Imaging Diagnosis in Orthopedics: A Basic Introduction to the Interpretation of MRI

  • Hitoshi Katayama
Conference paper


Although interpretation of simple X-ray films is an excellent first step in imaging diagnosis in orthopedics, the recent advance of magnetic resonance imaging (MRI) has had a great impact on this field. MRI is often compared with X-ray computerized tomography (CT) due to the similarity of their images. The principles of X-ray absorption governing the reading of conventional X-ray film can be directly applied to the interpretation of X-ray CT. However, MRI is produced by the principle of magnetic resonance, a technique fundamentally different from that of roentgenography. Thus, it is essential for clinicians to understand the basic principle of MR in order to correctly interpret the information provided by MRI.


Magnetic Resonance Imaging High Signal Intensity Fibrous Dysplasia Bone Cyst Giant Cell Tumor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Tehranzadeh J, Mnaymneh W, Ghavam C, Morillo G, Murphy BJ (1989) Comparison of CT and MR imaging in musculoskeletal neoplasms. J Comput Assist Tomogr 13 (3): 466–472PubMedCrossRefGoogle Scholar
  2. 2.
    Elemann R, Reiser MF, Peters PE, Vasallo P, Nommensen B, Kusnierz-Glaz CR, Ritter J, Roessner A (1989) Musculoskeletal neoplasms: Static and dynamic GdDTPA-enhanced MR imaging. Radiology 171 (3): 767–773Google Scholar
  3. 3.
    Nurenberg P, Harms SE (1988) Magnetic resonance imaging of musculoskeletal tumors. Crit Lev Diagn Imaging 28 (4): 331–366Google Scholar
  4. 4.
    Kattapuram SV, Khurana JS, Rosenthal DI, Ehara S (1989) Musculoskeletal application of MRI. Radiat Med 7 (2): 47–54PubMedGoogle Scholar
  5. 5.
    Sundaram M, McDonald DJ (1989) The solitary tumor or tumor like lesion of bone. Top Magn Reson Imag 1 (4): 17–29CrossRefGoogle Scholar
  6. 6.
    Sartoris DJ, Resnick D (1987) MR imaging of the musculoskeletal system: Current and future status. AJR 149 (3): 457–467PubMedCrossRefGoogle Scholar
  7. 7.
    Hanna SL, Fletcher BD, Fairclongh DL, Jenkins JH 3d, Le AH (1991) Magnetic resonance imaging of disseminated bone marrow disease in patients treated for malignancy. Skel Radiol 20 (2): 79–84CrossRefGoogle Scholar
  8. 8.
    Otake H, Nishimura H, Uchida M (1990) Skeletal MR diagnosis (in Japanese). Clin Imagiol (Jpn) 6 (5): 48–59Google Scholar
  9. 9.
    Sandaram M, McGuire MH, Herbold DR, Wolverson MK, Heiberg E (1986) Magnetic resonance imaging in planning limb-salvage surgery for primary malignant tumors of bone. J Bone Joint Surg [Am] 68 (6): 809–819Google Scholar
  10. 10.
    Holscher HC, Bloem JL, Nooy MA, Taminiau AH, Eulderink F, Hermans J (1990) The value of MR imaging in monitoring the effect of chemotherapy on bone sarcomas. AJR 154 (4): 763–769PubMedCrossRefGoogle Scholar
  11. 11.
    Pan G, Raymond AK, Carrasco CH, Wallace S, Kim EE, Shirkhoba A, Jaffe N, Murray JA, Benjamin RS (1990) Osteosarcoma: MR imaging after preoperative chemotherapy. Radiology 174 (2): 517–526PubMedGoogle Scholar
  12. 12.
    Sugimura K, Yamasaki K, Kitagaki H, Tanaka Y, Kono M (1987) Bone marrow diseases of the spine: Differentiation with Ti and T2 relaxation times in MR imaging. Radiology 165 (2): 541–544PubMedGoogle Scholar
  13. 13.
    Shuman WP, Castagno AA, Baron RL, Richardson ML (1988) MR imaging of avascular necrosis of the femoral head: Value of small field-of-view sagittal surface-coil images. AJR 150 (5): 1073–1078PubMedCrossRefGoogle Scholar
  14. 14.
    Mitchell DG, Rao VM, Dalinka MK, Spritzer CE, Alavi A, Steinberg ME, Fallon M, Kressel HY (1987) Femoral head avascular necrosis: Correlation of MR imaging, radiographic staging, radionuclide imaging, and clinical findings. Radiology 162 (3): 709–715PubMedGoogle Scholar
  15. 15.
    Holt RG, Helms CA, Steinback L, Neumann C, Munk PL, Genant HK (1990) Magnetic resonance imaging of the shoulder: Rationale and current applications. Skel Radiol 19 (1): 5–14CrossRefGoogle Scholar
  16. 16.
    Crues JV 3d, Mink J, Levy TL, Lotysch M, Stoller DW (1987) Meniscal tears of the knee: Accuracy of MR imaging. Radiology 164 (2): 445–448PubMedGoogle Scholar
  17. 17.
    Stoller DW, Martin C, Crues JV 3d, Kaplan L, Mink JH (1987) Meniscal tears: Pathologic correlation with MR imaging. Radiology 163 (3): 731–735PubMedGoogle Scholar
  18. 18.
    Lee JK, Yao L, Phelps CT, Wirth CR, Czajka J, Lozman J (1988) Anterior cruciate ligament tears: MR imaging compared with arthoscopy and clinical tests. Radiology 166 (3): 861–864PubMedGoogle Scholar
  19. 19.
    Araki T (1989) Magnetic resonance signal intensity: For the beginner in MRI. J Med Imaging Suppl 6:10–11, Figs. 3–5Google Scholar

Copyright information

© Springer Japan 1992

Authors and Affiliations

  • Hitoshi Katayama
    • 1
  1. 1.Department of RadiologyJuntendo University, School of MedicineBunkyo-ku, Tokyo, 113Japan

Personalised recommendations