Arkun Remide
Ege Universitesi Tip Fakültesi Radyoloji Anabilim Dali, Izmir, Turkey.
Acta Orthop Traumatol Turc. 2007;41 Suppl 2:32-42.
There have been many improvements in joint cartilage imaging in recent years with the development of new imaging methods. The purpose of cartilage imaging is to assess the integrity of the cartilage surface, the thickness and volume of the cartilage matrix and its relationship with the subchondral bone. Direct radiography, the conventional imaging method for the skeletal system, is not sufficient for assessing the joint cartilage, nor are arthrography, computed tomography, and arthrography together with computed tomography. Moreover, biomechanical changes in the joint cartilage cannot be assessed with these methods. Magnetic resonance imaging (MRI), with its superior contrast resolution and multiplanar imaging capability across tissues, has become the primary diagnostic method for assessment of joint pathologies. The morphological features of the joint cartilage can be assessed adequately with the use of MRI sequences specific to the cartilage. Appropriate use of MRI sequences to determine the type of cartilage damage, the presence and degree of accompanying pathologies in the subchondral bone will help minimize diagnostic errors. This article reviews cartilage imaging in the following aspects: the technique used in MRI for cartilage imaging, findings of cartilage pathology, and anticipation of future cartilage imaging.
近年来,随着新成像方法的发展,关节软骨成像有了许多改进。软骨成像的目的是评估软骨表面的完整性、软骨基质的厚度和体积及其与软骨下骨的关系。直接X线摄影作为骨骼系统的传统成像方法,不足以评估关节软骨,关节造影、计算机断层扫描以及关节造影与计算机断层扫描联合使用也不行。此外,这些方法无法评估关节软骨的生物力学变化。磁共振成像(MRI)具有卓越的对比度分辨率和跨组织的多平面成像能力,已成为评估关节病变的主要诊断方法。使用针对软骨的MRI序列可以充分评估关节软骨的形态特征。合理使用MRI序列来确定软骨损伤的类型、软骨下骨伴随病变的存在和程度,将有助于减少诊断错误。本文从以下几个方面综述软骨成像:MRI用于软骨成像的技术、软骨病理表现以及对未来软骨成像的展望。