Semin Musculoskelet Radiol 2009; 13(1): 029-038
DOI: 10.1055/s-0029-1202243
© Thieme Medical Publishers

3-Tesla High-Resolution MR Imaging of the Wrist

Nadja Saupe1
  • 1Department of Radiology, Balgrist University Hospital, Zurich, Switzerland
Further Information

Publication History

Publication Date:
23 February 2009 (online)

ABSTRACT

Magnetic resonance imaging (MRI) at 3.0 T has become increasingly available for clinical usage. Its clinical impact on diagnostic outcome compared with 1.5 T still remains unclear, however, because no larger case series have been published until now. In addition, the further development of clinical applications is still limited at 3.0 T due to the lack of availability of dedicated coils and the sensitivity of 3.0 T to artifacts. However, especially in the MR imaging of small joints, there seems to be a great potential in improving the diagnostic performance of MRI with increased signal-to-noise ratio by increasing the spatial resolution.

For MR imaging of the wrist, smaller case series describe better visualization of the interosseus ligaments and the triangular fibrocartilage complex at 3.0 T compared with 1.5 T using comparable coils and imaging protocols. The diagnostic performance in the detection of cartilage lesions still remains unclear, as it remains independent of field strength on the anatomical location.

This article addresses the technical considerations of using 3.0 T for wrist imaging and the initial results on clinical applications, focusing on optimized techniques for wrist imaging and the diagnostic accuracy in the detection of cartilage lesions and the important anatomical structures.

REFERENCES

  • 1 Hoult D I, Phil D. Sensitivity and power deposition in a high-field imaging experiment.  J Magn Reson Imaging. 2000;  12 46-67
  • 2 Saupe N, Prussmann K P, Luechinger R, Bosiger P, Marincek B, Weishaupt D. MR imaging of the wrist: comparison between 1.5- and 3-T MR imaging—preliminary experience.  Radiology. 2005;  234 256-264
  • 3 Kornaat P R, Reeder S B, Koo S et al.. MR imaging of articular cartilage at 1.5T and 3.0T: comparison of SPGR and SSFP sequences.  Osteoarthritis Cartilage. 2005;  13 338-344
  • 4 Meyer J S, Jaramillo D. Musculoskeletal MR imaging at 3 T.  Magn Reson Imaging Clin N Am. 2008;  16 533-545 , vi
  • 5 Barth M M, Smith M P, Pedrosa I, Lenkinski R E, Rofsky N M. Body MR imaging at 3.0 T: understanding the opportunities and challenges.  Radiographics. 2007;  27 1445-1462 discussion 1462-1444
  • 6 Cunningham P M, Law M, Schweitzer M E. High-field MRI.  Orthop Clin North Am. 2006;  37 321-329 , vi
  • 7 Bolog N, Nanz D, Weishaupt D. Musculoskeletal MR imaging at 3.0 T: current status and future perspectives.  Eur Radiol. 2006;  16 1298-1307
  • 8 Ramnath R R. 3T MR imaging of the musculoskeletal system (Part I): considerations, coils, and challenges.  Magn Reson Imaging Clin N Am. 2006;  14 27-40
  • 9 Bittersohl B, Huang T, Schneider E et al.. High-resolution MRI of the triangular fibrocartilage complex (TFCC) at 3T: comparison of surface coil and volume coil.  J Magn Reson Imaging. 2007;  26 701-707
  • 10 Palmer A K. Triangular fibrocartilage complex lesions: a classification.  J Hand Surg [Am]. 1989;  14 594-606
  • 11 Palmer A K, Werner F W. Biomechanics of the distal radioulnar joint.  Clin Orthop Relat Res. 1984;  187 26-35
  • 12 Anderson M L, Skinner J A, Felmlee J P, Berger R A, Amrami K K. Diagnostic comparison of 1.5 Tesla and 3.0 Tesla preoperative MRI of the wrist in patients with ulnar-sided wrist pain.  J Hand Surg [Am]. 2008;  33 1153-1159
  • 13 Lenk S, Ludescher B, Martirosan P, Schick F, Claussen C D, Schlemmer H P. 3.0 T high-resolution MR imaging of carpal ligaments and TFCC.  Rofo. 2004;  176 664-667
  • 14 Oneson S R, Timins M E, Scales L M, Erickson S J, Chamoy L. MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation.  AJR Am J Roentgenol. 1997;  168 1513-1518
  • 15 Totterman S M, Miller R J, McCance S E, Meyers S P. Lesions of the triangular fibrocartilage complex: MR findings with a three-dimensional gradient-recalled-echo sequence.  Radiology. 1996;  199 227-232
  • 16 Schmitt R, Christopoulos G, Meier R et al.. Direct MR arthrography of the wrist in comparison with arthroscopy: a prospective study on 125 patients.  Rofo. 2003;  175 911-919
  • 17 Ruegger C, Schmid M R, Pfirrmann C W, Nagy L, Gilula L A, Zanetti M. Peripheral tear of the triangular fibrocartilage: depiction with MR arthrography of the distal radioulnar joint.  AJR Am J Roentgenol. 2007;  188 187-192
  • 18 Zanetti M, Saupe N, Nagy L. Role of MR imaging in chronic wrist pain.  Eur Radiol. 2007;  17 927-938
  • 19 Benjamin M, Evans E J, Pemberton D J. Histological studies on the triangular fibrocartilage complex of the wrist.  J Anat. 1990;  172 59-67
  • 20 Lichtmann D, Alexander A. The Wrist and Its Disorders. Philadelphia: PA; WB Saunders 1996
  • 21 Berger R A. The anatomy of the ligaments of the wrist and distal radioulnar joints.  Clin Orthop Relat Res. 2001;  383 32-40
  • 22 Berger R A, Imeada T, Berglund L, An K N. Constraint and material properties of the subregions of the scapholunate interosseous ligament.  J Hand Surg [Am]. 1999;  24 953-962
  • 23 Braun H, Kenn W, Schneider S, Graf M, Sandstede J, Hahn D. Direct MR arthrography of the wrist—value in detecting complete and partial defects of intrinsic ligaments and the TFCC in comparison with arthroscopy.  Rofo. 2003;  175 1515-1524
  • 24 Scheck R J, Kubitzek C, Hierner R et al.. The scapholunate interosseous ligament in MR arthrography of the wrist: correlation with non-enhanced MRI and wrist arthroscopy.  Skeletal Radiol. 1997;  26 263-271
  • 25 Zanetti M, Bram J, Hodler J. Triangular fibrocartilage and intercarpal ligaments of the wrist: does MR arthrography improve standard MRI?.  J Magn Reson Imaging. 1997;  7 590-594
  • 26 Bordalo-Rodrigues M, Schweitzer M, Bergin D, Culp R, Barakat M S. Lunate chondromalacia: evaluation of routine MRI sequences.  AJR Am J Roentgenol. 2005;  184 1464-1469
  • 27 Haims A H, Moore A E, Schweitzer M E et al.. MRI in the diagnosis of cartilage injury in the wrist.  AJR Am J Roentgenol. 2004;  182 1267-1270
  • 28 Peterfy C G, van Dijke C F, Lu Y et al.. Quantification of the volume of articular cartilage in the metacarpophalangeal joints of the hand: accuracy and precision of three-dimensional MR imaging.  AJR Am J Roentgenol. 1995;  165 371-375
  • 29 Nagy L. Salvage of post-traumatic arthritis following distal radius fracture.  Hand Clin. 2005;  21 489-498
  • 30 Cohen M S, Kozin S H. Degenerative arthritis of the wrist: proximal row carpectomy versus scaphoid excision and four-corner arthrodesis.  J Hand Surg [Am]. 2001;  26 94-104
  • 31 Tomaino M M, Miller R J, Cole I, Burton R I. Scapholunate advanced collapse wrist: proximal row carpectomy or limited wrist arthrodesis with scaphoid excision?.  J Hand Surg [Am]. 1994;  19 134-142
  • 32 Wyrick J D, Stern P J, Kiefhaber T R. Motion-preserving procedures in the treatment of scapholunate advanced collapse wrist: proximal row carpectomy versus four-corner arthrodesis.  J Hand Surg [Am]. 1995;  20 965-970
  • 33 Watson H K, Ballet F L. The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis.  J Hand Surg [Am]. 1984;  9 358-365
  • 34 Saupe N, Pfirrmann C W, Schmid M R, Schertler T, Manestar M, Weishaupt D. MR imaging of cartilage in cadaveric wrists: comparison between imaging at 1.5 and 3.0 T and gross pathologic inspection.  Radiology. 2007;  243 180-187
  • 35 Dunn T C, Lu Y, Jin H, Ries M D, Majumdar S. T2 relaxation time of cartilage at MR imaging: comparison with severity of knee osteoarthritis.  Radiology. 2004;  232 592-598

Nadja SaupeM.D. 

Department of Radiology, Balgrist University Hospital

Forchstrasse 340, 8008 Zurich, Switzerland

Email: nadja.saupe@balgrist.ch

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