Technique and value of direct MR arthrography applying articular distraction

Direct MR arthrography has a better diagnostic accuracy than MR imaging alone. However, contrast material is not always homogeneously distributed in the articular space. Lesions of cartilage surfaces or intra-articular soft tissues can thus be misdiagnosed. Concomitant application of axial traction...

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Veröffentlicht in:Revue médicale suisse 2010-02, Vol.6 (237), p.413-417
Hauptverfasser: Becce, Fabio, Wettstein, Michael, Guntern, Daniel, Mouhsine, Elyazid, Palhais, Nuno, Theumann, Nicolas
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container_title Revue médicale suisse
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creator Becce, Fabio
Wettstein, Michael
Guntern, Daniel
Mouhsine, Elyazid
Palhais, Nuno
Theumann, Nicolas
description Direct MR arthrography has a better diagnostic accuracy than MR imaging alone. However, contrast material is not always homogeneously distributed in the articular space. Lesions of cartilage surfaces or intra-articular soft tissues can thus be misdiagnosed. Concomitant application of axial traction during MR arthrography leads to articular distraction. This enables better distribution of contrast material in the joint and better delineation of intra-articular structures. Therefore, this technique improves detection of cartilage lesions. Moreover, the axial stress applied on articular structures may reveal lesions invisible on MR images without traction. Based on our clinical experience, we believe that this relatively unknown technique is promising and should be further developed.
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source MEDLINE; Alma/SFX Local Collection
subjects Arthrography - methods
Cartilage Diseases - diagnosis
Humans
Joint Diseases - diagnosis
Magnetic Resonance Imaging
Traction
title Technique and value of direct MR arthrography applying articular distraction
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