Skip to main content
Top
Published in: Skeletal Radiology 1/2004

01-01-2004 | Article

Virtual MR arthroscopy of the wrist joint: a new intraarticular perspective

Authors: Gülden Şahin, Başak Erguvan Dogan, Mehmet Demirtaş

Published in: Skeletal Radiology | Issue 1/2004

Login to get access

Abstract

Objective

The aim of this study is to investigate whether virtual MR arthroscopy could be used to visualize the internal architecture of the radiocarpal compartment of the wrist joint in comparison to surgical arthroscopy.

Design

Diluted paramagnetic contrast material was injected into the radiocarpal compartment prior to MR examination in all patients. A fat-suppressed T1-weighted three-dimensional fast spoiled gradient echo sequence was acquired in addition to our standard MR imaging protocol in each patient. Three-dimensional data sets were then transferred to an independent workstation and were postprocessed using navigator software to generate surface rendered virtual MR arthroscopic images.

Patients

Nineteen patients referred for chronic ulnar-sided wrist pain were evaluated with conventional MR arthrography prospectively.

Results and Conclusion

Virtual MR arthroscopic images demonstrating the triangular fibrocartilage complex (TFCC) in an intraarticular perspective were achieved in 12 out of 19 patients. Our preliminary investigation suggests that although it has several limitations, virtual MR arthroscopy shows promise in visualizing the TFCC from an intraarticular perspective.
Literature
1.
go back to reference Schweitzer ME, Brahme SK, Hodler J, et al. Chronic wrist pain: spin-echo and short tau inversion recovery MR imaging and conventional and MR arthrography. Radiology 1992; 182:205–211.PubMed Schweitzer ME, Brahme SK, Hodler J, et al. Chronic wrist pain: spin-echo and short tau inversion recovery MR imaging and conventional and MR arthrography. Radiology 1992; 182:205–211.PubMed
2.
go back to reference Scheck RJ, Kubitzek C, Hierner R, et al. The scapholunate interosseous ligament in MR arthrography of the wrist: correlation with non-enhanced MRI and wrist arthroscopy. Skeletal Radiol 1997; 26:263–271.CrossRefPubMed Scheck RJ, Kubitzek C, Hierner R, et al. The scapholunate interosseous ligament in MR arthrography of the wrist: correlation with non-enhanced MRI and wrist arthroscopy. Skeletal Radiol 1997; 26:263–271.CrossRefPubMed
3.
go back to reference Kovanlıkaya I, Camlı D, Çakmakçı H, et al. Diagnostic value of MR arthrography in detection of intrinsic carpal ligament lesions: use of cine-MR arthrography as a new approach. Eur Radiol 1997; 7:1141–1145. Kovanlıkaya I, Camlı D, Çakmakçı H, et al. Diagnostic value of MR arthrography in detection of intrinsic carpal ligament lesions: use of cine-MR arthrography as a new approach. Eur Radiol 1997; 7:1141–1145.
4.
go back to reference Brown RR, Fliszar E, Cotten A, Trudell D, Resnick D. Extrinsic and intrinsic ligaments of the wrist: normal and pathologic anatomy at MR arthrography with three-compartment enhancement. Radiographics 1998; 18:667–674.PubMed Brown RR, Fliszar E, Cotten A, Trudell D, Resnick D. Extrinsic and intrinsic ligaments of the wrist: normal and pathologic anatomy at MR arthrography with three-compartment enhancement. Radiographics 1998; 18:667–674.PubMed
5.
go back to reference Scheck RJ, Romagnolo A, Hierner R, Pfluger T, Wilhelm K, Hahn K. The carpal ligaments in MR arthrography of the wrist: correlation with standard MRI and wrist arthroscopy. J Magn Reson Imaging 1999; 9:468–474.CrossRefPubMed Scheck RJ, Romagnolo A, Hierner R, Pfluger T, Wilhelm K, Hahn K. The carpal ligaments in MR arthrography of the wrist: correlation with standard MRI and wrist arthroscopy. J Magn Reson Imaging 1999; 9:468–474.CrossRefPubMed
6.
go back to reference Davis CP, Ladd ME, Romanowski BJ, Wildermuth S, Knoplioch JF, Debatin JF. Human aorta: preliminary results with virtual endoscopy based on three-dimensional MR imaging data sets. Radiology 1996; 199:37–40.PubMed Davis CP, Ladd ME, Romanowski BJ, Wildermuth S, Knoplioch JF, Debatin JF. Human aorta: preliminary results with virtual endoscopy based on three-dimensional MR imaging data sets. Radiology 1996; 199:37–40.PubMed
7.
go back to reference Luboldt W, Bauernfeind P, Steiner P, Fried M, Krestin GF, Debatin JF. Preliminary assessment of three-dimensional magnetic resonance imaging for various colonic disorders. Lancet 1997; 349:1288–1291.PubMed Luboldt W, Bauernfeind P, Steiner P, Fried M, Krestin GF, Debatin JF. Preliminary assessment of three-dimensional magnetic resonance imaging for various colonic disorders. Lancet 1997; 349:1288–1291.PubMed
8.
go back to reference Luboldt W, Debatin JF. Virtual endoscopic colonography based on 3D MRI. Abdom Imaging 1998; 23:568–572.CrossRefPubMed Luboldt W, Debatin JF. Virtual endoscopic colonography based on 3D MRI. Abdom Imaging 1998; 23:568–572.CrossRefPubMed
9.
go back to reference Dubno B, Debatin JF, Luboldt W, Schmidt M, Hany TF, Bauerfeind P. Virtual MR cholangiography. AJR 1998; 171:1547–1550. Dubno B, Debatin JF, Luboldt W, Schmidt M, Hany TF, Bauerfeind P. Virtual MR cholangiography. AJR 1998; 171:1547–1550.
10.
go back to reference Neri E, Boraschi P, Caramella D, et al. MR virtual endoscopy of the upper urinary tract. AJR Am J Roentgenol 2000; 175:1697–1702.PubMed Neri E, Boraschi P, Caramella D, et al. MR virtual endoscopy of the upper urinary tract. AJR Am J Roentgenol 2000; 175:1697–1702.PubMed
11.
go back to reference Applegate GR. Three-dimensional MR arthrography of the shoulder: an intraarticular perspective. AJR Am J Roentgenol 1998; 171:239–241.PubMed Applegate GR. Three-dimensional MR arthrography of the shoulder: an intraarticular perspective. AJR Am J Roentgenol 1998; 171:239–241.PubMed
12.
go back to reference Weishaupt D, Wildermuth S, Schmid M, Hilfiker PR, Hodler J, Debatin JF. Virtual MR arthroscopy: new insights into joint morphology. J Magn Reson Imaging 1999; 9:757–760.CrossRefPubMed Weishaupt D, Wildermuth S, Schmid M, Hilfiker PR, Hodler J, Debatin JF. Virtual MR arthroscopy: new insights into joint morphology. J Magn Reson Imaging 1999; 9:757–760.CrossRefPubMed
13.
go back to reference Froehner SC, Schmitt RR, Christopoulos GP, et al. Ulnar-sided pain of the wrist: computer-aided virtual arthroscopy based on MR arthrography in comparison with conventional arthroscopic findings. Radiology 2000; 217(suppl s):1205 Froehner SC, Schmitt RR, Christopoulos GP, et al. Ulnar-sided pain of the wrist: computer-aided virtual arthroscopy based on MR arthrography in comparison with conventional arthroscopic findings. Radiology 2000; 217(suppl s):1205
14.
go back to reference Udupa JK. Three-dimensional visualization and analysis methodologies: A current perspective. Radiographics 1999; 19:783–806.PubMed Udupa JK. Three-dimensional visualization and analysis methodologies: A current perspective. Radiographics 1999; 19:783–806.PubMed
15.
go back to reference Tjin A, Ton ER, Pattynama PMT, Bloem JL, Obermann WR. Interosseous ligaments: device for applying stress in wrist MR imaging. Radiology 1995; 196:863–864.PubMed Tjin A, Ton ER, Pattynama PMT, Bloem JL, Obermann WR. Interosseous ligaments: device for applying stress in wrist MR imaging. Radiology 1995; 196:863–864.PubMed
Metadata
Title
Virtual MR arthroscopy of the wrist joint: a new intraarticular perspective
Authors
Gülden Şahin
Başak Erguvan Dogan
Mehmet Demirtaş
Publication date
01-01-2004
Publisher
Springer-Verlag
Published in
Skeletal Radiology / Issue 1/2004
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-003-0704-3

Other articles of this Issue 1/2004

Skeletal Radiology 1/2004 Go to the issue