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Rofo 2001; 173(4): 279-288
DOI: 10.1055/s-2001-12456
ÜBERSICHT
© Georg Thieme Verlag Stuttgart · New York

Gelenkknorpel in der MR-Tomographie

MR imaging of articular cartilageF. K. W. Schäfer, C. Muhle, M.  Heller, J. Brossmann
  • Klinik für Diagnostische Radiologie der Christian-Albrechts-Universität zu Kiel
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Publikationsverlauf

Publikationsdatum:
31. Dezember 2001 (online)

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Zusammenfassung.

Die MR-Tomographie hat sich zur besten nichtinvasiven bildgebenden Methode für die Untersuchung von Gelenkknorpel entwickelt. Die MR-Tomographie liefert einen Beitrag zum Verständnis der Knorpelstruktur und der Physiologie sowie zur Diagnostik von Knorpelschäden. Zahlreiche MR-Studien konnten eine hohe Genauigkeit und Zuverlässigkeit bei der Detektion chondraler Läsionen sowie früher Veränderungen struktureller und biochemischer Natur zeigen. Neben einem hohen Kontrast/Rausch-Verhältnis ist für die Gelenkknorpelanalyse eine hohe räumliche Auflösung erforderlich. Im klinischen Routinebetrieb empfehlen sich für die Erkennung von Knorpelläsionen besonders fettunterdrückte 3D-T1-gewichtete Gradientenecho- und T2-gewichtete Fastspinecho-Sequenzen mit oder ohne Fettunterdrückung. Die vorliegende Arbeit geht auf die Anatomie und Pathologie des hyalinen Gelenkknorpels ein und diskutiert das komplexe MR-Signalverhalten.

MR imaging of articular cartilage.

MR imaging has evolved to the best non-invasive method for the evaluation of articular cartilage. MR imaging helps to understand the structure and physiology of cartilage, and to diagnose cartilage lesions. Numerous studies have shown high accuracy and reliability concerning detection of cartilage lesions and early changes in both structure and biochemistry. High contrast-to-noise ratio and high spatial resolution are essential for analysis of articular cartilage. Fat-suppressed 3D-T1 weighted gradient echo and T2-weighted fast spin echo sequences with or without fat suppression are recommended for clinical routine. In this article the anatomy and pathology of hyaline articular cartilage and the complex imaging characteristics of hyaline cartilage will be discussed.

Schlüsselwörter:

Magnetresonanztomographie - Knorpel - Physiologie - Pathologie - MR-Arthrographie

Key words:

Magnetic resonance imaging - Cartilage - Physiology - Pathology - MR-arthrography

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PD Dr. med. Joachim Brossmann

Klinik für Diagnostische Radiologie
der Christian Albrechts Universität Kiel

Arnold-Heller-Straße 9

24105 Kiel

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Fax: 0431-597-3151

eMail: jbrossma@rad.uni-kiel.de