Abstract
Spin echo T1- and T2-weighted images and intravenously administered gadopentetate dimeglumineenhanced T1-weighted images were obtained in 4 normal volunteers and 11 patients (11 joints) with painful, intermittent, or persistent joint swelling of unknown etiology. These studies were retrospectively reviewed to assess the benefits of contrast-enhanced magnetic resonance imaging (MRI) in evaluating the synovium. Normal synovium and joint fluid showed no visually apparent enhancement on images obtained immediately after intravenous injection of gadopentetate dimeglumine. Abnormal synovium enhanced significantly, allowing the precise identification of equivocal or unsuspected synovial disease processes. These results suggest that, in selected cases, enhanced MRI can be a useful adjunct in the evaluation of suspected synovial disease processes.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Adam G, Dammer M, Bohndorf K, Christoph R, Fenke F, Günther RW (1991) Rheumatoid arthritis of the knee: value of gadopentetate dimeglumine-enhanced MR imaging. AJR 156:125
Beltran J, Chandnani V, McGhee RA, Kursunoglu-Brahme S (1991) Gadopentetate dimeglumine-enhanced MR imaging of the musculoskeletal system. AJR 156:457
Björkengren AG, Geborek P, Rydholm U, Holtås S, Pettersson H (1990) MR imaging of the knee in acute rheumatoid arthritis: synovial uptake of gadolinium-DOTA. AJR 155:329
Erlemann R, Reiser MF, Peters PE, et al. (1989) Musculoskeletal neoplasms: static and dynamic Gd-DTPA-enhanced MR imaging. Radiology 171:767
Erlemann R, Sciuk J, Bosse A, et al. (1990) Response of osteosarcoma and Ewing sarcoma to preoperative chemotherapy: assessment with dynamic MR imaging and skeletal scintigraphy. Radiology 175:791
Hueftle MG, Modic MT, Ross JS, et al. (1988) Lumbar spine: postoperative MR imaging with Gd-DTPA. Radiology 167:817
König H, Sieper J, Wolf KJ (1990) Rheumatoid arthritis: evaluation of hypervascular and fibrous pannus with dynamic MR imaging enhanced with Gd-DTPA. Radiology 176:473
König H, Sieper J, Sorensen M, Wolf KJ (1991) Contrast-enhanced dynamic MR imaging in rheumatoid arthritis of the knee joint: follow-up study after cortisol drug therapy (abstract). Radiology 181(P):302
Kursunoglu-Brahme S, Riccio T, Weisman MH, et al. (1990) Rheumatoid knee: role of gadopentetate-enhanced MR imaging. Radiology 176:831
Pettersson H, Eliasson J, Egund N, et al. (1988) GadoliniumDTPA enhancement of soft tissue tumors in magnetic resonance imaging-preliminary clinical experience in five patients. Skeletal Radiol 17:319
Post MJD, Sze G, Quencer RM, Eismont FJ, Green BA, Gahbauer H (1990) Gadolinium enhanced MR in spinal infection. J Comput Assist Tomogr 14:721
Reiser MF, Bongartz GP, Erlemann R, et al. (1989) Gadolin-ium-DTPA in rheumatoid arthritis and related diseases: first results with dynamic magnetic resonance imaging. Skeletal Radiol 18:591
Weissman BN, Winalski CS, Aliabadi P, Kikinis R, Shortkroff S, Sledge CB (1990) MR imaging of the knee in patients with rheumatic diseases (abstract). Radiology 177(P):182
Winalski CS, Weissman BN, Aliabadi P, Wright RJ, Shortkroff S (1991) Intravenous Gd-DTPA enhancement of joint fluid: a less invasive alternative for MR arthrography (abstract). Radiology 181(P): 304
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Whitten, C.G., Moore, T.E., Yuh, W.T.C. et al. The use of intravenous gadopentetate dimeglumine in magnetic resonance imaging of synovial lesions. Skeletal Radiol. 21, 215–218 (1992). https://doi.org/10.1007/BF00243060
Issue Date:
DOI: https://doi.org/10.1007/BF00243060