Direct MR arthrography: A review of current use

被引:67
作者
Grainger, AJ
Elliott, JM
Campbell, RSD
Tirman, PFJ
Steinbach, LS
Genant, HK
机构
[1] Univ Calif San Francisco, Dept Radiol, San Francisco, CA 94143 USA
[2] S Cleveland Hosp, Dept Radiol, Middlesbrough, Cleveland, England
[3] San Francisco Magnet Resonance Ctr, San Francisco, CA USA
关键词
D O I
10.1053/crad.1999.0374
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 [临床医学]; 100207 [影像医学与核医学]; 1009 [特种医学];
摘要
Magnetic resonance imaging has become established as the most effective radiological tool in the assessment of joint disorders and, in conjunction with arthroscopic advances, has led to a greater understanding of joint anatomy and internal derangement. More recently, the usefulness of MR arthrography has gained increasing acceptance. This is particularly interesting, given that conventional MR imaging initially replaced arthrography for many applications. While MR arthrography is invasive, it can provide additional information about the integrity of joint structures, especially cartilaginous and ligamentous abnormalities. This has proved valuable in the shoulder where most of the interest and research has been directed. The demonstration of subtle lesions of the labral-ligamentous complex is important to the surgeon considering arthroscopic repair. MR arthrography can be considered as supplemental to a conventional MR study or, depending on the clinical question to be answered, may be the preferred initial examination. This article seeks to review the current role of MR arthrography. More emphasis is given to the shoulder where its role has become well established. However its use in other joints is addressed and the relevant aspects of anatomy, techniques and applications are considered.
引用
收藏
页码:163 / 175
页数:13
相关论文
共 68 条
[1]
ACETABULAR LABRUM TEARS - CAUSE OF HIP PAIN AND DEGENERATIVE ARTHRITIS [J].
ALTENBERG, AR .
SOUTHERN MEDICAL JOURNAL, 1977, 70 (02) :174-175
[2]
MR DIAGNOSIS OF RECURRENT TEARS IN THE KNEE - VALUE OF INTRAARTICULAR CONTRAST MATERIAL [J].
APPLEGATE, GR ;
FLANNIGAN, BD ;
TOLIN, BS ;
FOX, JM ;
DELPIZZO, W .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1993, 161 (04) :821-825
[3]
[4]
MR arthrography of the wrist: Scanning-room injection of the radiocarpal joint based on clinical landmarks [J].
Beaulieu, CF ;
Ladd, AL .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1998, 170 (03) :606-608
[5]
MR arthrography of the shoulder: Variants and pitfalls - Response [J].
Beltran, J .
RADIOGRAPHICS, 1997, 17 (06) :1414-1415
[6]
Imaging of osseous and cartilaginous intraarticular bodies in the knee: Comparison of MR imaging and MR arthrography with CT and CT arthrography in cadavers [J].
Brossmann, J ;
Preidler, KW ;
Daenen, B ;
Pedowitz, RA ;
Andresen, R ;
Clopton, P ;
Trudell, D ;
Pathria, M ;
Resnick, D .
RADIOLOGY, 1996, 200 (02) :509-517
[7]
Extrinsic and intrinsic ligaments of the wrist: Normal and pathologic anatomy at MR arthrography with three-compartment enhancement [J].
Brown, RR ;
Fliszar, E ;
Cotten, A ;
Trudell, D ;
Resnick, D .
RADIOGRAPHICS, 1998, 18 (03) :667-674
[8]
Carrino John A., 1998, Semin Musculoskelet Radiol, V2, P397, DOI 10.1055/s-2008-1080120
[9]
CHRONIC ANKLE INSTABILITY - EVALUATION WITH MR ARTHROGRAPHY, MR-IMAGING, AND STRESS RADIOGRAPHY [J].
CHANDNANI, VP ;
HARPER, MT ;
FICKE, JR ;
GAGLIARDI, JA ;
ROLLING, L ;
CHRISTENSEN, KP ;
HANSEN, MF .
RADIOLOGY, 1994, 192 (01) :189-194
[10]
Wrist arthrography versus arthroscopy: A comparative study of 150 cases [J].
Chung, KC ;
Zimmerman, NB .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1996, 21A (04) :591-594