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MRT des Knorpels: Frühstadien der Chondromalazie

  • K. Wörtler
Part of the Fortbildung Orthopädie book series (FORTORTHO, volume 5)

Zusammenfassung

Die Magnetresonanztomografie (MRT) stellt derzeit das einzige relevante Verfahren zur nicht-invasiven Bildgebung des hyalinen Gelenkknorpels dar. Fortschritte auf dem Gebiet der Behandlung von Knorpelschäden haben die Anforderungen an die präoperative Bildgebung deutlich erhöht und die Entwicklung neuer MR-Techniken beinflusst [18, 22]. Eine routinemäßige Beurteilung des Knorpels stellt jedoch heute in der MR-Diagnostik der Gelenke nicht zuletzt aufgrund der hohen technischen Anforderungen immer noch eher die Ausnahme als die Regel dar.

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Literatur

  1. 1.
    Bachmann G, Heinrichs C, Jürgensen I et al. (1997) Value of different MR techniques in diagnosis of degenerative disorders of the hyaline cartilage — in vitro study on 50 joint specimens of the knee with 1.5 T. Fortschr Röntgenstr 166:429–436.CrossRefGoogle Scholar
  2. 2.
    Balkissoon A (1996) MR imaging of cartilage: evaluation and comparison of MR imaging techniques. Top Magn Reson Imaging 8:57–67.PubMedCrossRefGoogle Scholar
  3. 3.
    Bashir A, Gray ML, Burstein D (1996) Gd-DTPA2- as a measure of cartilage degradation. Magn Reson Med 36:665–673.PubMedCrossRefGoogle Scholar
  4. 4.
    Bashir A, Gray ML, Boutin RD, Burstein D (1997) Glycosaminoglycan in articular cartilage: in vivo assessment with delayed Gd(DTPA)2--enhanced MR imaging. Radiology 205:551–558.PubMedGoogle Scholar
  5. 5.
    Bradley WG (1996) Future cost-effective MRI will be at high field. J Magn Reson Imaging 6:63–66.PubMedCrossRefGoogle Scholar
  6. 6.
    Bredella MA, Tirman PFJ, Peterfy CG et al. (1999) Accuarcy of T2-weighted fast spin-echo MR imaging with fat saturation in detecting cartilage defects in the knee: comparison with arthroscopy in 130 patients. AJR 172:1073–1080.PubMedGoogle Scholar
  7. 7.
    Disler DG, McCauley TR, Wirth CR, Fuchs MD (1995) Detection of knee hyaline cartilage defects using fat-suppressed three-dimensional spoiled gradient-echo MR imaging: comparison with standard MR imaging and correlation with arthroscopy. AJR 165:377–382.PubMedGoogle Scholar
  8. 8.
    Disler DG, McCauley TR, Kelman CG et al. (1996) Fat-suppressed three-dimensional spoiled gradientecho MR imaging of hyaline cartilage defects in the knee: comparison with standard MR imaging and arthroscopy. AJR 167:127–132.PubMedGoogle Scholar
  9. 9.
    Gagliardi JA, Chung EM, Chandnani et al. (1994) Detection and staging of chondromalacia patellae: relative efficiacies of conventional MR imaging, MR arthrography, and CT arthrography. AJR 163:626–636.Google Scholar
  10. 10.
    Gylys-Morin VM, Hajek PC, Sartoris DJ, Resnick D (1987) Articular cartilage defects: detecability in cadaver knees with MR. AJR 148:1153–1157.PubMedGoogle Scholar
  11. 11.
    Hodler J, Berthiaume MJ, Schweitzer ME, Resnick D (1992) Knee joint hyaline cartilage defects: a comparative study of MR and anatomic sections. J Comput Assist Tomogr 16:147–155.CrossRefGoogle Scholar
  12. 12.
    Kladny B, Glueckert K, Swoboda B, Beyer W, Weseloh G (1995) Comparison of low-field (0.2 Tesla) and high-field (1.5 Tesla) magnetic resonance imaging of the knee joint. Arch Orthop Trauma Surg 114:281–286.PubMedCrossRefGoogle Scholar
  13. 13.
    Kramer J, Recht MP, Imhof H, Stiglbauer R, Engel A (1994) Postcontrast MR arthrography of cartilage lesions. J Comput Assist Tomogr 18:218–224.PubMedCrossRefGoogle Scholar
  14. 14.
    Marti-Bonmati L, Kormano M (1997) MR equipment acquisition strategies: low-field versus high-field scanners. Eur Radiol 7(Suppl 5):263–268.PubMedCrossRefGoogle Scholar
  15. 15.
    McCauley TR, Kier R, Lynch KJ, Jokl P (1992) Chondromalacia patellae: diagnosis with MR imaging. AJR 158:101–105.PubMedGoogle Scholar
  16. 16.
    Noyes FR, Stabler CL (1989) A system for grading articular cartilage lesions at arthroscopy. Am J Sports Med 17:505–513.PubMedCrossRefGoogle Scholar
  17. 17.
    Outerbridge RE (1975) The etiology of chondromalacia patellae. Clin Orthop 110:177–196.PubMedCrossRefGoogle Scholar
  18. 18.
    Peterfy CG, Genant HK (1996) Emerging applications of magnetic resonance imaging in the evaluation of articular cartilage. Radiol Clin North Am 34:195–213.PubMedGoogle Scholar
  19. 19.
    Potter HG, Linklater JM, Allen AA, Hannafin JA, Haas SB (1998) Magnetic resonance imaging of articular cartilage in the knee: an evaluation with use of fast spin-echo imaging. J Bone Joint Surg [Am] 80:1276–1284.Google Scholar
  20. 20.
    Recht MP, Kramer J, Marcelis S et al. (1993) Abnormalities of articular cartilage in the knee: analysis of available MR techniques. Radiology 187:473–478.PubMedGoogle Scholar
  21. 21.
    Recht MP, Piraino DW, Paletta GA, Schils JP, Belhobek GH (1996) Fat-suppressed three-dimensional spoiled gradient-echo FLASH MR imaging in the detection of patellofemoral articular cartilage disorders. Radiology 167:127–132.Google Scholar
  22. 22.
    Recht MP, Resnick D (1994) MR imaging of articular cartilage: current status and future directions. AJR 163:283–290.PubMedGoogle Scholar
  23. 23.
    Riel KA, Kersting-Sommerhoff B, Reinisch M et al. (1996) Prospective comparison of ARTOSCANMRI and arthroscopy in knee joint injuries. Z Orthop 134:430–434.PubMedCrossRefGoogle Scholar
  24. 24.
    Ruehm S, Zanetti M, Romero J, Hodler J (1998) MRI of patellar articular cartilage: evaluation of an optimized gradient echo sequence (3D-DESS). J Magn Reson Imaging 8:1246–1251.PubMedCrossRefGoogle Scholar
  25. 25.
    Rutt BK, Lee DH (1996) The impact of field strength on image quality in MRI. J Magn Reson Imaging 6:57–62.PubMedCrossRefGoogle Scholar
  26. 26.
    Shahriaree H (1985) Chondromalicia. Contemp Orthop 11:27–39.Google Scholar
  27. 27.
    Suh JS, Cho SH, Shin, KH, Kim SJ (1996) Chondromalacia of the knee: evaluation with a fat-suppression three-dimensional SPGR imaging after intravenous contrast-injection. J Magn Reson Imaging 6:884–888.PubMedCrossRefGoogle Scholar
  28. 28.
    Trattnig S, Mylnarik V, Breitenseher M et al. (1999) MRI visualization of proteoglycan depletion in articular cartilage via intravenous administration of Gd-DTPA. Magn Reson Imaging 17:577–583.PubMedCrossRefGoogle Scholar
  29. 29.
    Waldschmidt JG, Rilling RJ, Kajdascy-Balla AA, Boynton MD, Erickson SJ (1997) In vitro and in vivo MR imaging of hyaline cartilage: zonal anatomy, imaging pitfalls and pathologic conditions. Radiographics 17:1387–1402.PubMedGoogle Scholar
  30. 30.
    Winalski CS, Aliabadi O, Wright RJ, Shortkroff S, Sledge CB, Wissmann BN (1993) Enhancement of joint fluid with intravenously administered gadopentate dimeglumine: technique, rationale, and implications. Radiology 187:179–185.PubMedGoogle Scholar
  31. 31.
    Wörtler K, Strothman M, Tombach B, Reimer P (1999) MR imaging of articular cartilage lesions using fatsaturated 3D-FLASH and water-excited 3D-DESS sequences: experimental study. Eur Radiol 9:322.Google Scholar
  32. 32.
    Wörtler K, Strothmann M, Tombach B, Reimer P (2000) Detection of articular cartilage lesions: experimental evaluation of low-and high-field-strength MR imaging at 0.18 and 1.0 Tesla. J Magn Reson Imaging 11:678–685.CrossRefGoogle Scholar
  33. 33.
    Yeh LR, Kwak S, Kim YS et al. (1998) Evaluation of articular cartilage thickness of the humeral head and the glenoid fossa by MR arthrography: anatomic correlation in cadavers. Skeletal Radiol 27:500–504PubMedCrossRefGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 2001

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  • K. Wörtler

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