PDF herunterladen
Semin Musculoskelet Radiol 2018; 22(03): 286-298
DOI: 10.1055/s-0038-1641572
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Myositis and Fasciitis: Role of Imaging

Yoshimi Endo
1   Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York
,
Theodore T. Miller
1   Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
23. Mai 2018 (online)

Auch verfügbar auf
    Lizenzen und Reprints

Abstract

Imaging plays an important role in the evaluation of patients presenting with possible myositis, with magnetic resonance imaging the most appropriate modality but ultrasound also playing a complementary role. This article reviews the imaging appearance of the inflammatory myopathies, other forms of myositis, and mimickers of myositis, with a discussion of distinguishing features for each entity. The fascia and disease processes that preferentially involve the fascia are also reviewed.

Keywords

myositis - myopathy - fasciitis - magnetic resonance imaging - ultrasound
 

  • References

  • 1 Delfaut EM, Beltran J, Johnson G, Rousseau J, Marchandise X, Cotten A. Fat suppression in MR imaging: techniques and pitfalls. Radiographics 1999; 19 (02) 373-382
    CrossrefPubMedGoogle Scholar
  • 2 Andreisek G, Crook DW, Burg D, Marincek B, Weishaupt D. Peripheral neuropathies of the median, radial, and ulnar nerves: MR imaging features. Radiographics 2006; 26 (05) 1267-1287
    CrossrefPubMedGoogle Scholar
  • 3 Day J, Patel S, Limaye V. The role of magnetic resonance imaging techniques in evaluation and management of the idiopathic inflammatory myopathies. Semin Arthritis Rheum 2017; 46 (05) 642-649
    CrossrefPubMedGoogle Scholar
  • 4 Filli L, Winklhofer S, Andreisek G, Del Grande F. Imaging of myopathies. Radiol Clin North Am 2017; 55 (05) 1055-1070
    CrossrefPubMedGoogle Scholar
  • 5 Garcia J. MRI in inflammatory myopathies. Skeletal Radiol 2000; 29 (08) 425-438
    CrossrefPubMedGoogle Scholar
  • 6 Adler RS, Garofalo G. Ultrasound in the evaluation of the inflammatory myopathies. Curr Rheumatol Rep 2009; 11 (04) 302-308
    CrossrefPubMedGoogle Scholar
  • 7 Woodhouse JB, McNally EG. Ultrasound of skeletal muscle injury: an update. Semin Ultrasound CT MR 2011; 32 (02) 91-100
    CrossrefPubMedGoogle Scholar
  • 8 Connell DA, Schneider-Kolsky ME, Hoving JL. , et al. Longitudinal study comparing sonographic and MRI assessments of acute and healing hamstring injuries. AJR Am J Roentgenol 2004; 183 (04) 975-984
    CrossrefPubMedGoogle Scholar
  • 9 Campbell SE, Adler R, Sofka CM. Ultrasound of muscle abnormalities. Ultrasound Q 2005; 21 (02) 87-94 , quiz 150, 153–154
    PubMedGoogle Scholar
  • 10 O'Connell MJ, Powell T, Brennan D, Lynch T, McCarthy CJ, Eustace SJ. Whole-body MR imaging in the diagnosis of polymyositis. AJR Am J Roentgenol 2002; 179 (04) 967-971
    CrossrefPubMedGoogle Scholar
  • 11 Fujitake J, Ishikawa Y, Fujii H, Nishimura K, Hayakawa K, Tatsuoka Y. Magnetic resonance imaging of skeletal muscles in the polymyositis. Muscle Nerve 1997; 20 (11) 1463-1466
    CrossrefPubMedGoogle Scholar
  • 12 Dion E, Cherin P, Payan C. , et al. Magnetic resonance imaging criteria for distinguishing between inclusion body myositis and polymyositis. J Rheumatol 2002; 29 (09) 1897-1906
    PubMedGoogle Scholar
  • 13 Cantwell C, Ryan M, O'Connell M. , et al. A comparison of inflammatory myopathies at whole-body turbo STIR MRI. Clin Radiol 2005; 60 (02) 261-267
    CrossrefPubMedGoogle Scholar
  • 14 Reimers CD, Schedel H, Fleckenstein JL. , et al. Magnetic resonance imaging of skeletal muscles in idiopathic inflammatory myopathies of adults. J Neurol 1994; 241 (05) 306-314
    CrossrefPubMedGoogle Scholar
  • 15 Schulze M, Kötter I, Ernemann U. , et al. MRI findings in inflammatory muscle diseases and their noninflammatory mimics. AJR Am J Roentgenol 2009; 192 (06) 1708-1716
    CrossrefPubMedGoogle Scholar
  • 16 Lamminen AE. Magnetic resonance imaging of primary skeletal muscle diseases: patterns of distribution and severity of involvement. Br J Radiol 1990; 63 (756) 946-950
    CrossrefPubMedGoogle Scholar
  • 17 Elessawy SS, Abdelsalam EM, Abdel Razek E, Tharwat S. Whole-body MRI for full assessment and characterization of diffuse inflammatory myopathy. Acta Radiol Open 2016; 5 (09) 2058460116668216
    PubMedGoogle Scholar
  • 18 Yoshida K, Kurosaka D, Joh K. , et al. Fasciitis as a common lesion of dermatomyositis, demonstrated early after disease onset by en bloc biopsy combined with magnetic resonance imaging. Arthritis Rheum 2010; 62 (12) 3751-3759
    CrossrefPubMedGoogle Scholar
  • 19 Yoshida K, Nishioka M, Matsushima S. , et al. Brief report: Power Doppler ultrasonography for detection of increased vascularity in the fascia: a potential early diagnostic tool in fasciitis of dermatomyositis. Arthritis Rheumatol 2016; 68 (12) 2986-2991
    CrossrefPubMedGoogle Scholar
  • 20 Blane CE, White SJ, Braunstein EM, Bowyer SL, Sullivan DB. Patterns of calcification in childhood dermatomyositis. AJR Am J Roentgenol 1984; 142 (02) 397-400
    CrossrefPubMedGoogle Scholar
  • 21 Paltiel AD, Ingvarsson E, Lee DK. , et al. Demographic and clinical features of inclusion body myositis in North America. Muscle Nerve 2015; 52 (04) 527-533
    CrossrefPubMedGoogle Scholar
  • 22 Cox FM, Reijnierse M, van Rijswijk CS, Wintzen AR, Verschuuren JJ, Badrising UA. Magnetic resonance imaging of skeletal muscles in sporadic inclusion body myositis. Rheumatology (Oxford) 2011; 50 (06) 1153-1161
    CrossrefPubMedGoogle Scholar
  • 23 Guimaraes JB, Zanoteli E, Link TM. , et al. Sporadic inclusion body myositis: MRI findings and correlation with clinical and functional parameters. AJR Am J Roentgenol 2017; 209 (06) 1340-1347
    CrossrefPubMedGoogle Scholar
  • 24 Phillips BA, Cala LA, Thickbroom GW, Melsom A, Zilko PJ, Mastaglia FL. Patterns of muscle involvement in inclusion body myositis: clinical and magnetic resonance imaging study. Muscle Nerve 2001; 24 (11) 1526-1534
    CrossrefPubMedGoogle Scholar
  • 25 Tasca G, Monforte M, De Fino C, Kley RA, Ricci E, Mirabella M. Magnetic resonance imaging pattern recognition in sporadic inclusion-body myositis. Muscle Nerve 2015; 52 (06) 956-962
    CrossrefPubMedGoogle Scholar
  • 26 Ten Dam L, van der Kooi AJ, Verhamme C, Wattjes MP, de Visser M. Muscle imaging in inherited and acquired muscle diseases. Eur J Neurol 2016; 23 (04) 688-703
    CrossrefPubMedGoogle Scholar
  • 27 Kransdorf MJ, Meis JM, Jelinek JS. Myositis ossificans: MR appearance with radiologic-pathologic correlation. AJR Am J Roentgenol 1991; 157 (06) 1243-1248
    CrossrefPubMedGoogle Scholar
  • 28 Subhawong TK, Fishman EK, Swart JE, Carrino JA, Attar S, Fayad LM. Soft-tissue masses and masslike conditions: what does CT add to diagnosis and management?. AJR Am J Roentgenol 2010; 194 (06) 1559-1567
    CrossrefPubMedGoogle Scholar
  • 29 Heiken JP, Lee JK, Smathers RL, Totty WG, Murphy WA. CT of benign soft-tissue masses of the extremities. AJR Am J Roentgenol 1984; 142 (03) 575-580
    CrossrefPubMedGoogle Scholar
  • 30 Bouchardy L, Garcia J. Magnetic resonance imaging in the diagnosis of myositis ossificans circumscripta [in French]. J Radiol 1994; 75 (02) 101-110
    PubMedGoogle Scholar
  • 31 De Smet AA, Norris MA, Fisher DR. Magnetic resonance imaging of myositis ossificans: analysis of seven cases. Skeletal Radiol 1992; 21 (08) 503-507
    CrossrefPubMedGoogle Scholar
  • 32 Abate M, Salini V, Rimondi E. , et al. Post traumatic myositis ossificans: sonographic findings. J Clin Ultrasound 2011; 39 (03) 135-140
    CrossrefPubMedGoogle Scholar
  • 33 Tyler P, Saifuddin A. The imaging of myositis ossificans. Semin Musculoskelet Radiol 2010; 14 (02) 201-216
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 34 Lee KR, Park SY, Jin W, Won KY. MR imaging and ultrasonography findings of early myositis ossificans: a case report. Skeletal Radiol 2016; 45 (10) 1413-1417
    CrossrefPubMedGoogle Scholar
  • 35 Crum NF. Bacterial pyomyositis in the United States. Am J Med 2004; 117 (06) 420-428
    CrossrefPubMedGoogle Scholar
  • 36 Hayeri MR, Ziai P, Shehata ML, Teytelboym OM, Huang BK. Soft-tissue infections and their imaging mimics: from cellulitis to necrotizing fasciitis. Radiographics 2016; 36 (06) 1888-1910
    CrossrefPubMedGoogle Scholar
  • 37 Bickels J, Ben-Sira L, Kessler A, Wientroub S. Primary pyomyositis. J Bone Joint Surg Am 2002; 84-A (12) 2277-2286
    PubMedGoogle Scholar
  • 38 Gordon BA, Martinez S, Collins AJ. Pyomyositis: characteristics at CT and MR imaging. Radiology 1995; 197 (01) 279-286
    CrossrefPubMedGoogle Scholar
  • 39 Fleckenstein JL, Burns DK, Murphy FK, Jayson HT, Bonte FJ. Differential diagnosis of bacterial myositis in AIDS: evaluation with MR imaging. Radiology 1991; 179 (03) 653-658
    CrossrefPubMedGoogle Scholar
  • 40 Steinbach LS, Tehranzadeh J, Fleckenstein JL, Vanarthos WJ, Pais MJ. Human immunodeficiency virus infection: musculoskeletal manifestations. Radiology 1993; 186 (03) 833-838
    CrossrefPubMedGoogle Scholar
  • 41 Miller TT, Randolph Jr DA, Staron RB, Feldman F, Cushin S. Fat-suppressed MRI of musculoskeletal infection: fast T2-weighted techniques versus gadolinium-enhanced T1-weighted images. Skeletal Radiol 1997; 26 (11) 654-658
    CrossrefPubMedGoogle Scholar
  • 42 Bureau NJ, Chhem RK, Cardinal E. Musculoskeletal infections: US manifestations. Radiographics 1999; 19 (06) 1585-1592
    CrossrefPubMedGoogle Scholar
  • 43 Devic P, Gallay L, Streichenberger N, Petiot P. Focal myositis: a review. Neuromuscul Disord 2016; 26 (11) 725-733
    CrossrefPubMedGoogle Scholar
  • 44 Gaeta M, Mazziotti S, Minutoli F. , et al. MR imaging findings of focal myositis: a pseudotumour that may mimic muscle neoplasm. Skeletal Radiol 2009; 38 (06) 571-578
    CrossrefPubMedGoogle Scholar
  • 45 Llauger J, Bagué S, Palmer J, Matías-Guiu X, San Román L, Doncel A. Focal myositis of the thigh: unusual MR pattern. Skeletal Radiol 2002; 31 (05) 307-310
    CrossrefPubMedGoogle Scholar
  • 46 Heffner Jr RR, Armbrustmacher VW, Earle KM. Focal myositis. Cancer 1977; 40 (01) 301-306
    CrossrefPubMedGoogle Scholar
  • 47 Garrett Jr WE. Muscle strain injuries: clinical and basic aspects. Med Sci Sports Exerc 1990; 22 (04) 436-443
    PubMedGoogle Scholar
  • 48 De Smet AA, Best TM. MR imaging of the distribution and location of acute hamstring injuries in athletes. AJR Am J Roentgenol 2000; 174 (02) 393-399
    CrossrefPubMedGoogle Scholar
  • 49 Guermazi A, Roemer FW, Robinson P, Tol JL, Regatte RR, Crema MD. Imaging of muscle injuries in sports medicine: sports imaging series. Radiology 2017; 282 (03) 646-663
    CrossrefPubMedGoogle Scholar
  • 50 Blankenbaker DG, Tuite MJ. Temporal changes of muscle injury. Semin Musculoskelet Radiol 2010; 14 (02) 176-193
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 51 Jelinek JS, Murphey MD, Aboulafia AJ, Dussault RG, Kaplan PA, Snearly WN. Muscle infarction in patients with diabetes mellitus: MR imaging findings. Radiology 1999; 211 (01) 241-247
    CrossrefPubMedGoogle Scholar
  • 52 Kattapuram TM, Suri R, Rosol MS, Rosenberg AE, Kattapuram SV. Idiopathic and diabetic skeletal muscle necrosis: evaluation by magnetic resonance imaging. Skeletal Radiol 2005; 34 (04) 203-209
    CrossrefPubMedGoogle Scholar
  • 53 Huang BK, Monu JU, Doumanian J. Diabetic myopathy: MRI patterns and current trends. AJR Am J Roentgenol 2010; 195 (01) 198-204
    CrossrefPubMedGoogle Scholar
  • 54 Armstrong RB. Mechanisms of exercise-induced delayed onset muscular soreness: a brief review. Med Sci Sports Exerc 1984; 16 (06) 529-538
    PubMedGoogle Scholar
  • 55 Nurenberg P, Giddings CJ, Stray-Gundersen J, Fleckenstein JL, Gonyea WJ, Peshock RM. MR imaging-guided muscle biopsy for correlation of increased signal intensity with ultrastructural change and delayed-onset muscle soreness after exercise. Radiology 1992; 184 (03) 865-869
    CrossrefPubMedGoogle Scholar
  • 56 Lee JC, Mitchell AW, Healy JC. Imaging of muscle injury in the elite athlete. Br J Radiol 2012; 85 (1016): 1173-1185
    CrossrefPubMedGoogle Scholar
  • 57 Hegazi TM, Belair JA, McCarthy EJ, Roedl JB, Morrison WB. Sports injuries about the hip: what the radiologist should know. Radiographics 2016; 36 (06) 1717-1745
    CrossrefPubMedGoogle Scholar
  • 58 Bendszus M, Koltzenburg M, Wessig C, Solymosi L. Sequential MR imaging of denervated muscle: experimental study. AJNR Am J Neuroradiol 2002; 23 (08) 1427-1431
    PubMedGoogle Scholar
  • 59 Sneag DB, Lee SC, Feinberg JH, Melisaratus DP, Amber I. Magnetic resonance imaging patterns of mononeuropathic denervation in muscles with dual innervation. Skeletal Radiol 2017; 46 (12) 1657-1665
    CrossrefPubMedGoogle Scholar
  • 60 Gaskin CM, Helms CA. Parsonage-Turner syndrome: MR imaging findings and clinical information of 27 patients. Radiology 2006; 240 (02) 501-507
    CrossrefPubMedGoogle Scholar
  • 61 Benjamin M. The fascia of the limbs and back—a review. J Anat 2009; 214 (01) 1-18
    CrossrefPubMedGoogle Scholar
  • 62 Baumann F, Brühlmann P, Andreisek G, Michel BA, Marincek B, Weishaupt D. MRI for diagnosis and monitoring of patients with eosinophilic fasciitis. AJR Am J Roentgenol 2005; 184 (01) 169-174
    CrossrefPubMedGoogle Scholar
  • 63 De Clerck LS, Degryse HR, Wouters E. , et al. Magnetic resonance imaging in the evaluation of patients with eosinophilic fasciitis. J Rheumatol 1989; 16 (09) 1270-1273
    PubMedGoogle Scholar
  • 64 Liou CH, Huang GS, Taylor JA, Juan CJ, Gao HW, Chen CY. Eosinophilic fasciitis in a military recruit: MRI evaluation with clinical correlation. Skeletal Radiol 2003; 32 (01) 52-57
    CrossrefPubMedGoogle Scholar
  • 65 Moulton SJ, Kransdorf MJ, Ginsburg WW, Abril A, Persellin S. Eosinophilic fasciitis: spectrum of MRI findings. AJR Am J Roentgenol 2005; 184 (03) 975-978
    CrossrefPubMedGoogle Scholar
  • 66 Paz Maya S, Dualde Beltrán D, Lemercier P, Leiva-Salinas C. Necrotizing fasciitis: an urgent diagnosis. Skeletal Radiol 2014; 43 (05) 577-589
    CrossrefPubMedGoogle Scholar
  • 67 Becker M, Zbären P, Hermans R. , et al. Necrotizing fasciitis of the head and neck: role of CT in diagnosis and management. Radiology 1997; 202 (02) 471-476
    CrossrefPubMedGoogle Scholar
  • 68 Fugitt JB, Puckett ML, Quigley MM, Kerr SM. Necrotizing fasciitis. Radiographics 2004; 24 (05) 1472-1476
    CrossrefPubMedGoogle Scholar
  • 69 Wysoki MG, Santora TA, Shah RM, Friedman AC. Necrotizing fasciitis: CT characteristics. Radiology 1997; 203 (03) 859-863
    CrossrefPubMedGoogle Scholar
  • 70 Chao HC, Kong MS, Lin TY. Diagnosis of necrotizing fasciitis in children. J Ultrasound Med 1999; 18 (04) 277-281
    CrossrefPubMedGoogle Scholar
  • 71 Schmid MR, Kossmann T, Duewell S. Differentiation of necrotizing fasciitis and cellulitis using MR imaging. AJR Am J Roentgenol 1998; 170 (03) 615-620
    CrossrefPubMedGoogle Scholar
  • 72 Kim KT, Kim YJ, Won Lee J. , et al. Can necrotizing infectious fasciitis be differentiated from nonnecrotizing infectious fasciitis with MR imaging?. Radiology 2011; 259 (03) 816-824
    CrossrefPubMedGoogle Scholar
  • 73 Khuu A, Yablon CM, Jacobson JA, Inyang A, Lucas DR, Biermann JS. Nodular fasciitis: characteristic imaging features on sonography and magnetic resonance imaging. J Ultrasound Med 2014; 33 (04) 565-573
    CrossrefPubMedGoogle Scholar
  • 74 Bernstein KE, Lattes R. Nodular (pseudosarcomatous) fasciitis, a nonrecurrent lesion: clinicopathologic study of 134 cases. Cancer 1982; 49 (08) 1668-1678
    CrossrefPubMedGoogle Scholar
  • 75 Coyle J, White LM, Dickson B, Ferguson P, Wunder J, Naraghi A. MRI characteristics of nodular fasciitis of the musculoskeletal system. Skeletal Radiol 2013; 42 (07) 975-982
    CrossrefPubMedGoogle Scholar
  • 76 Erickson-Johnson MR, Chou MM, Evers BR. , et al. Nodular fasciitis: a novel model of transient neoplasia induced by MYH9-USP6 gene fusion. Lab Invest 2011; 91 (10) 1427-1433
    CrossrefPubMedGoogle Scholar
  • 77 Park JS, Park HB, Lee JS, Na JB. Nodular fasciitis with cortical erosion of the hand. Clin Orthop Surg 2012; 4 (01) 98-101
    CrossrefPubMedGoogle Scholar