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Quantitative Magnetic Resonance Imaging of Skeletal Muscle Disease

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Published on: December 18, 2016

Emerging Quantitative Imaging Techniques in Sports Medicine.

Daichi Hayashi¹, Frank W Roemer¹, Johannes L Tol¹

¹From the Department of Radiology, Tufts Medical Center, Tufts University School of Medicine, Boston, Mass (D.H.); Quantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, Mass (D.H., F.W.R., M.D.C., A.G.); Department of Radiology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany (F.W.R., R.H.); University of Amsterdam Academic Center for Evidence-based Sports Medicine, Amsterdam, the Netherlands (J.L.T.); Institute of Sports Imaging, French National Institute of Sports, Paris, France (M.D.C.); Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (M.J.); Centro Rossi, Buenos Aires, Argentina (I.R.); Department of Radiology, HT Medica, Jaén, Spain (A.L.); and Department of Radiology, VA Boston Healthcare System, Boston University School of Medicine, 1400 VFW Parkway, Suite 1B105, West Roxbury, MA 02132 (A.G.).

|August 8, 2023

Summary

Quantitative imaging advances musculoskeletal extremity sports injury assessment. New MRI, CT, and ultrasound techniques offer detailed insights, but more research is needed for clinical integration.

Area of Science:

Musculoskeletal Imaging
Sports Medicine
Radiology

Background:

Quantitative imaging techniques are emerging for musculoskeletal extremity sports injuries.
Current methods aim to assess pathophysiologic processes and biochemical compositions.

Purpose of the Study:

To review recent advances in quantitative imaging for sports injuries.
To identify evidence gaps for clinical application.
To discuss future directions in the field.

Main Methods:

Review of compositional and functional MRI (T2 mapping, DTI, sodium imaging).
Evaluation of contrast-enhanced ultrasound (CEUS).
Assessment of dual-energy/spectral CT and advanced US (elastography, tissue characterization) and MR elastography.
Consideration of novel techniques like photon-counting CT.

Main Results:

MRI techniques quantify muscle, tendon, ligament, and cartilage properties.
Dual-energy CT aids in evaluating bone and ligament injuries, including bone marrow edema.
Advanced US and MR elastography measure mechanical properties of muscle and tendon injuries.

Conclusions:

Quantitative imaging offers potential for detailed sports injury assessment.
Further prospective studies are required to validate these techniques for clinical practice.
Predicting return to play and re-injury risk are future goals.

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