2D versus 3D MRI of osteoarthritis in clinical practice and research
Accurately detecting and characterizing articular cartilage defects is critical in assessing patients with osteoarthritis. While radiography is the first-line imaging modality, magnetic resonance imaging (MRI) is the most accurate for the noninvasive assessment of articular cartilage. Multiple semiq...
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| Veröffentlicht in: | Skeletal radiology 2023-11, Vol.52 (11), p.2211-2224 |
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| description | Accurately detecting and characterizing articular cartilage defects is critical in assessing patients with osteoarthritis. While radiography is the first-line imaging modality, magnetic resonance imaging (MRI) is the most accurate for the noninvasive assessment of articular cartilage. Multiple semiquantitative grading systems for cartilage lesions in MRI were developed. The Outerbridge and modified Noyes grading systems are commonly used in clinical practice and for research. Other useful grading systems were developed for research, many of which are joint-specific. Both two-dimensional (2D) and three-dimensional (3D) pulse sequences are used to assess cartilage morphology and biochemical composition. MRI techniques for morphological assessment of articular cartilage can be categorized into 2D and 3D FSE/TSE spin-echo and gradient-recalled echo sequences. T2 mapping is most commonly used to qualitatively assess articular cartilage microstructural composition and integrity, extracellular matrix components, and water content. Quantitative techniques may be able to label articular cartilage alterations before morphological defects are visible. Accurate detection and characterization of shallow low-grade partial and small articular cartilage defects are the most challenging for any technique, but where high spatial resolution 3D MRI techniques perform best. This review article provides a practical overview of commonly used 2D and 3D MRI techniques for articular cartilage assessments in osteoarthritis. |
| doi_str_mv | 10.1007/s00256-023-04309-4 |
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While radiography is the first-line imaging modality, magnetic resonance imaging (MRI) is the most accurate for the noninvasive assessment of articular cartilage. Multiple semiquantitative grading systems for cartilage lesions in MRI were developed. The Outerbridge and modified Noyes grading systems are commonly used in clinical practice and for research. Other useful grading systems were developed for research, many of which are joint-specific. Both two-dimensional (2D) and three-dimensional (3D) pulse sequences are used to assess cartilage morphology and biochemical composition. MRI techniques for morphological assessment of articular cartilage can be categorized into 2D and 3D FSE/TSE spin-echo and gradient-recalled echo sequences. T2 mapping is most commonly used to qualitatively assess articular cartilage microstructural composition and integrity, extracellular matrix components, and water content. Quantitative techniques may be able to label articular cartilage alterations before morphological defects are visible. Accurate detection and characterization of shallow low-grade partial and small articular cartilage defects are the most challenging for any technique, but where high spatial resolution 3D MRI techniques perform best. 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While radiography is the first-line imaging modality, magnetic resonance imaging (MRI) is the most accurate for the noninvasive assessment of articular cartilage. Multiple semiquantitative grading systems for cartilage lesions in MRI were developed. The Outerbridge and modified Noyes grading systems are commonly used in clinical practice and for research. Other useful grading systems were developed for research, many of which are joint-specific. Both two-dimensional (2D) and three-dimensional (3D) pulse sequences are used to assess cartilage morphology and biochemical composition. MRI techniques for morphological assessment of articular cartilage can be categorized into 2D and 3D FSE/TSE spin-echo and gradient-recalled echo sequences. T2 mapping is most commonly used to qualitatively assess articular cartilage microstructural composition and integrity, extracellular matrix components, and water content. Quantitative techniques may be able to label articular cartilage alterations before morphological defects are visible. Accurate detection and characterization of shallow low-grade partial and small articular cartilage defects are the most challenging for any technique, but where high spatial resolution 3D MRI techniques perform best. This review article provides a practical overview of commonly used 2D and 3D MRI techniques for articular cartilage assessments in osteoarthritis.</description><subject>Arthritis</subject><subject>Cartilage</subject><subject>Cartilage (articular)</subject><subject>Cartilage diseases</subject><subject>Clinical medicine</subject><subject>Composition</subject><subject>Defects</subject><subject>Extracellular matrix</subject><subject>Imaging</subject><subject>Magnetic resonance imaging</subject><subject>Medical colleges</subject><subject>Medical imaging</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Moisture content</subject><subject>Morphology</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Pathology</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Review Article</subject><subject>Spatial discrimination</subject><subject>Spatial resolution</subject><subject>Water content</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU1rFTEUhoMo9lr9Ay4k4MbN1OScJJNZll4_ChVBdB3S5EybMndyTWYE_72pt1oUkSwCyfO-nMPD2HMpTqQQ_esqBGjTCcBOKBRDpx6wjVQIHUgjH7KNQKM6QGWP2JNab4SQfa_NY3aEZhD9oHHDtrDl36jUtXLc8g-fznkeea4LZV-W65KWVHmaeZjSnIKf-L74sKRA3M-RF6rkS7h-yh6Nfqr07O4-Zl_evvl89r67-Pju_Oz0ogtKwdIBjD0EDcFeRgp28GgtRY1-iCH4KKO1WvnRRwgkUHqDaLG3JnpN4MHgMXt16N2X_HWlurhdqoGmyc-U1-qgwVpKC31DX_6F3uS1zG06B9YYaTUC3lNXfiKX5jEvbb_bUnfaGz2oAZRo1Mk_qHYi7VLIM42pvf8RgEMglFxrodHtS9r58t1J4W7VuYM619S5n-qcaqEXdxOvlzuKvyO_XDUAD0BtX_MVlfuV_lP7A1X8oJs</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Walter, Sven S.</creator><creator>Fritz, Benjamin</creator><creator>Kijowski, Richard</creator><creator>Fritz, Jan</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4456-3043</orcidid></search><sort><creationdate>20231101</creationdate><title>2D versus 3D MRI of osteoarthritis in clinical practice and research</title><author>Walter, Sven S. ; 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| subjects | Arthritis Cartilage Cartilage (articular) Cartilage diseases Clinical medicine Composition Defects Extracellular matrix Imaging Magnetic resonance imaging Medical colleges Medical imaging Medical research Medicine Medicine & Public Health Medicine, Experimental Moisture content Morphology Nuclear Medicine Orthopedics Osteoarthritis Pathology Radiography Radiology Review Article Spatial discrimination Spatial resolution Water content |
| title | 2D versus 3D MRI of osteoarthritis in clinical practice and research |
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