Society of skeletal radiology position paper - recommendations for contrast use in musculoskeletal MRI: when is non-contrast imaging enough?

IF 1.9 3区 医学 Q2 ORTHOPEDICS
Skeletal Radiology Pub Date : 2024-01-01 Epub Date: 2023-06-10 DOI:10.1007/s00256-023-04367-8
Jonathan D Samet, Hamza Alizai, Majid Chalian, Colleen Costelloe, Swati Deshmukh, Vivek Kalia, Sarah Kamel, Jennifer Ni Mhuircheartaigh, Jimmy Saade, Eric Walker, Daniel Wessell, Laura M Fayad
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引用次数: 0

Abstract

The following White Paper will discuss the appropriateness of gadolinium administration in MRI for musculoskeletal indications. Musculoskeletal radiologists should consider the potential risks involved and practice the judicious use of intravenous contrast, restricting administration to cases where there is demonstrable added value. Specific nuances of when contrast is or is not recommended are discussed in detail and listed in table format. Briefly, contrast is recommended for bone and soft tissue lesions. For infection, contrast is reserved for chronic or complex cases. In rheumatology, contrast is recommended for early detection but not for advanced arthritis. Contrast is not recommended for sports injuries, routine MRI neurography, implants/hardware, or spine imaging, but is helpful in complex and post-operative cases.

骨骼放射学会立场文件-建议在肌肉骨骼MRI中使用对比成像:什么时候非对比成像就足够了?
下面的白皮书将讨论钆在MRI中用于肌肉骨骼适应症的适当性。肌肉骨骼放射科医生应考虑到潜在的风险,并明智地使用静脉造影剂,限制在有明显附加价值的病例中使用。我们将详细讨论什么时候推荐对比,什么时候不推荐对比的具体细微差别,并以表格的形式列出。简而言之,建议对骨骼和软组织病变进行对比。对于感染,对比剂用于慢性或复杂病例。在风湿病学中,造影剂推荐用于早期发现,但不适用于晚期关节炎。不建议对运动损伤、常规MRI神经造影、植入物/硬件或脊柱成像进行对比,但对复杂和术后病例有帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Skeletal Radiology
Skeletal Radiology 医学-核医学
CiteScore
4.40
自引率
9.50%
发文量
253
审稿时长
3-8 weeks
期刊介绍: Skeletal Radiology provides a forum for the dissemination of current knowledge and information dealing with disorders of the musculoskeletal system including the spine. While emphasizing the radiological aspects of the many varied skeletal abnormalities, the journal also adopts an interdisciplinary approach, reflecting the membership of the International Skeletal Society. Thus, the anatomical, pathological, physiological, clinical, metabolic and epidemiological aspects of the many entities affecting the skeleton receive appropriate consideration. This is the Journal of the International Skeletal Society and the Official Journal of the Society of Skeletal Radiology and the Australasian Musculoskelelal Imaging Group.
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