ArticleJournal of orthopaedic surgery and research2019
Efficacy of magnetic resonance imaging with an SPGR sequence for the early evaluation of knee cartilage degeneration and the relationship between cartilage and other tissues.
Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Imaging-based measures of synovitis in knee osteoarthritis: A scoping review and narrative synthesis.Osteoarthritis and cartilage open · 2025Review
- Quantitative and Compositional MRI of the Articular Cartilage: A Narrative Review.Tomography (Ann Arbor, Mich.) · 2024Review
- A method for comparing MRI sequences of the knee for segmentation based on morphological features.PloS one · 2024Article
- Osteophytes mediate the associations between cartilage morphology and changes in knee symptoms in patients with knee osteoarthritis.Arthritis research & therapy · 2022Article
- CT-like MRI: a qualitative assessment of ZTE sequences for knee osseous abnormalities.Skeletal radiology · 2022Article
- Using Magnetic Resonance Imaging to Identify Complications Associated with Bioabsorbable Implant Fixation of Osteochondral Lesions: A Practical Guide.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020Article
- Deep Learning for Hierarchical Severity Staging of Anterior Cruciate Ligament Injuries from MRI.Radiology. Artificial intelligence · 2020Article
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Authors and funding
10 authors.
Funding
Abstract
RATIONALE AND
objectivesThe aim of this study was to investigate the efficacy of magnetic resonance imaging (MRI) with a spoiled gradient-recalled (SPGR) sequence to evaluate early knee cartilage degeneration and the relationship between cartilage and other tissues using a modified Whole-Organ Magnetic Resonance Imaging Score (WORMS). MATERIALS AND
methodsEighty-four patients with knee joint pain were evaluated by X-ray and MRI with an SPGR sequence from June 2015 to December 2016. Joint degeneration was graded by two experienced radiologists using the Kellgren-Lawrence (K-L) grading scale. The modified WORMS was used to evaluate cartilage lesions, bone marrow abnormalities, bone cysts, osteophytes, joint effusion and synovitis. The difference between the WORMS of the SPGR and the T2 sequences evaluated by the Wilcoxon signed-rank test was determined, and the relationships between the WORMS features were evaluated by a Spearman correlation.
resultsThe modified WORMS for the cartilage lesion evaluation was significantly higher with the SPGR sequence than with the T2 sequence (P < 0.05). The cartilage lesions showed a moderate correlation with osteophytes, synovitis and joint effusion (Rs > 0.40, P < 0.05) and weak correlations with bone marrow abnormalities and bone cysts (Rs < 0.4, P < 0.05).
conclusionThe modified WORMS evaluation using MRI with the SPGR sequence was much better than the normal sequence for early knee osteoarthritis (OA). The cartilage lesions are associated with bone marrow abnormalities and the other features of OA.
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