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Fumero-Hernández M, Encinoso M, Melian A, Nuez HA, Salman D, Jaber JR. Cross Sectional Anatomy and Magnetic Resonance Imaging of the Juvenile Atlantic Puffin Head (Aves, Alcidae, Fratercula arctica). Animals (Basel) 2023; 13:3434. [PMID: 38003052 PMCID: PMC10668693 DOI: 10.3390/ani13223434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 10/25/2023] [Accepted: 10/26/2023] [Indexed: 11/26/2023] Open
Abstract
The Atlantic puffin is a medium-sized seabird with black and white plumage and orange feet. It is distributed mainly along the northern Atlantic Ocean, and due, among other reasons, to human activities, it is in a threatened situation and classified as a vulnerable species according to the International Union of Conservation of Nature (IUCN). In this study, we used a total of 20 carcasses of juvenile Atlantic puffins to perform MRI, as well as anatomical cross-sections. Thus, an adequate description of the head was made, providing valuable information that could be helpful as a diagnostic tool for veterinary clinicians, who increasingly treat these birds in zoos, rehabilitation centers, and even in the wild.
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Affiliation(s)
- Marcos Fumero-Hernández
- Veterinary Hospital, Faculty of Veterinary Medicine, University of Las Palmas de Gran Canaria, Trasmontaña, Arucas, 35413 Las Palmas, Spain;
| | - Mario Encinoso
- Veterinary Hospital, Faculty of Veterinary Medicine, University of Las Palmas de Gran Canaria, Trasmontaña, Arucas, 35413 Las Palmas, Spain;
| | - Ayose Melian
- Myofauna Servicios Veterinarios, Camino Lomo Grande, Arucas, 35411 Las Palmas, Spain;
| | | | - Doaa Salman
- Department of Animal Medicine, Faculty of Veterinary Medicine, Sohag University, Sohag 82524, Egypt;
| | - José Raduan Jaber
- Department of Morphology, Faculty of Veterinary Medicine, University of Las Palmas de Gran Canaria, Trasmontaña, Arucas, 35413 Las Palmas, Spain
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2
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Miyasaka T, Kajiwara M, Kawasaki A, Okamoto Y, Terada Y. Development of a Car-mounted Mobile MR Imaging System for Diagnosis of Sports-related Wrist Injury. Magn Reson Med Sci 2023; 22:379-387. [PMID: 35473757 PMCID: PMC10449548 DOI: 10.2463/mrms.tn.2021-0158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 03/12/2022] [Indexed: 11/09/2022] Open
Abstract
Portable MRI scanners, in which a permanent magnet with a low magnetic field is mounted on a small car, have enabled the performance of MRI examinations in various remote environments. Here, we have modified the portable MRI system to enable the early diagnosis of wrist sports injuries among tennis players. A RF probe specifically designed for the human wrist was developed, and a power supply scheme using a small generator was introduced. The portable MRI system was located at a tennis school and imaging of the wrists of junior tennis players was performed. To demonstrate clinical feasibility, image quality was assessed by a radiologist and clinical evaluations were performed. In most cases, the image quality was sufficient for diagnosis, and triangular fibrocartilage complex damage could be detected. The results indicated that the modified portable MRI system could be applied for an early diagnosis of wrist injuries.
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Affiliation(s)
- Tomoki Miyasaka
- Institute of Applied Physics, University of Tsukuba, Tsukuba, Ibaraki, Japan
| | - Michiru Kajiwara
- Institute of Applied Physics, University of Tsukuba, Tsukuba, Ibaraki, Japan
| | - Akito Kawasaki
- Graduate School of Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan
| | - Yoshikazu Okamoto
- Institute of Clinical Medicine, Department of Diagnostic and Interventional Radiology, University of Tsukuba, Tsukuba, Ibaraki, Japan
| | - Yasuhiko Terada
- Institute of Applied Physics, University of Tsukuba, Tsukuba, Ibaraki, Japan
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3
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High-resolution Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex Using Compressed Sensing Sensitivity Encoding (SENSE). Eur J Radiol 2022; 149:110191. [DOI: 10.1016/j.ejrad.2022.110191] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Revised: 01/27/2022] [Accepted: 01/28/2022] [Indexed: 01/13/2023]
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4
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Funahasi T, Suzuki T, Hayakawa K, Nakane T, Maeda A, Kuroiwa T, Kawano Y, Iwamoto T, Fujita N. Visualization of the morphological changes in the median nerve after carpal tunnel release using three-dimensional magnetic resonance imaging. Eur Radiol 2022; 32:3016-3023. [DOI: 10.1007/s00330-021-08447-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 10/16/2021] [Accepted: 10/27/2021] [Indexed: 11/04/2022]
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Kreulen RT, Nayar SK, Alfaki Y, LaPorte D, Demehri S. Advanced Imaging of Ulnar Wrist Pain. Hand Clin 2021; 37:477-486. [PMID: 34602127 DOI: 10.1016/j.hcl.2021.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Ulnar-sided wrist pain can be a diagnostic challenge for clinicians and radiologists. The ulnar wrist has complex morphology and is composed of many small bone and soft tissue structures. Within these structures, a wide variety of pathologic conditions can occur. To successfully diagnose and treat these pathologic conditions, clinicians and radiologists must have a strong understanding of the advanced imaging techniques available to them. In this review, the authors present a brief review of the normal ulnar wrist anatomy, discuss the differential diagnosis of ulnar-sided wrist pain, and examine the indications for different advanced imaging modalities.
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Affiliation(s)
- R Timothy Kreulen
- Johns Hopkins Department of Orthopaedic Surgery, 601 North Caroline Street 5th Floor, Baltimore, MD 21205, USA.
| | - Suresh K Nayar
- Johns Hopkins Department of Orthopaedic Surgery, 601 North Caroline Street 5th Floor, Baltimore, MD 21205, USA
| | - Yasmin Alfaki
- Johns Hopkins University, 3400 North Charles Street, Mason Hall, Baltimore, MD 21218, USA
| | - Dawn LaPorte
- Johns Hopkins Department of Orthopaedic Surgery, 601 North Caroline Street 5th Floor, Baltimore, MD 21205, USA
| | - Shadpour Demehri
- Johns Hopkins Department of Musculoskeletal Radiology, 601 North Caroline Street 5th Floor, Baltimore, MD 21205, USA
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Hoshika S, Matsuki K, Izumi T, Takeuchi Y, Takahashi N, Sugaya H. Validation study of novel grading system for ulnar collateral ligament injury of the elbow with high-resolution magnetic resonance imaging. JSES Int 2021; 5:936-941. [PMID: 34505109 PMCID: PMC8411072 DOI: 10.1016/j.jseint.2021.05.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background Recently, magnetic resonance imaging (MRI) classification of medial ulnar collateral ligament (UCL) tears has been introduced, but little is known about the relationship between MRI grading and medial joint laxity. It has been reported that microscopy coils could make it possible to achieve high-resolution images of upper extremities with a superior diagnostic ability to conventional MRI. However, there is no report that has compared the diagnostic reliability between microscopic and conventional MRI. The purpose of this study was to assess the relationship between MRI findings and medial joint laxity evaluated with stress ultrasound (US). Secondary objective was to compare the reliabilities of UCL evaluation between microscopic and conventional MRI. Methods One-hundred thirty baseball players who underwent MRI of the elbow for the diagnosis of UCL injury using both conventional and microscopy MRI were included in this study. They also underwent stress US for assessment of medial joint laxity against valgus stress. Our MRI grading system for UCL injuries was compared to medial joint laxity evaluated with stress US. The intrarater and interrater reliabilities of our grading system were assessed with both microscopic and conventional MRI. Results Our grading system was related to valgus stability, especially with microscopic MRI. The reliabilities were fair when combined with microscopic MRI, which exhibited better intrarater and interrater reliabilities than conventional MRI. Conclusion High-resolution microscopic MRI may contribute to the accurate diagnosis of UCL injuries.
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Affiliation(s)
- Shota Hoshika
- Shoulder & Elbow Service, Funabashi Orthopaedic Sports Medicine & Joint Center, Funabashi, Chiba, Japan
- Corresponding author: Shota Hoshika, MD, PhD, Shoulder & Elbow Service, Funabashi Orthopaedic Sports Medicine & Joint Center, 1-833 Hasama, Funabashi, Chiba 274-0822, JAPAN.
| | - Keisuke Matsuki
- Shoulder & Elbow Service, Funabashi Orthopaedic Sports Medicine & Joint Center, Funabashi, Chiba, Japan
| | - Toshihiko Izumi
- Department of Orthopaedic Surgery, Izumi Regional Medical Center, Kagoshima, Japan
| | - Yasutaka Takeuchi
- Shoulder & Elbow Service, Funabashi Orthopaedic Sports Medicine & Joint Center, Funabashi, Chiba, Japan
| | - Norimasa Takahashi
- Shoulder & Elbow Service, Funabashi Orthopaedic Sports Medicine & Joint Center, Funabashi, Chiba, Japan
| | - Hiroyuki Sugaya
- Shoulder & Elbow Service, Funabashi Orthopaedic Sports Medicine & Joint Center, Funabashi, Chiba, Japan
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Stańczyk EK, Velasco Gallego ML, Nowak M, Hatt JM, Kircher PR, Carrera I. 3.0 Tesla magnetic resonance imaging anatomy of the central nervous system, eye, and inner ear in birds of prey. Vet Radiol Ultrasound 2018; 59:705-714. [PMID: 29978528 DOI: 10.1111/vru.12657] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2017] [Revised: 02/18/2018] [Accepted: 03/23/2018] [Indexed: 11/28/2022] Open
Abstract
Despite the increasing interest in the clinical neurology of birds, little is known about the magnetic resonance imaging (MRI) appearance of the avian central nervous system, eye, and inner ear. The objective of this cadaveric study was to document the MRI anatomic features of the aforementioned structures using a high-resolution 3.0 Tesla MRI system. The final study group consisted of 13 cadavers of the diurnal birds of prey belonging to six species. Images were acquired in sagittal, dorsal, and transverse planes using T1-weighted and T2-weighted turbo spin echo sequences. A necropsy with macroscopic analysis of the brain and spinal cord was performed on all cadavers. Microscopic examination of the brain was performed on one cadaver of each species; the spinal cord was examined in three subjects. Anatomic structures were identified on the magnetic resonance images based on histologic slices and available literature. Very good resolution of anatomic detail was obtained. The olfactory bulbs; cerebral hemispheres; diencephalon; optic lobe; cerebellum; pons; ventricular system; optic, trigeminal, and facial nerves; pineal and pituitary glands; as well as the semicircular canals of the inner ear were identified. Exquisite detail was achieved on the ocular structures. In the spinal cord, the gray and white matter differentiation and the glycogen body were identified. This study establishes normal MRI anatomy of the central nervous system, eye, and inner ear of the birds of prey; and may be used as a reference in the assessment of neurologic disorders or visual impairment in this group of birds.
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Affiliation(s)
- Ewa K Stańczyk
- Clinic for Diagnostic Imaging, Vetsuisse Faculty, University of Zurich, 8057, Zurich, Switzerland
| | - María L Velasco Gallego
- Clinic for Zoo Animals, Exotic Pets and Wildlife, Vetsuisse Faculty, University of Zurich, 8057, Zurich, Switzerland
| | - Maricn Nowak
- Department of Pathology, Faculty of Veterinary Medicine, Wrocław University of Environmental and Life Sciences, Wrocław, Poland
| | - Jean-Michel Hatt
- Clinic for Zoo Animals, Exotic Pets and Wildlife, Vetsuisse Faculty, University of Zurich, 8057, Zurich, Switzerland
| | - Patrick R Kircher
- Clinic for Diagnostic Imaging, Vetsuisse Faculty, University of Zurich, 8057, Zurich, Switzerland
| | - Inés Carrera
- Southern Counties Veterinary Specialist, Hangersley, UK
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Ng AWH, Griffith JF, Fung CSY, Lee RKL, Tong CSL, Wong CWY, Tse WL, Ho PC. MR imaging of the traumatic triangular fibrocartilaginous complex tear. Quant Imaging Med Surg 2017; 7:443-460. [PMID: 28932701 DOI: 10.21037/qims.2017.07.01] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Triangular fibrocartilage complex is a major stabilizer of the distal radioulnar joint (DRUJ). However, triangular fibrocartilage complex (TFCC) tear is difficult to be diagnosed on MRI for its intrinsic small and thin structure with complex anatomy. The purpose of this article is to review the anatomy of TFCC, state of art MRI imaging technique, normal appearance and features of tear on MRI according to the Palmar's classification. Atypical tear and limitations of MRI in diagnosis of TFCC tear are also discussed.
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Affiliation(s)
- Alex W H Ng
- Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
| | - James F Griffith
- Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
| | - Cindy S Y Fung
- Department of Diagnostic Imaging, North District Hospital, Hong Kong, China
| | - Ryan K L Lee
- Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
| | - Cina S L Tong
- Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
| | - Clara W Y Wong
- Department of Orthopedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
| | - Wing Lim Tse
- Department of Orthopedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
| | - Pak Cheong Ho
- Department of Orthopedics and Traumatology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
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Zhan HL, Li WT, Bai RJ, Wang NL, Qian ZH, Ye W, Yin YM. High-resolution 3T Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex in Chinese Wrists: Correlation with Cross-sectional Anatomy. Chin Med J (Engl) 2017; 130:817-822. [PMID: 28345546 PMCID: PMC5381316 DOI: 10.4103/0366-6999.202746] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND The injury of the triangular fibrocartilage complex (TFCC) is a common cause of ulnar-sided wrist pain. The aim of this study was to investigate if the high-resolution 3T magnetic resonance imaging (MRI) could demonstrate the detailed complex anatomy of TFCC in Chinese. METHODS Fourteen Chinese cadaveric wrists (from four men and three women; age range at death from 30 to 60 years; mean age at 46 years) and forty healthy Chinese wrists (from 20 healthy volunteers, male/female: 10/10; age range from 21 to 53 years with a mean age of 32 years) in Beijing Jishuitan Hospital from March 2014 to March 2016 were included in this study. All cadavers and volunteers had magnetic resonance (MR) examination of the wrist with coronal T1-weighted and proton density-weighted imaging with fat suppression in three planes, respectively. MR arthrography (MRAr) was performed on one of the cadaveric wrists. Subsequently, all 14 cadaveric wrists were sliced into 2 mm thick slab with band saw (six in coronal plane, four in sagittal plane, and four in axial plane). The MRI features of normal TFCC were analyzed in these specimens and forty healthy wrists. RESULTS Triangular fibrocartilage, the ulnar collateral ligament, and the meniscal homolog could be best observed on images in coronal plane. The palmar and dorsal radioulnar ligaments were best evaluated in transverse plane. The ulnotriquetral and ulnolunate ligaments were best visualized in sagittal plane. The latter two structures and the volar and dorsal capsules were better demonstrated on MRAr. CONCLUSION High-resolution 3T MRI is capable to show the detailed complex anatomy of the TFCC and can provide valuable information for the clinical diagnosis in Chinese.
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Affiliation(s)
- Hui-Li Zhan
- Department of Radiology, Beijing Jishuitan Hospital, Beijing Institute of Traumatology and Orthopedics, Beijing 100035, China
| | - Wen-Ting Li
- Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100005, China
| | - Rong-Jie Bai
- Department of Radiology, Beijing Jishuitan Hospital, Beijing Institute of Traumatology and Orthopedics, Beijing 100035, China
| | - Nai-Li Wang
- Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100005, China
| | - Zhan-Hua Qian
- Department of Radiology, Beijing Jishuitan Hospital, Beijing Institute of Traumatology and Orthopedics, Beijing 100035, China
| | - Wei Ye
- Department of Radiology, Beijing Jishuitan Hospital, Beijing Institute of Traumatology and Orthopedics, Beijing 100035, China
| | - Yu-Ming Yin
- MRI and CT Services, Radiology Associates, LLP, Corpus Christi, TX 78411, USA
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10
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Pidgeon TS, Waryasz G, Carnevale J, DaSilva MF. Triangular Fibrocartilage Complex: An Anatomic Review. JBJS Rev 2015; 3:01874474-201501000-00001. [PMID: 27501024 DOI: 10.2106/jbjs.rvw.n.00053] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Tyler S Pidgeon
- University Orthopedics, 2 Dudley Street, Suite 200, Providence, RI 02905
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11
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Moraux A, Lefebvre G, Pansini V, Aucourt J, Vandenbussche L, Demondion X, Cotten A. Pisotriquetral joint disorders: an under-recognized cause of ulnar side wrist pain. Skeletal Radiol 2014; 43:761-73. [PMID: 24687844 DOI: 10.1007/s00256-014-1848-z] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2013] [Revised: 01/15/2014] [Accepted: 02/10/2014] [Indexed: 02/02/2023]
Abstract
Pisotriquetral joint disorders are often under-recognized in routine clinical practice. They nevertheless represent a significant cause of ulnar side wrist pain. The aim of this article is to present the main disorders of this joint and discuss the different imaging modalities that can be useful for its assessment.
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Affiliation(s)
- A Moraux
- Service d'Imagerie Musculo-Squelettique, Centre de consultation de l'appareil locomoteur, Hôpital Roger Salengro, 2 Bd du Pr E. Laine, CHRU Lille, 59037, Lille Cedex, France,
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Yamabe E, Anavim A, Sakai T, Miyagi R, Nakamura T, Hitt D, Yoshioka H. Comparison between high-resolution isotropic three-dimensional and high-resolution conventional two-dimensional FSE MR images of the wrist at 3 tesla: a pilot study. J Magn Reson Imaging 2013; 40:603-8. [PMID: 24227687 DOI: 10.1002/jmri.24428] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2013] [Accepted: 08/21/2013] [Indexed: 11/09/2022] Open
Abstract
PURPOSE To demonstrate the clinical feasibility of high-resolution three-dimensional (3D) isotropic FSE MRI of the wrist by comparing it to high-resolution conventional 2D FSE (2D) MRI. MATERIALS AND METHODS Eleven healthy volunteers were enrolled. All images were obtained at 3 Tesla (T). Delineation of anatomic structures of the wrist, amount of artifact, quality of fat suppression, image blur, and overall quality were qualitatively evaluated. Relative signal intensity (SI) of each structure and relative signal contrast between structures of the wrist were quantitatively measured. RESULTS The 2D MRI demonstrated significantly higher scores than 3D in anatomic delineation of the SL ligament (P = 0.013), fat suppression (P = 0.013), and image blur (P = 0.003). The remaining quantitative analyses, including overall quality, revealed no statistical significances between 2D and 3D MRI. There were no statistical differences in relative SI of each structure between 2D and 3D imaging, except for bone marrow with fat suppression. There were no significant differences in relative fluid to TFCC and fluid to bone marrow contrast between 2D and 3D imaging, suggesting that both sequences have similar rates of detection for TFCC pathology and bone marrow lesions. CONCLUSION With regard to clinical applications, 3D MRI of the wrist has almost equal potential to 2D MRI.
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Affiliation(s)
- Eiko Yamabe
- Department of Radiological Sciences, University of California Irvine, Irvine, California, USA; Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan
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Utility of magnetic resonance imaging for detection of longitudinal split tear of the ulnotriquetral ligament. J Hand Surg Am 2013; 38:1723-7. [PMID: 23910380 DOI: 10.1016/j.jhsa.2013.05.040] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2013] [Revised: 05/29/2013] [Accepted: 05/30/2013] [Indexed: 02/02/2023]
Abstract
PURPOSE Wrist magnetic resonance imaging (MRI) has established utility in the diagnosis of wrist ligament tears, including complete tears of the ulnotriquetral ligament (UTL) and other components of the triangular fibrocartilage complex. A new type of longitudinal split tear of the UTL has recently been described with no imaging correlate. Our aims were to describe putative MRI findings associated with longitudinal UTL split tears and to assess diagnostic accuracy. METHODS We randomly selected 40 patients with arthroscopically proven longitudinal UTL split tears and 20 patients with intact UTLs, all of whom had preoperative 3 T MRI of the same wrist performed, from a list of operative notes spanning from January 1997 through October 2011, filtered with the terms "ulnotriquetral ligament" and "ulnar triquetral ligament." Two musculoskeletal radiologists who were blinded to surgical results and clinical information independently reviewed the exams. They recorded the degree of certainty of whether a longitudinal UTL split tear was present and whether several other hypothesized associated abnormalities were present. RESULTS Overall sensitivity for definitive longitudinal UTL split tear detection on MRI was 58% for reader 1 and 30% for reader 2. Specificity was 60% for both. There were no statistically significant discriminatory findings. CONCLUSIONS Among a selected group of patients who all had wrist arthroscopy, preoperative noncontrast 3 T wrist MRI had poor sensitivity and specificity for detection of the longitudinal split type of UTL tear. To date, MRI may be more helpful to exclude potential alternative diagnoses in the patient with ulnar wrist pain.
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Jung JY, Yoon YC, Jung JY, Choe BK. Qualitative and quantitative assessment of wrist MRI at 3.0T: comparison between isotropic 3D turbo spin echo and isotropic 3D fast field echo and 2D turbo spin echo. Acta Radiol 2013; 54:284-91. [PMID: 23319720 DOI: 10.1258/ar.2012.120475] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Isotropic three-dimensional (3D) magnetic resonance imaging (MRI) has been applied to various joints. However, comparison for image quality between isotropic 3D MRI and two-dimensional (2D) turbo spin echo (TSE) sequence of the wrist at a 3T MR system has not been investigated. PURPOSE To compare the image quality of isotropic 3D MRI including TSE intermediate-weighted (VISTA) sequence and fast field echo (FFE) sequence with 2D TSE intermediate-weighted sequence of the wrist joint at 3.0 T. MATERIAL AND METHODS MRI was performed in 10 wrists of 10 healthy volunteers with isotropic 3D sequences (VISTA and FFE) and 2D TSE intermediate-weighted sequences at 3.0 T. The signal-to-noise ratio (SNR) was obtained by imaging phantom and noise-only image. Contrast ratios (CRs) were calculated between fluid and cartilage, triangular fibrocartilage complex (TFCC), and the scapholunate ligament. Two radiologists independently assessed the visibility of TFCC, carpal ligaments, cartilage, tendons and nerves with a four-point grading scale. Statistical analysis to compare CRs (one way ANOVA with a Tukey test) and grades of visibility (Kruskal-Wallis test) between three sequences and those for inter-observer agreement (kappa analysis) were performed. RESULTS The SNR of 2D TSE (46.26) was higher than those of VISTA (23.34) and 3D FFE (19.41). CRs were superior in 2D TSE than VISTA (P = 0.02) for fluid-cartilage and in 2D TSE than 3D FFE (P < 0.01) for fluid-TFCC. The visibility was best in 2D TSE (P < 0.01) for TFCC and in VISTA (P = 0.01) for scapholunate ligament. The visibility was better in 2D TSE and 3D FFE (P = 0.04) for cartilage and in VISTA than 3D FFE (P < 0.01) for TFCC. The inter-observer agreement for the visibility of anatomic structures was moderate or substantial. CONCLUSION Image quality of 2D TSE was superior to isotropic 3D MR imaging for cartilage, and TFCC. 3D FFE has better visibility for cartilage than VISTA and VISTA has superior visibility for TFCC to 3D FFE and the visibility for scapholunate ligament was best on VISTA.
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Affiliation(s)
- Jee Young Jung
- Department of Radiology, Chungang University Hospital, School of Medicine, Chungang University
| | - Young Cheol Yoon
- Department of Radiology, Samsung Medical Center, School of Medicine, Sungkyunkwan University
| | - Jin Young Jung
- Department of Radiology, Saint Paul's Hospital, The Catholic University
| | - Bong-Keun Choe
- Department of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul, Korea
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15
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Lin IT, Yang HC, Chen JH. Enlargement of the field of view and maintenance of a high signal-to-noise ratio using a two-element high-Tc superconducting array in a 3T MRI. PLoS One 2012; 7:e42509. [PMID: 22880009 PMCID: PMC3411759 DOI: 10.1371/journal.pone.0042509] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2011] [Accepted: 07/09/2012] [Indexed: 11/18/2022] Open
Abstract
This study examines the enlargement of the field of view (FOV) and the maintenance of a high signal-to-noise ratio (SNR) through the use of two high-temperature superconducting (HTS) resonators in a 3T MRI. Two Bi2Sr2Ca2Cu3Ox (Bi-2223) surface resonators, each of 4-cm diameter, were used in a 3T MRI. Professionally made copper resonators operate at 300 K, but each Bi-2223 resonator, operated at 77 K and demonstrated a 3.75 fold increase in SNR gain. For the same scanning time, the SNR of the images of a rat’s brain and back, obtained using two small Bi-2223 surface resonators, was higher than that obtained using a single 8-cm surface resonator.
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Affiliation(s)
- In-Tsang Lin
- Interdisciplinary MRI/MRS Lab, Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan
| | - Hong-Chang Yang
- Department of Physics, National Taiwan University, Taipei, Taiwan
- * E-mail: (H-CY); (J-HC)
| | - Jyh-Horng Chen
- Interdisciplinary MRI/MRS Lab, Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan
- * E-mail: (H-CY); (J-HC)
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Cone-beam computed tomography arthrography: an innovative modality for the evaluation of wrist ligament and cartilage injuries. Skeletal Radiol 2012; 41:963-9. [PMID: 22064983 DOI: 10.1007/s00256-011-1305-1] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2011] [Revised: 08/12/2011] [Accepted: 09/23/2011] [Indexed: 02/02/2023]
Abstract
PURPOSE Cone-beam computed tomography (CBCT) has become an important modality in dento-facial imaging but remains poorly used in the exploration of the musculoskeletal system. The purpose of this study was to prospectively evaluate the performance and radiation exposure of CBCT arthrography in the evaluation of ligament and cartilage injuries in cadaveric wrists, with gross pathology findings as the standard of reference. MATERIALS AND METHODS Conventional arthrography was performed under fluoroscopic guidance on 10 cadaveric wrists, followed by MDCT acquisition and CBCT acquisition. CBCT arthrography and MDCT arthrography images were independently analyzed by two musculoskeletal radiologists working independently and then in consensus. The following items were observed: scapholunate and lunotriquetral ligaments, triangular fibrocartilage complex (TFCC) (tear, integrity), and proximal carpal row cartilage (chondral tears). Wrists were dissected and served as the standard of reference for comparisons. Interobserver agreement, sensitivity, specificity, and accuracy were determined. Radiation dose (CTDI) of both modalities was recorded. RESULTS CBCT arthrography provides equivalent results to MDCT arthrography in the evaluation of ligaments and cartilage with sensitivity and specificity between 82 and 100%, and interobserver agreement between 0.83 and 0.97. However, radiation dose was significantly lower (p < 0.05) for CBCT arthrography than for MDCT arthrography with a mean CTDI of 2.1 mGy (range 1.7-2.2) versus a mean of 15.1 mGy (range 14.7-16.1). CONCLUSION CBCT arthrography appears to be an innovative alternative to MDCT arthrography of the wrist as it allows an accurate and low radiation dose evaluation of ligaments and cartilage.
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Mammoto T, Hirano A, Tomaru Y, Kono M, Tsukagoshi Y, Onishi S, Mamizuka N. High-resolution axial MR imaging of tibial stress injuries. Sports Med Arthrosc Rehabil Ther Technol 2012; 4:16. [PMID: 22574840 PMCID: PMC3411460 DOI: 10.1186/1758-2555-4-16] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2011] [Accepted: 05/10/2012] [Indexed: 11/26/2022]
Abstract
Purpose To evaluate the relative involvement of tibial stress injuries using high-resolution axial MR imaging and the correlation with MR and radiographic images. Methods A total of 33 patients with exercise-induced tibial pain were evaluated. All patients underwent radiograph and high-resolution axial MR imaging. Radiographs were taken at initial presentation and 4 weeks later. High-resolution MR axial images were obtained using a microscopy surface coil with 60 × 60 mm field of view on a 1.5T MR unit. All images were evaluated for abnormal signals of the periosteum, cortex and bone marrow. Results Nineteen patients showed no periosteal reaction at initial and follow-up radiographs. MR imaging showed abnormal signals in the periosteal tissue and partially abnormal signals in the bone marrow. In 7 patients, periosteal reaction was not seen at initial radiograph, but was detected at follow-up radiograph. MR imaging showed abnormal signals in the periosteal tissue and entire bone marrow. Abnormal signals in the cortex were found in 6 patients. The remaining 7 showed periosteal reactions at initial radiograph. MR imaging showed abnormal signals in the periosteal tissue in 6 patients. Abnormal signals were seen in the partial and entire bone marrow in 4 and 3 patients, respectively. Conclusions Bone marrow abnormalities in high-resolution axial MR imaging were related to periosteal reactions at follow-up radiograph. Bone marrow abnormalities might predict later periosteal reactions, suggesting shin splints or stress fractures. High-resolution axial MR imaging is useful in early discrimination of tibial stress injuries.
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Affiliation(s)
- Takeo Mammoto
- Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Medical Center, Mito Kyodo General Hospital, 3-2-7, Miya-machi, Mito, Ibaraki, 310-0015, Japan
| | - Atsushi Hirano
- Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Medical Center, Mito Kyodo General Hospital, 3-2-7, Miya-machi, Mito, Ibaraki, 310-0015, Japan
| | - Yohei Tomaru
- Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Medical Center, Mito Kyodo General Hospital, 3-2-7, Miya-machi, Mito, Ibaraki, 310-0015, Japan
| | - Mamoru Kono
- Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Medical Center, Mito Kyodo General Hospital, 3-2-7, Miya-machi, Mito, Ibaraki, 310-0015, Japan
| | - Yuta Tsukagoshi
- Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Medical Center, Mito Kyodo General Hospital, 3-2-7, Miya-machi, Mito, Ibaraki, 310-0015, Japan
| | - Sinzo Onishi
- Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Medical Center, Mito Kyodo General Hospital, 3-2-7, Miya-machi, Mito, Ibaraki, 310-0015, Japan
| | - Naotaka Mamizuka
- Department of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Medical Center, Mito Kyodo General Hospital, 3-2-7, Miya-machi, Mito, Ibaraki, 310-0015, Japan
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Yoshioka H, Burns JE. Magnetic resonance imaging of triangular fibrocartilage. J Magn Reson Imaging 2012; 35:764-78. [DOI: 10.1002/jmri.22840] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Hitachi S, Takase K, Tanaka M, Tojo Y, Tabata S, Majima K, Higano S, Takahashi S. High-resolution magnetic resonance imaging of rotator cuff tears using a microscopy coil: noninvasive detection without intraarticular contrast material. Jpn J Radiol 2011; 29:466-74. [PMID: 21882088 DOI: 10.1007/s11604-011-0583-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2010] [Accepted: 03/01/2011] [Indexed: 11/26/2022]
Abstract
PURPOSE The aim of this study was to evaluate the feasibility of high-resolution magnetic resonance imaging (MRI) using a microscopy coil for the diagnosis of rotator cuff tears by comparing the method to conventional MRI and MRI arthrography. MATERIALS AND METHODS A total of 68 shoulders were prospectively studied using a 1.5-T MRI unit. Conventional MRI scans were obtained with a surface coil and high-resolution MRI scans with a microscopy coil. MRI arthrography was performed in 28 shoulders using a surface coil. MRI evaluation of tears of rotator cuff tendons was compared with arthroscopic findings and surgical results. RESULTS The surgery revealed 40 full-thickness tears, 13 partial-thickness tears, and 15 intact cuffs. In all, 35 (88%) full-thickness tears were correctly diagnosed on conventional MRI and 40 (100%) on high-resolution MRI. MR arthrography delineated 11 of 12 (92%) full-thickness tears. Altogether, 5 (38%) of the partial-thickness tears were detected on conventional MRI, and 12 (92%) were clearly demonstrated on high-resolution MRI. MRI arthrography depicted three (60%) of five partial-thickness tears. High-resolution MRI showed higher sensitivity than conventional MRI (P < 0.05) and had values equivalent to those of MRI arthrography for diagnosing partial-thickness tears. CONCLUSION High-resolution MRI with a microscopy coil is a feasible, noninvasive technique for diagnosing rotator cuff tears.
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Affiliation(s)
- Shin Hitachi
- Department of Diagnostic Radiology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 981-8574, Japan.
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Stevens KJ, Wallace CG, Chen W, Rosenberg JK, Gold GE. Imaging of the wrist at 1.5 Tesla using isotropic three-dimensional fast spin echo cube. J Magn Reson Imaging 2011; 33:908-15. [PMID: 21448957 DOI: 10.1002/jmri.22494] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
PURPOSE To compare three-dimensional fast spin echo Cube (3D-FSE-Cube) with conventional 2D-FSE in MR imaging of the wrist. MATERIALS AND METHODS The wrists of 10 volunteers were imaged in a 1.5 Tesla MRI scanner using an eight-channel wrist coil. The 3D-FSE-Cube images were acquired in the coronal plane with 0.5-mm isotropic resolution. The 2D-FSE images were acquired in both coronal and axial planes for comparison. An ROI was placed in fluid, cartilage, and muscle for SNR analysis. Comparable coronal and axial images were selected for each sequence, and paired images were randomized and graded for blurring, artifact, anatomic details, and overall image quality by three blinded musculoskeletal radiologists. RESULTS SNR of fluid, cartilage and muscle at prescribed locations were higher using 3D-FSE-Cube, without reaching statistical significance. Fluid-cartilage CNR was also higher with 3D-FSE-Cube, but not statistically significant. Blurring, artifact, anatomic details, and overall image quality were significantly better on coronal 3D-FSE-Cube images (P < 0.001), but significantly better on axial 2D-FSE images compared with axial 3D-FSE-Cube reformats (P < 0.01). CONCLUSION Isotropic data from 3D-FSE-Cube allows reformations in arbitrary scan planes, which may make multiple 2D acquisitions unnecessary, and improve depiction of complex wrist anatomy. However, axial reformations suffer from blurring, likely due to T2 decay during the long echo train, limiting overall image quality in this plane.
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Burns JE, Tanaka T, Ueno T, Nakamura T, Yoshioka H. Pitfalls that may mimic injuries of the triangular fibrocartilage and proximal intrinsic wrist ligaments at MR imaging. Radiographics 2011; 31:63-78. [PMID: 21257933 DOI: 10.1148/rg.311105114] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Diagnosis of injuries to the ligamentous structures of the wrist can be a challenge, particularly when there is involvement of the small, complex structures of the proximal wrist. Recent advances in magnetic resonance (MR) imaging, especially in spatial and contrast resolution, have facilitated more precise visualization of these structures. However, there are a number of pitfalls that may cause difficulty in diagnosis of injuries to the triangular fibrocartilage complex (TFCC), lunotriquetral ligament, and scapholunate ligament. Use of inappropriate MR imaging sequences and MR imaging artifacts may decrease the accuracy of diagnosis of injuries to the TFCC and wrist ligaments, whereas variant anatomy of the proximal wrist structures may mimic disease of the TFCC and wrist ligaments. Knowledge of the detailed anatomy of the wrist, as well as variant patterns of structure morphology and signal intensity, can help differentiate actual disease from normal or variant appearances at assessment with MR imaging.
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Affiliation(s)
- Joseph E Burns
- Department of Radiological Sciences, University of California, Irvine, School of Medicine, 101 The City Drive South, Orange, CA 92868, USA
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Tanitame K, Sasaki K, Sone T, Otani K. Optimal fast T2-weighted magnetic resonance microscopy imaging of the eye and its clinical application. J Magn Reson Imaging 2010; 31:1210-4. [PMID: 20432358 DOI: 10.1002/jmri.22165] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
PURPOSE To compare a half-Fourier single-shot rapid acquisition with relaxation enhancement (RARE) sequence with a balanced steady-state free precession (b-SSFP) sequence in the evaluation of the eye using magnetic resonance (MR) microscopy imaging and to clarify the usefulness of RARE microscopy imaging in evaluating nonoperative glaucoma patients and patients who have undergone surgery for glaucoma or cataract. MATERIALS AND METHODS One-mm and 2-mm slice thickness images of RARE sequence and b-SSFP sequence using a 1.5 T MR unit and a 23-mm microscopy coil were obtained in eight healthy volunteers. The signal-to-noise (S/N) ratio of aqueous humor in the anterior chamber was measured quantitatively and visualization of the anterior chamber anatomy was assessed qualitatively. Furthermore, we evaluated 21 glaucoma patients (including six postoperative patients) and four patients after cataract surgery with 2-mm slice thickness RARE MRI. RESULTS The 2-mm slice thickness RARE imaging had a significantly greater S/N ratio than the 1-mm slice thickness RARE imaging (P < 0.05) and acquired the best image quality among the four types of images (P < 0.01). Additionally, 2-mm slice thickness RARE microscopy imaging could depict anterior chamber anatomy of glaucoma eyes and eyes after cataract surgery. CONCLUSION We believe that optimal fast T2-weighted MR microimaging might become a useful ophthalmologic examination technique.
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Affiliation(s)
- Keizo Tanitame
- Department of Radiology, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan
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Lee IS, Song JW. High field strength magnetic resonance imaging of musculoskeletal diseases. JOURNAL OF THE KOREAN MEDICAL ASSOCIATION 2010. [DOI: 10.5124/jkma.2010.53.12.1074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- In Sook Lee
- Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
- Medical Research Institute, Pusan National University Hospital, Busan, Korea
| | - Jong Woon Song
- Department of Radiology, Inje University Haeundae Paik Hospital, Busan, Korea
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Watanabe A, Souza F, Vezeridis PS, Blazar P, Yoshioka H. Ulnar-sided wrist pain. II. Clinical imaging and treatment. Skeletal Radiol 2010; 39:837-57. [PMID: 20012039 PMCID: PMC2904904 DOI: 10.1007/s00256-009-0842-3] [Citation(s) in RCA: 99] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2009] [Revised: 11/14/2009] [Accepted: 11/17/2009] [Indexed: 02/02/2023]
Abstract
Pain at the ulnar aspect of the wrist is a diagnostic challenge for hand surgeons and radiologists due to the small and complex anatomical structures involved. In this article, imaging modalities including radiography, arthrography, ultrasound (US), computed tomography (CT), CT arthrography, magnetic resonance (MR) imaging, and MR arthrography are compared with regard to differential diagnosis. Clinical imaging findings are reviewed for a more comprehensive understanding of this disorder. Treatments for the common diseases that cause the ulnar-sided wrist pain including extensor carpi ulnaris (ECU) tendonitis, flexor carpi ulnaris (FCU) tendonitis, pisotriquetral arthritis, triangular fibrocartilage complex (TFCC) lesions, ulnar impaction, lunotriquetral (LT) instability, and distal radioulnar joint (DRUJ) instability are reviewed.
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Affiliation(s)
- Atsuya Watanabe
- Department of Radiology, Brigham and Women’s Hospital, Boston, MA USA
| | - Felipe Souza
- Department of Radiology, Brigham and Women’s Hospital, Boston, MA USA
| | - Peter S. Vezeridis
- Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, MA USA
| | - Philip Blazar
- Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Boston, MA USA
| | - Hiroshi Yoshioka
- Department of Radiology, Brigham and Women’s Hospital, Boston, MA USA ,Department of Radiological Sciences, University of California-Irvine, Irvine, CA USA ,Department of Radiological Sciences, UC Irvine Medical Center, 101 City Drive South, Route 140, Orange, CA 92868 USA
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High-resolution magnetic resonance imaging of triangular fibrocartilage complex lesions in acute wrist trauma: image quality at different field strengths. J Comput Assist Tomogr 2009; 33:579-83. [PMID: 19638854 DOI: 10.1097/rct.0b013e31818c093a] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
PURPOSE The purposes of this study were to assess the diagnostic capacity of a new high-resolution imaging protocol for the wrist and triangular fibrocartilage complex (TFCC) lesions at 3.0 T and to compare it with our established 1.5-T protocol. MATERIALS AND METHODS Twenty-one patients with an acute wrist trauma were examined at a 3.0-T imaging system and agreed to undergo an additional examination at 1.5 T. Magnetic resonance imaging was performed with 1.5-T (standard wrist coil) and 3.0-T (purpose-build phased-array coil) imaging system, using coronal T1-weighted turbo-spin-echo, proton density-weighted fat-saturated, and coronal and axial contrast-enhanced T1-weighted gradient-echo fat-saturated sequences, with reduced voxel size from 0.50 x 0.50 x 3.0 mm (1.5 T) to 0.20 x 0.20 x 1.5 mm (3.0 T). For qualitative analysis, 2 observers assessed in consensus delineation, image quality, and artifacts in anatomical landmarks (cartilage, TFCC, and TFCC lesion) and ranked them on a 5-point scale from 1 (nondiagnostic) to 5 (optimal). For quantitative analysis, measurements of the contrast-to-noise ratio were obtained between disk and surrounding tissue. RESULTS All parts of the TFCC and TFCC lesions (n = 14) were seen significantly better at 3.0 T (mean [SD], 4.6 [0.5] vs 2.6 [1.2], P < 0.0001), with higher ranked overall image quality. In 3 cases, TFCC lesions were seen only at 3.0 T. Proton density-weighted fat-saturated sequence had significantly more artifacts at 3.0 T (2.5 [0.6] vs 1.9 [0.5], P < 0.001) in contrast to T1 sequences. Quantitative evaluation showed significantly higher contrast-to-noise ratio for 3.0 T (5.0 [1.1] vs 3.9 [0.9], P < 0.0001). CONCLUSION Depiction of anatomy and pathology of the TFCC benefits significantly from 3.0-T imaging when higher signal-to-noise ratio is invested into improved spatial resolution. Especially small lesions of the disk were detected only or better at 3.0 T.
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Microscopy Coil for Preoperative MRI of Small Soft-Tissue Masses of the Hand and Foot: Comparison with Conventional Surface Coil. AJR Am J Roentgenol 2008; 191:W256-63. [DOI: 10.2214/ajr.07.3011] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Tanitame K, Sasaki K, Sone T, Uyama S, Sumida M, Ichiki T, Ito K. Anterior chamber configuration in patients with glaucoma: MR gonioscopy evaluation with half-Fourier single-shot RARE sequence and microscopy coil. Radiology 2008; 249:294-300. [PMID: 18695206 DOI: 10.1148/radiol.2483071556] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The purpose of the study was to determine the accuracy of half-Fourier single-shot rapid acquisition with relaxation enhancement high-spatial-resolution magnetic resonance (MR) imaging performed with a microscopy coil in the diagnosis of narrow anterior chamber angle in patients with glaucoma. Slit-lamp biomicroscopy served as the reference standard. The institutional review board approved this study, and written informed consent was obtained from the 20 recruited patients. There was excellent agreement between MR gonioscopy and slit-lamp biomicroscopy in the classification of anterior chamber angles as narrow or open (kappa = 0.89 [95% confidence interval: 0.69, 1.10]). MR gonioscopy has substantial potential as a technique used to evaluate glaucoma.
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Affiliation(s)
- Keizo Tanitame
- Department of Radiology, Hiroshima General Hospital of West Japan Railway Company, 3-1-36 Futabanosato, Higashiku, Hiroshima 732-0057, Japan.
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Yoshioka H, Tanaka T, Ueno T, Carrino JA, Winalski CS, Aliabadi P, Lang P, Weissman BN. Study of ulnar variance with high-resolution MRI: correlation with triangular fibrocartilage complex and cartilage of ulnar side of wrist. J Magn Reson Imaging 2007; 26:714-9. [PMID: 17729368 DOI: 10.1002/jmri.21084] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
PURPOSE To investigate correlations with ulnar variance and the triangular fibrocartilage complex (TFCC) or cartilage of ulnar side of the wrist on high-resolution MRI with a microscopy coil. MATERIALS AND METHODS We reviewed ulnar variance, TFCC, and cartilage of the ulnar side of the wrist in 93 subjects (29 asymptomatic volunteers and 64 patients with suspected TFCC injury) with high-resolution MRI using a 47-mm microscopy surface coil. All MR images were obtained with a 1.5 T scanner. Coronal 2D gradient recalled echo T(2)*-weighted images were used for analysis. For qualitative analysis we measured ulnar variance, TFCC angle, thickness in the central portion of TFCC disc proper, and cartilage thickness of the lunate and the ulnar head on MRI and calculated the correlation coefficient between measured values. We also examined the relationship between ulnar variance and age or sex. RESULTS High-resolution MR images clearly demonstrated TFCC and cartilage of the wrist and ulnar variance. The mean ulnar variance on MRI was +0.26 mm (range, -4.59 to +3.71 mm). The mean TFCC angle and TFCC thickness were 23.9 degrees (range, -4.6 to +54.1 degrees ) and 1.11 mm (range, 0.4 to 3.22 mm), respectively. Ulnar variance and TFCC angle were positively correlated (r = 0.84), and ulnar variance and TFCC thickness were negatively correlated (r = -0.71). However, ulnar variance and lunate or ulnar head cartilage thickness were not significantly correlated. CONCLUSION High-resolution MRI with a microscopy coil is a useful tool for evaluating the relationship between ulnar variance and ulnar side structures.
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Affiliation(s)
- Hiroshi Yoshioka
- Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
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Bittersohl B, Huang T, Schneider E, Blazar P, Winalski C, Lang P, Yoshioka H. High-resolution MRI of the triangular fibrocartilage complex (TFCC) at 3T: Comparison of surface coil and volume coil. J Magn Reson Imaging 2007; 26:701-7. [PMID: 17729361 DOI: 10.1002/jmri.21077] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE To evaluate high-resolution MRI of the triangular fibrocartilage complex (TFCC) at 3T using a surface coil (SC) or volume coil (VC). MATERIALS AND METHODS MRI was obtained from nine volunteers in the supine position with a 3-inch SC and in prone position with a transmit-receiver wrist VC at 3 T. Coronal two-dimensional-gradient echo (2D-GRE) images (TR/TE/FA = 500 msec/15 msec/40 degrees , 1 mm slice-thickness, 60 mm field of view [FOV], 192 x 256 matrix) and coronal 3D-GRE images (TR/TE/FA = 33 msec/15 msec/10 degrees , 0.8 mm slice-thickness, 80 mm FOV, 256 x 256 matrix) were used. Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) of the TFCC and surrounding structures were measured. For qualitative measurement, visualization of TFCC and intercarpal ligaments was graded. RESULTS SNR of TFCC, cartilage, and bone marrow on 2D-GRE with SC/VC was as follows: 5.3/5.3 (TFCC), 16.5/14.4 (cartilage), and 3.61/3.96 (bone marrow). 3D-GRE showed similar SNR. Cartilage-TFCC/cartilage-bone marrow CNR were 11.1/12.8 (SC-2D-GRE), 8.8/10.5 (VC-2D-GRE), 14.1/15.5 (SC-3D-GRE), and 11.9/15.0 (VC-3D-GRE). Quantitative values were not significantly different between SC and VC. Visualization of TFCC and intercarpal ligament with SC was superior to that with VC. All structures show higher scores with 3D-GRE imaging compared to 2D-GRE imaging. CONCLUSION SC may provide superior qualitative and quantitative results and can be an alternative in case of difficulty in prone position at 3T.
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Affiliation(s)
- Bernd Bittersohl
- Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
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Iwama Y, Fujii M, Shibanuma H, Muratsu H, Kurosaka M, Kawamitsu H, Sugimura K. High-resolution MRI using a microscopy coil for the diagnosis of recurrent lateral patellar dislocation. ACTA ACUST UNITED AC 2006; 24:327-34. [PMID: 16958410 DOI: 10.1007/s11604-006-0031-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2005] [Accepted: 01/11/2006] [Indexed: 01/11/2023]
Abstract
PURPOSE Magnetic resonance imaging (MRI) has been commonly used for the preoperative evaluation of recurrent lateral patellar dislocation (RLPD). The purpose of this study was to determine the usefulness of high-resolution MRI (HR-MRI) with a microscopy coil for diagnosing RLPD. MATERIALS AND METHODS The study group consisted of 15 patients with clinically diagnosed RLPD and 10 normal volunteers. All studies were performed on a 1.5-T MR system. First, conventional MRIs of the whole knee joint were obtained using the knee coil. Then HR-MRI scans using a microscopy coil in the medial aspect of the patella were obtained at the level of the superior pole of the patella, targeting the medial patellofemoral ligament (MPFL). The acquired HR-MRIs with RLPD were reviewed concerning the MPFL injury and the patellar injury. RESULTS The MPFL was distinguished as a separate ligament, and the layer structure of the patellar cartilage was visualized clearly in all volunteers. The MPFL injury was visualized in 12 cases (87%); it included discontinuity, thickening, and loosening. The patellar injury was visualized in 11 cases (73%), which included dissecans of the medial margin and cartilage injuries. CONCLUSION HR-MRI with a microscopy coil provides precise information of the MPFL and patellar cartilage injury for the diagnosis of RLPD.
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Affiliation(s)
- Yuki Iwama
- Department of Radiology, Kobe Graduate School of Medicine, 7-5-2 Kusunoki-cho, Kobe 650-0017, Japan.
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Fukase N, Kokubu T, Fujioka H, Iwama Y, Fujii M, Kurosaka M. Usefulness of MRI for diagnosis of painful snapping elbow. Skeletal Radiol 2006; 35:797-800. [PMID: 15940486 DOI: 10.1007/s00256-005-0940-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2005] [Accepted: 04/01/2005] [Indexed: 02/02/2023]
Abstract
Painful snapping of the elbows is rare. We report on a 12-year-old boy with a painful snap in both elbows. High-resolution magnetic resonance imaging of the elbow using microscopy coils detected a synovial fold interposed in each humeroradial joint and was very helpful in establishing the cause of symptoms. Resection of the synovial folds was performed with subsequent relief of symptoms.
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Affiliation(s)
- Naomasa Fukase
- Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan
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Tanaka T, Yoshioka H, Ueno T, Shindo M, Ochiai N. Comparison between high-resolution MRI with a microscopy coil and arthroscopy in triangular fibrocartilage complex injury. J Hand Surg Am 2006; 31:1308-14. [PMID: 17027792 DOI: 10.1016/j.jhsa.2006.05.001] [Citation(s) in RCA: 56] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2005] [Revised: 03/07/2006] [Accepted: 05/02/2006] [Indexed: 02/02/2023]
Abstract
PURPOSE To determine whether high-resolution magnetic resonance imaging (MRI) could detect injuries to the triangular fibrocartilage complex (TFCC). METHODS Eleven patients who showed both a positive sign during the ulnocarpal stress test and tenderness at the distal end of the ulna had a high-resolution MRI using a 47-mm diameter microscopy coil. Six regions of the TFCC were investigated for injury: the radial attachment, disc, ulnar attachment of the triangular fibrocartilage (TFC), ulnotriquetral ligament, palmar radioulnar ligament (PRUL), and dorsal radioulnar ligament (DRUL). Arthroscopy was performed subsequently on each patient. RESULTS For injuries to the radial attachment or the disc of the TFC, a high-resolution MRI showed 100% sensitivity and 100% specificity compared with arthroscopy. In 3 cases in which injury to the ulnar attachment of the TFC was detected with MRI and examination showed a positive piano-key sign and distal radioulnar joint instability, only 1 injury was confirmed with arthrotomy. For MRI diagnosis of an ulnotriquetral ulnolunate attachment injury, the sensitivity was 100% and the specificity was 70%; however, 3 cases had false-positive results. Finally MRI had 100% sensitivity for detecting DRUL and PRUL injuries, although specificities were 75% and 83%, respectively. With MRI there were 2 false-positive DRUL injury diagnoses and 1 false-positive PRUL injury diagnosis. CONCLUSIONS High-resolution MRI using a microscopy surface coil allowed assessment of each TFCC component and showed a higher accuracy for diagnosing injuries to the radial attachment and the disc of the TFC compared with previous studies. High-resolution MRI, however, was not able to diagnose DRUL, PRUL, or ulnolunate ligament injuries accurately. TYPE OF STUDY/LEVEL OF EVIDENCE Diagnostic III.
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Affiliation(s)
- Toshikazu Tanaka
- Department of Orthopedic Surgery, Tsukuba Memorial Hospital, Tsukuba, Japan.
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Abstract
MR imaging is widely used in the evaluation of internal derangement of joints. In the past, the use of hand and wrist MR imaging lagged behind imaging of larger joints,largely because of technical limitations of spatial resolution and signal-to-noise ratio when imaging the small anatomic structures. However, with recent technical advances in extremity coil design, MR imaging has provided us with new insights into the difficult anatomy of the wrist by allowing improved visualization of the relationship of the muscles, ligaments, tendons, and bone. Although the limits of spatial resolution afforded by specialized surface coils and signal processing methods may not have yet been completely realized at 1.5 Tesla, the potential for significant improvements in hand and wrist imaging is likely to rest with the advent of higher strength magnets.
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Affiliation(s)
- Joseph S Yu
- Department of Radiology, Ohio State University Medical Center, 633 Means Hall, 1654 Upham Drive, Columbus, OH 43210, USA.
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Bencardino JT, Rosenberg ZS. Sports-Related Injuries of the Wrist: An Approach to MRI Interpretation. Clin Sports Med 2006; 25:409-32, vi. [PMID: 16798135 DOI: 10.1016/j.csm.2006.02.007] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Sports-related injuries to the wrist range from minor sprains to severe soft tissue disruption that can pose a risk to the normal function of the upper extremity. It is important to identify the specific nature of such injuries so as to establish an accurate diagnosis and deliver appropriate treatment. MRI of the wrist has greatly benefited from the use of dedicated surface coils, which allow fine depiction of soft tissue and cartilaginous structures. A review of the normal anatomy, MR interpretation pitfalls, and most common abnormalities of the tendons, ligaments, triangular fibrocartilage complex, and nerves of the wrist are presented.
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Affiliation(s)
- Jenny T Bencardino
- Department of Radiology, Huntington Hospital, North Shore Long Island Jewish Health System, 270 Park Avenue, Huntington, NY 11747, USA.
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Yoshioka H, Tanaka T, Ueno T, Shindo M, Carrino JA, Lang P, Winalski CS. High-resolution MR imaging of the proximal zone of the lunotriquetral ligament with a microscopy coil. Skeletal Radiol 2006; 35:288-94. [PMID: 16534640 DOI: 10.1007/s00256-005-0070-4] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2005] [Revised: 09/09/2005] [Accepted: 12/07/2005] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To evaluate high-resolution MRI of the proximal zone of the lunotriquetral ligament (LTL) using a microscopy surface coil with a 1.5 T scanner. DESIGN AND SUBJECTS The proximal zone of the LTL was reviewed in 90 subjects (23 asymptomatic normal volunteers and 67 patients with suspicion of triangular fibrocartilage complex injury) with high-resolution MRI using a 47-mm microscopy surface coil. High-resolution MR images were obtained with gradient recalled echo (GRE) T2*-weighted sequence and short tau inversion recovery imaging, with a 1- to 1.5-mm slice thickness, a 50-mm field of view, an imaging matrix of 140-224x512 using zero fill interpolation, and 3-4 excitations. As a qualitative analysis, the LTL was classified in shape and signal intensity. RESULTS The triangle-shaped low-signal-intensity LTL was identified in 77 of 90 subjects (85.6%) on GRE images. The triangle was classified as regular (41.1%), broad-based (20.0%), narrow-based (6.7%), or asymmetrical (17.8%). The bar-shaped ligament was seen in one patient, and unclassified ligaments were seen in 12 patients. All volunteers showed triangle-shaped LTL. The MR signal intensity of the proximal zone in the LTL was characterized as homogeneously low intensity (type 1; 33.8%), linear intermediate or high signal intensity traversing the distal surface of the LTL (type 2; 45.5%), and linear intermediate or high intensity traversing both distal and proximal surfaces of LTL (type 3; 20.8%). CONCLUSION The proximal zone of the LTL showed a broad spectrum of normal variations in shape and signal intensity on high-resolution MR images with a microscopy coil.
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Affiliation(s)
- Hiroshi Yoshioka
- Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
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Affiliation(s)
- Robert M Szabo
- Department of Orthopaedic Surgery, University of California, Davis, School of Medicine, Sacramento 95817, USA.
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Ramnath RR. 3T MR Imaging of the Musculoskeletal System (Part II): Clinical Applications. Magn Reson Imaging Clin N Am 2006; 14:41-62. [PMID: 16530634 DOI: 10.1016/j.mric.2006.01.003] [Citation(s) in RCA: 56] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
The gain in SNR that is afforded by 3T MR imaging systems has tremendous clinical applications in the musculoskeletal system. The potential for demonstrating and enhancing the visibility of normal osseous, tendinous, cartilaginous, and ligamentous structures is exciting. Furthermore, harnessing this added signal to increase spatial resolution may improve our diagnostic abilities in various joints dramatically. Radiologists have enjoyed great success in assessing joint disease with current MR imaging field strengths; however, many intrinsic joint structures remain poorly evaluated, which leads to a golden opportunity for 3T MR imaging. The articular cartilage of the knee, the glenoid labrum of the shoulder, the intrinsic ligaments and TFC of the wrist, the collateral ligaments of the elbow, the labrum and articular cartilage of the hip, and the collateral ligaments of the ankle have been evaluated suboptimally on 1 .5T systems using routine nonarthrographic MR images. Because of the enhanced SNR, the higher spatial resolution, and the greater CNR of intrinsic joint structures at higher field strengths, 3T MR imaging has the potential to improve diagnostic abilities in the musculoskeletal system vastly, which translates into better patient care and management. The author's 2 years of clinical experience with musculoskeletal MR imaging on 3T systems has met and exceeded his expectations, and has bolstered the confidence of his orthopedic surgeons in his diagnoses. As coil technology advances and as the use of parallel imaging becomes more available in the extremities, the author expects to see even more dramatic improvements in image quality.
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Cerezal L, Abascal F, García-Valtuille R, Del Piñal F. Wrist MR Arthrography: How, Why, When. Radiol Clin North Am 2005; 43:709-31, viii. [PMID: 15893533 DOI: 10.1016/j.rcl.2005.02.004] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
MR imaging of the wrist frequently represents a diagnostic challenge for radiologists because of the complex anatomy of this joint, small size of its components, and little known pathologic conditions. MR arthrography combines the advantages of conventional MR imaging and arthrography by improving the visualization of small intra-articular abnormalities. This article reviews the current role of MR arthrography in the evaluation of wrist joint disorders considering the relevant aspects of anatomy, techniques, and applications.
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Affiliation(s)
- Luis Cerezal
- Department of Radiology, Instituto Radiológico Cántabro, Clínica Mompía, Mompía, Cantabria 39109, Spain.
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Kolk A, Pautke C, Wiener E, Ploder O, Neff A. A novel high-resolution magnetic resonance imaging microscopy coil as an alternative to the multislice computed tomography in postoperative imaging of orbital fractures and computer-based volume measurement. J Oral Maxillofac Surg 2005; 63:492-8. [PMID: 15789321 DOI: 10.1016/j.joms.2004.12.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Multislice computed tomography (MSCT) has been the modality of choice for postoperative detailed imaging of orbital trauma. Unfortunately, it involves extensive exposition of the lens to radiation, especially when taking multiple readings. Also, it holds beam hardening effects and limited imaging (delineation) of the reconstruction material. Alternative conventional magnetic resonance imaging (MRI) head coils (MRIhc) present reduced differentiation of anatomic structures caused by low signal and artifact appearance. A substantially improved depiction is made possible by a newly introduced MRI microscopy coil (MRImc), used for the first time in this field. PATIENTS AND METHODS In this prospective study, 32 patients with extended orbital wall fractures (n = 36) were treated surgically using a polydioxanonsulfate (PDS) foil after reconstruction. Postoperatively, imaging was performed using MRImc, conventional MRI, and MSCT to evaluate the different imaging techniques. RESULTS The position of the PDS foil could precisely be depicted in 29 of 36 fractures by MRImc, whereas by conventional MRI and MSCT the reconstruction material could only be detected in 25 and 24 of 36 fractures, respectively. In contrast to MRIhc, the new microscopy coil allows fast and high resolution imaging and therefore a clear differentiation of eventual postoperative complications (eg, dislocation of the PDS foil with secondary soft tissue entrapment resulting in limitation of ocular movements or enophthalmos). In 13 long lasting symptomatic cases, revision surgery could be avoided because of regular MRImc findings, apart from muscle swelling and hematoma. In 11 cases of inadequate PDS foil position resulting in revision, the mean volume of displaced tissue (VDT) of 0.62 cm3 correlated significantly to an enophthalmos of more than 2 mm. CONCLUSION In this pilot study, MRImc proved to be highly superior to MRIhc and MSCT in postsurgical orbital imaging, especially for decision making regarding revision surgery.
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Affiliation(s)
- Andreas Kolk
- Department of Oral and Maxillofacial Surgery, University of Technology, 81675 Munich, Germany.
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Abstract
MR imaging is widely used in the evaluation of internal derangement of joints. In the past, the use of hand and wrist MR imaging lagged behind imaging of larger joints, largely because of technical limitations of spatial resolution and signal-to-noise ratio when imaging the small anatomic structures. However, with recent technical advances in extremity coil design, MR imaging has provided us with new insights into the difficult anatomy of the wrist by allowing improved visualization of the relationship of the muscles, ligaments, tendons, and bone. Although the limits of spatial resolution afforded by specialized surface coils and signal processing methods may not have yet been completely realized at 1.5 Tesla, the potential for significant improvements in hand and wrist imaging is likely to rest with the advent of higher strength magnets.
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Affiliation(s)
- Joseph S Yu
- Department of Radiology, Ohio State University Medical Center, 633 Means Hall, 1654 Upham Drive, Columbus, OH 43210, USA.
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