Society of skeletal radiology position paper – recommendations for contrast use in musculoskeletal MRI: when is non-contrast imaging enough?

Jonathan D. Samet, Hamza Alizai, Majid Chalian, Colleen Costelloe, Swati Deshmukh, Vivek Kalia, Sarah Kamel, Jennifer Ni Mhuircheartaigh, Jimmy Saade, Eric Walker, Daniel Wessell, Laura M. Fayad

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The following White Paper will discuss the appropriateness of gadolinium administration in MRI for musculoskeletal indications. Musculoskeletal radiologists should consider the potential risks involved and practice the judicious use of intravenous contrast, restricting administration to cases where there is demonstrable added value. Specific nuances of when contrast is or is not recommended are discussed in detail and listed in table format. Briefly, contrast is recommended for bone and soft tissue lesions. For infection, contrast is reserved for chronic or complex cases. In rheumatology, contrast is recommended for early detection but not for advanced arthritis. Contrast is not recommended for sports injuries, routine MRI neurography, implants/hardware, or spine imaging, but is helpful in complex and post-operative cases.

Original languageEnglish (US)
Pages (from-to)99-115
Number of pages17
JournalSkeletal Radiology
Issue number1
StateAccepted/In press - 2023

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

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