[T2 mapping for articular cartilage assessment]

Alfie V, Ciapponi A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A.
Record ID 32018001462
Original Title: Cartograma T2 en la evaluación del cartílago articular
Authors' recomendations: CONCLUSIONS No evidence on clinical results was found from patients recieiving T2 mapping guided treatments compared with patients following standard treatments. Although the information this technology provides might be useful for initial articular cartilage lesions, there is no clinical evidence supporting its use in routine practice. Moderate-quality evidence suggests that T2 mapping as a quantitative diagnostic method presents adequate reliability and discrimination in knee and hip chondral lesions secondary to trauma or of degenerative origin. The method would have good sensitivity and specificity compared with arthroscopic findings in both locations, however at knee level, mapping diagnostic accuracy has not proven to be better than conventional magnetic resonance imaging. Moderate-quality evidence suggests that in patients who underwent knee osteochondral lesion surgeries, postoperative T2 mapping does not show an adequate correlation with clinical results. Low-quality evidence, suggests that in the wrist and ankle, T2 mapping would allow discrimination between areas with changes secondary to cartilage damage and healthy areas. The clinical practice guidelines consulted do no mention its use neither as diagnostic method nor for postoperative monitoring of articular cartilage lesions. The health sponsors surveyed do no cover this technology for these indications. In Argentina, the cost-effectiveness of this diagnostic method is unknown.
Project Status: Completed
Year Published: 2018
URL for published report: https://www.iecs.org.ar/home-ets/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Cartilage Diseases
  • Cartilage, Articular
  • Osteoarthritis
  • Magnetic Resonance Imaging
  • Imaging, Three-Dimensional
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.