دورية أكاديمية
Utility of MRI for Patients 45 Years Old and Older With Hip or Knee Pain: A Systematic Review.
| العنوان: | Utility of MRI for Patients 45 Years Old and Older With Hip or Knee Pain: A Systematic Review. |
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| المؤلفون: | Alaia EF; Department of Radiology, NYU Langone Health, 550 First Ave, New York, NY 10016., Samim M; Department of Radiology, NYU Langone Health, 550 First Ave, New York, NY 10016., Khodarahmi I; Department of Radiology, NYU Langone Health, 550 First Ave, New York, NY 10016., Zech JR; Department of Radiology, NYU Langone Health, 550 First Ave, New York, NY 10016., Spath AR; University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY., Da Silva Cardoso M; Department of Radiology, NYU Langone Health, 550 First Ave, New York, NY 10016., Gyftopoulos S; Department of Radiology, NYU Langone Health, 550 First Ave, New York, NY 10016.; Department of Orthopedic Surgery, NYU Langone Health, New York, NY. |
| المصدر: | AJR. American journal of roentgenology [AJR Am J Roentgenol] 2024 Jun; Vol. 222 (6), pp. e2430958. Date of Electronic Publication: 2024 Apr 03. |
| نوع المنشور: | Systematic Review; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Roentgen Ray Society Country of Publication: United States NLM ID: 7708173 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1546-3141 (Electronic) Linking ISSN: 0361803X NLM ISO Abbreviation: AJR Am J Roentgenol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2004-> : Leesburg, VA : American Roentgen Ray Society Original Publication: Springfield, Ill., Thomas. |
| مواضيع طبية MeSH: | Arthralgia*/diagnostic imaging , Arthralgia*/etiology , Magnetic Resonance Imaging*/methods, Aged ; Humans ; Middle Aged ; Hip Joint/diagnostic imaging ; Hip Joint/pathology ; Knee Joint/diagnostic imaging ; Knee Joint/pathology ; Aged, 80 and over |
| مستخلص: | BACKGROUND . MRI utility for patients 45 years old and older with hip or knee pain is not well established. OBJECTIVE . We performed this systematic review to assess whether MRI-diagnosed hip or knee pathology in patients 45 years old and older correlates with symptoms or benefits from arthroscopic surgery. EVIDENCE ACQUISITION . A literature search (PubMed, Web of Science, Embase) of articles published before October 3, 2022, was performed to identify original research pertaining to the study question. Publication information, study design, cohort size, osteoarthritis severity, age (range, mean), measured outcomes, minimum follow-up length, and MRI field strength were extracted. Study methods were appraised with NIH's study quality assessment tools. EVIDENCE SYNTHESIS . The search yielded 1125 potential studies, of which 31 met the inclusion criteria (18 knee, 13 hip). Knee studies (10 prospective, eight retrospective) included 5907 patients (age range, 45-90 years). Bone marrow edema-like lesions, joint effusions, and synovitis on MRI were associated with symptoms. In patients with osteoarthritis, meniscal tears were less likely to be symptom generators and were less likely to respond to arthroscopic surgery with osteoarthritis progression. Hip studies (11 retrospective, two prospective) included 6385 patients (age range, 50 to ≥ 85 years). Patients with Tönnis grade 2 osteoarthritis and lower with and without femoroacetabular impingement (FAI) showed improved outcomes after arthroscopy, suggesting a role for MRI in the diagnosis of labral tears, chondral lesions, and FAI. Although this group benefited from arthroscopic surgery, outcomes were inferior to those in younger patients. Variability in study characteristics, follow-up, and outcome measures precluded a meta-analysis. CONCLUSION . In patients 45 years old and older, several knee structural lesions on MRI correlated with symptoms, representing potential imaging biomarkers. Meniscal tear identification on MRI likely has diminished clinical value as osteoarthritis progresses. For the hip, MRI can play a role in the diagnosis of labral tears, chondral lesions, and FAI in patients without advanced osteoarthritis. CLINICAL IMPACT . Several structural lesions on knee MRI correlating with symptoms may represent imaging biomarkers used as treatment targets. Osteoarthritis, not age, may play the greatest role in determining the utility of MRI for patients 45 years old and older with hip or knee pain. |
| التعليقات: | Comment in: AJR Am J Roentgenol. 2024 Jun;222(6):e2431253. doi: 10.2214/AJR.24.31253. (PMID: 38598358) |
| فهرسة مساهمة: | Keywords: MRI; hip; knee; osteoarthritis; systematic review |
| تواريخ الأحداث: | Date Created: 20240403 Date Completed: 20240703 Latest Revision: 20240705 |
| رمز التحديث: | 20240706 |
| DOI: | 10.2214/AJR.24.30958 |
| PMID: | 38568033 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1546-3141 |
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| DOI: | 10.2214/AJR.24.30958 |