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Semin Musculoskelet Radiol 2016; 20(01): 003-011
DOI: 10.1055/s-0036-1579674
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Chronic Knee Pain: Clinical Value of MRI versus SPECT/CT

Anna Hirschmann
1   Clinic of Radiology and Nuclear Medicine, University of Basel Hospital, Basel, Switzerland
,
Michael T. Hirschmann
2   Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Switzerland
› Author Affiliations
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Publication History

Publication Date:
14 April 2016 (online)

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Abstract

MRI and single-photon emission computed tomography/computed tomography (SPECT/CT) are important imaging methods for the evaluation of chronic knee pain. MRI is the current gold standard for the assessment of soft tissue, chondral, and bony pathologies of the knee joint. In the last decade, SPECT/CT has been increasingly recognized and used for a variety of orthopedic problems. The major indication for SPECT/CT is evaluation of patients with chronic knee pain. It is particularly helpful in patients with overloading problems, chondral or osteochondral lesions, and unhappy patients with ongoing pain after arthroplasty.

This review illustrates clinical relevant imaging findings in the evaluation of chronic knee pain using MRI and SPECT/CT. Potential limitations of both modalities are discussed. A future perspective of SPECT/CT arthrography is provided.

Keywords

SPECT/CT - MRI - chronic knee pain - subchondral bone - cartilage
 

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