Response to the Letter to the Editor by Roemer and collaborators entitled “Semiquantitative assessment of synovitis in osteoarthritis on non contrast-enhanced MRI” concerning the article published by Pelletier et al. entitled “A new non-invasive method to assess synovitis severity in relation to symptoms and cartilage volume loss in knee osteoarthritis patients using MRI”

Pelletier, Jean‐Pierre; Raynauld, Jean‐Pierre; Abram, F.; Choquette, D.; Martel‐Pelletier, Johanne

doi:10.1016/j.joca.2008.11.006

Cited by 1 publication

(1 citation statement)

References 13 publications

(14 reference statements)

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“…While these authors also did not validate their method against the gold standard, they demonstrated good inter‐reader reliability. Their method used a similar semiquantitative grading to that employed by Loeuille et al ., but rather than using contrast to differentiate synovium from synovial fluid, they merged a T2 image highlighting synovial fluid with a gradient echo image highlighting the synovial membrane, although a consensus on the validity of this method has yet to be reached . Unusually, the authors did not find a good correlation between their synovitis grading method and pain.…”

Section: Resultsmentioning

confidence: 89%

Magnetic resonance imaging in knee synovitis: Clinical utility in differentiating asymptomatic and symptomatic meniscal tears

Troupis

Batt

Pasricha³

et al. 2014

J Med Imag Rad Onc

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SummaryIt is well documented that meniscal tears may be found frequently by MRI as an incidental finding in asymptomatic knees. We aim to review the literature regarding the ability of MRI to differentiate between asymptomatic and symptomatic meniscal tears. Ovid MEDLINE, MEDLINE inProcess, Cochrane reviews, Web of Science, Embase and CINAHL were systematically searched. A total of 1251 publications were screened based on their titles, abstracts and full texts, of which 1213 publications were excluded because they did not address the relationship between synovitis and meniscal tears, were case reports or reviews, concerned atypical patient populations or reported surgical research. Of the 38 retained publications, only two reported results specific to perimeniscal synovitis, while 36 discussed less specific but relevant findings. The small number of heterogeneous results describing perimeniscal synovitis precluded meta-analysis. In the symptomatic knee, identification of the likelihood of a meniscal tear contributing to the patient's pain is of significance to the orthopaedic surgeon. In our literature review, we have identified that localised synovitis and displacement of the meniscus are two features that may assist in identifying the subgroup of patients that may benefit from meniscal intervention.

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Section: Resultsmentioning

confidence: 89%