Tags

Type your tag names separated by a space and hit enter

Magnetic resonance imaging in Tietze's syndrome.
Clin Exp Rheumatol 2008 Sep-Oct; 26(5):848-53CE

Abstract

OBJECTIVE

To evaluate the usefulness of magnetic resonance imaging (MRI) in Tietze's syndrome which, to our knowledge, has not previously been reported in the literature.

METHODS

Twelve consecutive outpatients with clinical features of Tietze's syndrome underwent evaluation, including the anamnesis, clinical general examination, clinical evaluation of costosternal and sternoclavicular joints (SCJ) and biochemical and instrumental investigations. Twenty normal subjects age- and sex-matched to the patients' group were examined in a similar manner. MRI of costosternal and SCJ was performed using a 1.5 Tesla unit (Gyroscan NT 1.5 Philips, The Netherlands and GE Signa Excite HD, GE Healthcare, Milwaukee, Wis., USA).

RESULTS

The MRI pattern of primary Tietze's syndrome was characterized as follows: enlargement and thickening of cartilage at the site of complaint (12/12 patients); focal or widespread increased signal intensities of affected cartilage on both TSE T2-weighted and STIR or FAT SAT images (10/12 patients); bone marrow oedema in the subcondral bone (5/12 patients); vivid gadolinium uptake in the areas of thickened cartilage, in the subcondral bone marrow and/or in capsule and ligaments (10/12, 4/12 and 7/12 patients respectively).

CONCLUSION

Magnetic resonance is an excellent technique to evidence both the cartilage and bone abnormalities, therefore it represents the elective method in the investigation of primary Tietze's syndrome, due to its high sensitivity, diagnostic reliability and biological advantages thanks to the lack of ionizing radiation.

Authors+Show Affiliations

Department of Human Pathology and Oncology, Department of Clinical and Immunological Science, University of Siena, Siena, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19032818

Citation

Volterrani, L, et al. "Magnetic Resonance Imaging in Tietze's Syndrome." Clinical and Experimental Rheumatology, vol. 26, no. 5, 2008, pp. 848-53.
Volterrani L, Mazzei MA, Giordano N, et al. Magnetic resonance imaging in Tietze's syndrome. Clin Exp Rheumatol. 2008;26(5):848-53.
Volterrani, L., Mazzei, M. A., Giordano, N., Nuti, R., Galeazzi, M., & Fioravanti, A. (2008). Magnetic resonance imaging in Tietze's syndrome. Clinical and Experimental Rheumatology, 26(5), pp. 848-53.
Volterrani L, et al. Magnetic Resonance Imaging in Tietze's Syndrome. Clin Exp Rheumatol. 2008;26(5):848-53. PubMed PMID: 19032818.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Magnetic resonance imaging in Tietze's syndrome. AU - Volterrani,L, AU - Mazzei,M A, AU - Giordano,N, AU - Nuti,R, AU - Galeazzi,M, AU - Fioravanti,A, PY - 2008/11/27/pubmed PY - 2009/4/9/medline PY - 2008/11/27/entrez SP - 848 EP - 53 JF - Clinical and experimental rheumatology JO - Clin. Exp. Rheumatol. VL - 26 IS - 5 N2 - OBJECTIVE: To evaluate the usefulness of magnetic resonance imaging (MRI) in Tietze's syndrome which, to our knowledge, has not previously been reported in the literature. METHODS: Twelve consecutive outpatients with clinical features of Tietze's syndrome underwent evaluation, including the anamnesis, clinical general examination, clinical evaluation of costosternal and sternoclavicular joints (SCJ) and biochemical and instrumental investigations. Twenty normal subjects age- and sex-matched to the patients' group were examined in a similar manner. MRI of costosternal and SCJ was performed using a 1.5 Tesla unit (Gyroscan NT 1.5 Philips, The Netherlands and GE Signa Excite HD, GE Healthcare, Milwaukee, Wis., USA). RESULTS: The MRI pattern of primary Tietze's syndrome was characterized as follows: enlargement and thickening of cartilage at the site of complaint (12/12 patients); focal or widespread increased signal intensities of affected cartilage on both TSE T2-weighted and STIR or FAT SAT images (10/12 patients); bone marrow oedema in the subcondral bone (5/12 patients); vivid gadolinium uptake in the areas of thickened cartilage, in the subcondral bone marrow and/or in capsule and ligaments (10/12, 4/12 and 7/12 patients respectively). CONCLUSION: Magnetic resonance is an excellent technique to evidence both the cartilage and bone abnormalities, therefore it represents the elective method in the investigation of primary Tietze's syndrome, due to its high sensitivity, diagnostic reliability and biological advantages thanks to the lack of ionizing radiation. SN - 0392-856X UR - https://www.unboundmedicine.com/medline/citation/19032818/Magnetic_resonance_imaging_in_Tietze's_syndrome_ L2 - http://www.clinexprheumatol.org/pubmed/find-pii.asp?pii=19032818 DB - PRIME DP - Unbound Medicine ER -