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

  • Musculoskeletal
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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.

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References

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

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  7. 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 12:2977–2981

    PubMed  Google Scholar 

  8. 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 163:629–636

    CAS  PubMed  Google Scholar 

  9. 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 8:981–985

    CAS  PubMed  Google Scholar 

  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 41:492–497

    Article  Google Scholar 

  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 222:430–436

    PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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 216:851–857

    PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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 185:29–35

    CAS  PubMed  Google Scholar 

  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 14:887–893

    CAS  PubMed  Google Scholar 

  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 172:1073–1080

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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 208:57–62

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    CAS  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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 214:259–266

    CAS  PubMed  Google Scholar 

  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 207:243–248

    CAS  PubMed  Google Scholar 

  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

    CAS  Google Scholar 

  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 10:370–380

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Cliniques Universitaires St. Luc, 10 avenue Hippocrate, 1200, Brussels, Belgium

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

Authors
  1. B. C. Vande Berg
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  2. F. E. Lecouvet
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  3. B. Maldague
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  4. J. Malghem
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Correspondence to B. C. Vande Berg.

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Vande Berg, B.C., Lecouvet, F.E., Maldague, B. et al. MR appearance of cartilage defects of the knee: preliminary results of a spiral CT arthrography-guided analysis. Eur Radiol 14, 208–214 (2004). https://doi.org/10.1007/s00330-003-2068-4

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  • DOI: https://doi.org/10.1007/s00330-003-2068-4

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