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Discussion the Value of ADC in Bone Contusions and Bone Marrow Lesions in Osteoarthritis of Knee Joint
Weixin He1, Qi Zeng1, Ziwei Zhang1, Xia Zhu1, Zhaoshu Huang2, Lisha Nie3, and Lingling Song1
1Affiliated Hospital of Guizhou Medical University, Guiyang, China, 2592159673@qq.com, Guiyang, China, 3GE Healthcare, MR Research China, Beijing, China
The ADC value of bone marrow lesions in OA is higher than that in bone contusions, with a statistical difference. ADC value has the potential value to differentiate the two kinds of lesions.
Figure 1 A 24-year-old male suffered multiple injuries caused by traffic accident for more than 3 days. Bone contusions (red arrow) showed striped low signals on T1 sequence (Figure a), while striped high signals on PD-TSE (Figure b-c), DWI (Figure d) and ADC (Figure e). The injury of the medial meniscus (yellow arrow) displayed small patchy high signals on PD-TSE (Figure f). *ADC value of ROI: 794.6 (× 10-6 mm2/S)
Figure 2 A 62-year-old female suffered from pain of the right knee with no obvious causes, accompanied by limited movement for more than 3 years. The bone marrow lesions of OA (red arrow) showed small patchy and irregular low signals on T1 (Figure a), while small patchy high signals on PD-TSE (Figure b-c), DWI (Figure d) and ADC (Figure e). Cystic degeneration of bone marrow lesions (blue arrow) displayed round-like low signals on T1 (Figure a) while round-like high signals on PD-TSE (Figure b-c). *ADC value of ROI: 1,278 (× 10-6 mm2/S)