Magnetic resonance imaging of lesions of synovial origin

Murali Sundaram, Michael H. McGuire, James Fletcher, Michael K. Wolverson, Elisabeth Heiberg, John B. Shields

Research output: Contribution to journalArticle

73 Citations (Scopus)

Abstract

Three patients with histologically differing lesions of synovial origin and two with synovial cysts, one of which was a dissecting popliteal cyst, were examined by magnetic resonance imaging (MR) and computerized tomography (CT). The three histologically proven synovial lesions were synovial sarcoma, diffuse giant cell tumor of tendon sheath, and synovial chondromatosis. In two of the five patients MR provided better anatomic and morphologic appreciation than CT, while in the others they were of equal value. CT demonstrated calcification in two of the lesions while on MR calcification could be identified in only one patient where it outlined the mass. MR did not demonstrate calcification in the substance of the diffuse giant cell tumor of tendon sheath. Coronal, transverse, and sagittal images of magnetic resonance graphically demonstrated the extent of the soft tissue masses and their relationship to bone, vessels, and soft tissue structures. Synovial sarcoma had a shorter T1 than diffuse giant cell tumor of tendon sheath (these two lesions being of comparable size) and also had a uniformly longer T2. The dissecting popliteal cyst showed the most intense signals on the T1 weighted images, while the uncomplicated synovial cyst showed a long T1. On the T2 weighted images, each type of cyst showed a long T2. The variance and overlap of intensity of MR signals suggest limited specificity in predicting the histologic nature of the synovial lesion.

Original languageEnglish (US)
Pages (from-to)110-116
Number of pages7
JournalSkeletal Radiology
Volume15
Issue number2
DOIs
StatePublished - Feb 1986
Externally publishedYes

Fingerprint

Magnetic Resonance Imaging
Popliteal Cyst
Synovial Cyst
Synovial Sarcoma
Tomography
Synovial Chondromatosis
Cysts
Magnetic Resonance Spectroscopy
Bone and Bones
Giant Cell Tumor of Tendon Sheath

Keywords

  • Computerized tomography (CT)
  • Magnetic resonance (MR)
  • Overlapping signal intensities
  • Synovial lesions

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

Cite this

Sundaram, M., McGuire, M. H., Fletcher, J., Wolverson, M. K., Heiberg, E., & Shields, J. B. (1986). Magnetic resonance imaging of lesions of synovial origin. Skeletal Radiology, 15(2), 110-116. https://doi.org/10.1007/BF00350203

Magnetic resonance imaging of lesions of synovial origin. / Sundaram, Murali; McGuire, Michael H.; Fletcher, James; Wolverson, Michael K.; Heiberg, Elisabeth; Shields, John B.

In: Skeletal Radiology, Vol. 15, No. 2, 02.1986, p. 110-116.

Research output: Contribution to journalArticle

Sundaram, M, McGuire, MH, Fletcher, J, Wolverson, MK, Heiberg, E & Shields, JB 1986, 'Magnetic resonance imaging of lesions of synovial origin', Skeletal Radiology, vol. 15, no. 2, pp. 110-116. https://doi.org/10.1007/BF00350203
Sundaram M, McGuire MH, Fletcher J, Wolverson MK, Heiberg E, Shields JB. Magnetic resonance imaging of lesions of synovial origin. Skeletal Radiology. 1986 Feb;15(2):110-116. https://doi.org/10.1007/BF00350203
Sundaram, Murali ; McGuire, Michael H. ; Fletcher, James ; Wolverson, Michael K. ; Heiberg, Elisabeth ; Shields, John B. / Magnetic resonance imaging of lesions of synovial origin. In: Skeletal Radiology. 1986 ; Vol. 15, No. 2. pp. 110-116.
@article{f9d2481a5ba9482493901a9d45e8c793,
title = "Magnetic resonance imaging of lesions of synovial origin",
abstract = "Three patients with histologically differing lesions of synovial origin and two with synovial cysts, one of which was a dissecting popliteal cyst, were examined by magnetic resonance imaging (MR) and computerized tomography (CT). The three histologically proven synovial lesions were synovial sarcoma, diffuse giant cell tumor of tendon sheath, and synovial chondromatosis. In two of the five patients MR provided better anatomic and morphologic appreciation than CT, while in the others they were of equal value. CT demonstrated calcification in two of the lesions while on MR calcification could be identified in only one patient where it outlined the mass. MR did not demonstrate calcification in the substance of the diffuse giant cell tumor of tendon sheath. Coronal, transverse, and sagittal images of magnetic resonance graphically demonstrated the extent of the soft tissue masses and their relationship to bone, vessels, and soft tissue structures. Synovial sarcoma had a shorter T1 than diffuse giant cell tumor of tendon sheath (these two lesions being of comparable size) and also had a uniformly longer T2. The dissecting popliteal cyst showed the most intense signals on the T1 weighted images, while the uncomplicated synovial cyst showed a long T1. On the T2 weighted images, each type of cyst showed a long T2. The variance and overlap of intensity of MR signals suggest limited specificity in predicting the histologic nature of the synovial lesion.",
keywords = "Computerized tomography (CT), Magnetic resonance (MR), Overlapping signal intensities, Synovial lesions",
author = "Murali Sundaram and McGuire, {Michael H.} and James Fletcher and Wolverson, {Michael K.} and Elisabeth Heiberg and Shields, {John B.}",
year = "1986",
month = "2",
doi = "10.1007/BF00350203",
language = "English (US)",
volume = "15",
pages = "110--116",
journal = "Skeletal Radiology",
issn = "0364-2348",
publisher = "Springer Verlag",
number = "2",

}

TY - JOUR

T1 - Magnetic resonance imaging of lesions of synovial origin

AU - Sundaram, Murali

AU - McGuire, Michael H.

AU - Fletcher, James

AU - Wolverson, Michael K.

AU - Heiberg, Elisabeth

AU - Shields, John B.

PY - 1986/2

Y1 - 1986/2

N2 - Three patients with histologically differing lesions of synovial origin and two with synovial cysts, one of which was a dissecting popliteal cyst, were examined by magnetic resonance imaging (MR) and computerized tomography (CT). The three histologically proven synovial lesions were synovial sarcoma, diffuse giant cell tumor of tendon sheath, and synovial chondromatosis. In two of the five patients MR provided better anatomic and morphologic appreciation than CT, while in the others they were of equal value. CT demonstrated calcification in two of the lesions while on MR calcification could be identified in only one patient where it outlined the mass. MR did not demonstrate calcification in the substance of the diffuse giant cell tumor of tendon sheath. Coronal, transverse, and sagittal images of magnetic resonance graphically demonstrated the extent of the soft tissue masses and their relationship to bone, vessels, and soft tissue structures. Synovial sarcoma had a shorter T1 than diffuse giant cell tumor of tendon sheath (these two lesions being of comparable size) and also had a uniformly longer T2. The dissecting popliteal cyst showed the most intense signals on the T1 weighted images, while the uncomplicated synovial cyst showed a long T1. On the T2 weighted images, each type of cyst showed a long T2. The variance and overlap of intensity of MR signals suggest limited specificity in predicting the histologic nature of the synovial lesion.

AB - Three patients with histologically differing lesions of synovial origin and two with synovial cysts, one of which was a dissecting popliteal cyst, were examined by magnetic resonance imaging (MR) and computerized tomography (CT). The three histologically proven synovial lesions were synovial sarcoma, diffuse giant cell tumor of tendon sheath, and synovial chondromatosis. In two of the five patients MR provided better anatomic and morphologic appreciation than CT, while in the others they were of equal value. CT demonstrated calcification in two of the lesions while on MR calcification could be identified in only one patient where it outlined the mass. MR did not demonstrate calcification in the substance of the diffuse giant cell tumor of tendon sheath. Coronal, transverse, and sagittal images of magnetic resonance graphically demonstrated the extent of the soft tissue masses and their relationship to bone, vessels, and soft tissue structures. Synovial sarcoma had a shorter T1 than diffuse giant cell tumor of tendon sheath (these two lesions being of comparable size) and also had a uniformly longer T2. The dissecting popliteal cyst showed the most intense signals on the T1 weighted images, while the uncomplicated synovial cyst showed a long T1. On the T2 weighted images, each type of cyst showed a long T2. The variance and overlap of intensity of MR signals suggest limited specificity in predicting the histologic nature of the synovial lesion.

KW - Computerized tomography (CT)

KW - Magnetic resonance (MR)

KW - Overlapping signal intensities

KW - Synovial lesions

UR - http://www.scopus.com/inward/record.url?scp=0022657191&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0022657191&partnerID=8YFLogxK

U2 - 10.1007/BF00350203

DO - 10.1007/BF00350203

M3 - Article

VL - 15

SP - 110

EP - 116

JO - Skeletal Radiology

JF - Skeletal Radiology

SN - 0364-2348

IS - 2

ER -