MRI Signal Intensity–based Approach to Synovial Masses

Abstract

HomeRadioGraphicsVol. 43, No. 5 PreviousNext Musculoskeletal ImagingRadioGraphics FundamentalsMRI Signal Intensity–based Approach to Synovial MassesAllison Khoo , Julie Steinberg, Jonathan Baker, Kelby NapierAllison Khoo , Julie Steinberg, Jonathan Baker, Kelby NapierAuthor AffiliationsFrom the Mallinckrodt Institute of Radiology, Washington University School of Medicine, 1 Barnes Jewish Hospital Plaza, St Louis, MO 63110.Address correspondence to A.K. (email: [email protected]).Allison Khoo Julie SteinbergJonathan BakerKelby NapierPublished Online:Apr 13 2023https://doi.org/10.1148/rg.220081MoreSectionsFull textPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In AbstractBy using an MRI signal intensity–based algorithmic approach to synovial masses, radiologists can narrow the broad differential diagnosis, which includes synovial proliferative pathologic features, inflammatory and infectious arthritis and synovitis, deposition disease, trauma, vascular malformation, and rarely malignancy.Suggested Readings1. Crotty JM, Monu JU, Pope TL Jr. Synovial osteochondromatosis. Radiol Clin North Am 1996;34(2):327–342,xi. Crossref, Medline, Google Scholar2. Dhanda S, Quek ST, Bathla G, Jagmohan P. Intra-articular and peri-articular tumours and tumour mimics: what a clinician and onco-imaging radiologist should know. Malays J Med Sci 2014;21(2):4–19. Medline, Google Scholar3. Goldman AB, DiCarlo EF. Pigmented villonodular synovitis: diagnosis and differential diagnosis. Radiol Clin North Am 1988;26(6):1327–1347. Crossref, Medline, Google Scholar4. Huang GS, Lee CH, Chan WP, Chen CY, Yu JS, Resnick D. Localized Nodular Synovitis of the Knee: MR Imaging Appearance and Clinical Correlates in 21 Patients. AJR Am J Roentgenol 2003;181(2):539–543. Crossref, Medline, Google Scholar5. Kim HK, Zbojniewicz AM, Merrow AC, Cheon JE, Kim IO, Emery KH. MR findings of synovial disease in children and young adults: Part 1. Pediatr Radiol 2011;41(4):495–511; quiz 545–546. Crossref, Medline, Google Scholar6. Llauger J, Palmer J, Rosón N, Bagué S, Camins A, Cremades R. Nonseptic monoarthritis: imaging features with clinical and histopathologic correlation. RadioGraphics 2000;20(Spec No):S263–S278. Link, Google Scholar7. Mattila KA, Aronniemi J, Salminen P, Rintala RJ, Kyrklund K. Intra-articular venous malformation of the knee in children: magnetic resonance imaging findings and significance of synovial involvement. Pediatr Radiol 2020;50(4):509–515. Crossref, Medline, Google Scholar8. Murphey MD, Vidal JA, Fanburg-Smith JC, Gajewski DA. Imaging of synovial chondromatosis with radiologic-pathologic correlation. RadioGraphics 2007;27(5):1465–1488. Link, Google Scholar9. Mutch JAJ, Doyon J, Mottard S. Intra-Articular Metastasis of Lung Carcinoma Presenting as Pigmented Villonodular Synovitis of the Knee: A Case Report. JBJS Case Connect 2013;3(2 Suppl 2):e41. Crossref, Medline, Google Scholar10. Narváez JA, Narváez J, Ortega R, De Lama E, Roca Y, Vidal N. Hypointense synovial lesions on T2-weighted images: differential diagnosis with pathologic correlation. AJR Am J Roentgenol 2003;181(3):761–769. Crossref, Medline, Google Scholar11. Narváez JA, Narváez J, De Lama E, De Albert M. MR imaging of early rheumatoid arthritis. RadioGraphics 2010;30(1):143–163; discussion 163–165. Link, Google Scholar12. Sheldon PJ, Forrester DM, Learch TJ. Imaging of intraarticular masses. RadioGraphics 2005;25(1):105–119. Link, Google Scholar13. Varma DGK, Richli WR, Charnsangavej C, Samuels BI, Kim EE, Wallace S. MR appearance of the distended iliopsoas bursa. AJR Am J Roentgenol 1991;156(5):1025–1028. Crossref, Medline, Google ScholarArticle HistoryReceived: Apr 10 2022Revision requested: May 16 2022Revision received: May 29 2022Accepted: June 8 2022Published online: Apr 13 2023 FiguresReferencesRelatedDetailsAccompanying This ArticleMRI Signal Intensity–based Approach to Synovial MassesApr 13 2023Default Digital Object SeriesRecommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 43, No. 5 Slide PresentationMetrics Altmetric Score PDF download