Extended reports
Bone scintigraphy in chronic knee pain: comparison with magnetic
resonance imaging
a Departments of
Diagnostic Radiology, b and Physiology, c County Hospital, Helsingborg, Sweden
Spenshult's Hospital for Rheumatic Diseases,
Halmstad, Sweden, d Department of Diagnostic Radiology, University
Hospital, Lund, Sweden
Correspondence to: Dr T Boegård, Department of Diagnostic Radiology, County Hospital, S-251 87 Helsingborg, Sweden.
Accepted for publication 12 August 1998
OBJECTIVE
To compare
increased bone uptake of 99Tcm-MDP and magnetic
resonance (MR) detected subchondral lesions, osteophytes, and cartilage defects in the knee in middle aged people with longstanding knee pain.
METHODSFifty
eight people (aged 41-58 years, mean 50) with chronic knee pain, with
or without radiographic knee osteoarthritis, were examined with bone
scintigraphy. The pattern and the grade of increased bone uptake was
assessed. On the same day, a MR examination on a 1.0 T imager was
performed. The presence and the grade of subchondral lesions,
osteophytes, and cartilage defects were registered.
RESULTSThe 
values
describing the correlation between increased bone uptake and MR
detected subchondral lesions varied between 0.79 and 0.49, and between
increased bone uptake and MR detected osteophytes or cartilage defects
the values were <0.54. The values describing the correlation
between the grade of bone uptake and the grade of the different MR
findings was <0.57.
CONCLUSIONSGood
agreement was found between increased bone uptake and MR detected
subchondral lesion. The agreement between increased bone uptake and
osteophytes or cartilage defects was in general poor as well as the
agreement between the grade of bone uptake and the grade of the MR findings.
© 1999 by Annals of the Rheumatic Diseases
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
-
Felson, D. T., McLaughlin, S., Goggins, J., LaValley, M. P., Gale, M. E., Totterman, S., Li, W., Hill, C., Gale, D.
(2003). Bone Marrow Edema and Its Relation to Progression of Knee Osteoarthritis. ANN INTERN MED
139: 330-336
[Abstract] [Full Text] -
Felson, D. T., Chaisson, C. E., Hill, C. L., Totterman, S. M.S., Gale, M. E., Skinner, K. M., Kazis, L., Gale, D. R.
(2001). The Association of Bone Marrow Lesions with Pain in Knee Osteoarthritis. ANN INTERN MED
134: 541-549
[Abstract] [Full Text] -
Bollet, A. J.
(2001). Edema of the Bone Marrow Can Cause Pain in Osteoarthritis and Other Diseases of Bone and Joints. ANN INTERN MED
134: 591-593
[Full Text] -
Sakai, T, Sugano, N, Nishii, T, Haraguchi, K, Yoshikawa, H, Ohzono, K
(2001). Bone scintigraphy for osteonecrosis of the knee in patients with non-traumatic osteonecrosis of the femoral head: comparison with magnetic resonance imaging. Ann Rheum Dis
60: 14-20
[Abstract] [Full Text]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
-
Pain (neurology)
-
Degenerative joint disease
-
Musculoskeletal syndromes
-
Clinical diagnostic tests
-
Radiology (diagnostics)
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
