What Role Does PET/MRI Play in Musculoskeletal Disorders?

Telli, Tugce; Desaulniers, Mélanie; Pyka, Thomas; Caobelli, Federico; Forstmann, Sophia; Umutlu, Lale; Fendler, Wolfgang P; Rominger, Axel; Herrmann, Ken; Seifert, Robert (2023). What Role Does PET/MRI Play in Musculoskeletal Disorders? (In Press). Seminars in nuclear medicine Elsevier 10.1053/j.semnuclmed.2023.11.004

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Musculoskeletal disorders of nononcological origin are one of the most frequent reasons for consultation. Patients suffering from musculoskeletal disorders also consult more than once for the same reason. This results in multiple clinical follow-ups after several radiological and serum examinations, the main ones including X-rays targeting the painful anatomical region and inflammatory serum parameters. As part of their work up, patients suffering from musculoskeletal disorders often require multisequence, multi-parameter MRI. PET/MRI is a promising imaging modality for their diagnosis, with the added advantage of being able to be performed in a single visit. PET/MRI is particularly useful for diagnosing osteomyelitis, spondylodiscitis, arthritis, many pediatric pathologies, and a wide range of other musculoskeletal pathologies. PET/MRI is already used to diagnose malignant bone tumors such as osteosarcoma. However, current knowledge of the indications for PET/MRI in nononcological musculoskeletal disorders is based on studies involving only a few patients. This review focuses on the usefulness of PET/MRI for diagnosing nononcological musculoskeletal disorders.

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