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• W2010720003 abstract "SummaryMR imaging abnormalities, such as increasedsignal within normally hypointense structures,form and attachment abnormalities, fluid collec-tions in joints, tendon sheaths and bursa, or eventumors, such as Morton’s neuromas, are commonin asymptomatic volunteers. They may be ex-plained by normal physiology, anatomic variabil-ity, MR imaging artifacts, or true abnormalitieswithout clinical importance. Although it is notalways possible to differentiate such variants orartifacts from clinically relevant findings, it isimportant to know their potential cause andclinical importance and not to over-report themas abnormality requiring additional imaging ortreatment. Thorough knowledge of normal anat-omy is crucial in this situation.References [1] Arena L, Morehouse HT, Safir J. MR imagingartifactsthatsimulatedisease:Howtorecognizeandeliminate them. Radiographics 1995;15:1373–94.[2] Beltran J, Marty-Delfaut E, Bencardino J, Rosen-berg ZS, Steiner G, Aparisi F, et al. Chondrocalci-nosis of the hyaline cartilage of the knee: MRimaging manifestations. Skeletal Radiol 1998;27:369–74.[3] Boden SD, Davis DO, Dina TS, Stoller DW, BrownSD, Vailas JC, et al. A prospective and blindedinvestigation of magnetic resonance imaging of theknee: abnormal findings in asymptomatic subjects.Clin Orthop 1992;201:177–85.[4] Burke BJ, Escobedo EM, Wilson AJ, Hunter JC.Chondrocalcinosis mimicking a meniscal tear onMR imaging. AJR Am J Roentgenol 1998;170:69–70.[5] Cheung YY, Rosenberg ZS, Ramsinghani R,Beltran J, Jahss MH. Peroneus quartus muscle:MR imaging features. Radiology 1997;202:745–50.[6] Cho JM, Suh JS, Na JB, Cho JH, Kim Y, Yoo WK,et al. Variations in meniscofemoral ligaments atanatomical study and MR imaging. Skeletal Radiol1999;28:189–95.[7] Clarke RP. Symptomatic, lateral synovial fringe(plica)oftheelbowjoint.Arthroscopy1988;4:112–6.[8] Czervionke LF, Czervionke JM, Daniels DL,Haughton VM. Characteristic features of MR trun-cation artifacts. AJR Am J Roentgenol 1988;151:1219–28.[9] De Maeseneer M, Van Roy F, Lenchik L,Shahabpour M, Jacobson J, Ryu KN, et al. CTandMR arthrography of the normal and pathologicanterosuperior labrum and labral-bicipital complex.Radiographics 2000;20:S67–81.[10] Deutsch AL, Mink JH, Fox JM, Arnoczky SP,Rothman BJ, Stoller DW, et al. Peripheral meniscaltears: MR findings after conservative treatment orarthroscopic repair. Radiology 1990;176:485–8.[11] Edelson JG, Zuckerman J, Hershkovitz I. Osacromiale: anatomy and surgical implications. JBone Joint Surg Br 1993;75:551–5.[12] Ekstrom JE, Shuman WP, Mack LA. MR imagingofaccessorysoleusmuscle.JComputAssistTomogr1990;14:239–42.[13] Erickson SJ, Cox IH, Hyde JS, Carrera GF, StrandtJA, Estkowski LD. Effect of tendon orientation onMR imaging signal intensity: a manifestation of the‘‘magic angle’’ phenomenon. Radiology 1991;181:389–92.[14] Hauger O, Frank LR, Boutin RD, Lektrakul N,Chung CB, Haghighi P, et al. Characterization ofthe ‘‘red zone’’ of knee meniscus: MR imaging andhistologic correlation. Radiology 2000;217:193–200.[15] Herman LJ, Beltran J. Pitfalls in MR imaging of theknee. Radiology 1988;167:775–81.[16] Hilfiker P, Zanetti M, Debatin JF, McKinnon G,Hodler J. Fast spin-echo inversion-recovery imag-ing versus fast T2-weighted spin-echo imaging inbone marrow abnormalities. Invest Radiol 1995;30:110–4.[17] Kreitner KF, Botchen K, Rude J, Bittinger F,Krummenauer F, Thelen M. Superior labrum andlabral-bicipital complex: MR imaging with patho-logic-anatomic and histologic correlation. AJR AmJ Roentgenol 1998;170:599–605.[18] Kwak SM, Brown RR, Resnick D, Trudell D,Applegate GR, Haghighi P. Anatomy, anatomicvariations, and pathology of the 11- to 3-o’clockposition of the glenoid labrum: findings on MRarthrography and anatomic sections. AJR Am JRoentgenol 1998;171:235–8.[19] Link SC, Erickson SJ, Timins ME. MR imaging ofthe ankle and foot: normal structures and anatomicvariants that may simulate disease. AJR Am JRoentgenol 1993;161:607–12.[20] Lohman M, Kivisaari A, Vehmas T, Kallio P,Malmivaara A, Kivisaari L. MR imaging abnor-malities of foot and ankle in asymptomatic, phy-sically active individuals. Skeletal Radiol 2001;30:61–6.[21] Miller TT, Bucchieri JS, Joshi A, Staron RB,Feldman F. Pseudodefect of the talar dome: ananatomic pitfall of ankle MR imaging. Radiology1997;203:857–8.[22] Muhle C, Ahn JM, Yeh L, Bergman GA, BoutinRD, Schweitzer M, et al. Iliotibial band frictionsyndrome: MR imaging findings in 16 patients andMR arthrographic study of six cadaveric knees.Radiology 1999;212:103–10.[23] Noto AM, Cheung Y, Rosenberg ZS, Norman A,Leeds NE. MR imaging of the ankle: normalvariants. Radiology 1989;170:121–4.[24] Peh WC, Chan JH. The magic angle phenomenonin tendons: effect of varying the MR echo time. Br JRadiol 1998;71:31–6.204 C.W.A. Pfirrmann et al / Magn Reson Imaging Clin N Am 11 (2003) 193–205" @default.
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