MRI Unit, Radiology Department, HT Medica, 23007 Jaén, Spain.
Osatek Alta Tecnología Sanitaria S.A., Department of Magnetic Resonance Imaging, Hospital Galdakao-Usansolo, 48960 Galdakao, Spain.
Br J Radiol. 2024 Oct 1;97(1162):1619-1621. doi: 10.1093/bjr/tqae139.
Nowadays, the use of advanced MRI sequences such as diffusion-weighted imaging or perfusion-weighted imaging in the field of musculoskeletal radiology remains limited compared to other anatomical regions and subspecialties. Several reasons underpin this, primarily technical challenges, and a longstanding reliance on conventional and morphological evaluations of soft tissue and bone lesions. Experienced radiologists often assert that these advanced sequences do not offer added diagnostic value, claiming that a morphological approach suffices. However, in our opinion, the role of these advanced MRI sequences extends beyond merely naming an MSK lesion. In this commentary, we elucidate how these sequences can aid radiologists in various scenarios, from determining patient prognosis and tracking treatment progress to enhancing clinical-radiological correlations or guiding less experienced radiologists in evaluating soft tissues or bone tumours.
如今，与其他解剖区域和亚专科相比，磁共振成像（MRI）领域中先进的 MRI 序列（如弥散加权成像或灌注加权成像）的应用仍然受到限制。造成这种情况的原因有几个，主要是技术挑战，以及长期以来对软组织和骨病变的常规和形态学评估的依赖。有经验的放射科医生经常断言，这些先进的序列并没有提供额外的诊断价值，声称形态学方法就足够了。然而，在我们看来，这些先进的 MRI 序列的作用不仅仅是对 MSK 病变进行命名。在这篇评论中，我们将阐述这些序列如何在各种情况下帮助放射科医生，从确定患者的预后和跟踪治疗进展，到增强临床-放射学相关性，或指导经验较少的放射科医生评估软组织或骨肿瘤。
