Role of interventional radiology in the management of musculoskeletal soft-tissue lesions

Arrigoni, Francesco; Bruno, Federico; Zugaro, Luigi; Splendiani, Alessandra; Cesare, Ernesto Di; Masciocchi, Carlo

doi:10.1007/s11547-018-0893-4

Cited by 11 publications

(6 citation statements)

References 35 publications

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“…Intra-articular injection of platelet-rich plasma (PRP) has been broadly considered for cartilage repair, as it could enhance matrix synthesis thanks to the properties of its growth factors (mostly platelet-derived growth factor (PDGF) and transforming growth factor-beta (TGF-beta) [21][22][23]. However, despite the extensive literature confirming the positive clinical outcome in terms of pain and functionality improvement, there is scarce evidence demonstrating imaging results of the anabolic cartilage effects of PRP [24][25][26].…”

Section: Introductionmentioning

confidence: 99%

T2-mapping MRI evaluation of patellofemoral cartilage in patients submitted to intra-articular platelet-rich plasma (PRP) injections

et al. 2021

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This study evaluated the ability of T2 mapping magnetic resonance imaging at 3 T, in addition to morphological sequences, to assess efficacy of platelet-rich plasma (PRP) injections, characterizing qualitatively and quantitatively the grade of knee cartilage repair in patients with patellofemoral chondropathy. We retrospectively studied 34 patients (22 men, 12 women, mean age 41.8 years, including 22 men) with patellofemoral knee chondropathy, who underwent intra-articular PRP injections and completed a clinical and instrumental follow-up. As control group, we evaluated 34 patients who underwent non-operative therapy. All patients were submitted to clinical (using VAS and WOMAC index) and imaging studies with 3 T magnetic resonance with cartilage analysis with T2 mapping sequences for cartilage analysis before and after treatment. In the study group, mean pre-treatment T2 relaxation time values were 44.2 ± 2.5 ms, considering all articular cartilage compartments, with significant reduction at the follow-up (p < 0.001). At the index compartment, mean pre-treatment T2 relaxation times values were 47.8 ± 3.6 ms, with statistically significant reduction at the follow-up (p < 0.001). Evaluation of focal cartilage lesions reported pre-treatment mean T2 value of 70.1 ± 13.0 ms and post-treatment mean value of 59.9 ± 4.6 ms (p < 0.001). From a clinical point of view, the pre-treatment WOMAC and VAS scores were 18.3 ± 4.5 and 7 (IQR:6–7.2), respectively; the post-treatment values were 7.3 ± 3.2 and 2 (IQR: 1.7–3.0), respectively (p < 0.001). In the control group, despite clinical improvement, we didn’t find significant T2 values change during the follow-up period. In conclusion, T2 mapping is a valuable indicator for chondropathy and treatment-related changes over time.

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Section: Introductionmentioning

confidence: 99%

T2-mapping MRI evaluation of patellofemoral cartilage in patients submitted to intra-articular platelet-rich plasma (PRP) injections

et al. 2021

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“…NL most commonly presents as progressive painful neuropathy or radiculopathy, but the clinical symptoms depend on the involved sites [3]. Diagnosis requires correlation of clinical and imaging findings, and final confirmation by biopsy of the involved structured [4]. Treatment options include systemic chemotherapy [1] but, currently, there is not a standard treatment for NL involving peripheral nerves, spinal nerve roots, and cranial nerves [5].…”

Section: Discussionmentioning

confidence: 99%

Secondary Neurolymphomatosis of the Radial Nerve: A Diagnostic Challenge

et al. 2019

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Objective: Rare disease Background: Secondary neurolymphomatosis is a rare clinical condition that may be observed in patients with hematologic malignancies. Clinical findings can overlap with other conditions. Diagnosis can be obtained by magnetic resonance imaging (MRI) and imaging with positron emission tomography (PET) and confirmed by biopsy. Case Report: A 55-year-old male patient with known previous history of periocular non-Hodgkin's lymphoma mucosa-associated lymphoid tissue (MALT) type presented reporting he had a focal soft-tissue swelling mass on the external side of the right arm, suspected for lipoma. US, MRI, and FDG PET/CT were performed, revealing malignant imaging characteristics of the lesion, suspected to be a neurolymphoma. A biopsy confirmed the nature of the lesion. No further sites of malignancy were detected on whole-body PET/CT. Conclusions: Lymphomatous involvement of peripheral nerves may clinically overlap with other, more common, benign conditions; therefore, although it is rarer, this diagnosis has to be considered in patients with a clinical history of hematologic malignancies.

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“…Magnetic resonance imaging (MRI) is an accurate diagnostic tool with a primary indication in several condition both for a diagnostic and interventional intent (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). Notably, MRI has been established as dominant modality use in neuroradiological field due to its excellent soft tissue contrast (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28), which allowed an accurate evaluation of intracranial structures.…”

Section: Introductionmentioning

confidence: 99%

High-resolution magnetic resonance imaging at 3T of pituitary gland: advantages and pitfalls

Varrassi¹,

Bellisari²,

Bruno³

et al. 2019

Gland Surg.

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Magnetic resonance imaging (MRI) is the primary imaging tool for the evaluation of pituitary gland pathology. In the last decades, MRI with high-field scanners has become widely used in clinical practice, leading to significant improvements in image quality mainly thanks to a superior spatial resolution and signal intensity. Moreover, several advanced functional MRI sequences have been implemented for pituitary imaging, providing valuable information in diagnostic and presurgical planning of pituitary adenomas. Higher field strength presents however some technical pitfalls to be aware of. The purpose of this article is to review the state of the art of high-resolution MRI of the pituitary gland at 3 Tesla (3T), with a particular focus on the main benefits and the possible limitations of higher field imaging.

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Role of interventional radiology in the management of musculoskeletal soft-tissue lesions

Cited by 11 publications

References 35 publications

T2-mapping MRI evaluation of patellofemoral cartilage in patients submitted to intra-articular platelet-rich plasma (PRP) injections

T2-mapping MRI evaluation of patellofemoral cartilage in patients submitted to intra-articular platelet-rich plasma (PRP) injections

Secondary Neurolymphomatosis of the Radial Nerve: A Diagnostic Challenge

High-resolution magnetic resonance imaging at 3T of pituitary gland: advantages and pitfalls

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