Prevalence of AALTF and relevant associated MR findings in persons with and without sinus tarsi pain

Category: Ankle Introduction/Purpose: Sinus tarsi pain is very common, however, etiology of this condition has not been well understood. The purpose of this study was to evaluate differences of MRI findings between persons with and without sinus tarsi pain and to investigate the relationships of sinus tarsi pain and accessory anterolateral talar facet (AALTF). Methods: We reviewed MR images of 120 ankles with sinus tarsi pain in 115 consecutively registered patients. And age- and sex-matched MR images of 120 ankles without pain were also reviewed. We compared the presence of AALTF, calcaneal cyst (CC), bone marrow edema (BME), sinus tarsi fat obliteration (STFO) at the Gissane angle, and coalition between persons with and without sinus tarsi pain. We also compared Gissane angle, talar infero-lateral surface angle (TILSA), and calcaneal cortical thickness (CCT). Of persons with sinus tarsi pain, we compared these parameters between persons with and without AALTF. Results: AALTF was present in 61 ankles (50.8%) with sinus tarsi pain and 34 ankles (28.3%) without sinus tarsi pain (P<0.001). BME (P=0.001) and STFO (P=0.009) were significantly more frequent in persons with sinus tarsi pain. Presences of CC (P=0.108) and coalition (P=0.605) were not different. The Gissane angle was significantly smaller in persons with sinus tarsi pain than in persons without sinus tarsi pain (P<0.001) and TILSA (P=0.032), and CCT (P<0.001) were significantly larger in persons without sinus tarsi pain (Table 1). Of persons with sinus tarsi pain, BME was significantly more frequent in persons with AALTF and TILSA (P=0.032) and CCT were significantly larger in persons with AALTF (Table 2). Conclusion: The MRI findings of patients with sinus tarsi pain showed higher prevalence of AALTF, BME, and STFO. The AALTF may be associated with the MRI findings of talar and calcaneal BME.

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Osteochondral Lesions of the Talus: Change in MRI Findings Over Time in Talar Lesions Without Operative Intervention and Implications for Staging Systems

Foot & Ankle International ◽

10.1177/107110070602700301 ◽

2006 ◽

Vol 27 (3) ◽

pp. 157-166 ◽

Cited By ~ 65

Author(s):

Ilan Elias ◽

Jennifer W. Jung ◽

Steven M. Raikin ◽

Mark W. Schweitzer ◽

John A. Carrino ◽

...

Keyword(s):

Bone Marrow ◽

Bone Marrow Edema ◽

Operative Intervention ◽

Osteochondral Lesions ◽

Mr Images ◽

Mri Findings ◽

Appropriate Treatment ◽

Staging Systems ◽

Mri Characteristics ◽

Marrow Edema

Background: MRI findings are used in several staging systems to help determine appropriate treatment. The purposes of this study were to evaluate longitudinal changes in MRI characteristics of osteochondral lesions of the talus (OLT) and to evaluate published staging systems in a cohort of nonoperatively treated patients. Methods: Twenty-nine patients were identified; MR images were reviewed for location, size, and interface signal of OLT as well as cysts, marrow edema and osteoarthritis. Lesions were classified as unchanged, progressed, or improved based on changes in size or interface signal. Each lesion was assigned a stage based on four different staging systems. Results: Of the 29 lesions, 13 progressed, seven improved, and nine were unchanged over an average followup of 13.7 months. In the 13 that progressed, marrow edema remained present in ten and developed in two. Four had persistent cysts and four developed new cysts. Two had progression of osteoarthritis and two developed it anew. In the seven that improved, six had some degree of marrow edema that persisted and one had a persistent cyst. Initial staging changed for at least one classification system in 16 (55%) of the 29 lesions at followup. Change in stage was primarily due to development (four of 16) or disappearance of cysts or progression of the lesion in the extent of bone marrow edema (five of 16). Conclusions: OLT did not invariably progress over the short-term without operative intervention. Because some cysts and bone marrow edema resolved on MRI, they may not be reliable signs of lesion severity nor show progression of degenerative changes. Since these findings determine the stage and severity of OLT in some staging systems, they may require reconsideration and adjustment of the current staging systems.

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Method for Diagnosing the Bone Marrow Edema of Sacroiliac Joint in Patients with Axial Spondyloarthritis Using Magnetic Resonance Image Analysis Based on Deep Learning

Diagnostics ◽

10.3390/diagnostics11071156 ◽

2021 ◽

Vol 11 (7) ◽

pp. 1156

Author(s):

Kang Hee Lee ◽

Sang Tae Choi ◽

Guen Young Lee ◽

You Jung Ha ◽

Sang-Il Choi

Keyword(s):

Bone Marrow ◽

Deep Learning ◽

Bone Marrow Edema ◽

Axial Spondyloarthritis ◽

Mr Images ◽

Sacroiliac Joints ◽

Learning Network ◽

Active Sacroiliitis ◽

Deep Learning Network ◽

Marrow Edema

Axial spondyloarthritis (axSpA) is a chronic inflammatory disease of the sacroiliac joints. In this study, we develop a method for detecting bone marrow edema by magnetic resonance (MR) imaging of the sacroiliac joints and a deep-learning network. A total of 815 MR images of the sacroiliac joints were obtained from 60 patients diagnosed with axSpA and 19 healthy subjects. Gadolinium-enhanced fat-suppressed T1-weighted oblique coronal images were used for deep learning. Active sacroiliitis was defined as bone marrow edema, and the following processes were performed: setting the region of interest (ROI) and normalizing it to a size suitable for input to a deep-learning network, determining bone marrow edema using a convolutional-neural-network-based deep-learning network for individual MR images, and determining sacroiliac arthritis in subject examinations based on the classification results of individual MR images. About 70% of the patients and normal subjects were randomly selected for the training dataset, and the remaining 30% formed the test dataset. This process was repeated five times to calculate the average classification rate of the five-fold sets. The gradient-weighted class activation mapping method was used to validate the classification results. In the performance analysis of the ResNet18-based classification network for individual MR images, use of the ROI showed excellent detection performance of bone marrow edema with 93.55 ± 2.19% accuracy, 92.87 ± 1.27% recall, and 94.69 ± 3.03% precision. The overall performance was additionally improved using a median filter to reflect the context information. Finally, active sacroiliitis was diagnosed in individual subjects with 96.06 ± 2.83% accuracy, 100% recall, and 94.84 ± 3.73% precision. This is a pilot study to diagnose bone marrow edema by deep learning based on MR images, and the results suggest that MR analysis using deep learning can be a useful complementary means for clinicians to diagnose bone marrow edema.

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Successful conservative management of symptomatic bilateral dorsal patellar defects presenting with cartilage involvement and bone marrow edema: MRI findings

Skeletal Radiology ◽

10.1007/s00256-016-2335-5 ◽

2016 ◽

Vol 45 (5) ◽

pp. 723-727 ◽

Cited By ~ 3

Author(s):

Thomas C. Kwee ◽

Heleen Sonneveld ◽

Maarten Nix

Keyword(s):

Bone Marrow ◽

Conservative Management ◽

Bone Marrow Edema ◽

Mri Findings ◽

Marrow Edema

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MRI Findings in the Subchondral Bone Marrow: A Discussion of Conditions Including Transient Osteoporosis, Transient Bone Marrow Edema Syndrome, SONK, and Shifting Bone Marrow Edema of the Knee

Seminars in Musculoskeletal Radiology ◽

10.1055/s-2006-957171 ◽

2006 ◽

Vol 10 (3) ◽

pp. 177-186 ◽

Cited By ~ 36

Author(s):

Holly Gil ◽

Scott Levine ◽

Adam Zoga

Keyword(s):

Bone Marrow ◽

Subchondral Bone ◽

Bone Marrow Edema ◽

Transient Osteoporosis ◽

Mri Findings ◽

Bone Marrow Edema Syndrome ◽

Transient Bone Marrow Edema ◽

Marrow Edema

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Bone Marrow Edema and Associated Pain in Early Stage Osteonecrosis of the Femoral Head: Prospective Study with Serial MR Images

Radiology ◽

10.1148/radiology.213.3.r99dc06715 ◽

1999 ◽

Vol 213 (3) ◽

pp. 715-722 ◽

Cited By ~ 85

Author(s):

Kyung-Hoi Koo ◽

In-Oak Ahn ◽

Rokho Kim ◽

Hae-Ryong Song ◽

Soon-Taek Jeong ◽

...

Keyword(s):

Bone Marrow ◽

Femoral Head ◽

Prospective Study ◽

Bone Marrow Edema ◽

Early Stage ◽

Mr Images ◽

Marrow Edema

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Accessory Talar Facet Impingement and Sinus Tarsi Pain Associated With Accessory Anterolateral Talar Facet

Foot & Ankle International ◽

10.1177/10711007211002115 ◽

2021 ◽

pp. 107110072110021

Author(s):

Jae Woo Park ◽

JeongJin Park ◽

Chul Hyun Park

Keyword(s):

Bone Marrow Edema ◽

Case Control Study ◽

Case Control ◽

Mri Findings ◽

Level Of Evidence ◽

Sinus Tarsi ◽

Magnetic Resonance Imaging Mri ◽

And Gender ◽

Calcaneal Cyst ◽

Control Study

Background: Sinus tarsi pain caused by accessory talar facet impingement (ATFI) owing to accessory anterolateral talar facet (AALTF) is not well documented. We evaluated prevalence of AALTF and differences of magnetic resonance imaging (MRI) findings between persons with and without sinus tarsi pain, and investigated the relevant association between MRI findings and sinus tarsi pain in persons with AALTF. Methods: We performed a case-control study on 120 ankles with sinus tarsi pain and 120 age- and gender-matched ankles without sinus tarsi pain. As MRI findings, bone marrow edema (BME), sinus tarsi fat obliteration (STFO), calcaneal cyst, talocalcaneal coalition, Gissane angle, talar inferolateral surface (TILS) angle, and calcaneal cortical thickness (CCT) were evaluated. The MRI findings were compared between persons with and without sinus tarsi pain, and between persons with and without AALTF. Among persons with AALTF, MRI findings were compared between those with and without sinus tarsi pain. Relevant association was evaluated between MRI findings and sinus tarsi pain in persons with AALTF. Results: Presence of AALTF, BME, and STFO were significantly higher in the group with sinus tarsi pain. The Gissane angle was significantly smaller, and the TILS angle and CCT were significantly larger in the group with sinus tarsi pain. The BME (OR 7.571, CI 1.453-39.446) and small Gissane angle (OR 0.891, CI 0.804-0.986) were significantly associated with sinus tarsi pain in persons with the AALTF. Conclusion: The study provides evidence for ATFI related to impingement of an AALTF associated with talocalcaneal BME. Level of Evidence: Level III, case-control study.

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