Trappe M
Service de Radiologie, Hôpital Saint-Antoine, Paris.
Ann Radiol (Paris). 1993;36(3):173-94.
The polymorphism and richness of arthrographic imaging and MRI of meniscal lesions require a perfect understanding of the anatomy of the menisci and the mechanisms of production of the lesions. Arthrography remains the reference diagnostic investigation with a good sensitivity and excellent spatial resolution. However, it is an invasive and operator-dependent technique. MRI of the knee, a non-invasive and independent method, allows the diagnosis of the majority of meniscal lesions. By using specific surface coils and appropriate sequences, MRI constitutes complete imaging technique allowing examination of all anatomical structures of the knee in all planes. Once MRI becomes more widely available, it should replace arthrography in the majority of clinical situations. The indications for arthrography will then be confined to contraindications of MRI.
半月板损伤的关节造影成像和磁共振成像(MRI)的多态性和丰富性需要对半月板的解剖结构以及损伤产生机制有透彻的理解。关节造影仍然是具有良好敏感性和出色空间分辨率的参考诊断检查方法。然而,它是一种侵入性且依赖操作者的技术。膝关节MRI是一种非侵入性且独立的方法,能够诊断大多数半月板损伤。通过使用特定的表面线圈和合适的序列,MRI构成了完整的成像技术,允许在所有平面上检查膝关节的所有解剖结构。一旦MRI更广泛地可用,在大多数临床情况下它应该会取代关节造影。那时关节造影的适应证将仅限于MRI的禁忌证。