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Updated: Aug 7, 2026

Quantitative Magnetic Resonance Imaging of Skeletal Muscle Disease
Published on: December 18, 2016
Magnetic resonance arthrography
Todd Osinski1, David Malfair, Lynne Steinbach
1Department of Radiology, University of California San Francisco, 505 Parnassus, Suite M392, San Francisco, CA 94143-0628, USA.
Abstract:
For decades, fluoroscopic arthrography was the only method available to image a joint with contrast enhancement. Advances in CT led to the natural development of CT arthrography. Development of MRI and its capability for multiplanar imaging led to direct magnetic resonance arthrography (MRA). This technique has been performed since 1987 and has surpassed CT arthrography in popularity in the United States. Indirect MRA developed subsequently to offer a less invasive alternative. This article presents an overview of direct MRA and addresses joint-specific issues regarding direct MRA. An overview of indirect MRA also is provided.
Insights
Magnetic resonance arthrography (MRA) offers advanced joint imaging, evolving from fluoroscopic and CT methods. Both direct and indirect MRA techniques are discussed, highlighting MRA
Area of Science:
- Radiology
- Medical Imaging
- Orthopedics
Background:
- Fluoroscopic arthrography was the primary joint imaging technique for decades.
- Computed Tomography (CT) arthrography emerged with CT advancements.
- Magnetic Resonance Imaging (MRI) enabled multiplanar joint visualization, leading to MRA.
Purpose of the Study:
- To provide an overview of direct magnetic resonance arthrography (MRA).
- To discuss joint-specific considerations for direct MRA.
- To present an overview of indirect MRA as a less invasive alternative.
Main Methods:
- Review of direct magnetic resonance arthrography (MRA) techniques.
- Discussion of joint-specific applications and challenges in MRA.
- Overview of indirect MRA principles and methodology.
Main Results:
- Direct MRA has become the preferred contrast-enhanced joint imaging modality in the US since its development.
- Indirect MRA offers a less invasive approach to contrast-enhanced joint imaging.
- Specific joint imaging protocols and findings for direct MRA are detailed.
Conclusions:
- Direct MRA is a valuable tool for detailed joint assessment.
- Indirect MRA provides a viable, less invasive alternative for specific indications.
- Both MRA techniques have advanced joint imaging beyond older methods.
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