Publications by authors named "Mika Nevalainen"

Purpose: Lumbosacral transitional vertebra (LSTV) is a common anomaly linked to the degeneration of the lumbar spine. The aim of this work was to study lumbar spine mobility in subjects with and without LSTV using flexion-extension radiographs.

Methods: In this retrospective single-center study, we identified subjects with flexion-extension radiographs and abdominopelvic CTs performed between years 2005-2023.

View Article and Find Full Text PDF

Background: Knee osteoarthritis (KOA) is considered a whole-joint disease that is amenable to prevention and treatment in the early stages. Exercise is among the core treatment recommendations for KOA and it has been suggested that optimal exercise regimens should improve aerobic capacity and knee extensor strength. Subchondral bone and articular cartilage are functionally paired, and information on the responses of these tissues to exercise may help in the development of efficacious and feasible exercise regimens that can potentially improve bone and cartilage properties.

View Article and Find Full Text PDF

Objective: To evaluate maxillary sinus and odontogenic findings in low-dose CBCT, and to test if associations exist between these findings.  Methods: From 263 consecutive CBCT scans, 212 were included. Evaluated odontogenic parameters were periapical lesions (PAI), marginal periodontal bone loss (PBL), root contact to the maxillary sinus, the presence of crowns, implants, defective restorations and extensive caries.

View Article and Find Full Text PDF

Objective: To evaluate the incidence and severity of knee magnetic resonance imaging (MRI) findings and their associated lifestyle and health factors in a relatively healthy subset of a general population-based birth cohort.

Design: The study population (n = 288, 61.1% females, mean age 33.

View Article and Find Full Text PDF

Objective: To evaluate the performance of a deep learning (DL) model in an external dataset to assess radiographic knee osteoarthritis using Kellgren-Lawrence (KL) grades against versatile human readers.

Materials And Methods: Two-hundred-eight knee anteroposterior conventional radiographs (CRs) were included in this retrospective study. Four readers (three radiologists, one orthopedic surgeon) assessed the KL grades and consensus grade was derived as the mean of these.

View Article and Find Full Text PDF

The utilization of artificial intelligence (AI) is expanding significantly within medical research and, to some extent, in clinical practice. Deep learning (DL) applications, which use large convolutional neural networks (CNN), hold considerable potential, especially in optimizing radiological evaluations. However, training DL algorithms to clinical standards requires extensive datasets, and their processing is labor-intensive.

View Article and Find Full Text PDF

Background: The reliability and diagnostic accuracy of commonly used diagnostic imaging modalities in the classification of lumbosacral transitional vertebrae (LSTV) are poorly known, and comparative studies are scarce.

Purpose: To compare the diagnostic performance of conventional radiography (CR), computed tomography (CT), and magnetic resonance imaging (MRI) in classifying LSTVs.

Material And Methods: In this retrospective cross-sectional study, a total of 852 patients undergoing lumbar imaging studies using all three modalities were initially assessed for the presence of LSTV using CT scans.

View Article and Find Full Text PDF
Article Synopsis
  • The carpal boss (CB) is a rare bony growth found at the quadrangular joint of the wrist, potentially caused by osteophyte formation or an accessory bone known as os styloideum.
  • People with a carpal boss may experience pain, swelling, and limited hand movement, often due to joint degeneration, ganglion cysts, or tendon issues.
  • The review emphasizes the importance of high-resolution ultrasonography (HR-US) for diagnosing and managing conditions related to the carpal boss and outlines the standard techniques for assessing the quadrangular joint.
View Article and Find Full Text PDF

Objectives: To study the medial meniscus extrusion (MME) in subjects with and without medial meniscal tears on magnetic resonance imaging (MRI), supine ultrasound (US), and weight-bearing US.

Methods: Forty-seven cases (mean age 43.7 years) with medial meniscus tears and 53 healthy controls (mean age 36.

View Article and Find Full Text PDF

Objective: To perform a systematic literature review on the diagnostic utility of 3D MRI sequences in the assessment of central canal, recess and foraminal stenosis in the spine.

Methods: The databases PubMed, MEDLINE (via OVID) and The Cochrane Central Register of Controlled Trials, were searched for studies that investigated the diagnostic use of 3D MRI to evaluate stenoses in various parts of the spine in humans. Three reviewers examined the literature and conducted systematic review according to PRISMA 2020 guidelines.

View Article and Find Full Text PDF

Background: Obesity is a significant risk factor for osteoarthritis (OA). The most effective treatment for morbid obesity is bariatric surgery.

Purpose: To study the effects of potential surgically induced weight loss on knee articular cartilage and OA symptoms of obese patients over a 12-month follow-up.

View Article and Find Full Text PDF

Purpose: Artificial intelligence and deep learning solutions are increasingly utilized in healthcare and radiology. The number of studies addressing their enhancement of productivity and monetary impact is, however, still limited. Our hospital has faced a need to enhance MRI scanner throughput, and we investigate the utility of new commercial deep learning reconstruction (DLR) algorithm for this purpose.

View Article and Find Full Text PDF

Study Design: This is a retrospective, cross-sectional, population-based study that automatically measured the facet joint (FJ) angles from T2-weighted axial magnetic resonance imagings (MRIs) of the lumbar spine using deep learning (DL).

Objective: This work aimed to introduce a semiautomatic framework that measures the FJ angles using DL and study facet tropism (FT) in a large Finnish population-based cohort.

Summary Of Data: T2-weighted axial MRIs of the lumbar spine (L3/4 through L5/S1) for (n=1288) in the NFBC1966 Finnish population-based cohort were used for this study.

View Article and Find Full Text PDF

Background: Magnetic resonance cholangiopancreatography (MRCP) provides a noninvasive and fast modality for imaging the biliary tree when choledocholithiasis is suspected. Guidelines suggest that MRCP is recommended when strong or moderate signs of common bile duct (CBD) stones are present. Well-performed prospective studies are scarce regarding the sensitivity and specificity of preoperative MRCP in patients with acute cholecystitis in comparison with intraoperative cholangiography, ERCP, or choledochoscopy.

View Article and Find Full Text PDF

Traditionally, osteoarthritis (OA) is diagnosed with the clinical examination supplemented by the conventional radiography (CR). In the research literature, the role of ultrasound (US) imaging in the diagnostics of OA has risen steadily during the last two decades. US imaging is cheap and globally widely available often already in primary healthcare.

View Article and Find Full Text PDF

Objectives: To evaluate extensor carpi ulnaris (ECU) tendon pathology and ulnar styloid process bone marrow edema (BME) as diagnostic MRI markers for peripheral triangular fibrocartilage complex (TFCC) tears.

Methods: One hundred thirty-three patients (age range 21-75, 68 females) with wrist 1.5-T MRI and arthroscopy were included in this retrospective case-control study.

View Article and Find Full Text PDF
Article Synopsis
  • Magnetic resonance fingerprinting (MRF) is a technique that accelerates MRI data collection but typically falls short of creating contrast-weighted images needed for radiology.
  • This study aims to enhance MRF's clinical usefulness by using U-net models to synthesize high-quality contrast-weighted MR images from MRF quantitative data, employing various loss functions during training.
  • Results show that the synthetic images achieved high quality, with the best outcomes derived from a combination of loss functions, as assessed by radiologists using a 5-point Likert scale.
View Article and Find Full Text PDF

Choledocholithiasis is more common in acute cholecystitis than in elective situations. Preoperative diagnosis of choledocholithiasis is essential to facilitate adequate planning of CBD (common bile duct) stone removal, preferably performed as a single-stage procedure. The purpose of this study was to test the feasibility of routine preoperative magnetic resonance cholangiopancreatography (MRCP) in acute cholecystitis followed by consequent cholecystectomy.

View Article and Find Full Text PDF

Purpose: We examine the outcomes following operative treatment of intra-articular fracture combined with medial patellofemoral ligament (MPFL) reconstruction after patella dislocation.

Methods: Patients were retrospectively identified from medical records using diagnostic and surgical procedure codes. Radiological anatomical parameters and bony abnormalities of injured knees were assessed from magnetic resonance images (MRI).

View Article and Find Full Text PDF

Background: Avascular osteonecrosis of the femoral head (AVNFH) is an ischemic condition which despite different treatments often leads to collapse of the femoral head and to total hip arthroplasty. However, the magnetic resonance imaging findings predisposing to disease progression and total hip arthroplasty are somewhat elusive.

Purpose: To evaluate the magnetic resonance imaging findings of AVNFH and to assess the patterns of findings which may predict total hip arthroplasty.

View Article and Find Full Text PDF

Study Design: A cross-sectional study of the Northern Finland Birth Cohort 1966 (NFBC1966).

Objective: To evaluate the association of lumbosacral transitional vertebrae (LSTV) with low back pain (LBP) and associated degenerative findings using magnetic resonance (MR) imaging.

Summary Of Background Data: LSTV is a common finding with a prevalence of 10% to 29%.

View Article and Find Full Text PDF

To evaluate the acoustic emissions (AE) and kinematic instability (KI) of the osteoarthritic (OA) knee joints, and to compare these signals to radiographic findings. Sixty-six female and 43 male participants aged 44-67 were recruited. On radiography, joint-space narrowing, osteophytes and Kellgren-Lawrence (KL) grade were evaluated.

View Article and Find Full Text PDF

Objective: Ultrasonography (US) has a promising role in evaluating the knee joint, but capability to visualize the femoral articular cartilage needs systematic evaluation. We measured the extent of this acoustic window by comparing standardized US images with the corresponding MRI views of the femoral cartilage.

Design: Ten healthy volunteers without knee pathology underwent systematic US and MRI evaluation of both knees.

View Article and Find Full Text PDF

Objectives: To determine the diagnostic performance of ultrasonography (US) for evaluation of the ankle joint osteoarthritic (OA) changes. Cone-beam computed tomography (CT) was used as the gold standard and US performance was compared with conventional radiography (CR). As a secondary aim, associations between the imaging findings and ankle symptoms were assessed.

View Article and Find Full Text PDF