Baskar Danika, Gandikota Girish, Botchu Rajesh, Singh Dharmendra K, Khan Rafeh, Papineni Vijay
Radiology, University of North Carolina School of Medicine, Chapel Hill, USA.
Musculoskeletal Radiology, The Royal Orthopaedic Hospital, Birmingham, GBR.
Cureus. 2024 Oct 15;16(10):e71526. doi: 10.7759/cureus.71526. eCollection 2024 Oct.
Background Magnetic resonance imaging (MRI) arthrography has been a mainstay in the diagnosis of musculoskeletal (MSK) joint-related pathology for decades. With the advent of MRI and further advancements incorporating powerful magnetic fields, the radiological landscape is undergoing a shift. The objective of this study is to evaluate the relevance and preference for MRI arthrography versus MRI among MSK radiologists in our current clinical practice across a range of geographic locations. Methods A global survey of 52 MSK radiologists was conducted to understand current practices, preferences, and recommendations related to the adoption of MRI arthrography and advanced MRI technologies. Responses were analyzed using descriptive statistics, and significant trends were compiled to present the overall preferences of the participants from their clinical experience. Results The majority of the respondents were from the UK (65%), followed by India (13%), the United States (11.5%), and the United Arab Emirates (8%). Of the radiologists surveyed, 98% currently perform MRI arthrogram procedures within their practice, with 27% of clinicians conducting more than 100 MRI arthrogram procedures annually. Regarding the adoption of 3T MRI scanners, 79% of respondents affirmed they have access to the technology within their respective institutions. Concerning the choice of contrast agents used, 84% preferred dilute gadolinium, 8% used saline, 4% used both gadolinium and saline, and another 4% opted for alternative agents. Despite the growing accessibility and utility of 3T MRI, MRI arthrograms remain a favored procedure, especially for shoulder pathology and postoperative cases. For the hip and wrist, the preference leans toward 3T MRI, except for more complex diagnostic purposes or postoperative cases. Conclusions The study's findings suggest that while the advent of the 3T MRI has impacted the frequency with which MRI arthrograms are conducted, it cannot entirely replace the precision and specificity MRI arthrography offers for particular joint pathologies. As institutions expand upon their MRI and imaging infrastructure, further research in this area may help guide MSK radiologists in selecting the most appropriate imaging modality for patients on a case-by-case basis.
几十年来，磁共振成像（MRI）关节造影一直是肌肉骨骼（MSK）关节相关病理诊断的主要手段。随着MRI的出现以及结合强大磁场的进一步发展，放射学领域正在发生转变。本研究的目的是评估在我们当前跨一系列地理位置的临床实践中，MSK放射科医生对MRI关节造影与MRI的相关性及偏好。
对52名MSK放射科医生进行了一项全球调查，以了解与采用MRI关节造影和先进MRI技术相关的当前实践、偏好和建议。使用描述性统计分析回复，并汇总显著趋势以呈现参与者基于临床经验的总体偏好。
大多数受访者来自英国（65%），其次是印度（13%）、美国（11.5%）和阿拉伯联合酋长国（8%）。在接受调查的放射科医生中，98%目前在其实践中进行MRI关节造影程序，27%的临床医生每年进行超过100次MRI关节造影程序。关于采用3T MRI扫描仪，79%的受访者确认他们在各自机构中可以使用该技术。关于所用造影剂的选择，84%的人更喜欢稀释钆，8%的人使用盐水，4%的人同时使用钆和盐水，另外4%的人选择了替代剂。尽管3T MRI的可及性和实用性不断提高，但MRI关节造影仍然是一种受欢迎的程序，特别是对于肩部病理和术后病例。对于髋部和腕部，除了更复杂的诊断目的或术后病例外，偏好倾向于3T MRI。
该研究结果表明，虽然3T MRI的出现影响了MRI关节造影的进行频率，但它不能完全取代MRI关节造影对特定关节病理所提供的精度和特异性。随着各机构扩大其MRI和成像基础设施，该领域的进一步研究可能有助于指导MSK放射科医生根据具体情况为患者选择最合适的成像方式。
