MRI of osteonecrosis
Abstract
Osteonecrosis is a relatively common condition, which may be idiopathic or secondary to a variety of clinical situations. It may involve the subarticular region of a joint, when it is commonly referred to as ischaemic necrosis, or the metaphyseal regions of long bones, when it is referred to as bone infarction. In both situations, early lesions may be radiographically occult. However, magnetic resonance imaging (MRI) is very sensitive in identifying and characterizing osteonecrosis. This review illustrates the varied MRI features of osteonecrosis that enable a confident diagnosis to be made. Complications and differential diagnosis are also considered.
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MRI is the most sensitive and specific imaging technology for diagnosis of early-stage and precollapse-stage AVN because it allows surgeons to visualize the size and position of the lesion.
“MRI is the most sensitive and specific imaging technology for the diagnosis of the early-stage and precollapse-stage AVN as it allows the surgeons to visualize the size and the position of the lesion (Saini and Saifuddin 2004).”
From Towards 2D/3D Registration of the Preoperative MRI to Intraoperative Fluoroscopic Images for Visualisation of Bone Defects (2023) · cites this paper as Saini and Saifuddin 2004
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Ku, P.-C., Martin-Gomez, A., Gao, C., Grupp, R., Mears, S. C., & Armand, M. (2023) · Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization · doi:10.1080/21681163.2022.2152375 · Cited by 8 · see citing works
“MRI is the most sensitive and specific imaging technology for the diagnosis of the early-stage and precollapse-stage AVN as it allows the surgeons to visualize the size and the position of the lesion (Saini and Saifuddin 2004).”
Background
- Authors
- Saini, A., & Saifuddin, A.
- Affiliations
- Royal National Orthopaedic Hospital NHS Trust (GB)
- Corresponding author
- Saifuddin, A.
- Venue
- Clinical Radiology
- Publisher
- Elsevier BV
- Published
- 2004-12
- Volume
- 59
- Issue
- 12
- Pages
- 1079-1093
- ISSN
- 0009-9260 (ISSN-L)
- OpenAlex
- W2036622337
- Cited by
- 130
- References
- 0
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 6 · 2021: 4 · 2020: 10 · 2019: 6 · 2018: 1 · 2017: 2 · 2016: 8 · 2015: 6 · 2014: 8 · 2013: 9 · 2012: 5
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Radiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone and Joint Diseases
- Health Sciences › Medicine › Rheumatology › Bone Tumor Diagnosis and Treatments
- Health Sciences › Medicine › Oncology › Bone health and treatments
- Keywords
- avascular necrosis, magnetic resonance imaging features, ischemic necrosis, bone infarction, long bone metaphysis, occult lesions, differential diagnosis, complications
- MeSH terms
- Bone and Bones, Femur, Femur Head, Humans, Infarction, Magnetic Resonance Imaging, Osteonecrosis, Radiography, Tibia
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