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Imaging of Patellofemoral Joint Osteoarthritis

227

resolution. The result of the sequences is to

acquire one plane and then, like with a scan,

create reconstructions in other planes. To

create high-quality multiplanar reconstruc­

tions, MRI sequences must be as isotropic as

possible.

Comparison of the cartilage signal

based on sequences used [10, 24, 28]

(fig. 2)

As a result, several analyses can be

used to study the cartilage

- Morphological analysis, which can be

compared to Outerbridge [22] and Inter­

national Cartilage Repair Society (ICRS)

arthroscopic classifications,

- Volume analysis,

- More recent “biochemical” analysis.

Morphological analysis

(fig. 3, 4, 5)

Exams with injections: arthro CT-scan (fig. 6a

and b).

MRI Arthrography (fig. 7 a,b): although the

intra-articular injection may sometimes make it

easier to grade the chondral anomalies, it makes

the exam more invasive.

Fig. 2: Source : Chomel S MD Imaging Cartilage of the knee, EPU January 2012 Lyon.

Fig. 3: ICRS Grade 2