MRI and non-cartilaginous structures in knee osteoarthritis

P. G. Conaghan, D. Felson, G. Gold, S. Lohmander, S. Totterman, Roy D Altman

Research output: Contribution to journalArticle

91 Citations (Scopus)

Abstract

Magnetic resonance imaging (MRI) provides a sensitive tool for examining all the structures involved in the osteoarthritis (OA) process. While much of the MRI literature previously focussed on cartilage, there is increasing research on whole-organ evaluation and including features such as synovitis, bone marrow edema, and meniscal and ligamentous pathology. The aim of this session at the Outcome Measures in Rheumatology Clinical Trials (OMERACT)-Osteoarthritis Research Society International (OARSI) Workshop for Consensus in Osteoarthritis Imaging was to describe the current MRI methods for identifying and quantifying non-cartilaginous structures and review their associations with both OA symptoms and structural progression. Although there is much experience in measuring synovitis (derived from the rheumatoid arthritis literature), only one study has reported an association of MRI-detected synovitis and effusions with OA pain. Bone marrow edema lesions, which may represent areas of trabecular remodelling, have been associated with pain and compartment-specific structural deterioration. MRI studies have confirmed the frequency and importance of meniscal damage in progressive cartilage loss, but not related such damage to symptoms. Osteophytes have been associated with cartilage loss and malalignment to the side of the osteophyte. Ligament damage, including anterior cruciate ligament tears, has been found more commonly than expected in painful OA knees. Improvements in quantitative and semi-quantitative assessments of non-cartilage features will greatly assist understanding of the OA process and its response to therapy.

Original languageEnglish (US)
Pages (from-to)87-94
Number of pages8
JournalOsteoarthritis and Cartilage
Volume14
Issue numberSUPPL. 1
DOIs
StatePublished - 2006

Fingerprint

Knee Osteoarthritis
Osteoarthritis
Magnetic resonance imaging
Magnetic Resonance Imaging
Synovitis
Cartilage
Osteophyte
Ligaments
Edema
Bone
Bone Marrow
Consensus Development Conferences
Pain
Rheumatology
Pathology
Deterioration
Rheumatoid Arthritis
Outcome Assessment (Health Care)
Clinical Trials
Imaging techniques

Keywords

  • Knee
  • Ligaments
  • Menisci
  • MRI
  • Osteoarthritis
  • Subchondral bone
  • Synovium

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Conaghan, P. G., Felson, D., Gold, G., Lohmander, S., Totterman, S., & Altman, R. D. (2006). MRI and non-cartilaginous structures in knee osteoarthritis. Osteoarthritis and Cartilage, 14(SUPPL. 1), 87-94. https://doi.org/10.1016/j.joca.2006.02.028

MRI and non-cartilaginous structures in knee osteoarthritis. / Conaghan, P. G.; Felson, D.; Gold, G.; Lohmander, S.; Totterman, S.; Altman, Roy D.

In: Osteoarthritis and Cartilage, Vol. 14, No. SUPPL. 1, 2006, p. 87-94.

Research output: Contribution to journalArticle

Conaghan, PG, Felson, D, Gold, G, Lohmander, S, Totterman, S & Altman, RD 2006, 'MRI and non-cartilaginous structures in knee osteoarthritis', Osteoarthritis and Cartilage, vol. 14, no. SUPPL. 1, pp. 87-94. https://doi.org/10.1016/j.joca.2006.02.028
Conaghan PG, Felson D, Gold G, Lohmander S, Totterman S, Altman RD. MRI and non-cartilaginous structures in knee osteoarthritis. Osteoarthritis and Cartilage. 2006;14(SUPPL. 1):87-94. https://doi.org/10.1016/j.joca.2006.02.028
Conaghan, P. G. ; Felson, D. ; Gold, G. ; Lohmander, S. ; Totterman, S. ; Altman, Roy D. / MRI and non-cartilaginous structures in knee osteoarthritis. In: Osteoarthritis and Cartilage. 2006 ; Vol. 14, No. SUPPL. 1. pp. 87-94.
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