✅ Knee MRI Mastery/Chap 5E. Other

(Fig 5-E.04) Rheumatoid Arthritis - Erosion and Synovitis

MSK MRI 2024. 7. 23. 00:00

https://youtu.be/PZ4J05cxcHw

 

 

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📌 Rheumatoid Arthritis

✅ Early Identification and Quantification of Synovitis

  • MR imaging helps in the early detection and quantification of synovitis, a key predictor for future erosions in rheumatoid arthritis.

 

✅ Synovial Proliferation

  • Synovial proliferation in rheumatoid arthritis appears as a mass-like tissue prominence within the joint capsule on MR imaging. 
  • It shows low signal on T1-weighted images and hyperintense on T2-weighted or STIR sequences.

 

✅ Bone Edema and Erosion Prediction

  • Bone edema often accompanies synovitis and is found in subchondral bone. 
  • In the hands and wrists, its presence is the strongest predictor of future erosions.

 

References

  1. Magn Reson Imaging Clin N Am 22 (2014) 703–724
  2. Magn Reson Imaging Clin N Am 21 (2013) 127–139
  3. Magn Reson Imaging Clin N Am 19 (2011) 339–363
  4. MRI Web Clinic - June 2016 MR Imaging of Rheumatoid Arthritis

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