Articular Cartilage in the Knee: Current MR Imaging Techniques and Applications in Clinical Practice and Research | RadioGraphics

Published Online:Jan 19 2011https://doi.org/10.1148/rg.311105084

Abstract

The multitude of MR imaging techniques available for assessing the structure and composition of articular cartilage in the knee are described, and their current applications in clinical practice and clinical research are discussed.

Magnetic resonance (MR) imaging is the most important imaging modality for the evaluation of traumatic or degenerative cartilaginous lesions in the knee. It is a powerful noninvasive tool for detecting such lesions and monitoring the effects of pharmacologic and surgical therapy. The specific MR imaging techniques used for these purposes can be divided into two broad categories according to their usefulness for morphologic or compositional evaluation. To assess the structure of knee cartilage, standard spin-echo (SE) and gradient-recalled echo (GRE) sequences, fast SE sequences, and three-dimensional SE and GRE sequences are available. These techniques allow the detection of morphologic defects in the articular cartilage of the knee and are commonly used in research for semiquantitative and quantitative assessments of cartilage. To evaluate the collagen network and proteoglycan content in the knee cartilage matrix, compositional assessment techniques such as T2 mapping, delayed gadolinium-enhanced MR imaging of cartilage (or dGEMRIC), T1ρ imaging, sodium imaging, and diffusion-weighted imaging are available. These techniques may be used in various combinations and at various magnetic field strengths in clinical and research settings to improve the characterization of changes in cartilage.

©RSNA, 2011

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Article History

Received: Apr 7 2010
Revision requested: May 24 2010
Revision received: July 9 2010
Revision received: July 26 2010
Published online: Jan 19 2011
Published in print: Jan 2011

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  2015 | European Journal of Radiology, Vol. 84, No. 7
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- OARSI Clinical Trials Recommendations: Knee imaging in clinical trials in osteoarthritis
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  2015 | Osteoarthritis and Cartilage, Vol. 23, No. 7
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- Morphological and compositional monitoring of a new cell-free cartilage repair hydrogel technology – GelrinC by MR using semi-quantitative MOCART scoring and quantitative T2 index and new zonal T2 index calculation
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  2015 | Osteoarthritis and Cartilage, Vol. 23, No. 12
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  2015 | The Knee, Vol. 22, No. 3
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  2015 | Current Opinion in Rheumatology, Vol. 27, No. 3
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- MRI of the Knee
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- MRI-Arthroscopy Correlations
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  2015
- Nuclear Medicine and Radiologic Imaging in Sports Injuries
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  2015
- DIAGNOSTIC SENSITIVITY OF RADIOGRAPHY, ULTRASONOGRAPHY, AND MAGNETIC RESONANCE IMAGING FOR DETECTING SHOULDER OSTEOCHONDROSIS/OSTEOCHONDRITIS DISSECANS IN DOGS
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  2014 | Best Practice & Research Clinical Rheumatology, Vol. 28, No. 1
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  2014 | European Journal of Radiology, Vol. 83, No. 5
- 90°-Flip-angle three-dimensional double-echo steady-state (3D-DESS) magnetic resonance imaging of the knee: Isovoxel cartilage imaging at 3T
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  2014 | European Journal of Radiology, Vol. 83, No. 8
- Whole joint MRI assessment of surgical cartilage repair of the knee: Cartilage Repair OsteoArthritis Knee Score (CROAKS)
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  2014 | Osteoarthritis and Cartilage, Vol. 22, No. 6
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- The role of imaging in early hip OA
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  2014 | Osteoarthritis and Cartilage, Vol. 22, No. 10
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- Cartilage and Soft Tissue Imaging Using X-rays
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- Effect of Age-Related Cartilage Turnover on Serum C-Telopeptide of Collagen Type II and Osteocalcin Levels in Growing Rabbits with and without Surgically Induced Osteoarthritis
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- MR imaging of articular cartilage at 1.5T and 3.0T: comparison of IDEAL 2D FSE and 3D SPGR with fat-saturated 2D FSE and 3D SPGR in a porcine model
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  2014 | Acta Radiologica, Vol. 55, No. 4
- Autologous Osteochondral Transplantation for Treating Patellar Chondral Injuries
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  2014 | Journal of Bone and Joint Surgery, Vol. 96, No. 10
- The Patellofemoral Joint
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- T 2 relaxation time measurements are limited in monitoring progression, once advanced cartilage defects at the knee occur: Longitudinal data from the osteoarthritis initiative
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  2 April 2013 | Veterinary Radiology & Ultrasound, Vol. 54, No. 4
- Is Magnetic Resonance Imaging Reliable in Predicting Clinical Outcome After Articular Cartilage Repair of the Knee?
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  30 January 2013 | The American Journal of Sports Medicine, Vol. 41, No. 7
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- Musculoskeletal Diseases 2013–2016
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- Comparison of 1.5- and 3-T MR imaging for evaluating the articular cartilage of the knee
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  2013 | Knee Surgery, Sports Traumatology, Arthroscopy
- Radiologic analysis of femoral acetabular impingement: from radiography to MRI
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  2013 | Pediatric Radiology, Vol. 43, No. S1
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- Quantitative MRI of the ACL-Injured and Reconstructed Knee
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  2013 | Clinics in Sports Medicine, Vol. 32, No. 1
- T1ρ is superior to T2 mapping for the evaluation of articular cartilage denaturalization with osteoarthritis: Radiological–pathological correlation after total knee arthroplasty
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- T1ρ and T2 relaxation times predict progression of knee osteoarthritis
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  2013 | Osteoarthritis and Cartilage, Vol. 21, No. 1
- Cartilage and meniscal T2 relaxation time as non-invasive biomarker for knee osteoarthritis and cartilage repair procedures
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  2013 | Rheumatic Disease Clinics of North America, Vol. 39, No. 1
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- Treatment of Knee Osteoarthritis With Autologous Mesenchymal Stem Cells
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- Computer-Aided Diagnosis in Phase Contrast Imaging X-Ray Computed Tomography for Quantitative Characterization of ex vivo Human Patellar Cartilage
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  2013 | IEEE Transactions on Biomedical Engineering, Vol. 60, No. 10
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- Delayed Gadolinium-Enhanced MRI of Cartilage (dGEMRIC) Shows No Change in Cartilage Structural Composition after Viscosupplementation in Patients with Early-Stage Knee Osteoarthritis
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- Signo de la línea negra: fisura del cartílago troclear por resonancia magnética
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  2013 | Scientific Reports, Vol. 3, No. 1
- Geriatric Imaging
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- Three-dimensional turbo spin-echo magnetic resonance imaging (MRI) and semiquantitative assessment of knee osteoarthritis: comparison with two-dimensional routine MRI
  M.D.Crema, M.H.Nogueira-Barbosa, F.W.Roemer, M.D.Marra, J.Niu, F.A.Chagas-Neto, E.Gregio-Junior, A.Guermazi
  2013 | Osteoarthritis and Cartilage, Vol. 21, No. 3
- Magnetic resonance imaging (MRI) of articular cartilage of the knee using ultrashort echo time (uTE) sequences with spiral acquisition
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  25 May 2012 | Journal of Medical Imaging and Radiation Oncology, Vol. 56, No. 3
- Encyclopedia of Magnetic Resonance
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- The Epidemiology of Aging
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  2012 | Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 20, No. 12
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- CT arthrography of the human knee to measure cartilage quality with low radiation dose
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- T2∗ mapping of hip joint cartilage in various histological grades of degeneration
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- Medical Imaging
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- Glucosamine and chondroitin sulfate in the repair of osteochondral defects in dogs - clinical-radiographic analysis
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- Feasibility of Mapping T2 Relaxation Time in the Pediatric Metacarpal Head With a 3-T MRI System
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- Practical Application of Iterative Decomposition of Water and Fat with Echo Asymmetry and Least-Squares Estimation (IDEAL) Imaging in Minimizing Metallic Artifacts
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- Comparison of MRI T2 Relaxation Changes of Knee Articular Cartilage before and after Running between Young and Old Amateur Athletes
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- The Clinical Utility and Diagnostic Performance of Magnetic Resonance Imaging for Identification of Early and Advanced Knee Osteoarthritis
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  5 July 2011 | The American Journal of Sports Medicine, Vol. 39, No. 7
- Potential Use of Pharmacokinetic Modeling of First-Pass Dynamic Contrast-enhanced MR Images of Cartilage
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  2011 | Skeletal Radiology, Vol. 40, No. 9
- MR Imaging of ACL Injuries in Pediatric and Adolescent Patients
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- Epidemiology should not be forgotten in osteoarthritis imaging
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- Clinically applied CT arthrography to measure the sulphated glycosaminoglycan content of cartilage
  M.Siebelt, J.van Tiel, J.H.Waarsing, T.M.Piscaer, M.van Straten, R.Booij, M.L.Dijkshoorn, G.J.Kleinrensink, J.A.N.Verhaar, G.P.Krestin, H.Weinans, E.H.G.Oei
  2011 | Osteoarthritis and Cartilage, Vol. 19, No. 10
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Vol. 31, No. 1

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