Advances in quantitative MRI and AI may improve diagnostic accuracy, workflow efficiency, and individualized patient management, although further prospective multicentre studies are needed before routine clinical implementation.
Abstract
Background. Magnetic resonance imaging (MRI) is the reference imaging modality for evaluating sports-related musculoskeletal injuries because of its excellent soft tissue contrast and ability to assess ligaments, tendons, muscles, cartilage, and bone marrow without ionizing radiation.
Aim. To summarize the clinical applications of MRI in the diagnosis and management of sports-related musculoskeletal injuries and discuss emerging developments in quantitative MRI and artificial intelligence (AI).
Material and methods. A narrative review of recent reviews, systematic reviews, meta-analyses, and original studies on MRI in sports medicine was performed.
Results. Conventional MRI remains essential for diagnosing anterior cruciate ligament tears, meniscal injuries, muscle injuries, Achilles tendon disorders, and bone stress injuries, supporting treatment planning and rehabilitation. Quantitative MRI enables assessment of tissue composition and microstructural changes beyond conventional imaging, while AI shows promise in image acquisition, reconstruction, automated analysis, and clinical decision support. However, further validation and protocol standardization are required.
Conclusions. MRI remains central to sports injury evaluation. Advances in quantitative MRI and AI may improve diagnostic accuracy, workflow efficiency, and individualized patient management, although further prospective multicentre studies are needed before routine clinical implementation.
Advances in quantitative MRI and AI may improve diagnostic accuracy, workflow efficiency, and individualized patient management, although further prospective multicentre studies are needed before routine clinical implementation.
MRI provides a detailed evaluation of knee injuries, aiding diagnosis and management, and MRI detection of associated abnormalities helps guide treatment and improve patient outcomes.
Abhishek Mishra, A. Singh· International Journal of Pha...· 0 citations
Despite ongoing challenges related to standardization, acquisition time, multicenter reproducibility, and clinical implementation, quantitative MRI is expected to become an integral component of routine musculoskeletal and neuroimaging practice.
Shubhanshi Rani, Dr. Vijay Kishor Chakravarti, Anjali Raghav et al.· Genetics and Molecular Resea...· 0 citations
Spine degeneration is one of the most common causes of musculoskeletal pain, disability, and decreased quality of life globally. The combination of spine degeneration, osteoporosis, and functional impairment creates diagnostic difficulties that require special attention to be paid to the development of appropriate assessment methods. The present study is devoted to the review of the existing scientific research on the use of quantitative bone imaging and functional physiotherapy tests to diagnose and manage spine degenerative disorders. To this end, peer-reviewed publications and clinical cases were analyzed in order to identify the developments in imaging techniques, bone quality evaluation, functional tests in physiotherapy, and diagnostics. The conclusions show that quantitative imaging modalities, including DEXA, QCT, MRI, and advanced imaging biomarkers, give useful insights into vertebral integrity, bone quality, and structural degeneration. On the other hand, physiotherapy assessments of posture, mobility, muscular strength, balance, gait, pain, and disability supplement imaging findings through evaluation of the clinical impact of structural alterations. Integration of structural and functional assessments increases the diagnostic accuracy, allows for risk stratification, and facilitates the development of a personalized rehabilitation plan. Moreover, modern technologies such as AI, radiomics, wearables, and tele-rehabilitation systems bring new perspectives to precision spine care. Thus, combining quantitative bone imaging and physiotherapy functional assessment can be considered a basis for improvement of early diagnosis, rehabilitation, and treatment of spine degeneration disorders.
Katta Praveen Kumar, Debdeep Karak, Vijay Gujar et al.· Genetics and Molecular Resea...· 0 citations
BACKGROUND
Chronic lateral ankle instability commonly develops following traumatic rupture or pathological laxity of the lateral ankle ligament complex. Although magnetic resonance imaging (MRI) is effective in identifying complete ligament tears, it may be less reliable in detecting functional ligament incompetence due to elongation or laxity.
PURPOSE OF THE STUDY
This study evaluates whether examination under anesthesia (EUA) provides superior diagnostic accuracy compared to MRI in patients with chronic lateral ankle instability.
STUDY DESIGN
A prospective case analysis was performed on 49 symptomatic patients who underwent lateral ligament reconstruction. All patients underwent preoperative MRI and EUA.
METHODS
EUA was conducted under general anaesthesia using image-intensifier-guided anterior drawer and talar tilt stress tests. MRI scans were independently assessed by two experienced musculoskeletal radiologists. MRI findings were compared with both EUA and intraoperative findings.
RESULTS
EUA demonstrated ankle instability in 48 out of 49 patients, with positive anterior drawer and talar tilt tests. When compared with intraoperative findings, MRI demonstrated a sensitivity of 59.2%. In comparison, the EUA showed a sensitivity of 98%. Intraoperative findings included complete ligament rupture in 17 patients (34.7%), ligament laxity in 18 (36.7%), elongated lateral ligament complex in 13 (26.5%), and partial rupture in 1 patient (2.0%).
CONCLUSIONS
EUA, in conjunction with clinical symptoms, appears more reliable than MRI in diagnosing chronic lateral ankle instability and should be considered a key diagnostic tool in its management.
A. Rajeev, S. Krishnan, K. Devalia· Journal of Foot and Ankle Su...· 0 citations