Evaluation of MR imaging guided steroid injection of the sacroiliac joints for the treatment of children with refractory enthesitis-related arthritis

Abstract

MR imaging guided steroid injection of the sacroiliac joints is feasible, accurate, and safe and can effectively reduce sacroiliac inflammatory activity and may therefore aid in the prevention of disease progression.

Image-guided Sports Medicine and Musculoskeletal Tumor Interventions: A Patient-Centered Model

“…3). For combined diagnostic and therapeutic joint injections and CT and MR arthrography, [15][16][17][18] joint puncture under CT and MRI guidance, respectively, facilitates a one-stop-shop approach for patients and obviates the coordination of successive procedures and patient transportation to procedure rooms and co-located diagnostic imaging (►Fig. 4).…”

“…In the pediatric population and for young adults, we prefer MRI guidance for spinal injection procedures. 15,[24][25][26] Ultrasound High-resolution US probes are advantageous for visualization and targeting of superficially located MSK soft tissue structures with the highest accuracy. Selecting the most suitable probe depends on the required spatial resolution, depth, and size of the target structure, as well as on the available size of the footprint on the skin surface.…”

“…45 However, limitations have been reduced considerably over the past decade due to the increasing availability of wide-bore MRI systems, acceleration techniques for faster MRI acquisition, 46 the approximation of the cost of devices for use in CT and MRI, improving gradient technology with reduced noise production, and commercially available MRI coils. 47 MRI-guided procedures are advantageous over fluoroscopy or CT for multifocal and serial procedures in the same area, 25,48 young patients where the procedures are performed near radiation-sensitive organs, 15 lesions that are only visible on MRI, and for structures with frequently occurring anatomical variants, such as peripheral sensory nerves and paraspinal ganglia. 49 Interventional MRI parallels ultrasonography in its benefits of nonionizing radiation properties 35,41,50 and further permits the combination with preprocedural and postprocedural diagnostic MRI to identify targets and document the postprocedural appearance 49 of targeted lesions for comparison with further follow-up imaging.…”

3-Tesla High-Field Magnetic Resonance Neurography for Guiding Nerve Blocks and Its Role in Pain Management

“…13,14 MR imaging guidance exemplarily complies with the ALARA (as low as reasonably achievable) practice mandate and is especially valuable in adolescents, young women of childbearing age, and pregnant women. 6,[14][15][16] Cumulative radiation doses can be avoided if serial nerve block protocols are used. 17 It represents a preferred technique in cases where computed tomography, ultrasound, and radiograph fluoroscopy guidance is challenging or failed.…”

MRI-guided biopsy and aspiration in the head and neck: evaluation of 77 patients

“…However, depending on the imaging technique used, different efficacies and limitations apply. Because of the combination of favorable attributes including excellent tissue contrast, true multi-planar imaging capabilities, good vessel depiction, sufficient spatial resolution, and the absence of ionizing radiation, attention and interest in MRI-guided procedures continue to increase [8][9][10][11][12]. However, the available information about diagnostic performance of MRI-guided percutaneous biopsy and aspiration in the head and neck region is limited [7,[13][14][15][16].…”