Emerging Quantitative Imaging Techniques in Sports Medicine
Hayashi D, Roemer FW, Tol JL, Heiss R, Crema MD, Jarraya M, Rossi I, Luna A, Guermazi A (2023)
Publication Type: Journal article, Review article
Publication year: 2023
Journal
Book Volume: 308
Pages Range: e221531-
Journal Issue: 2
Abstract
This article describes recent advances in quantitative imaging of musculoskeletal extremity sports injuries, citing the existing literature evidence and what additional evidence is needed to make such techniques applicable to clinical practice. Compositional and functional MRI techniques including T2 mapping, diffusion tensor imaging, and sodium imaging as well as contrast-enhanced US have been applied to quantify pathophysiologic processes and biochemical compositions of muscles, tendons, ligaments, and cartilage. Dual-energy and/or spectral CT has shown potential, particularly for the evaluation of osseous and ligamentous injury (eg, creation of quantitative bone marrow edema maps), which is not possible with standard single-energy CT. Recent advances in US technology such as shear-wave elastography or US tissue characterization as well as MR elastography enable the quantification of mechanical, elastic, and physical properties of tissues in muscle and tendon injuries. The future role of novel imaging techniques such as photon-counting CT remains to be established. Eventual prediction of return to play (ie, the time needed for the injury to heal sufficiently so that the athlete can get back to playing their sport) and estimation of risk of repeat injury is desirable to help guide sports physicians in the treatment of their patients. Additional values of quantitative analyses, as opposed to routine qualitative analyses, still must be established using prospective longitudinal studies with larger sample sizes.
Involved external institutions
United States (USA) (US)How to cite
APA:
Hayashi, D., Roemer, F.W., Tol, J.L., Heiss, R., Crema, M.D., Jarraya, M.,... Guermazi, A. (2023). Emerging Quantitative Imaging Techniques in Sports Medicine. Radiology, 308(2), e221531-. https://dx.doi.org/10.1148/radiol.221531
MLA:
Hayashi, Daichi, et al. "Emerging Quantitative Imaging Techniques in Sports Medicine." Radiology 308.2 (2023): e221531-.
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