Systemic lupus erythematosus MRI: Difference between revisions
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==Overview== | ==Overview== | ||
===== Joint and synovial evaluation ===== | |||
Reveal erosive changes and abnormalities of the soft tissues more often, including: | |||
* Capsular swelling | |||
* Proliferative tenosynovitis | |||
* Synovial overgrowth | |||
MRI is more sensitive than CT, and may reveal abnormalities | ===== Neurological evaluation ===== | ||
MRI is more sensitive than CT, and may reveal the following abnormalities: | |||
* Focal neurological defects | |||
* White matter lesions | |||
* Periventricular hyperintensities | |||
* Detects clinically silent lesions | |||
===== Cardialogical evaluation ===== | |||
* Cine cardiac MR imaging | * Cine cardiac MR imaging as an noninvasive tool for evaluating | ||
** Abnormal flow patterns | |||
** Ventricular dimensions | |||
** Stroke volume | |||
** Regional myocardial function | |||
===== Bone evaluation ===== | |||
* Avascular necrosis (AVN) | * Avascular necrosis (AVN) | ||
** Lack of enhancement and devascularized areas on gadolinium-enhanced MR imaging | ** Lack of enhancement and devascularized areas on gadolinium-enhanced MR imaging | ||
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* Early or subtle insufficiency fractures especially on T2-weighted MR imaging | * Early or subtle insufficiency fractures especially on T2-weighted MR imaging | ||
** In characteristic stress locations insufficiency fractures may appear as areas of high signal intensity due to bone marrow edema | ** In characteristic stress locations insufficiency fractures may appear as areas of high signal intensity due to bone marrow edema | ||
==Examples of MRI Findings in Systemic Lupus Erythematosus== | ==Examples of MRI Findings in Systemic Lupus Erythematosus== |
Revision as of 15:17, 6 July 2017
Systemic lupus erythematosus Microchapters |
Differentiating Systemic lupus erythematosus from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
Systemic lupus erythematosus MRI On the Web |
American Roentgen Ray Society Images of Systemic lupus erythematosus MRI |
Directions to Hospitals Treating Systemic lupus erythematosus |
Risk calculators and risk factors for Systemic lupus erythematosus MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Joint and synovial evaluation
Reveal erosive changes and abnormalities of the soft tissues more often, including:
- Capsular swelling
- Proliferative tenosynovitis
- Synovial overgrowth
Neurological evaluation
MRI is more sensitive than CT, and may reveal the following abnormalities:
- Focal neurological defects
- White matter lesions
- Periventricular hyperintensities
- Detects clinically silent lesions
Cardialogical evaluation
- Cine cardiac MR imaging as an noninvasive tool for evaluating
- Abnormal flow patterns
- Ventricular dimensions
- Stroke volume
- Regional myocardial function
Bone evaluation
- Avascular necrosis (AVN)
- Lack of enhancement and devascularized areas on gadolinium-enhanced MR imaging
- Bone marrow edema on MRI with
- Low-signal-intensity marginal areas on standard spin-echo T1- and T2-weighted images
- Intermediate to high signal intensity inside bone tissue on T2-weighted images, producing a line of low signal intensity with an adjacent high-signal-intensity line
- High signal intensity on T2-weighted images due to subchondral fractures that may be accompanied by fluid signal intensity or edema
- Low signal intensity on T2-weighted images due to collapse of the articular surface
- Early or subtle insufficiency fractures especially on T2-weighted MR imaging
- In characteristic stress locations insufficiency fractures may appear as areas of high signal intensity due to bone marrow edema