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Dr. McCauley is Associate Professor of Diagnostic Radiology and Chief of MRI, Yale University School of Medicine, New Haven, Conn. Dr. Disler is Associate Clinical Professor of Radiology, Virginia Commonwealth University, Richmond, and is in private practice with Commonwealth Radiology, Richmond.
Reprint requests: Dr. McCauley, Diagnostic Radiology, Yale University School of Medicine, Box 208042, 333 Cedar Street, New Haven, CT 06520-8042.
Recently developed magnetic resonance (MR) imaging techniques allow accurate detection of moderate- and high-grade articular cartilage defects. There has been increased interest in MR imaging of articular cartilage in part because it is useful in identifying patients who may benefit from new articular cartilage replacement therapies, including chondrocyte transplantation, improved techniques for osteochondral transplantation, chondroprotective agents, and cartilage growth stimulation factors. The modality also has the potential to play an important role in the follow-up of patients during and after treatment. Detection of articular cartilage defects is beneficial for patients undergoing arthroscopy for other injuries, such as meniscal tears, because the presence of articular cartilage injury worsens prognosis and may modify therapy options.
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