Skip to main content
Log in

Indirect magnetic resonance arthrography

  • Review Article
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Indirect MR arthrography is useful for evaluation of joints such as the elbow, wrist, ankle and shoulder where there is a large synovial surface area relative to joint volume. It allows simultaneous assessment of both intra-articular and extra-articular soft tissues with the added advantage of minimal invasiveness. The established and potential uses of this imaging technique are reviewed below and the pathology that is demonstrated by this technique is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1. A
Fig. 2A, B.
Fig. 3.
Fig. 4.
Fig. 5.
Fig. 6.
Fig. 7.
Fig. 8.

Similar content being viewed by others

References

  1. Drape JL, Thelen P, Gay-Depassier P, Silbermann O, Benacerraf R. Intraarticular diffusion of Gd-DTPA after intravenous injection in the knee: MR imaging evaluation. Radiology 1991; 181:227–234.

    Google Scholar 

  2. Schweitzer ME, Natale P, Winalski CS, Culp R. Indirect wrist arthrography: the effect of passive motion versus active exercise. Skeletal Radiol 2000; 29:10–14.

    Article  CAS  PubMed  Google Scholar 

  3. Vahlensieck M, Sommer T, Textor J, et al. Indirect MR arthrography: technique and applications. Eur Radiol 1998; 8:232–235.

    CAS  PubMed  Google Scholar 

  4. Yamoto M, Tamai K, Yamaguchi T, Ohno W. MRI of the knee in rheumatoid arthritis: Gd-DTPA perfusion dynamics. J Comput Assist Tomogr 1993; 17:781–785.

    Google Scholar 

  5. Kursunoglu-Brahme S, Riccio T, et al. Rheumatoid knee: role of gadopentetate-enhanced MR imaging. Radiology 1990; 176:831–835.

    CAS  PubMed  Google Scholar 

  6. Vahlensieck M, Peterfy CG, Wischer T, Sommer T, Lang P, Schlippert U, Genant HK, Schild HH. Indirect MR arthrography: optimization and clinical applications. Radiology 1996; 200:249–254.

    CAS  PubMed  Google Scholar 

  7. Burstein D, Velyvis J, Scott KT, et al. Protocol issues for delayed Gd DTPA-enhanced MRI for clinical evaluation of articular cartilage. Mag Reson Med 2001; 45:36–41.

    Article  CAS  Google Scholar 

  8. Peh WC, Cassar-Pullicino VN. Magnetic resonance arthrography: current status. Clin Radiol 1999; 54:575–587.

    CAS  PubMed  Google Scholar 

  9. Wintzell G, Larsson H, Larsson S. Indirect MR arthrography of anterior shoulder instability in the ABER and the apprehension test positions: a prospective comparative study of two different shoulder positions during MRI using intravenous gadodiamide contrast for enhancement of the joint fluid. Skeletal Radiol 1998; 27:488–494.

    CAS  PubMed  Google Scholar 

  10. Yagci B, Manisals M, Yilmaz E, Ekin A, Ozaksoy D, Kovanlikaya I. Indirect MR arthrography of the shoulder in detection of rotator cuff ruptures. Eur Radiol 2001; 11:258–262.

    CAS  PubMed  Google Scholar 

  11. Wagner SC, Schweitzer ME, Morrison WB, Fenlin JM, Bartolozzi AR. Shoulder instability: accuracy of MR imaging performed after surgery in depicting recurrent injury—initial findings. Radiology 2002; 222:196–203.

    PubMed  Google Scholar 

  12. Yanagawa A, Takano K, Nishioka K, Shimada J, Mizushima Y, Ashida H. Clinical staging and gadolinium-DTPA enhanced images of the wrist in rheumatoid arthritis. J Rheumatol 1993; 20:781–784.

    CAS  PubMed  Google Scholar 

  13. Sugimoto H, Takeda A, Masuyama J, Furuse M. End-stage rheumatoid arthritis: diagnostic accuracy of MR imaging. Radiology 1996; 198:185–192.

    CAS  PubMed  Google Scholar 

  14. Winalski CS, Aliabadi P, Wright RJ, Shortkroff S, Sledge CB, Weissman BN. Enhancement of joint fluid with intravenously administered gadopentetate dimeglumine: technique, rationale and implications. Radiology 1993; 187:179–185.

    CAS  PubMed  Google Scholar 

  15. Haims AH, Schweitzer ME, Morrison WB, Deely D, Lange R, Osterman AL, Bednar JM, Taras JS, Culp RW. Limitations of MR imaging in the diagnosis of peripheral tears of the triangular fibrocartilage of the wrist. AJR Am J Roentgenol 2002;178:419–422.

    PubMed  Google Scholar 

  16. Zlatkin MB, Chao PC, Osterman AL, Schnall MD, Dalinka MK, Kressel HY. Chronic wrist pain: evaluation with high resolution MR imaging. Radiology 1989; 173:723–729.

    CAS  PubMed  Google Scholar 

  17. Totterman SMS, Miller RJ, McCance SE, Meyers SP. Lesions of the triangulofibrocartilage complex: MR findings with a three dimensional gradient recalled-echo sequence. Radiology 1996; 199:227–232.

    CAS  PubMed  Google Scholar 

  18. Wallny T, Sommer T, Steuer K, Vahlensieck M, Wagner UA, Schmitz A. Clinical and nuclear magnetic resonance tomography diagnosis of glenoid labrum injuries. Unfallchirurgie 1998; 101:613–618.

    Article  CAS  Google Scholar 

  19. Nishii T, Nakanishi K, Sugano N, Naito H, Tamura S, Ochi T. Acetabular labral tears: contrast-enhanced MR imaging under continuous leg traction. Skeletal Radiol 1996; 25:349–356.

    Article  CAS  PubMed  Google Scholar 

  20. White LM, Schweitzer ME, Weishaupt D, Kramer J, Davis A, Marks P. Diagnosis of recurrent meniscal tears: prospective evaluation of conventional MR imaging, indirect MR arthrography and direct MR arthrography. Radiology 2002; 222:421–429.

    PubMed  Google Scholar 

  21. Tanaka H, Nakanishi K, Nakata K, Natsume T, Hamada M, Nakamura H. Usefulness of Gd-DTPA enhanced T1-weighted images for evaluating the healing process of repaired meniscus (abstract). Radiology 1999; 213(P): 114.

    Google Scholar 

  22. Arnoczky SP, Warren RF. The microvasculature of the meniscus and its response to injury. Am J Sports Med 1983; 11:131–141.

    CAS  PubMed  Google Scholar 

  23. Cooper DE, Arnoczky SP, Warren RF. Arthroscopic meniscal repair. Clin Sports Med 1990; 9:589–607.

    CAS  PubMed  Google Scholar 

  24. Yamato M. Intravenous MR arthrography of the knee. Nippon Igaku Hoshasen Gakkai Zasshi 1996; 55:466–469. [in Japanese].

    Google Scholar 

  25. Morrey BF. Functional anatomy of the ligaments of the elbow. Clin Orthop 1985; 205:84–90.

    Google Scholar 

  26. Potter HG, Weiland AJ, Schatz JA, et al. Posterolateral instability of the elbow. Usefulness of MR imaging in diagnosis. Radiology 1997; 204:185–189.

    CAS  PubMed  Google Scholar 

  27. Awaya H, Schweitzer ME, Feng SA, Kamishima T, Marone PJ, Farooki S, Trudell DJ, Haghighi P, Resnick DL. Elbow synovial fold syndrome: MR imaging findings. AJR Am J Roentgenol 2001; 177:1377–1381.

    CAS  PubMed  Google Scholar 

  28. Grasel RP, Schweitzer ME, Kovalovich AM, et al. MR imaging of plantar fasciitis: edema, tears and occult marrow abnormalities correlated with outcome. AJR Am J Roentgenol 1999; 173:699–701.

    CAS  PubMed  Google Scholar 

  29. Lektrakul N, Chung CB, Lai YM, Theodorou DJ, Yu J, Haghighi P, Trudell D, Resnick D. Tarsal sinus: arthrographic, MR imaging, MR arthrographic, and pathologic findings in cadavers and retrospective study data in patients with sinus tarsi syndrome. Radiology 2001; 219:802–810.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D. Bergin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bergin, D., Schweitzer, M.E. Indirect magnetic resonance arthrography. Skeletal Radiol 32, 551–558 (2003). https://doi.org/10.1007/s00256-003-0669-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-003-0669-2

Keywords

Navigation