Hemophilia MRI: Difference between revisions

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==MRI==
==MRI==
'''The additive European MRI scoring system'''<ref name="pmid15230954">{{cite journal |vauthors=Lundin B, Pettersson H, Ljung R |title=A new magnetic resonance imaging scoring method for assessment of haemophilic arthropathy |journal=Haemophilia |volume=10 |issue=4 |pages=383–9 |date=July 2004 |pmid=15230954 |doi=10.1111/j.1365-2516.2004.00902.x |url=}}</ref>
'''The additive European MRI scoring system'''<ref name="pmid15230954">{{cite journal |vauthors=Lundin B, Pettersson H, Ljung R |title=A new magnetic resonance imaging scoring method for assessment of haemophilic arthropathy |journal=Haemophilia |volume=10 |issue=4 |pages=383–9 |date=July 2004 |pmid=15230954 |doi=10.1111/j.1365-2516.2004.00902.x |url=}}</ref>
{| style="border: 0px; font-size: 90%; margin: 3px; width:670px"
{| style="border: 0px; font-size: 90%; margin: 3px; width:680px"
| valign="top" |
| valign="top" |
|+
|+
! style="background: #4479BA; width: 620px;" | {{fontcolor|#FFF|Type of change}}
! style="background: #4479BA; width: 560px;" | {{fontcolor|#FFF|Type of change}}
! style="background: #4479BA; width: 50px;" | {{fontcolor|#FFF|Score}}
! style="background: #4479BA; width: 120px;" | {{fontcolor|#FFF|Score}}
|-
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold |
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold |
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*1
*1
|-
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align="center" |Narrowing of [[joint]] space
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold |Effusion/hemarthrosis
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*Absent = 0
*Absent   = 0
*Joint space > 1 mm = 1
*Equivocal = 1
*Joint space < 1 mm = 2
*Small    = 2
*Moderate  = 3
*Large    = 4
|-
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align="center" |Subchondral [[Cyst|cysts]] formation
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold |Synovial hypertrophy
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*Absent = 0
*Absent   = 0
*1 cyst = 1
*Equivocal = 1
*>1 cyst = 2
*Small    = 2
*Moderate  =  3
*Large    =  4
|-
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align="center" |Erosion of [[joint]] margins
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold |Hemosiderin
| style="padding: 5px 5px; background: #F5F5F5;" |
| style="padding: 5px 5px; background: #F5F5F5;" |
*Absent = 0
*Absent   = 0
*Present = 1
*Equivocal = 1
|-
*Small    = 2
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align="center" |Gross incongruence of articulating [[bone]] ends
*Moderate  = 3
| style="padding: 5px 5px; background: #F5F5F5;" |
*Large    = 4
*Absent = 0
 
*Slight = 1
*Pronounced = 2
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align="center" |[[Joint]] deformity (angulation and/or displacement)
| style="padding: 5px 5px; background: #F5F5F5;" |
*Absent = 0
*Slight = 1
*Pronounced = 2
|-
|-
|}
|}

Revision as of 23:33, 22 January 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sabawoon Mirwais, M.B.B.S, M.D.[2]

Overview

MRI may be helpful in the diagnosis of hemophilia. Findings on MRI suggestive of hemophilic arthropathy include effusion, synovial hyperplasia, erosion, subchondral cyst, cartilage loss, osteonecrosis, fibrocartilage tear, ligament tear, loose body.

MRI

The additive European MRI scoring system[1]

Type of change Score

Subchondral cysts

  • Present in at least one bone
  • Present in at least two bones
  • More than three cysts in at least one bone
  • More than three cysts in at least two bones
  • Largest size > 4 mm in at least one bone
  • Largest size > 4 mm in at least two bones


  • 1
  • 1
  • 1
  • 1
  • 1
  • 1

Irregularity/erosion of subchondral cortex

  • Present in at least one bone
  • Present in at least two bones
  • Involves more than half of joint surface in at least one bone
  • Involves more than half of joint surface in at least two bones


  • 1
  • 1
  • 1
  • 1

Chondral destruction

  • Present in at least one bone
  • Present in at least two bones
  • Full-thickness defect in at least one bone
  • Full-thickness defect in at least two bones
  • Full-thickness defect involves more than one-third of joint surface in at least one bone
  • Full-thickness defect involves more than one-third of joint surface in at least two bones


  • 1
  • 1
  • 1
  • 1
  • 1
  • 1
Effusion/hemarthrosis
  • Absent = 0
  • Equivocal = 1
  • Small = 2
  • Moderate = 3
  • Large = 4
Synovial hypertrophy
  • Absent = 0
  • Equivocal = 1
  • Small = 2
  • Moderate = 3
  • Large = 4
Hemosiderin
  • Absent = 0
  • Equivocal = 1
  • Small = 2
  • Moderate = 3
  • Large = 4

References

  1. ↑ Lundin B, Pettersson H, Ljung R (July 2004). "A new magnetic resonance imaging scoring method for assessment of haemophilic arthropathy". Haemophilia. 10 (4): 383–9. doi:10.1111/j.1365-2516.2004.00902.x. PMID 15230954.

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