MAGNETIC RESONANCE IMAGING IN THE DIAGNOSIS OF KNEE JOINT OSTEOARTHRITIS

Zhogina T.V., Gorchakova M.B., Fomenko J.E., Kongar Ch.А., Zavadovskaia V.D.

 

Siberian State Medical University, SSMU. Tomsk, Russian Federation.

P

urpose. To analyze the spectrum of morphological changes in all knee joint structures in middle-aged and elderly patients with knee osteoarthritis (OA) according to magnetic resonance imaging data.

Materials and Methods. The analysis of MR images of the knee joints of 81 patients (67 women, 14 men, average age 65 years) with an established diagnosis of OA, with complaints of mechanical pain, starting pain, swelling and hyperemia was performed. MRI was performed on a SIGNA Creator 1.5 T MRI scanner; General Electric Company. All joints were examined in coronary, sagittal and axial sections. The distance between the slices ranged from 2.5 to 3.5 mm. The following sequences were used – T1-WI, T2-WI, PD FS, STIR.

Results. MRI revealed a wide range of changes in soft tissue and bone intraarticular structures including osteophytes of the articular surfaces of the femur and tibia (93.8%), dystrophic changes in the menisci (92.6%), dystrophic changes in hyaline cartilage (88.8%), intraarticular effusion (79.01%), dystrophic changes in the tendon-ligamentous apparatus (77.7%), osteochondral lesions (76.54%), bone marrow edema (62.9%), subchondral cysts (53.08%). Taking into account the analysis of bibliographic sources, systematized data on the MR picture of the revealed pathological changes are presented.

Conclusions. Osteoarthritis of the knee joint is a disease that worsens the quality of life of the population mainly middle-aged and elderly, as well as young people. Magnetic resonance imaging due to the possibility of visualizing all structural changes in knee joint at various stages of the disease has advantages and makes it possible to reliably assess morphological changes, including in the process of monitoring dynamics and prescribe adequate, timely therapy for OA.

 

Keywords: magnetic resonance imaging (MRI), osteoarthritis, knee joint.

 

Corresponding author: Fomenko J.E., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

For citation: Zhogina T.V., Gorchakova M.B., Fomenko J.E., Kongar Ch.А., Zavadovskaia V.D. Magnetic resonance imaging in the diagnosis of knee joint osteoarthritis. REJR 2024; 14(2):113-128. DOI: 10.21569/2222-7415-2024-14-2-113-128.

Received: 30.05.24 Accepted: 05.07.24