Clinical Utility of Advanced Imaging of the Knee

Lansdown, Drew A.; Benjamin, C.

doi:10.1002/jor.24462

Cited by 7 publications

(3 citation statements)

References 73 publications

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“…Pathological and subclinical changes in joint tissues like tendons, ligaments, and cartilage are one of the most promising applications of UTE imaging [37,38]. While the low contrast in initial UTE images is not necessarily beneficial in joint imaging, the possibility to gain quantitative values provides significant new information.…”

Section: Jointsmentioning

confidence: 99%

Ultra-short echo time (UTE) MR imaging: A brief review on technical considerations and clinical applications

Slawig,

Rothe,

Deistung

et al. 2023

Rofo

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Background With the availability of MRI sequences with ultrashort echo times (UTE sequences), a signal can be gained from tissue, which was formerly only indirectly accessible. While already extensively employed in various research settings, the widespread transition of UTE imaging to clinical practice is just starting. Methods Based on a systematic literature search as well as knowledge gained through annual participation in conferences dedicated to advances in MRI, this review aims to give a brief overview of technical considerations and challenges of UTE imaging and summarizes the major areas of application of UTE imaging. Results UTE is already employed in clinical practice for structural lung imaging as well as the characterization of tissue composition and its alterations in selected musculoskeletal, cardiovascular, or neurodegenerative diseases. In specific contexts it can replace CT examinations with ionizing radiation and is especially attractive for pediatric patients and longitudinal monitoring of disease progression and treatment. Conclusion UTE imaging provides an interesting and very valuable tool for various clinical purposes and promises a multitude of new insights into tissue properties. While some challenges remain, ongoing adoption in the clinical routine can be expected, as UTE approaches provide a new contrast and capture a signal in tissue formerly invisible on MR imaging. Key Points:

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Section: Jointsmentioning

confidence: 99%

Ultra-short echo time (UTE) MR imaging: A brief review on technical considerations and clinical applications

Slawig,

Rothe,

Deistung

et al. 2023

Rofo

View full text Add to dashboard Cite

show abstract

“…For MRI, the imaging sequences are important. 23 Multiple different imaging sequences have been used and validated for articular cartilage evaluation. Delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) can directly help to measure the proteoglycan/GAG content of cartilage and can also effectively evaluate cartilage regeneration, but this technique suffers from issues related to the toxicity of gadolinium administration and wait time.…”

Section: Computerized Tomographymentioning

confidence: 99%

Computational technology for nasal cartilage-related clinical research and application

Shi

Huang

2020

Int J Oral Sci

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Surgeons need to understand the effects of the nasal cartilage on facial morphology, the function of both soft tissues and hard tissues and nasal function when performing nasal surgery. In nasal cartilage-related surgery, the main goals for clinical research should include clarification of surgical goals, rationalization of surgical methods, precision and personalization of surgical design and preparation and improved convenience of doctor-patient communication. Computational technology has become an effective way to achieve these goals. Advances in three-dimensional (3D) imaging technology will promote nasal cartilage-related applications, including research on computational modelling technology, computational simulation technology, virtual surgery planning and 3D printing technology. These technologies are destined to revolutionize nasal surgery further. In this review, we summarize the advantages, latest findings and application progress of various computational technologies used in clinical nasal cartilage-related work and research. The application prospects of each technique are also discussed.

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“…There are many ways to evaluate ACL injuries, such as ultrasound, magnetic resonance imaging (MRI), or arthroscopy; however, ultrasonography requires a highly experienced operator, and arthroscopy is invasive, even though it is the gold standard. MRI is a convenient, noninvasive examination method [19, 29, 30, 33].…”

Section: Introductionmentioning

confidence: 99%

Medial meniscus tears are most prevalent in type I ACL tears, while type I ACL tears only account for 8% of all ACL tears

Tan

Liang

Feng

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose This study aimed to assess the distribution of diferent anterior cruciate ligament (ACL) tear locations in diferent magnetic resonance imaging (MRI) planes, and to explore the relationships of ACL tear types with both meniscus injuries and bone bruising. Methods A retrospective study was performed in patients under 60 years old who underwent MRI scans in the sagittal and coronal oblique planes of the knee for ACL tears between 2014 and 2020. Patients with reports of chronic tears, partial tears, or prior surgeries were excluded. Tear locations were classiied into ive types, and the meniscus tear measurement variables included the presence of ramp, root, bucket-handle, and other types of tears. All injuries were conirmed by arthroscopy. Meanwhile, the presence and location of bone bruising were analysed and scored with the Whole-Organ Magnetic Resonance Imaging Score (WORMS) bone bruising subscale. Results A total of 291 patients were included. The prevalence rates of type I and type III injuries were 23/291 (7.9%) and 145/291 (49.8%) in the sagittal plane and 22/291 (7.6%) and 179/291 (61.5%) in the oblique coronal plane, respectively. The prevalence of medial meniscus tears with ACL tears was 126/291 (43.3%), while that of lateral meniscus tears with ACL tears was 77/291 (26.5%). The highest prevalence of medial meniscus injury with ACL tears was 15/22 (68.2%) for type I injuries. Bone bruises were located on the lateral femoral center in 125 patients (46%) and on the lateral tibia posterior in 132 patients (48%); the common areas of bone bruising were slightly correlated with type III ACL tears but not correlated with type I ACL tears. ConclusionThe plane in which an MRI scan is performed afects the classiication of ACL tears. The tear type is associated with the prevalence of medial meniscus injuries, and medial meniscus tears are most prevalent in type I ACL tears. Level of evidence IV.

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Clinical Utility of Advanced Imaging of the Knee

Cited by 7 publications

References 73 publications

Ultra-short echo time (UTE) MR imaging: A brief review on technical considerations and clinical applications

Ultra-short echo time (UTE) MR imaging: A brief review on technical considerations and clinical applications

Computational technology for nasal cartilage-related clinical research and application

Medial meniscus tears are most prevalent in type I ACL tears, while type I ACL tears only account for 8% of all ACL tears

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