MRI of the shoulder in adults.

MRI can be used to assist in distinguishing pathology and anatomic disruptions adjacent to shoulder articulations and is a crucial tool in evaluating the symptomatic shoulder. The differentiation of traumatic and degenerative etiologies is important for patient management. A review of common adult degenerative and posttraumatic conditions can help familiarize general orthopaedic surgeons and sports medicine care providers to the perspective of shoulder specialists and musculoskeletal radiologists.

MRI of the knee in adults.

MRI of the knee is a crucial component for evaluating symptomatic patients. An awareness of normal and abnormal appearances assists in clinical decision making. Chronic degenerative changes and focal traumatic injuries can sometimes be confused with one another, so differentiation is crucial.

Temporal in vivo assessment of fresh osteochondral allograft transplants to the distal aspect of the femur by dGEMRIC (delayed gadolinium-enhanced MRI of cartilage) and zonal T2 mapping MRI.

Background: Zonal T2 mapping and dGEMRIC (delayed gadolinium-enhanced magnetic resonance imaging of cartilage) are diagnostic quantitative techniques to evaluate the biochemical health of articular cartilage. We adapted these techniques to investigate the results of osteochondral allograft transplantation and correlated the findings with patient-reported outcomes.

Methods: Nine patients with contained ICRS (International Cartilage Repair Society) grade-4 defects of the articular portion of a femoral condyle were treated with fresh osteochondral allografts and were evaluated prospectively with dGEMRIC and T2 mapping before and after gadolinium administration.

In vivo MRI of fresh stored osteochondral allograft transplantation with delayed gadolinium-enhanced MRI of cartilage: protocol considerations and recommendations.

The protocol for delayed gadolinium-enhanced MRI of cartilage (dGEMRIC) was adapted for the evaluation of transplanted osteochondral allograft cartilage. Eight patients with focal grade 4 cartilage defects of the femoral condyle were treated with single cylindrical osteochondral allografts. At 1 and 2 years, dGEMRIC image sequences were acquired and regions of interest (ROIs) were drawn in repair and native control cartilage.

Signal polarity restoration in a 3D inversion recovery sequence used with delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC).

Purpose: To develop an image reconstruction algorithm that restores the signal polarity in a three-dimensional inversion-recovery (3D-IR) sequence used in delayed gadolinium-enhanced MRI of cartilage (dGEMRIC). This approach effectively doubles the dynamic range of data used for T1 curve fitting.

Materials And Methods: We applied this reconstruction algorithm to a 3D-IR TFE sequence used for T1 mapping, validated the technique in a phantom study, and performed T1-map calculations in postosteochondral allograft transplant (OAT) patients.