Ultrasonographic Assessment of the Normal Femoral Articular Cartilage of the Knee Joint: Comparison with 3D MRI

Objective. Ultrasonography (US) has a promising role in evaluating the knee joint, but capability to visualize the femoral articular cartilage needs systematic evaluation. We measured the extent of this acoustic window by comparing standardized US images with the corresponding MRI views of the femor...

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Main Authors: Kyösti Kauppinen, Victor Casula, Štefan Zbýň, Roberto Blanco Sequeiros, Simo S. Saarakkala, Mika T. Nevalainen
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2021/9978819
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author Kyösti Kauppinen
Victor Casula
Štefan Zbýň
Roberto Blanco Sequeiros
Simo S. Saarakkala
Mika T. Nevalainen
author_facet Kyösti Kauppinen
Victor Casula
Štefan Zbýň
Roberto Blanco Sequeiros
Simo S. Saarakkala
Mika T. Nevalainen
author_sort Kyösti Kauppinen
collection DOAJ
description Objective. Ultrasonography (US) has a promising role in evaluating the knee joint, but capability to visualize the femoral articular cartilage needs systematic evaluation. We measured the extent of this acoustic window by comparing standardized US images with the corresponding MRI views of the femoral cartilage. Design. Ten healthy volunteers without knee pathology underwent systematic US and MRI evaluation of both knees. The femoral cartilage was assessed on the oblique transverse axial plane with US and with 3D MRI. The acoustic window on US was compared to the corresponding views of the femoral sulcus and both condyles on MRI. The mean imaging coverage of the femoral cartilage and the cartilage thickness measurements on US and MRI were compared. Results. Mean imaging coverage of the cartilage of the medial femoral condyle was 66% (range 54%–80%) and on the lateral femoral condyle 37% (range 25%–51%) compared with MRI. Mean cartilage thickness measurement in the femoral sulcus was 3.17 mm with US and 3.61 mm with MRI (14.0% difference). The corresponding measurements in the medial femoral condyle were 1.95 mm with US and 2.35 mm with MRI (21.0% difference), and in the lateral femoral condyle, they were 2.17 mm and 2.73 mm (25.6% difference), respectively. Conclusion. Two-thirds of the articular cartilage of the medial femoral condyle, and one-third in the lateral femoral condyle, can be assessed with US. The cartilage thickness measurements seem to be underestimated by US. These results show promise for the evaluation of the weight-bearing cartilage of the medial femoral condyle with US.
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spelling doaj-art-4b8d15147a474c20ad0e2e85cdbe13632025-08-20T03:20:14ZengWileyThe Scientific World Journal2356-61401537-744X2021-01-01202110.1155/2021/99788199978819Ultrasonographic Assessment of the Normal Femoral Articular Cartilage of the Knee Joint: Comparison with 3D MRIKyösti Kauppinen0Victor Casula1Štefan Zbýň2Roberto Blanco Sequeiros3Simo S. Saarakkala4Mika T. Nevalainen5Medical Research Center Oulu, University of Oulu, P.O. Box 8000, Oulu, FinlandMedical Research Center Oulu, University of Oulu, P.O. Box 8000, Oulu, FinlandResearch Unit of Medical Imaging, Physics and Technology, Faculty of Medicine, University of Oulu, P.O. Box 5000, FI-90014 Oulu, FinlandDepartment of Radiology, Turku University Hospital, P.O. Box 52, 20521 Turku, FinlandMedical Research Center Oulu, University of Oulu, P.O. Box 8000, Oulu, FinlandMedical Research Center Oulu, University of Oulu, P.O. Box 8000, Oulu, FinlandObjective. Ultrasonography (US) has a promising role in evaluating the knee joint, but capability to visualize the femoral articular cartilage needs systematic evaluation. We measured the extent of this acoustic window by comparing standardized US images with the corresponding MRI views of the femoral cartilage. Design. Ten healthy volunteers without knee pathology underwent systematic US and MRI evaluation of both knees. The femoral cartilage was assessed on the oblique transverse axial plane with US and with 3D MRI. The acoustic window on US was compared to the corresponding views of the femoral sulcus and both condyles on MRI. The mean imaging coverage of the femoral cartilage and the cartilage thickness measurements on US and MRI were compared. Results. Mean imaging coverage of the cartilage of the medial femoral condyle was 66% (range 54%–80%) and on the lateral femoral condyle 37% (range 25%–51%) compared with MRI. Mean cartilage thickness measurement in the femoral sulcus was 3.17 mm with US and 3.61 mm with MRI (14.0% difference). The corresponding measurements in the medial femoral condyle were 1.95 mm with US and 2.35 mm with MRI (21.0% difference), and in the lateral femoral condyle, they were 2.17 mm and 2.73 mm (25.6% difference), respectively. Conclusion. Two-thirds of the articular cartilage of the medial femoral condyle, and one-third in the lateral femoral condyle, can be assessed with US. The cartilage thickness measurements seem to be underestimated by US. These results show promise for the evaluation of the weight-bearing cartilage of the medial femoral condyle with US.http://dx.doi.org/10.1155/2021/9978819
spellingShingle Kyösti Kauppinen
Victor Casula
Štefan Zbýň
Roberto Blanco Sequeiros
Simo S. Saarakkala
Mika T. Nevalainen
Ultrasonographic Assessment of the Normal Femoral Articular Cartilage of the Knee Joint: Comparison with 3D MRI
The Scientific World Journal
title Ultrasonographic Assessment of the Normal Femoral Articular Cartilage of the Knee Joint: Comparison with 3D MRI
title_full Ultrasonographic Assessment of the Normal Femoral Articular Cartilage of the Knee Joint: Comparison with 3D MRI
title_fullStr Ultrasonographic Assessment of the Normal Femoral Articular Cartilage of the Knee Joint: Comparison with 3D MRI
title_full_unstemmed Ultrasonographic Assessment of the Normal Femoral Articular Cartilage of the Knee Joint: Comparison with 3D MRI
title_short Ultrasonographic Assessment of the Normal Femoral Articular Cartilage of the Knee Joint: Comparison with 3D MRI
title_sort ultrasonographic assessment of the normal femoral articular cartilage of the knee joint comparison with 3d mri
url http://dx.doi.org/10.1155/2021/9978819
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AT stefanzbyn ultrasonographicassessmentofthenormalfemoralarticularcartilageofthekneejointcomparisonwith3dmri
AT robertoblancosequeiros ultrasonographicassessmentofthenormalfemoralarticularcartilageofthekneejointcomparisonwith3dmri
AT simossaarakkala ultrasonographicassessmentofthenormalfemoralarticularcartilageofthekneejointcomparisonwith3dmri
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