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Diagnosis of Osteochondral Lesions by MRI

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Talar Osteochondral Defects

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Abstract

MRI is the best available clinical imaging technique that can provide direct visualization of the ankle cartilage; it is also superior to all other imaging techniques in directly depicting the bone marrow, ligaments, and tendons. MRI is therefore an excellent imaging technique to diagnose and monitor osteochondral lesions and osteochondritis dissecans (OCD). MRI of the ankle, however, is technically challenging as the joint cartilage is thin and high spatial resolution and adequate signal-to-noise ratios (SNR) are required.

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References

  1. Barr C, Bauer JS, Malfair D, Ma B, Henning TD, Steinbach L, Link TM. MR imaging of the ankle at 3 Tesla and 1.5 Tesla: protocol optimization and application to cartilage, ligament and tendon pathology in cadaver specimens. Eur Radiol. 2007;17:1518–28.

    Article  PubMed  Google Scholar 

  2. Bauer J, Barr C, Steinbach L, Malfair D, Krug R, Ma C, Link T. Imaging of the articular cartilage of the ankle at 3.0 and 1.5 Tesla. Eur Radiol Suppl. 2006;16(S1):238.

    Google Scholar 

  3. Berndt AL, Harty M. Transchondral fractures (osteochondritis dissecans) of the talus. J Bone Joint Surg Am. 1959;41–A:988–1020.

    PubMed  Google Scholar 

  4. Bowman M. Osteochondral Lesions of the talus and occult fractures of the foot and ankle. In: Schon LC, Porter DA, editors. Baxter’s the foot and ankle in sport. Philadelphia: Elsevier; 2007. p. 293–338.

    Google Scholar 

  5. Burstein D, Velyvis J, Scott KT, Stock KW, Kim YJ, Jaramillo D, Boutin RD, Gray ML. Protocol issues for delayed Gd(DTPA)(2-)-enhanced MRI (dGEMRIC) for clinical evaluation of articular cartilage. Magn Reson Med. 2001;45:36–41.

    Article  CAS  PubMed  Google Scholar 

  6. Burstein D, Gray M. New MRI techniques for imaging cartilage. J Bone Joint Surg Am. 2003;85–A Suppl 2:70–7.

    PubMed  Google Scholar 

  7. Chen CA, Kijowski R, Shapiro LM, Tuite MJ, Davis KW, Klaers JL, Block WF, Reeder SB, Gold GE. Cartilage morphology at 3.0T: assessment of three-dimensional magnetic resonance imaging techniques. J Magn Reson Imaging. 2010;32:173–83.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Cheng MS, Ferkel RD, Applegate GR, editors. Osteochondral lesions of the talus: a radiologic and surgical comparison. Annual Meeting of the Academy of Orthopaedic Surgeons, New Orleans, 16–21 Feb 1995.

    Google Scholar 

  9. Hepple S, Winson IG, Glew D. Osteochondral lesions of the talus: a revised classification. Foot Ankle Int. 1999;20:789–93.

    Article  CAS  PubMed  Google Scholar 

  10. Joshy S, Abdulkadir U, Chaganti S, Sullivan B, Hariharan K. Accuracy of MRI scan in the diagnosis of ligamentous and chondral pathology in the ankle. Foot Ankle Surg. 2010;16:78–80.

    Article  PubMed  Google Scholar 

  11. Kijowski R, Blankenbaker DG, Davis KW, Shinki K, Kaplan LD, De Smet AA. Comparison of 1.5- and 3.0-T MR imaging for evaluating the articular cartilage of the knee joint. Radiology. 2009;250:839–48.

    Article  PubMed  Google Scholar 

  12. Kijowski R, Davis KW, Woods MA, Lindstrom MJ, De Smet AA, Gold GE, Busse RF. Knee joint: comprehensive assessment with 3D isotropic resolution fast spin-echo MR imaging–diagnostic performance compared with that of conventional MR imaging at 3.0 T. Radiology. 2009;252:486–95.

    Article  PubMed  Google Scholar 

  13. Kleemann RU, Krocker D, Cedraro A, Tuischer J, Duda GN. Altered cartilage mechanics and histology in knee osteoarthritis: relation to clinical assessment (ICRS Grade). Osteoarthritis Cartilage. 2005;13:958–63.

    Article  CAS  PubMed  Google Scholar 

  14. Kuni B, Schmitt H, Chloridis D, Ludwig K. Clinical and MRI results after microfracture of osteochondral lesions of the talus. Arch Orthop Trauma Surg. 2012;132:1765–71.

    Article  CAS  PubMed  Google Scholar 

  15. Lee KT, Choi YS, Lee YK, Cha SD, Koo HM. Comparison of MRI and arthroscopy in modified MOCART scoring system after autologous chondrocyte implantation for osteochondral lesion of the talus. Orthopedics. 2011;34:e356–62.

    PubMed  Google Scholar 

  16. Li X, Han ET, Busse RF, Majumdar S. In vivo T(1rho) mapping in cartilage using 3D magnetization-prepared angle-modulated partitioned k-space spoiled gradient echo snapshots (3D MAPSS). Magn Reson Med. 2008;59:298–307.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Li X, Cheng J, Lin K, Saadat E, Bolbos RI, Jokbe B, Ries MD, Horvai A, Link TM, Majumdar S. Quantitative MRI using T(1rho) and T(2) in human osteoarthritic cartilage specimens: correlation with biochemical measurements and histology. Magn Reson Imaging. 2011;29:324–34.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  18. Link TM, Mischung J, Wortler K, Burkart A, Rummeny EJ, Imhoff AB. Normal and pathological MR findings in osteochondral autografts with longitudinal follow-up. Eur Radiol. 2006;16:88–96.

    Article  PubMed  Google Scholar 

  19. Link TM, Stahl R, Woertler K. Cartilage imaging: motivation, techniques, current and future significance. Eur Radiol. 2007;17:1135–46.

    Article  PubMed  Google Scholar 

  20. Link TM. Correlations between joint morphology and pain and between magnetic resonance imaging, histology, and micro-computed tomography. J Bone Joint Surg Am. 2009;91 Suppl 1:30–2.

    Article  PubMed  Google Scholar 

  21. Link TM. MR imaging in osteoarthritis: hardware, coils, and sequences. Magn Reson Imaging Clin N Am. 2010;18:95–110.

    Article  PubMed  Google Scholar 

  22. Mintz DN, Tashjian GS, Connell DA, Deland JT, O’Malley M, Potter HG. Osteochondral lesions of the talus: a new magnetic resonance grading system with arthroscopic correlation. Arthroscopy. 2003;19:353–9.

    Article  PubMed  Google Scholar 

  23. Mosher TJ, Dardzinski BJ. Cartilage MRI T2 relaxation time mapping: overview and applications. Semin Musculoskelet Radiol. 2004;8:355–68.

    Article  PubMed  Google Scholar 

  24. Noyes FR, Stabler CL. A system for grading articular cartilage lesions at arthroscopy. Am J Sports Med. 1989;17:505–13.

    Article  CAS  PubMed  Google Scholar 

  25. Potter HG, Linklater JM, Allen AA, Hannafin JA, Haas SB. Magnetic resonance imaging of articular cartilage in the knee. An evaluation with use of fast-spin-echo imaging. J Bone Joint Surg Am. 1998;80:1276–84.

    CAS  PubMed  Google Scholar 

  26. Recht MP, Resnick D. Magnetic resonance imaging of articular cartilage: an overview. Top Magn Reson Imaging. 1998;9:328–36.

    Article  CAS  PubMed  Google Scholar 

  27. Recht MP, Goodwin DW, Winalski CS, White LM. MRI of articular cartilage: revisiting current status and future directions. AJR Am J Roentgenol. 2005;185:899–914.

    Article  PubMed  Google Scholar 

  28. Ristow O, Steinbach L, Sabo G, Krug R, Huber M, Rauscher I, Ma B, Link TM. Isotropic 3D fast spin-echo imaging versus standard 2D imaging at 3.0 T of the knee-image quality and diagnostic performance. Eur Radiol. 2009;19:1263–72.

    Article  PubMed  Google Scholar 

  29. Ristow O, Stehling C, Krug R, Steinbach L, Sabo G, Ambekar A, Huber M, Link TM. Isotropic 3-dimensional fast spin echo imaging versus standard 2-dimensional imaging at 3.0 T of the knee: artificial cartilage and meniscal lesions in a porcine model. J Comput Assist Tomogr. 2010;34:260–9.

    Article  PubMed  Google Scholar 

  30. Scranton Jr PE, McDermott JE. Treatment of type V osteochondral lesions of the talus with ipsilateral knee osteochondral autografts. Foot Ankle Int. 2001;22:380–4.

    PubMed  Google Scholar 

  31. Srikhum W, Nardo L, Karampinos DC, Melkus G, Poulos T, Steinbach LS, Link TM. Magnetic resonance imaging of ankle tendon pathology: benefits of additional axial short-tau inversion recovery imaging to reduce magic angle effects. Skeletal Radiol. 2013;42:499–510.

    Article  PubMed  Google Scholar 

  32. Taranow WS, Bisignani GA, Towers JD, Conti SF. Retrograde drilling of osteochondral lesions of the medial talar dome. Foot Ankle Int. 1999;20:474–80.

    Article  CAS  PubMed  Google Scholar 

  33. Verhagen RA, Maas M, Dijkgraaf MG, Tol JL, Krips R, van Dijk CN. Prospective study on diagnostic strategies in osteochondral lesions of the talus. Is MRI superior to helical CT? J Bone Joint Surg Br. 2005;87:41–6.

    CAS  PubMed  Google Scholar 

  34. Welsch GH, Mamisch TC, Quirbach S, Zak L, Marlovits S, Trattnig S. Evaluation and comparison of cartilage repair tissue of the patella and medial femoral condyle by using morphological MRI and biochemical zonal T2 mapping. Eur Radiol. 2009;19:1253–62.

    Article  PubMed  Google Scholar 

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Conflict of Interests

The author has no current conflict of interests with the products presented.

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Authors and Affiliations

  1. Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA

    Thomas M. Link MD, PhD

  2. Orthopaedic Department, University Hospital of Basel, Basel, Switzerland

    Patrick Vavken MD & Victor Valderrabano MD, PhD

Authors
  1. Thomas M. Link MD, PhD
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  2. Patrick Vavken MD
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  3. Victor Valderrabano MD, PhD
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Corresponding author

Correspondence to Thomas M. Link MD, PhD .

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Editors and Affiliations

  1. Orthopaedic Surgery, University of Amsterdam Academic Medical Centre, Amsterdam, The Netherlands

    C. Niek van Dijk

  2. Orthopaedic Surgery and Traumatology, Hospital for Special Surgery, New York, New York, USA

    John G. Kennedy

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© 2014 ESSKA

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Link, T.M., Vavken, P., Valderrabano, V. (2014). Diagnosis of Osteochondral Lesions by MRI. In: van Dijk, C., Kennedy, J. (eds) Talar Osteochondral Defects. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45097-6_3

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  • DOI: https://doi.org/10.1007/978-3-642-45097-6_3

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-45096-9

  • Online ISBN: 978-3-642-45097-6

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