Magnetic Resonance Image Characterization of Knee Meniscus Signal Intensity using Crue’s Approach: Results from a Multi-centre Evidence

Akwa E. Erim, Benjamin E. Udoh, Pius Agweye, Ofonime Ukweh, Anthony C. Ugwu

Abstract


This study aimed to characterize knee meniscus signal-intensity using magnetic resonance imaging. Our research included knee MR images of 138 subjects from multi-centres in Nigeria, between September 2016 and December 2017. Knee images were retrieved from patients' folder of MRI scanners and transfered to a DICOM workstation (Onis 2.6) for image analysis. Knee meniscus was characterized into 0, 1, 2 & 3 grades using Crue’s grading approach. Our research revealed 58% incidence of meniscal lesion. Study yielded a significant relationship between meniscal lesion and gender (p <.005) with a greater proportion of these lesions in women than in men. Meniscal lesions showed significant association with osteoarthritis (OA) (p < 0.05). Grade 3 lesions (actual tears) were largely of horizontal configuration.

Keywords


Knee Joint, Meniscal Lesion, Meniscus, MRI Signal Intensity, Osteoarthritis

Full Text:

PDF

References


Nicolas L, Jean F, Serge H,Antoine G. A current Review of the Meniscus Imaging: Proposition of a useful tool for its Radiologic Analysis. Radiol Res Practice 2016. http://dx.doi.org/10.1155/2016/8329296

Faruch-Bilfeld M, Lapegue F, Chiavassa H,Sans N. Imaging of Meniscus and Ligament Injuries of the Knee. Diagnos Inter Imaging 2016; 97: 749-765.

Barbara A, Eric W, Cornelia A, Cees L. Risk factors for meniscal tears: A systematic review including meta-analysis. J Orthop Sports Phys Therapy 2013; 43(6): 352-367.

Klaus MF, Timothy S, Valesca SO, Ligong W, James SB, Mark S. et al. T2 measurement of cariage in osteoarthritis patient with menisca tears. Musculoskeletal Imaging. Am J Roentgenol 2009; 193(5): 411-415.

Nada R, Anijeed H. Incidental meniscal findings on knee MRI in Al-Najaf city. 2012; 9(4).

Antinolfi P, Crisitian R, Manfreda F, Bruè S, Sarakatsianos V, Placella G et al. Relationship between Clinical, MRI, and Arthroscopic Findings: A Guide to Correct Diagnosis of Meniscal Tears. Joints 2017;5:164–167.

Michael S, Richard B, Westrick, BT. Cyst of the lateral meniscus. Int. JSports Phys Ther 2013; 8(3):340-348.

Subhas N, Sakamoto F, Mariscalco M, Polster J, Obuchowski N, Jones M. Accuracy of MRI in the diagnosis of meniscal tears in older patients. Am J Radiol 2012;198:575-580.

Abram RM, Simon GF, David JB, Andrew JP. Hopewell Patient-reported outcome measures for patients with meniscal tears: a systematic review of measurement properties and evaluation. BMJ Open 2017; 7(10):e017247. doi: 10.1136/bmjopen-2017-017247.

Rao AJ, Erickson BJ, Cvetanovich GL, Yanke AB, Bach BR, Cole BJ. The meniscus-deficient knee biomechanics, evaluation, and treatment Options. The Orthop J Sports Med 2015; 3(10), DOI:10.1177/2325967115611386.

Karanjot S, Bharathi M, Bagadia P. A Prospective study of role of mri in evaluation of painful knee joint. J Dental Med Sci 2015; 14(4):9-14.

Hwang YJ, Granelli J, Lyubovitsky JG. Multiphoton optical image guided spectroscopy method for characterization of collagen-based materials modified by glycation. Anal Chem 2011; 831:200–206.

Khan HI, Aitken D, Ding C, Blizzard L, Pelletier J, Martel-Pelletier J et al. Natural History and Clinical Significance of Meniscal Tear over 8 years in a midlife Cohort. BMC Musculoskeletal Disorders 2016; 17(4).

Peloquin JM, Santare MH, Elliott DM. Short cracks in knee meniscus tissue cause strain concentrations, but do not reduce ultimate stress, in single-cycle uniaxial tension. Royal Society Open Science 2018;5: 181166.

Crues JV, Richard R, Morgan FW. Meniscal pathology: The expanding role of magnetic resonance imaging. Clin Orthop Related Res 1990; 252:80-86.

Pame M, Gayan M, Hazarika K, Roy DKR. MRI evaluation of painful knee joint- the correlation of multiple coexisting pathologies, age and sex. J. Evid. Based Med. Health 2017;4(18):1019-1027.

Braz P, Silva W. Meniscus morphometric study in humans. J. Morphol. Sci. 2010;27(2):62-66.

Arumugam V, Ganesan GR,Natarajan P. MRI Evaluation of Acute Internal Derangement of Knee. Open J Radiol 2015;5:66-71.

Chiang SW, Tsai PH, Chang YC, Wang CY, Chung HW. et al. T2 Values of Posterior Horns of Knee Menisci in Asymptomatic Subjects. Plos One 2013; 8(3).

Englund M, Guermazi A, Gale D, Hunter D. Incidental meniscal findings on Knee MRI in middle-aged and elderly patients. New England J Med 2008;359:1108-1115.

Nguyen JC, De Smet AA, Graf BK, Humberto G. MR Imaging-based diagnosis and classification of meniscal tears. Radiographics 2014; 34:981-999.

Kruger N, Mcnally E, Al-Ali S, Rout R, Rees JL, Price AJ. Three-dimensional Reconstructed Magnetic Resonance Scans: Accuracy in Identifying and Defining Knee Meniscal Tears. World J Orthop 2016;7(11): 731-737.

Koff MF, Shah P, Pownder S, Romero B, Williams R, Gilbert S et al. Correlation of Meniscal T2* with Multiphoton Microscopy, and Change of Articular Cartilage T2 in an Ovine Model of Meniscal Repair. Osteoarthritis Cartilage 2013; 21:1083-1091.




DOI: https://doi.org/10.7575/aiac.abcmed.v.9n.3p.15

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

2013-2023 (CC-BY) Australian International Academic Centre PTY.LTD.

Advances in Bioscience and Clinical Medicine