[Does intravenous gadolinium-DTPA administration have advantages in magnetic resonance imaging of acute injuries or chronic damage to the knee joint?].
79 patients with acute or chronic lesions of the knee were evaluated by MRI prior to and after application of Gd-DTPA. The MRI examination was performed by a 1.0 tesla imager with SE as well as FEDIF sequences. These MR studies were compared prior to and after intravenous Gd-DTPA application, focusing on the visibility and the definition of a possible lesion, and scored with a 3-point score. Statistic analysis and case analysis revealed that in patients with meniscus degeneration without a tear, Gd application yields no additional diagnostic information. However, in patients with meniscus tears Gd-DTPA significantly facilitates the definition of the lesion. Furthermore, Gd-DTPA makes differentiation possible between the synovial fluid and the synovial membrane. Whereas in cases with capsule or collateral ligament tears Gd-DTPA facilitates the documentation of the lesion, we found no advantage in using Gd-DPTA in patients with ACL tears. In patients with chondropathia patellae Gd-DTPA application supports the visualization of the secondary synovial reaction.
Klinik und Poliklinik für Allgemeine Orthopädie der Westfälischen-Wilhelms-Universität Münster.
J
J
Jerosch
W H
WH
Castro
U
U
Müller
J
J
Assheuer
D016118:Anterior Cruciate Ligament / Q000473:pathology; D000070598:Anterior Cruciate Ligament Injuries; D001265:Athletic Injuries / Q000175:diagnosis*; D003287:Contrast Media; D003937:Diagnosis, Differential; D019786:Gadolinium DTPA; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis*; D007719:Knee Joint / Q000473:pathology; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008592:Menisci, Tibial / Q000473:pathology; D009942:Organometallic Compounds; D010003:Osteoarthritis / Q000175:diagnosis*; D004369:Pentetic Acid / Q000031:analogs & derivatives*; D013583:Synovial Membrane / Q000473:pathology; D013585:Synovitis / Q000175:diagnosis / Q000473:pathology; D000070600:Tibial Meniscus Injuries
D003287:Contrast Media; D009942:Organometallic Compounds; D004369:Pentetic Acid; D019786:Gadolinium DTPA
Bietet die intravenöse Gadolinium-DTPA-Anwendung Vorteile bei der kernspintomographischen Diagnostik von akuten Verletzungen oder chronischen Schäden des Kniegelenkes?