Advanced Imaging in Osteoarthritis

@article{Li2016AdvancedII,
  title={Advanced Imaging in Osteoarthritis},
  author={Qi Li and Keiko Amano and Thomas M. Link and C. Benjamin Ma},
  journal={Sports Health},
  year={2016},
  volume={8},
  pages={418 - 428}
}
Context: Radiography is widely accepted as the gold standard for diagnosing osteoarthritis (OA), but it has limitations when assessing early stage OA and monitoring progression. While there are improvements in the treatment of OA, the challenge is early recognition. Evidence Acquisition: MEDLINE and PubMed as well as professional orthopaedic and imaging websites were reviewed from 2006 to 2016. Study Design: Clinical review. Level of Evidence: Level 4. Results: Magnetic resonance imaging (MRI… 

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References

SHOWING 1-10 OF 132 REFERENCES
The role of imaging in osteoarthritis.
Imaging of synovitis in osteoarthritis: current status and outlook.
Diagnosis of osteoarthritis: imaging.
Conventional and novel imaging modalities in osteoarthritis: current state of the evidence
TLDR
MRI is the advanced modality of choice for detection and quantification of various osteoarthritis features and 4DCT and CBCT are introduced as imaging examinations that may reveal biomechanical cartilage abnormalities in osteoartritis joint by dynamic and weight-bearing evaluations, respectively.
The role of imaging in early hip OA.
Relation of synovitis to knee pain using contrast-enhanced MRIs
TLDR
Synovitis has a strong relation with knee pain severity, an association detected more clearly with CE MRI than suggested by previous studies using non-CE MRI measures of synovitis.
Synovitis in Knee Osteoarthritis Assessed by Contrast-enhanced Magnetic Resonance Imaging (MRI) is Associated with Radiographic Tibiofemoral Osteoarthritis and MRI-detected Widespread Cartilage Damage: The MOST Study
TLDR
CEMRI-detected synovitis is strongly associated with tibiofemoral radiographic OA and MRI-detection widespread cartilage damage and severe meniscal damage.
What is the predictive value of MRI for the occurrence of knee replacement surgery in knee osteoarthritis?
TLDR
MRI appears to be a viable alternative to radiography for the evaluation of structural changes in knee osteoarthritis and prediction of joint replacement and one of the MRI parameters that predicts knee replacement is medial compartment cartilage volume/thickness, which correlates with radiographic joint space width.
...
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