Magnetic Resonance Images of Tendon Microstructure

2000 ◽  
Author(s):  
Rajakumar Israel ◽  
Theresa Atkinson

Abstract Tendon and ligament typically produce a weak signal during Magnetic Resonance Imaging (MRI). As a result only gross defects in the tissue could be detected. A method was recently developed to allow more detailed images of tendon structure to be obtained. This new method requires less than 2.5 minutes per scan and is therefore a reasonable method to utilize in a clinical setting to evaluate tendon or ligament injury and healing.

1987 ◽  
Vol 67 (4) ◽  
pp. 592-594 ◽  
Author(s):  
Eric W. Neils ◽  
Robert Lukin ◽  
Thomas A. Tomsick ◽  
John M. Tew

✓ The authors present two cases of herpes simplex encephalitis (HSE) in which computerized tomography (CT) scanning and magnetic resonance imaging (MRI) were performed. They also review the literature on the use of these imaging modalities in cases of HSE. The striking changes noted in these cases on T2-weighted magnetic resonance images in comparison to the CT findings suggest that MRI will help speed recognition of nonhemorrhagic HSE abnormalities.


Foot & Ankle ◽  
1992 ◽  
Vol 13 (4) ◽  
pp. 208-214 ◽  
Author(s):  
Stephen Conti ◽  
James Michelson ◽  
Melvin Jahss

A retrospective study of attenuated/ruptured posterior tibial tendons was conducted of all patients who underwent tendon reconstruction over a 4-year period. The study comprised 20 feet in 19 patients having an average age of 53.3 years, with an average follow-up of 2 years. Preoperative magnetic resonance images were taken and graded for assignment to one of three magnetic resonance imaging (MRI)-based groups. The surgical grade was determined intraoperatively based on a previously described classification scheme. No medical or rheumatologic conditions predisposing to failure could be identified. Failure was defined as postoperative progression of pain and deformity which required subsequent triple arthrodesis. There were six failures at an average of 14.7 months. Surgical evaluation was not correlated to outcome following reconstruction. MRI grading, however, was predictive of outcome. The superior sensitivity of MRI for detecting intramural degeneration in the posterior tibial tendon that was not obvious at surgery may explain why MRI is better than intraoperative tendon inspection for predicting the outcome of reconstructive surgery. Therefore, it may be helpful to obtain preoperative MRI when this particular reconstruction of the posterior tibial tendon is contemplated, since this provides the best measure of tendon integrity and appears to be the best predictor of clinical success after such surgery.


2005 ◽  
Vol 2 (2) ◽  
pp. 239-260 ◽  
Author(s):  
D. Mietchen ◽  
H. Keupp ◽  
B. Manz ◽  
F. Volke

Abstract. For more than a decade, Magnetic Resonance Imaging (MRI) has been routinely employed in clinical diagnostics because it allows to non-invasively study anatomical structures and physiological processes in vivo and to differentiate between healthy and pathological states, particularly in soft tissue. Here, we demonstrate that MRI can likewise be applied to fossilized biological samples and help in elucidating paleopathological and paleoecological questions: Five anomalous guards of Jurassic and Cretaceous belemnites are presented along with putative paleopathological scenarios directly derived from 3D Magnetic Resonance images with microscopic resolution. These syn vivo deformities of both the mineralized internal rostrum and the surrounding former soft tissue can be traced back in part to traumatic events of predator-prey-interactions, and partly to parasitism. Evidence is presented that the frequently observed anomalous apical collar might be indicative of an inflammatory disease. Finally, the potential of Magnetic Resonance techniques for further paleontological applications is being discussed.


Author(s):  
Nardeen Kader ◽  
Mohammed Shoaib Arshad ◽  
Pawan K. Chajed ◽  
Daoud Makki ◽  
Kiran Naikoti ◽  
...  

Abstract Introduction Scapholunate interosseous ligament injury (SLIL) is the most common cause of wrist instability and a cause of morbidity in a proportion of patients with wrist injuries. Aim To evaluate the accuracy of plain magnetic resonance imaging (MRI) and MR arthrogram (MRA) in the diagnosis of SLIL injury against the existing gold standard-wrist arthroscopy. Materials and Methods We retrospectively reviewed 108 cases by comparing MRI/MRA reports and their wrist arthroscopy operation notes. Results Overall MRI sensitivity to SLIL injuries was 38.5% (91.0% specificity). When broken down into plain MRI and MRA the results were: plain MRI sensitivity = 19.2% (91.4% specificity) and MRA sensitivity = 57.7% (90.5% specificity). Conclusion Neither MRI nor MRA scanning is sensitive enough compared with the gold standard. Positive predictive value remains too low (62.5 and 88.2%, respectively) to consider bypassing diagnostic arthroscopy and treating surgically. The negative predictive value (60.4 and 63.6%, respectively) is inadequate to confirm exclusion of injury from MRI results alone.


Cartilage ◽  
2019 ◽  
pp. 194760351987085 ◽  
Author(s):  
Noam Ben-Eliezer ◽  
José G. Raya ◽  
James S. Babb ◽  
Thomas Youm ◽  
Daniel K. Sodickson ◽  
...  

Objective The outcome of arthroscopic treatment for femoroacetabular impingement (FAI) depends on the preoperative status of the hip cartilage. Quantitative T2 can detect early biochemical cartilage changes, but its routine implementation is challenging. Furthermore, intrinsic T2 variability between patients makes it difficult to define a threshold to identify cartilage lesions. To address this, we propose a normalized T2-index as a new method to evaluate cartilage in FAI. Design We retrospectively analyzed magnetic resonance imaging (MRI) data of 18 FAI patients with arthroscopically confirmed cartilage defects. Cartilage T2 maps were reconstructed from multi-spin-echo 3-T data using the echo-modulation-curve (EMC) model-based technique. The central femoral cartilage, assumed healthy in early-stage FAI, was used as the normalization reference to define a T2-index. We investigated the ability of the T2-index to detect surgically confirmed cartilage lesions. Results The average T2-index was 1.14 ± 0.1 and 1.13 ± 0.1 for 2 separated segmentations. Using T2-index >1 as the threshold for damaged cartilage, accuracy was 88% and 100% for the 2 segmentations. We found moderate intraobserver repeatability, although separate segmentations yielded comparable accuracy. Damaged cartilage could not be identified using nonnormalized average T2 values. Conclusions This preliminary study confirms the importance of normalizing T2 values to account for interpatient variability and suggests that the T2-index is a promising biomarker for the detection of cartilage lesions in FAI. Future work is needed to confirm that combining T2-index with morphologic MRI and other quantitative biomarkers could improve cartilage assessment in FAI.


Author(s):  
Alan P. Koretsky ◽  
Afonso Costa e Silva ◽  
Yi-Jen Lin

Magnetic resonance imaging (MRI) has become established as an important imaging modality for the clinical management of disease. This is primarily due to the great tissue contrast inherent in magnetic resonance images of normal and diseased organs. Due to the wide availability of high field magnets and the ability to generate large and rapidly switched magnetic field gradients there is growing interest in applying high resolution MRI to obtain microscopic information. This symposium on MRI microscopy highlights new developments that are leading to increased resolution. The application of high resolution MRI to significant problems in developmental biology and cancer biology will illustrate the potential of these techniques.In combination with a growing interest in obtaining high resolution MRI there is also a growing interest in obtaining functional information from MRI. The great success of MRI in clinical applications is due to the inherent contrast obtained from different tissues leading to anatomical information.


Sign in / Sign up

Export Citation Format

Share Document