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Cartilage imaging in children: current indications, magnetic resonance imaging techniques, and imaging findings
Victor M Ho-Fung1, Diego Jaramillo
1Perelman School of Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA. hov@email.chop.edu
Insights
This review covers pediatric cartilage imaging using magnetic resonance (MR) to assess normal development and injuries. It details MR techniques, surgical repair, and quantitative imaging advances for better diagnosis.
Area of Science:
- Orthopedics
- Radiology
- Pediatric Imaging
Background:
- Evaluating pediatric hyaline cartilage requires understanding skeletal development.
- Magnetic resonance (MR) imaging is crucial for assessing cartilage morphology and function.
- Pediatric cartilage evaluation necessitates specialized knowledge of normal physiological changes.
Purpose of the Study:
- To review current indications for pediatric cartilage MR imaging.
- To summarize novel cartilage repair techniques and MR classification of injuries.
- To describe advances in quantitative cartilage imaging.
Main Methods:
- Review of current literature on pediatric cartilage imaging.
- Summary of MR imaging techniques for cartilage evaluation.
- Description of quantitative imaging methods like T2 mapping, dGEMRIC, and T1rho.
Main Results:
- Current MR imaging indications for pediatric cartilage are presented.
- Novel surgical repair techniques and MR classification systems for cartilage injuries are summarized.
- Advances in quantitative MR imaging (T2 mapping, dGEMRIC, T1rho) are detailed.
Conclusions:
- MR imaging is a key tool for evaluating pediatric cartilage.
- Understanding normal development and advanced imaging techniques is vital for accurate diagnosis and treatment.
- Quantitative imaging offers promising advancements for pediatric cartilage assessment.
Abstract:
Evaluation of hyaline cartilage in pediatric patients requires in-depth understanding of normal physiologic changes in the developing skeleton. Magnetic resonance (MR) imaging is a powerful tool for morphologic and functional imaging of the cartilage. In this review article, current imaging indications for cartilage evaluation pertinent to the pediatric population are described. In particular, novel surgical techniques for cartilage repair and MR classification of cartilage injuries are summarized. The authors also provide a review of the normal anatomy and a concise description of the advances in quantitative cartilage imaging (ie, T2 mapping, delayed gadolinium-enhanced MR imaging of cartilage, and T1rho).
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