RSS-Feed abonnieren
Bitte kopieren Sie die angezeigte URL und fügen sie dann in Ihren RSS-Reader ein.
https://www.thieme-connect.de/rss/thieme/de/10.1055-s-00000070.xml
Semin Musculoskelet Radiol 2017; 21(02): 113-121
DOI: 10.1055/s-0037-1599213
DOI: 10.1055/s-0037-1599213
Review Article
Magnetic Resonance Imaging of Arthritis of the Knee
Weitere Informationen
Publikationsverlauf
Publikationsdatum:
29. März 2017 (online)
![](https://www.thieme-connect.de/media/smr/201702/lookinside/thumbnails/10-1055-s-0037-1599213_00935-1.jpg)
Abstract
The knee joint is involved in a wide variety of arthritides, and imaging has always played a major role in both aiding diagnosis and assessing the severity of such diseases. Plain film radiography has traditionally been used as the primary imaging modality for radiographic diagnosis of arthritis. However, magnetic resonance imaging (MRI) shows a greater sensitivity to both the bone and soft tissue features of this group of conditions. This article reviews the imaging features of osteoarthritis (OA) of the knee shown on MRI and the criteria used to diagnose this condition. It also discusses imaging features that suggest the underlying arthropathy is not OA.
-
References
- 1 Eckstein F, Burstein D, Link TM. Quantitative MRI of cartilage and bone: degenerative changes in osteoarthritis. NMR Biomed 2006; 19 (7) 822-854
- 2 Peterfy CG. Magnetic resonance imaging in rheumatoid arthritis: current status and future directions. J Rheumatol 2001; 28 (5) 1134-1142
- 3 Alasaarela E, Suramo I, Tervonen O, Lähde S, Takalo R, Hakala M. Evaluation of humeral head erosions in rheumatoid arthritis: a comparison of ultrasonography, magnetic resonance imaging, computed tomography and plain radiography. Br J Rheumatol 1998; 37 (11) 1152-1156
- 4 Hunter DJ, Zhang W, Conaghan PG , et al. Systematic review of the concurrent and predictive validity of MRI biomarkers in OA. Osteoarthritis Cartilage 2011; 19 (5) 557-588
- 5 Hunter DJ, Zhang W, Conaghan PG , et al. Responsiveness and reliability of MRI in knee osteoarthritis: a meta-analysis of published evidence. Osteoarthritis Cartilage 2011; 19 (5) 589-605
- 6 Heinegård D, Saxne T. The role of the cartilage matrix in osteoarthritis. Nat Rev Rheumatol 2011; 7 (1) 50-56
- 7 Murphy L, Schwartz TA, Helmick CG , et al. Lifetime risk of symptomatic knee osteoarthritis. Arthritis Rheum 2008; 59 (9) 1207-1213
- 8 Orita S, Koshi T, Mitsuka T , et al. Associations between proinflammatory cytokines in the synovial fluid and radiographic grading and pain-related scores in 47 consecutive patients with osteoarthritis of the knee. BMC Musculoskelet Disord 2011; 12: 144
- 9 Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis 1957; 16 (4) 494-502
- 10 Conaghan PG, Felson D, Gold G, Lohmander S, Totterman S, Altman R. MRI and non-cartilaginous structures in knee osteoarthritis. Osteoarthritis Cartilage 2006; 14 (Suppl A): A87-A94
- 11 Hunter DJ, Arden N, Conaghan PG , et al; OARSI OA Imaging Working Group. Definition of osteoarthritis on MRI: results of a Delphi exercise. Osteoarthritis Cartilage 2011; 19 (8) 963-969
- 12 Peterfy CG, Guermazi A, Zaim S , et al. Whole-Organ Magnetic Resonance Imaging Score (WORMS) of the knee in osteoarthritis. Osteoarthritis Cartilage 2004; 12 (3) 177-190
- 13 Kornaat PR, Ceulemans RY, Kroon HM , et al. MRI assessment of knee osteoarthritis: Knee Osteoarthritis Scoring System (KOSS)—inter-observer and intra-observer reproducibility of a compartment-based scoring system. Skeletal Radiol 2005; 34 (2) 95-102
- 14 Roemer FW, Guermazi A, Niu J, Zhang Y, Mohr A, Felson DT. Prevalence of magnetic resonance imaging-defined atrophic and hypertrophic phenotypes of knee osteoarthritis in a population-based cohort. Arthritis Rheum 2012; 64 (2) 429-437
- 15 Gold GE, Chen CA, Koo S, Hargreaves BA, Bangerter NK. Recent advances in MRI of articular cartilage. AJR Am J Roentgenol 2009; 193 (3) 628-638
- 16 Trattnig S, Domayer S, Welsch GW, Mosher T, Eckstein F. MR imaging of cartilage and its repair in the knee—a review. Eur Radiol 2009; 19 (7) 1582-1594
- 17 Kijowski R, Davis KW, Woods MA , et al. Knee joint: comprehensive assessment with 3D isotropic resolution fast spin-echo MR imaging—diagnostic performance compared with that of conventional MR imaging at 3.0 T. Radiology 2009; 252 (2) 486-495
- 18 Beltran J, Marty-Delfaut E, Bencardino J , et al. Chondrocalcinosis of the hyaline cartilage of the knee: MRI manifestations. Skeletal Radiol 1998; 27 (7) 369-374
- 19 Englund M, Guermazi A, Gale D , et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med 2008; 359 (11) 1108-1115
- 20 Lange AK, Fiatarone Singh MA, Smith RM , et al. Degenerative meniscus tears and mobility impairment in women with knee osteoarthritis. Osteoarthritis Cartilage 2007; 15 (6) 701-708
- 21 Bhattacharyya T, Gale D, Dewire P , et al. The clinical importance of meniscal tears demonstrated by magnetic resonance imaging in osteoarthritis of the knee. J Bone Joint Surg Am 2003; 85-A (1) 4-9
- 22 Costa CR, Morrison WB, Carrino JA. Medial meniscus extrusion on knee MRI: is extent associated with severity of degeneration or type of tear?. AJR Am J Roentgenol 2004; 183 (1) 17-23
- 23 Crema MD, Roemer FW, Felson DT , et al. Factors associated with meniscal extrusion in knees with or at risk for osteoarthritis: the Multicenter Osteoarthritis study. Radiology 2012; 264 (2) 494-503
- 24 Adams JG, McAlindon T, Dimasi M, Carey J, Eustace S. Contribution of meniscal extrusion and cartilage loss to joint space narrowing in osteoarthritis. Clin Radiol 1999; 54 (8) 502-506
- 25 Englund M, Roos EM, Roos HP, Lohmander LS. Patient-relevant outcomes fourteen years after meniscectomy: influence of type of meniscal tear and size of resection. Rheumatology (Oxford) 2001; 40 (6) 631-639
- 26 Terzidis IP, Christodoulou A, Ploumis A, Givissis P, Natsis K, Koimtzis M. Meniscal tear characteristics in young athletes with a stable knee: arthroscopic evaluation. Am J Sports Med 2006; 34 (7) 1170-1175
- 27 Mustonen AO, Koivikko MP, Lindahl J, Koskinen SK. MRI of acute meniscal injury associated with tibial plateau fractures: prevalence, type, and location. AJR Am J Roentgenol 2008; 191 (4) 1002-1009
- 28 Kaushik S, Erickson JK, Palmer WE, Winalski CS, Kilpatrick SJ, Weissman BN. Effect of chondrocalcinosis on the MR imaging of knee menisci. AJR Am J Roentgenol 2001; 177 (4) 905-909
- 29 Lohmander LS, Englund PM, Dahl LL, Roos EM. The long-term consequence of anterior cruciate ligament and meniscus injuries: osteoarthritis. Am J Sports Med 2007; 35 (10) 1756-1769
- 30 Neuman P, Englund M, Kostogiannis I, Fridén T, Roos H, Dahlberg LE. Prevalence of tibiofemoral osteoarthritis 15 years after nonoperative treatment of anterior cruciate ligament injury: a prospective cohort study. Am J Sports Med 2008; 36 (9) 1717-1725
- 31 Daniel DM, Stone ML, Dobson BE, Fithian DC, Rossman DJ, Kaufman KR. Fate of the ACL-injured patient. A prospective outcome study. Am J Sports Med 1994; 22 (5) 632-644
- 32 McGonagle D, Tan AL, Grainger AJ, Benjamin M. Heberden's nodes and what Heberden could not see: the pivotal role of ligaments in the pathogenesis of early nodal osteoarthritis and beyond. Rheumatology (Oxford) 2008; 47 (9) 1278-1285
- 33 Bergin D, Keogh C, O'Connell M , et al. Atraumatic medial collateral ligament oedema in medial compartment knee osteoarthritis. Skeletal Radiol 2002; 31 (1) 14-18
- 34 Blankenbaker DG, De Smet AA, Fine JP. Is intra-articular pathology associated with MCL edema on MR imaging of the non-traumatic knee?. Skeletal Radiol 2005; 34 (8) 462-467
- 35 Canella C, Schau B, Ribeiro E, Sbaffi B, Marchiori E. MRI in seronegative spondyloarthritis: imaging features and differential diagnosis in the spine and sacroiliac joints. AJR Am J Roentgenol 2013; 200 (1) 149-157
- 36 Yu JS, Chung C, Recht M, Dailiana T, Jurdi R. MR imaging of tophaceous gout. AJR Am J Roentgenol 1997; 168 (2) 523-527
- 37 Girish G, Melville DM, Kaeley GS , et al. Imaging appearances in gout. Arthritis (Egypt) 2013; 2013: 673401
- 38 Østergaard M, Peterfy C, Conaghan P , et al. OMERACT Rheumatoid Arthritis Magnetic Resonance Imaging Studies. Core set of MRI acquisitions, joint pathology definitions, and the OMERACT RA-MRI scoring system. J Rheumatol 2003; 30 (6) 1385-1386
- 39 Tamai K, Yamato M, Yamaguchi T, Ohno W. Dynamic magnetic resonance imaging for the evaluation of synovitis in patients with rheumatoid arthritis. Arthritis Rheum 1994; 37 (8) 1151-1157
- 40 Benito MJ, Veale DJ, FitzGerald O, van den Berg WB, Bresnihan B. Synovial tissue inflammation in early and late osteoarthritis. Ann Rheum Dis 2005; 64 (9) 1263-1267
- 41 Al-Ismail K, Torreggiani WC, Al-Sheikh F, Keogh C, Munk PL. Bilateral lipoma arborescens associated with early osteoarthritis. Eur Radiol 2002; 12 (11) 2799-2802
- 42 Kloen P, Keel SB, Chandler HP, Geiger RH, Zarins B, Rosenberg AE. Lipoma arborescens of the knee. J Bone Joint Surg Br 1998; 80 (2) 298-301
- 43 Boutry N, Morel M, Flipo RM, Demondion X, Cotten A. Early rheumatoid arthritis: a review of MRI and sonographic findings. AJR Am J Roentgenol 2007; 189 (6) 1502-1509
- 44 Imhof H, Nöbauer-Huhmann IM, Gahleitner A , et al. Pathophysiology and imaging in inflammatory and blastomatous synovial diseases. Skeletal Radiol 2002; 31 (6) 313-333
- 45 Lo GH, Hunter DJ, Zhang Y , et al. Bone marrow lesions in the knee are associated with increased local bone density. Arthritis Rheum 2005; 52 (9) 2814-2821
- 46 Tanamas SK, Wluka AE, Pelletier JP , et al. Bone marrow lesions in people with knee osteoarthritis predict progression of disease and joint replacement: a longitudinal study. Rheumatology (Oxford) 2010; 49 (12) 2413-2419
- 47 Bugatti S, Manzo A, Caporali R, Montecucco C. Inflammatory lesions in the bone marrow of rheumatoid arthritis patients: a morphological perspective. Arthritis Res Ther 2012; 14 (6) 229
- 48 McQueen FM, Doyle AJ, Reeves Q, Gamble GD, Dalbeth N. DECT urate deposits: now you see them, now you don't. Ann Rheum Dis 2013; 72 (3) 458-459
- 49 Poh YJ, Dalbeth N, Doyle A, McQueen FM. Magnetic resonance imaging bone edema is not a major feature of gout unless there is concomitant osteomyelitis: 10-year findings from a high-prevalence population. J Rheumatol 2011; 38 (11) 2475-2481
- 50 McQueen FM, Stewart N, Crabbe J , et al. Magnetic resonance imaging of the wrist in early rheumatoid arthritis reveals a high prevalence of erosions at four months after symptom onset. Ann Rheum Dis 1998; 57 (6) 350-356
- 51 Poleksic L, Zdravkovic D, Jablanovic D, Watt I, Bacic G. Magnetic resonance imaging of bone destruction in rheumatoid arthritis: comparison with radiography. Skeletal Radiol 1993; 22 (8) 577-580
- 52 Carter JD, Kedar RP, Anderson SR , et al. An analysis of MRI and ultrasound imaging in patients with gout who have normal plain radiographs. Rheumatology (Oxford) 2009; 48 (11) 1442-1446