Flowchart shows results of comprehensive search and final studies included in systematic review.

Flowchart shows results of comprehensive search and final studies included in systematic review.


April 5, 2024 — Osteoarthritis — not age — may play the greatest role in determining the utility of MRI for patients 45 years old and older with hip or knee pain, according to the American Journal of Roentgenology (AJR).

“Several structural lesions on knee MRI correlating with symptoms may represent imaging biomarkers used as treatment targets,” wrote first AJR author Erin F. Alaia, MD from the radiology department at NYU Langone Health.

Alaia et al. performed a systematic review and meta-analysis of PubMed, Web of Science, and Embase through October 3, 2022, to identify original research pertaining to whether MRI-diagnosed hip or knee pathology in patients 45 years old and older correlates with symptomatology or benefits from arthroscopic surgery. After extracting publication information, study design, cohort size, osteoarthritis severisty, age range and mean, measured outcomes, minimum follow-up length, and MRI field strength, study methods were appraised via NIH Quality Assessment Tools. Of the 1,125 potential studies the AJR authors identified, 31 (18 knee, 13 hip) met the inclusion criteria. Knee studies (10 prospective, eight retrospective) included 5,907 patients (age range, 45–90 years); hip studies (11 retrospective, two prospective) included 6,385 patients (age range, 50–85 years).

Ultimately, meniscal tears, frequently diagnosed in this population, were less likely to be symptom generators and to respond to arthroscopic treatment in the presence of osteoarthritis, suggesting a diminishing role for MRI in this setting. And for the hip, MRI diagnosis of labral tear, chondral lesions, or structural findings associated with femoroacetabular impingement may have clinical importance in selected patients without advanced osteoarthritis, “though comparatively less when compared with younger patient populations,” the AJR authors added.

For more information: www.arrs.org


Related Content

News | Computed Tomography (CT)

SPONSORED CONTENT — Fujifilm’s latest CT technology brings exceptional image quality to a compact and user- and patient ...

Time August 06, 2024
arrow
News | Radiology Business

July 31, 2024 — The American Registry of Radiologic Technologists (ARRT) announced the three Registered Technologists (R ...

Time July 31, 2024
arrow
News | PET-CT

July 31, 2024 — In a head-to-head comparison with FDG PET/CT, FDG PET/MRI demonstrated comparable or superior diagnostic ...

Time July 31, 2024
arrow
Feature | Computed Tomography (CT) | By Melinda Taschetta-Millane

In the ever-evolving landscape of medical imaging, computed tomography (CT) stands out as a cornerstone technology ...

Time July 30, 2024
arrow
Videos | Radiology Business

Find actionable insights to achieve sustainability and savings in radiology in this newest of ITN’s “One on One” video ...

Time July 30, 2024
arrow
Feature | Radiology Business | By Christine Book

Across the healthcare industry, and, notably, throughout the radiology community in just the past few years, the focus ...

Time July 26, 2024
arrow
Feature | Mobile C-Arms | By Melinda Taschetta-Millane

Mobile C-arms continue to revolutionize medical imaging, offering versatility, mobility and real-time visualization ...

Time July 26, 2024
arrow
News | Radiology Business

July 25, 2024 — Immunis, Inc., a clinical-stage biotech developing groundbreaking secretome therapeutics for age and ...

Time July 25, 2024
arrow
News | RSNA

July 23, 2024 — Professional registration is open for RSNA 2024, the world’s largest radiology forum. This year’s theme ...

Time July 23, 2024
arrow
News | Artificial Intelligence

July 23, 2024 — Researchers at the National Institutes of Health (NIH) found that an artificial intelligence (AI) model ...

Time July 23, 2024
arrow
Subscribe Now