T2 black lesions on routine knee MRI: differential considerations.

Abstract:

:The majority of abnormal findings or lesions on T2-weighted fast spin-echo (FSE) magnetic resonance imaging (MRI) are hyperintense due to increased perfusion or fluid content, such as infections, tumours or synovitis. Hypointense lesions on T2-weighted images (both fat-suppressed and non-fat-suppressed) are less common and can sometimes be overlooked. Such lesions have limited differential diagnostic possibilities, and include vacuum phenomenon, loose body, tenosynovial giant cell tumour, rheumatoid arthritis, haemochromatosis, gout, amyloid, chondrocalcinosis, hydroxyapetite deposition disease, lipoma arborescens, arthrofibrosis and iatrogenic lesions. These lesions often show characteristic appearances and predilections in the knee. In this article, the authors describe the MRI features of hypointense T2 lesions on routine knee MRI and outline a systematic diagnostic approach towards their evaluation. Key Points • Hypointense lesions on T2 images (T2 Dark Lesions) encompass limited diagnostic possibilities. • T2 Dark lesions often show characteristic appearances and predilections in the knee. • A systematic diagnostic approach will help radiologists make the correct diagnosis.

journal_name

Eur Radiol

journal_title

European radiology

authors

Wadhwa V,Cho G,Moore D,Pezeshk P,Coyner K,Chhabra A

doi

10.1007/s00330-015-4027-2

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

2387-99

issue

7

eissn

0938-7994

issn

1432-1084

pii

10.1007/s00330-015-4027-2

journal_volume

26

pub_type

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