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2016 ; 8
(5
): 418-28
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Advanced Imaging in Osteoarthritis
#MMPMID27510507
Li Q
; Amano K
; Link TM
; Ma CB
Sports Health
2016[Sep]; 8
(5
): 418-28
PMID27510507
show ga
CONTEXT: Radiography is widely accepted as the gold standard for diagnosing
osteoarthritis (OA), but it has limitations when assessing early stage OA and
monitoring progression. While there are improvements in the treatment of OA, the
challenge is early recognition. EVIDENCE ACQUISITION: MEDLINE and PubMed as well
as professional orthopaedic and imaging websites were reviewed from 2006 to 2016.
STUDY DESIGN: Clinical review. LEVEL OF EVIDENCE: Level 4. RESULTS: Magnetic
resonance imaging (MRI) can provide the most comprehensive assessment of joint
injury and OA with the advantages of being noninvasive and multiplanar with
excellent soft tissue contrast. However, MRI is expensive, time consuming, and
not widely used for monitoring OA clinically. Computed tomography (CT) and CT
arthrography (CTA) can also be used to evaluate OA, but these are also invasive
and require radiation exposure. Ultrasound is particularly useful for evaluation
of synovitis but not for progression of OA. CONCLUSION: MRI, CT, and CTA are
available for the diagnosis and monitoring of OA. Improvement in techniques and
decrease in cost can allow some of these modalities to be effective methods of
detecting early OA.