From Toshiba America Medical Systems Inc.;
the EXCELART is a superconducting whole body MRI system with a short wide-bore magnet, operating at 1.5 T. It features powerful high-speed gradients with a revolutionary gradient acoustic noise reduction system: Pianissimo. The dramatic reduction of gradient acoustic noise by Pianissimo greatly enhances patient comfort during exams. The standard array platform and a wide range of array coils ensure excellent images. A powerful 64-bit RISC-based computer system and newly developed array processor realize high productivity.

From Toshiba America Medical Systems Inc.; FLEXART™ series is a 0.5 T superconducting MRI system that has been designed to meet the expanding role of MRI in today's clinical environment. The system utilizes innovative technologies such as digital RF, high speed actively shielded gradients and optimized RF coils which support a wide range of MRI developments.

From Esaote S.p.A.; Esaote introduced the new G-SCAN at the RSNA in Dec. 2004. The G-SCAN covers almost all musculoskeletal applications including the spine. The tilting gantry is designed for scanning in weight-bearing positions. This unique MRI scanner is developed in line with the Esaote philosophy of creating high quality MRI systems that are easy to install and that have a low breakeven point.

Knee MRI, with its high soft tissue contrast is one of the main imaging tools to depict knee joint pathology. MRI allows accurate imaging of intra-articular structures such as ligaments, cartilage, menisci, bone marrow, synovium, and adjacent soft tissue.
Knee exams require a dedicated extremity coil, providing a homogenous imaging volume and high SNR to ensure best signal coverage. A complete knee MR examination includes for example sagittal and coronal T1 weighted, and proton density weighted pulse sequences +/- fat saturation, or STIR sequences. For high spatial resolution, maximal 4 mm thick slices with at least an in plane resolution of 0.75 mm and small gap are recommended. To depict the anterior cruciate ligament clearly, the sagittal plane has to be rotated 10 - 20° externally (parallel to the medial border of the femoral condyle). Retropatellar cartilage can bee seen for example in axial T2 weighted gradient echo sequences with Fatsat. However, the choice of the pulse sequences is depended of the diagnostic question, the used scanner, and preference of the operator.
Diagnostic quality in knee imaging is possible with field strengths ranging from 0.2 to 3T. With low field strengths more signal averages must be measured, resulting in increased scan times to provide equivalent quality as high field strengths.
More diagnostic information of meniscal tears and chondral defects can be obtained by direct magnetic resonance arthrography, which is done by introducing a dilute solution of gadolinium in saline (1:1000) into the joint capsule. The knee is then scanned in all three planes using T1W sequences with fat suppression. For indirect arthrography, the contrast is given i.v. and similar scans are started 20 min. after injection and exercise of the knee.
Frequent indications of MRI scans in musculoskeletal knee diseases are:
e.g., meniscal degeneration and tears, ligament injuries, osteochondral fractures, osteochondritis dissecans, avascular bone necrosis and rheumatoid arthritis.

See also Imaging of the Extremities and STIR.

From Toshiba America Medical Systems Inc.;
OPART™ is a 0.35 T superconducting open MR system featuring cryogenless operation. Superconducting speed and performance are combined with the patient access advantages of open MRI design for unmatched clinical versatility. OPART™ features innovative technologies such as digital RF, high speed gradients and optimized RF coils, which support advanced MRI applications.