MRI of the Knee: A Guide to Evaluation and Reporting

252 Pages·2015·34.52 MB·English

by  Nicolae V. Bolog

Nicolae V. Bolog
Gustav Andreisek
Erika J. Ulbrich
MRI of the Knee
A Guide to Evaluation
and Reporting
123
MRI of the Knee

Nicolae V. Bolog (cid:129) G ustav Andreisek
Erika J. Ulbrich
MRI of the Knee
A Guide to Evaluation and Reporting
Nicolae V. Bolog, MD, PhD, MS Erika J. Ulbrich, MD
Phoenix Diagnostic Clinic Institute of Diagnostic and
Cluj-Napoca Interventional Radiology
Romania University Hospital Zürich
Zürich
Gustav Andreisek, MD, MBA Switzerland
Institute of Diagnostic and
Interventional Radiology
University Hospital Zürich
Zürich
Switzerland
ISBN 978-3-319-08164-9 ISBN 978-3-319-08165-6 (eBook)
DOI 10.1007/978-3-319-08165-6
Springer Cham Heidelberg New York Dordrecht London
Library of Congress Control Number: 2014960173
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Foreword I
MRI of the Knee – A Guide to Evaluation and Reporting covers one of the
most common and most relevant topics in any imaging practice. The authors
are a senior staff radiologist and a junior staff radiologist from a university
hospital, both specializing in musculoskeletal imaging, and a radiologist
working in private practice with close contacts with academic radiology and
a keen interest in teaching. All of them have worked in several institutions in
different countries. This guarantees a broad view on the topic and adds details
not covered by other textbooks. This includes a discussion of nerves and ves-
sels about the knee. The authors’ background also guarantees practical rele-
vance of the covered topics. An emphasis on postoperative imaging is another
interesting aspect of this book which is not as widely covered in literature as
anatomy, variants, acute and chronic trauma or cartilage abnormalities. The
book is characterized by a very systematic approach to disease, which is rel-
evant for teaching, reliable reporting, quality initiatives and research
purposes.
MRI of the Knee – A Guide to Evaluation and Reporting is a carefully
edited book covering all relevant aspects of MR imaging of the knee, which
will fi nd its way to the bookshelves of many radiologists and clinicians inter-
ested in the knee.
Zurich , Switzerland Jürg Hodler

v

Foreword II
MRI of the Knee – A Guide to Evaluation and Reporting focuses on providing
a strong platform for learning and understanding the standard evaluation and
accurate reporting of knee MR imaging.
The authors, experienced in the fi eld of musculoskeletal imaging, have
foreseen the practical fi t of the thorough approach depicted in this textbook
for both radiologists – in assessing MR images of the knee systematically –
and referring specialists, who will become more familiar with the terminol-
ogy used in the reports covering various conditions.
The book is structured into 11 chapters, with each chapter covering the
normal anatomy and normal MR imaging fi ndings, followed by a detailed
description of abnormal and postoperative fi ndings well supported by rele-
vant case images.
E ach chapter ends with a summary written in the form of a paragraph that
readers are encouraged to use as a standardized MR report.
MRI of the Knee – A Guide to Evaluation and Reporting is bringing a
unique and distinctive approach to knee imaging, with practical application
related to day-to-day reporting, educational purposes such as teaching and
further research into this part of the musculoskeletal system mostly benefi ting
from the state-of-the-art MR imaging evaluation.

New York, USA John A. Carrino , MD, MPH
vii

Pref ace
In the past few years, magnetic resonance (MR) imaging of the knee has
become the current state-of-the-art imaging modality to evaluate knee disor-
ders. Decreasing costs and the noninvasive nature of MR examinations made
them widely accepted for the evaluation of meniscal and ligamentous as well
as bone marrow and soft tissue injuries or abnormalities. In current medical
practice, MR examination is essential not only in the preoperative setting but
in general for the fi rst-line diagnosis of most knee derangements. Theoretically,
patient history and the course of an accident are often strongly suggestive of
certain knee injuries and could be examined clinically. Practically, the rela-
tively low sensitivity of clinical examination and the fact that clinical exami-
nation is often hampered by pain make diagnostic imaging indispensable. In
the past, diagnostic arthroscopy has played an important role. However, since
the introduction of MR imaging of the knee, this rather invasive diagnostic
tool has also widely been replaced by MRI. Moreover, MR imaging has been
increasingly used for detailed preoperative planning.
Today’s importance of MR imaging of the knee is also illustrated by the
fact that apart from the spine, more musculoskeletal MRI examinations are
performed on the knee than on any other region of the body.
W ith the widespread use of an imaging technique, several challenges in
terms of quality arise. Firstly, image acquisition must follow current stan-
dards, and image quality has to be provided on a high diagnostic level.
Secondly, image storage and transfer need to be guaranteed to supply refer-
ring physicians with the original source information of the examination.
Lastly, image evaluation and reporting of fi ndings have to meet the referring
physician’s need and must answer the medical question. Therefore, standard-
ized evaluation and reporting were suggested by several imaging societies
and were proposed as a potential solution.
This background led PD Dr. Gustav Andreisek and Dr. Nicolae Bolog to
aim for a book project, which was dedicated to the idea to provide the educa-
tional basis for standardized evaluation and reporting of knee MR imaging.
The book was created as a classic textbook, with several chapters ordered by
anatomical structures. Each chapter contains a detailed description of the nor-
mal anatomy, normal and abnormal MR imaging fi ndings as well as postop-
erative fi ndings. At the end of each chapter, a summary is provided in the
form of a paragraph that can be used for a standardized radiological report.
ix