Top

Published in:

01-02-2004 | Musculoskeletal

MR appearance of cartilage defects of the knee: preliminary results of a spiral CT arthrography-guided analysis

Authors: B. C. Vande Berg, F. E. Lecouvet, B. Maldague, J. Malghem

Published in: European Radiology | Issue 2/2004

Abstract

The aim of this study was to determine signal intensity patterns of cartilage defects at MR imaging. The MR imaging (3-mm-thick fat-suppressed intermediate-weighted fast spin-echo images) was obtained in 31 knees (21 male and 10 female patients; mean age 45.5 years) blindly selected from a series of 252 consecutive knees investigated by dual-detector spiral CT arthrography. Two radiologists determined in consensus the MR signal intensity of the cartilage areas where cartilage defects had been demonstrated on the corresponding reformatted CT arthrographic images. There were 83 cartilage defects at spiral CT arthrography. In 52 (63%) lesion areas, the MR signal intensity was higher than that of adjacent normal cartilage with signal intensity equivalent to (n=31) or lower than (n=21) that of articular fluid. The MR signal intensity was equivalent to that of adjacent normal cartilage in 17 (20%) lesion areas and lower than that of adjacent cartilage in 8 (10%) lesion areas. In 6 (7%) lesion areas, mixed low and high signal intensity was observed. The MR signal intensity of cartilage defects demonstrated on spiral CT arthrographic images varies from low to high on fat-suppressed intermediate-weighted fast spin-echo MR images obtained with our equipment and MR parameters.

McCauley TR, Disler D (1998) MR imaging of articular cartilage. Radiology 209:629–640PubMed

Hodler J, Resnick D (1996) Current status of imaging of articular cartilage. Skeletal Radiol 25:703–709PubMed

Kneeland B (2001) Magnetic resonance imaging of articular cartilage. Semin Roentgenol 35:249–255

Suh JS, Lee SH, Jeong EK, Kim DJ (2001) Magnetic resonance imaging of articular cartilage. Eur Radiol 11:2015–2025PubMed

Rubenstein JD, Li JG, Majumdar S, Henkelman RM (1997) Image resolution and signal-to-noise ratio requirements for MR imaging of degenerative cartilage. AJR 169:1089–1096PubMed

Peterfy CG, Genant HK (1996) Emerging applications of magnetic resonance imaging in the evaluation of articular cartilage. Radiol Clin North Am 34:195–213PubMed

Duchateau F, Vande Berg BC (2002) MR imaging of the articular cartilage of the knee with arthroscopy as gold standard: assessment of methodological quality of clinical studies. Eur Radiol 12:2977–2981PubMed

Gagliardi JA, Chung EM, Chandnani VP et al. (1994) Detection and staging of chondromalacia patellae: relative efficacies of conventional MR imaging, MR arthrography, and CT arthrography. AJR 163:629–636PubMed

Daenen BR, Ferrara MA, Marcelis S, Dondelinger RF (1998) Evaluation of patellar cartilage surface lesions: comparison of CT arthrography and fat-suppressed FLASH 3D MR imaging. Eur Radiol 8:981–985PubMed

10.

Rand T, Brossman J, Pedowitz R, Ahn JM, Haghigi P, Resnick D (2001) Analysis of patellar cartilage: comparison of conventional MR imaging and MR and CT arthrography in cadavers. Acta Radiol 41:492–497CrossRef

11.

Vande Berg BC, Lecouvet FE, Poilvache P et al. (2002) Assessment of knee cartilage in cadavers with dual-detector spiral CT arthrography and MR imaging. Radiology 222:430–436PubMed

12.

Theumann N, Favarger N, Schnyder P, Meuli R (2001) Wrist ligament injuries: value of post-arthrography computed tomography. Skeletal Radiol 30:88–93PubMed

13.

Vande Berg BC, Lecouvet FE, Poilvache P et al. (2000) Dual-detector spiral CT arthrography of the knee: accuracy for detection of meniscal abnormalities and unstable meniscal tears. Radiology 216:851–857PubMed

14.

Hall FM (1981) Methodology in knee arthrography. Radiol Clin North Am 19:269–275PubMed

15.

Berland LL (1987) Routine scan factors. In: Berland LL (ed) Practical CT technology. Raven Press, New York, pp 56–72

16.

Polacin A, Kalender WA, Marchal G (1992) Evaluation of section sensitivity profiles and image noise in spiral CT. Radiology 185:29–35PubMed

17.

Rubin GD (1996) Techniques of reconstruction. In: Rémy-Jardin M, Rémy J (eds) Spiral CT of the chest. Springer, Berlin Heidelberg New York, pp 101–127

18.

Brink JA, Heiken JP, Wang G, McEnery KW, Schlueter FJ, Vannier MW (1994) Spiral (helical) CT: principles and technical considerations. Radiographics 14:887–893PubMed

19.

Brink JA, Davros WJ (1995) Helical/spiral CT: technical principles. In: Pennington J, Englis MR (eds) Helical/spiral CT: a practical approach. McGraw-Hill, New York, pp 1–26

20.

Bredella MA, Tirman PF, Peterfy CG et al. (1999) Accuracy of T2-weighted fast spin-echo MR imaging with fat saturation in detecting cartilage defects in the knee: comparison with arthroscopy in 130 patients. AJR 172:1073–1080PubMed

21.

Noyes FR, Stabler CL (1989) A system for grading articular cartilage lesions at arthroscopy. Am J Sports Med 17:505–513PubMed

22.

Rose PM, Demlow TA, Szumowski J, Quinn SF (1994) Chondromalacia patellae: fat-suppressed MR imaging. Radiology 193:437–440PubMed

23.

Ahn JM, Kwak SM, Kang HS et al. (1998) Valuation of patellar cartilage in cadavers with a low-field- strength extremity-only magnet: comparison of MR imaging sequences with macroscopic findings as the standard. Radiology 208:57–62PubMed

24.

Peterfy CG (2000) Scratching the surface: articular cartilage disorders in the knee. Magn Reson Imaging Clin N Am 8:409–431PubMed

25.

McCauley TR, Kier R, Lynch KJ, Jokl P (1992) Chondromalacia patellae: diagnosis with MR imaging. AJR 158:101–105

26.

Speer KP, Spritzer CE, Goldner JL, Garrett WE Jr (1991) Magnetic resonance imaging of traumatic knee articular cartilage injuries. Am J Sports Med 19:396–402PubMed

27.

Handelberg F, Shahabpour M, Casteleyn PP (1990) Chondral lesions of the patella evaluated with computed tomography, magnetic resonance imaging, and arthroscopy. Arthroscopy 6:24–29PubMed

28.

Rubenstein J, Recht M, Disler DG, Kim J, Henkelman RM (1997) Laminar structures on MR images of articular cartilage. Radiology 204:15–16PubMed

29.

Bronskill MJ, McVeigh ER, Kucharczyk W, Henkelman RM (1988) Syrinx-like artifacts on MR images of the spinal cord. Radiology 166:485–488PubMed

30.

Melki PS, Mulkern RV (1992) Magnetization transfer effects in multislice RARE sequences. Magn Reson Med 24:189–195PubMed

31.

Mosher TJ, Dardzinski BJ, Smith MB (2000) Human articular cartilage: influence of aging and early symptomatic degeneration on the spatial variation of T2-preliminary findings at 3 T. Radiology 214:259–266PubMed

32.

Eckstein F, Tieschky M, Faber SC et al. (1998) Effect of physical exercise on cartilage volume and thickness in vivo: MR imaging study. Radiology 207:243–248PubMed

33.

Mosher TJ, Smith H, Dardzinski BJ, Schmithorst VJ, Smith MB (2001) MR imaging and T2 mapping of femoral cartilage: in vivo determination of the magic angle effect. AJR 177:665–669

34.

Xia Y, Moody JB, Alhadlaq H, Burton-Wurster N, Lust G (2002) Characteristics of topographical heterogeneity of articular cartilage over the joint surface of a humeral head. Osteoarthritis Cartilage 10:370–380CrossRefPubMed

35.

Smith HE, Mosher TJ, Dardzinski BJ et al. (2001) Spatial variation in cartilage T2 of the knee. J Magn Reson Imaging 14:50–55CrossRefPubMed

Title: MR appearance of cartilage defects of the knee: preliminary results of a spiral CT arthrography-guided analysis
Authors: B. C. Vande Berg
F. E. Lecouvet
B. Maldague
J. Malghem
Publication date: 01-02-2004
Publisher: Springer-Verlag
Published in: European Radiology / Issue 2/2004
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-003-2068-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

MR appearance of cartilage defects of the knee: preliminary results of a spiral CT arthrography-guided analysis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2004

Clopidogrel plus long-term aspirin after femoro-popliteal stenting. The CLAFS project: 1- and 2-year results

Subchondral insufficiency fractures of the femoral head

Low-contrast detectability in volume rendering: a phantom study on multidector-row spiral CT data

3D CT modeling of hepatic vessel architecture and volume calculation in living donated liver transplantation

Ultrastructural MR imaging techniques of the knee articular cartilage: problems for routine clinical application

Cerebral venous sinus thrombosis