Current MR imaging of cartilage in the context of knee osteoarthritis (part 2) : Cartilage pathologies and their assessment

© 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature..

High-quality magnetic resonance (MR) imaging is essential for the precise assessment of the knee joint and plays a key role in the diagnostics, treatment and prognosis. Intact cartilage tissue is characterized by a smooth surface, uniform tissue thickness and an organized zonal structure, which are manifested as depth-dependent signal intensity variations. Cartilage pathologies are identifiable through alterations in signal intensity and morphology and should be communicated based on a precise terminology. Cartilage pathologies can show hyperintense and hypointense signal alterations. Cartilage defects are assessed based on their depth and should be described in terms of their location and extent. The following symptom constellations are of overarching clinical relevance in image reading and interpretation: symptom constellations associated with rapidly progressive forms of joint degeneration and unfavorable prognosis, accompanying symptom constellations mostly in connection with destabilizing meniscal lesions and subchondral insufficiency fractures (accelerated osteoarthritis) as well as symptoms beyond the "typical" degeneration, especially when a discrepancy is observed between (minor) structural changes and (major) synovitis and effusion (inflammatory arthropathy).

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:64

Enthalten in:

Radiologie (Heidelberg, Germany) - 64(2024), 4 vom: 09. März, Seite 304-311

Sprache:

Deutsch

Weiterer Titel:

Aktuelle MRT-Bildgebung des Knorpels im Kontext der Gonarthrose (Teil 2) : Knorpelpathologien und deren Beurteilung

Beteiligte Personen:

Huppertz, Marc Sebastian [VerfasserIn]
Lemainque, Teresa [VerfasserIn]
Yüksel, Can [VerfasserIn]
Siepmann, Robert [VerfasserIn]
Kuhl, Christiane [VerfasserIn]
Roemer, Frank [VerfasserIn]
Truhn, Daniel [VerfasserIn]
Nebelung, Sven [VerfasserIn]

Links:

Volltext

Themen:

Arthrosis
Articular cartilage
Disease progression
English Abstract
Imaging diagnostics
Journal Article
Magnetic resonance imaging
Review

Anmerkungen:

Date Completed 28.03.2024

Date Revised 28.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00117-023-01253-1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366608673