBr) is most common) which when exposed to light, produces a silver ion (Ag+) and an electron. The electrons get attached to the sensitivity specks and attract the silver ion...
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X-ray interaction with matter

X-rays in the diagnostic range interact with matter primarily via two processes, which are fundamental in understanding how an image is formed in a radiographic exam. These process are the photoelectric effect  Compton scatter 
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X-ray production

X-rays are produced due to sudden deceleration of fast-moving electrons when they collide and interact with the target anode. In this process of deceleration, more than 99% of the electron energy is converted into heat and less than 1% of energy is converted into x-rays. Definitions Cathode T...
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X-rays

X-rays represent a form of electromagnetic radiation. They are produced by the x-ray tube, using the high voltage to accelerate the electrons produced by the cathode. The produced electrons interact with the anode, thus producing x-rays. The x-rays produced include Bremsstrahlung and the charact...
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X-ray tube

An x-ray tube functions as a specific energy converter, receiving the electrical energy and converting it into two other forms of energy: x-radiation and heat. Heat is considered the undesirable product of this conversion process; therefore x-radiation is created by taking the energy from the el...
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Yasargil classification of vein of Galen aneurysmal malformations

The Yasargil classification is one of the two common systems for classifying vein of Galen malformations that is currently in use at the time of writing (mid 2016).  Classification type I: small pure cisternal fistula between the vein of Galen (voG) and either the pericallosal arteries (anteri...
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Yellow nail syndrome

The yellow nail syndrome (YNS) is a rare disorder principally affecting the lymphatic system. It is characterised by a clinical triad: nail discolouration: yellow slow-growing dystrophic nails (scleronychia) lymphoedema (peripheral/primary) pulmonary disease exudative pleural effusions (lea...
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Yin-yang sign

The yin-yang sign (also known as Pepsi sign) is a radiological sign described in both true and false aneurysms on various imaging modalities.  Radiographic features Ultrasound On Doppler ultrasound, the yin-yang sign indicates bidirectional flow due to the swirling of blood within the true or...
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Yolk sac

Yolk sac is the first anatomical structure identified within the gestational sac. It plays a critical role in embryonal development by providing nutrients, serving as the site of initial haematopoiesis, providing endocrine, metabolic and immunological functions and contributing to the developmen...
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Young and Burgess classification of pelvic ring fractures

The Young and Burgess classification is a modification of the Tile classification 1. It is the recommended 5 and most widely used classification system for pelvic ring fractures. It takes into account force type, severity, and direction, as well as injury instability. Anteroposterior compress...
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Young's modulus

Young's modulus is a relationship between elasticity, strain, and stress: elasticity x (change in length / original length) = (force / area) put another way, this is elasticity x (strain) = stress or elasticity = stress / strain Elasticity is measured in kilopascals (kPa). This relationsh...
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Young syndrome

Young syndrome shares similar clinical and radiological findings to primary ciliary dyskinesia and cystic fibrosis, however the underlying pathogenesis yet to be fully elucidated. Obstructive azoopsermia at the level of the epididymis is thought to be the cause of infertility. The commonly refer...
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Y sign (epidural lipomatosis)

The Y sign refers to a common appearance in lumbar epidural lipomatosis where excess fat in the extradural space compresses the dural sac into the shape of the letter "Y". 
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Yunis-Varón syndrome

Yunis Varón syndrome is a rare skeletal dysplasia. It is thought to be autosomal recessive. Radiographic features severe neurologic impairment cleidocranial dysplasia absent clavicles macrocrania diastasis of sutures micrognathia absent thumbs and distal phalanges of fingers hypoplasia ...
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Zabramski classification of cerebral cavernous malformations

The Zabramski classification of cerebral cavernomas has been proposed as a way of classifying cerebral cavernous malformations, and although not used in clinical practice it is useful in scientific publications that seek to study cavernous malformations. The classification was proposed in 1994 ...
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Z deformity

The Z deformity is one of the musculoskeletal manifestation of rheumatoid arthritis in hand: radial deviation at the wrist ulnar deviation of the digits, and often palmar subluxation of the proximal phalanges
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Zebra sign (cerebellum)

The zebra sign has been termed to describe the finding of layering of blood in amongst the folia of the cerebellum, particularly in the setting of remote cerebellar haemorrhage.1 This type of haemorrhage is characterised by a streaky pattern, like a zebra's stripes, due to blood spreading in th...
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Zebra spleen

Zebra spleen, also referred to as psychedelic spleen or more correctly inhomogeneous splenic enhancement refers to the transient heterogeneous parenchymal enhancement of the spleen during the arterial or early portal venous phases of contrast enhancement in CT, MRI, or ultrasound imaging. It is...
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Zebra stripes

Zebra stripes/artifacts appear as alternating bright and dark bands in a MRI image. The term has been used to describe several different kind of artifacts causing some confusion. Artifacts that have been described as a zebra artifact include the following: Moire fringes 1,2 Zero-fill artifact...
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Zebra stripe sign (bones)

The zebra stripe sign occurs where children with osteogenesis imperfecta have been treated with cyclical bisphosphonate therapy, e.g. pamidronate. When the drug is delivered in cycles, dense bone is formed while treatment is being given. This results in dense stripes across the metaphyses of bon...
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Zellweger syndrome

Zellweger syndrome (ZS), also known as the cerebrohepatorenal syndrome, is a multisystem metabolic abnormality. As the name implies it primarily affects the central nervous system (CNS), liver and kidneys.  Epidemiology The condition typically presents in neonates with poor feeding and/or seiz...
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Zenker diverticulum

Zenker diverticulum, also known as a pharyngeal pouch, is a posterior outpouching of the hypopharynx, just proximal to the upper oesophageal sphincter through a weakness in the muscle layer called the Killian dehiscence. Epidemiology More than 50% of the affected patients present in 60-80 year...
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Zero fill artifact

Zero fill artifact is one of many MRI artifacts and is due to data in the K-space array missing or set to zero during scanning. The abrupt change from signal to no signal results in artifacts in the images showing alternating bands of shading and darkness, often in an oblique direction. A spike...
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Zero filling interpolation

Zero filling interpolation (ZIP) is the substitution of zeroes for unmeasured data points in order to increase the matrix size of the new data prior to Fourier transformation of MR data. This results in pixels smaller than the actual resolution of the image. The zero filling occurs in the periph...
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Zimmerman-Laband syndrome

Zimmerman-Laband syndrome is a rare congenital syndrome, characterised primarily by gingival hypertrophy and skeletal abnormalities.  Pathology The molecular basis of the syndrome is currently unknown. An autosomal dominant mutation with high mutation rate and rare instances of germinal mosaic...
Article

Zinner syndrome

Zinner syndrome is a triad of Wolffian duct anomalies comprising unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction 1. Clinical presentation Patients are typically diagnosed during the 3rd or 4th decade of life and often present with perineal pain, re...
Article

Zipper artifact

In MR imaging, zipper artifact refers to a type of MRI artefact where one or more spurious bands of electronic noise extend perpendicular to the frequency encode direction and is present in all images of a series.         There are various causes for zipper artifacts in images. Most of them are...
Article

Zollinger-Ellison syndrome

Zollinger-Ellison syndrome (ZES) is a clinical syndrome that occurs secondary to a gastrinoma.  Clinical presentation Diagnosis of ZES is often delayed by 5-7 years after the onset of symptoms 2.  Pathology Gastrinomas are usually multiple and typically located in the duodenum (more common) ...
Article

Zona orbicularis

The zona orbicularis are circular fibres of the hip joint capsule and form a collar around the femoral neck. Though partly blended with the pubofemoral and ischiofemoral ligaments, these fibres are not directly attached to bone. 
Article

Z-score

Z-scores are a way to translate individual data points into terms of a standard deviation.  Z = (X - Xbar) / σ X: individual data point Xbar: the arithmetic mean σ: the standard deviation The purpose of the Z-score is to allow comparison between values in different normal distributions. Two...
Article

Zuckerkandl tubercle

Zuckerkandl tubercle is a normal variant of the thyroid and may be mistaken for a thyroid nodule, mass or lymph node. It is a projection of normal thyroid tissue from the posterior aspect of the lateral lobes of the thyroid gland.  The tubercle is also an important surgical landmark due to its ...
Article

Zuelzer-Wilson syndrome

The Zuelzer-Wilson syndrome (total colonic aganglionosis) is a subset of Hirschsprung disease, in which the whole colon is aganglionic. It is uncommon and accounts for 2-13% of cases of Hirschsprung disease 3. Multiple procedures have been devised to treat the condition, including proctocolectom...
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Zygoma

The zygoma (also known as zygomatic bone or malar bone) is an important facial bone which forms the prominence of the cheek. It is roughly quadrangular in shape. Gross anatomy Zygoma has three surfaces, five borders, and two processes. Surfaces anterolateral surface is convex, pierced at its...
Article

Zygomatic arch

The zygomatic arch is formed by the union of the temporal process of the zygomatic bone and the zygomatic process of the temporal bone at the zygomaticotemporal suture.  Related pathology Le Fort type 3 fracture zygomaticomaxillary complex fracture
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Zygomatic nerve

The zygomatic nerve is a main branch of the maxillary division of the trigeminal nerve. It should not be confused with the zygomatic branch of the facial nerve. Gross anatomy The zygomatic nerve divides off the maxillary division just after emerging from the foramen rotundum to enter the ptery...
Article

Zygomaticofacial foramen

The zygomaticofacial foramen is a small foramen in the mid lateral surface of the zygomatic bone that transmits the zygomaticofacial nerve (a branch of the zygomatic nerve from the maxillary division of the trigeminal nerve) and zygomaticofacial vessels.
Article

Zygomaticofacial nerve

The zygomaticofacial nerve is the smaller of the two branches of the zygomatic nerve, from the maxillary division of the trigeminal nerve. It is sometimes referred to as the malar branch of the zygomatic nerve. It leaves the inferolateral aspect of the extraconal space of the orbit through the z...
Article

Zygomaticomaxillary complex fracture

Zygomaticomaxillary complex (ZMC) fractures, also known as a tripod, tetrapod, quadripod, malar or trimalar fractures, are seen in the setting of traumatic injury to the face. They comprise fractures of the: zygomatic arch inferior orbital rim, and anterior and posterior maxillary sinus walls ...
Article

Zygomaticomaxillary suture

The zygomaticomaxillary suture is between the zygomatic process of the maxilla and the maxillary process of the zygomatic bone. They are often involved in zygomaticomaxillary complex (ZMC) fractures.
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Zygomaticotemporal foramen

The zygomaticotemporal foramen is a small foramen in the anteromediall surface of the zygomatic bone that transmits the zygomaticotemporal nerve (a branch of the zygomatic nerve from the maxillary division of the trigeminal nerve) and zygomaticotemporal vessels.
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Zygomaticotemporal nerve

The zygomaticotemporal nerve is the larger of the two branches of the zygomatic nerve, from the maxillary division of the trigeminal nerve. It is primarily sensory but also relays parasympathetic fibres to the lacrimal nerve from the pterygopalatine ganglion which reach the lacrimal gland. It le...

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