Saline magnetic resonance arthrography in the evaluation of glenohumeral instability

Tirman, P. F. J.; Stauffer, Anthony E.; Crues, John V.; Turner, Robert; Nottage, Wesley M.; Schobert, William E.; Rubin, Benjamin D.; Janzen, D L; Linares, Ricardo Campo

doi:10.1016/s0749-8063(05)80403-7

Cited by 90 publications

(40 citation statements)

References 22 publications

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“…An alternative method of obtaining a one-shot CTA-MRA could be to inject only diluted iodinated contrast agent and to perform T2-or T2 * -weighted MR sequences with high signal of the water, as reported for MRA of the shoulder with only saline or Ringer solution as intra-articular contrast agent [24][25][26][27]. Considering MRA as a possible second step after CTA in selected cases is an interesting option.…”

Section: Discussionementioning

confidence: 99%

“…Una modalità alternativa per ottenere artro-TC e artro-RM in unica sessione potrebbe essere iniettare in sede intraarticolare soltanto MdC iodato diluito ed eseguire, oltre alle scansioni artro-TC, sequenze RM T2-o T2 * -pesate, come riportato per l'artro-RM di spalla con iniezione intra-articolare di soluzione fisiologica o di Ringer [24][25][26][27]. Si tratta di una modalità interessante, perché configura l'artro-RM come una possibile, ma non obbligatoria, seconda fase dopo l'artro-TC, in casi selezionati.…”

Section: Discussionunclassified

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One-shot CT and MR arthrography of the shoulder with a mixture of iodinated and paramagnetic contrast agents using arthroscopy as a gold standard

et al. 2006

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Section: Discussionementioning

confidence: 99%

Section: Discussionunclassified

One-shot CT and MR arthrography of the shoulder with a mixture of iodinated and paramagnetic contrast agents using arthroscopy as a gold standard

et al. 2006

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“…It was previously recommended to use the gadolinium solutions in MRI examinations (Tirman et al 1993;Winalski et al 1993). According to Van Bree et al (1995) and Murphy et al (2008), the administration of contrast to the joint cavity enhances the visibility of soft tissues and articular surfaces.…”

Section: Discussionmentioning

confidence: 99%

“…The contrast agents can be administered directly to the joint cavity, which is an additional advantage of MRI (Hill et al 2000). Diluted gadolinium-containing compounds are the most popular contrast agents for MRI (Tirman et al 1993;Winalski et al 1993).…”

mentioning

confidence: 99%

Direct magnetic resonance arthrography of the canine elbow

Zhalniarovich

Przyborowska-Zhalniarovich

Mieszkowska

et al. 2017

Acta Vet. Brno

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This study compares the effects of four dilutions of the gadolinium-containing contrast media (1:100; 1:400; 1:800; 1:1,200) administered to the elbow on the quality of magnetic resonance images. All the examined dilutions had a positive effect on image quality, and 1:800 was regarded as the optimal dilution of gadolinium for viewing the elbow because it imparted good contrast to the joint cavity without obliterating the contours of articular surfaces. Transverse, sagittal, and dorsal low-field magnetic resonance images were obtained in 24 canine cadaver front limbs. The musculus biceps brachii, m. triceps brachii, m. extensor carpi radialis, m. flexor carpi ulnaris, the articular surfaces, the medial coronoid process and the anconeal process of the ulna were well visualized by High Resolution Gradient Echo, XBONE T2 and Spin Echo T1 sequences in the sagittal plane. The biceps brachii, pronator teres, flexor carpi radialis, extensor digitorum communis, extensor carpi radialis, deltoid muscle and the articular surface of the medial condyle of the humerus were very well visualized by 3D SST1 and XBONE T2 sequences in the transverse plane. The triceps brachii muscle, extensor digitorum lateralis muscle, superficial digital flexor, deep digital flexor and the medial condyle of the humerus were very well visualized by the Spin Echo T1 sequence in the dorsal plane. This article describes for the first time the use of the gadolinium contrast agent administered to the canine elbow joint during magnetic resonance modality. Magnetic resonance arthrography can be a helpful visualization technique in treating canine soft tissue elbow injury. MRI, contrast agent, gadolinium, dogsMagnetic resonance imaging (MRI) is a method of choice for diagnosing elbow joint disorders in humans. It is one of the recently developed diagnostic techniques (Dalinka et

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“…However, T2-weighted images are required in order to obtain sufficient contrast [6,8]. This should no longer be a major problem due to the availability of fast (turbo) SE sequences which allow to obtain both shorter imaging times and to increase the number of excitations and, secondarily, to improve CNR.…”

Section: Discussionmentioning

confidence: 99%

Contrast media in MR arthrography of the glenohumeral joint: intra-articular gadopentetate vs saline: preliminary results

Zanetti

Hodler

1997

European Radiology

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The purpose of this investigation was to compare gadopentetate and saline as contrast media in MR arthrograms of the glenohumeral joint. In 60 consecutive patients MR arthrograms with either gadopentetate (n = 26) or saline (n = 34) were performed. After injection of gadopentate, 3D gradient-echo (GE) images were obtained (TR 32 ms, TE 10 ms, flip angle 40 degrees). With saline, double-echo steady-state images (heavily T2-weighted 3D GE images) were obtained (TR 40 ms, TE 9/45 ms, flip angle 40 degrees). In the last 14 of these patients T2-weighted turbo spin-echo (SE) images were added (TR 2900 ms, TE 96 ms). Contrast-to-noise ratios standardized for imaging times proved to be superior for the gadolinium arthrograms compared with GE and SE saline arthrograms (intra-articular fluid vs subacromial fat: p = 0.0001 and 0.0008; intra-articular fluid vs supraspinatus tendon: p = 0.0001 and 0.046). Using a qualitative scoring system gadolinium arthrograms were superior to saline arthrograms (p < 0.0001 and p < 0.0001). Saline arthrograms in combination with GE and SE sequences are inferior to gadopentetate arthrograms with GE sequences.

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Saline magnetic resonance arthrography in the evaluation of glenohumeral instability

Cited by 90 publications

References 22 publications

One-shot CT and MR arthrography of the shoulder with a mixture of iodinated and paramagnetic contrast agents using arthroscopy as a gold standard

One-shot CT and MR arthrography of the shoulder with a mixture of iodinated and paramagnetic contrast agents using arthroscopy as a gold standard

Direct magnetic resonance arthrography of the canine elbow

Contrast media in MR arthrography of the glenohumeral joint: intra-articular gadopentetate vs saline: preliminary results

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