Indikationen der MR- und CT-Arthrografie – Empfehlungen der AG Muskuloskelettale Radiologie der DRG

Zusammenfassung

Der anhaltenden Diskussion über die CT-Arthrografie und MR-Arthrografie liegt nicht zuletzt der Umstand zugrunde, dass bisher klare Leit- oder Richtlinien zur Indikationsstellung fehlen. Das Bestreben der AG Muskuloskelettale Radiologie der DRG war die Erstellung von Empfehlungen, die als Orientierungshilfe dienen sollen. Nach Durchsicht der aktuellen Literatur erfolgte zu diesem Zweck ein Konsensustreffen, bei dem die Indikationsfragen diskutiert wurden. Da der qualitativ oft unzureichenden und widersprüchlichen Literatur keine klaren Aussagen zu entnehmen sind, basieren die formulierten Empfehlungen vorrangig auf Expertenmeinungen. In dieser Übersicht werden die wichtigsten Aussagen der Literaturdurchsicht zusammengefasst und die Empfehlungen der AG Muskuloskelettale Radiologie vorgestellt.

Abstract

The ongoing discussion about CT and MR arthrography is at least in part due to the lack of definite guidelines. The intention of the musculoskeletal workgroup of the DRG (Deutsche Röntgengesellschaft) was the establishment of recommendations for general guidance. After review of the recent literature, the indications for arthrographic examinations were discussed during a consensus meeting. Since the published data are insufficient and partially contradictory, no precise statements could be extracted from the literature. Therefore, the proposed recommendations are mainly based on expert opinions. In this review the main statements of the published literature are summarized and the recommendations of the musculoskeletal workgroup of the DRG are presented.

Key words

CT arthrography - MR arthrography - musculoskeletal imaging - indication - guideline

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