With BU doubling down on Rashaun Freeman (12 points, 10 rebounds), reserve guards Life and Chris Lowe sparked a 17-6 run from the outside. UMass coach Travis Ford began rotating his guards to negate BU's pressure and hit open jumpers. Stephane Lasme slowed the run with a dunk, but the Terriers responded with six points in the paint to make it 16-4 with 14:29 to play. Hassan converted a turnover into a layup before burying a trey to make it 7-2. The Terriers used tough defense and transition offense during a 16-4 run to start the game. BU was playing its fourth game in seven days. The study by Neumann et al.Despite a suspension to forward Tony Gaffney and season-ending injuries to guards Matt Wolff and Tyler Morris, The Terriers had reversed a five-game losing streak with three straight wins over Harvard, New Hampshire and Maine. In HOAMS, inter-reader agreement for the labral score was moderate (best kappa 0.48), and correlation between the presence of high-grade labral tears and pain approached significance ( P = 0.09). used MR arthrographic images, while HOAMS assesses the labrum based on high-resolution PD-weighted fat-saturated images without arthrogram. Severity of labral damage is also graded 0–3 in a similar fashion. In HOAMS, the labrum is assessed in the following locations: anterior on sagittal slice superolateral/posteromedial on coronal slice and anterior/posterior on axial slice. In Neumann et al.'s method, the hip labrum is divided into four sections (anterior/posterior/medial/lateral) and labral damage is graded 0–3. Imaging of meniscal pathology in the knee Overview While pitfalls do exist for CE-MRI (e.g., discrete enhancement of synovial tissue from CE-MRI can be physiologic and it is unknown if CE-MRI-assessed synovitis can predict the disease progression of OA), CE-MRI would be recommended for comprehensive assessment of synovitis in OA whenever synovitis is the focus of interest as a surrogate outcome measure or as a predictor of subsequent clinical or structural changes.
Overall, studies based on CE-MRI showed associations of synovitis with pain more consistently than those based on non-CE-MRI. CE-MRI-detected synovitis seems to correlate with histology and is more sensitive and more specific than non-CE-MRI. Although there is conflicting evidence, recent studies suggest synovitis may be a source of pain in OA. It may still be used where CE-MRI is unavailable or contraindicated, but one should note that the choice of pulse sequences needs to be appropriate for a meaningful interpretation of results. Non-CE-MRI is currently the most common technique to evaluate synovitis in knee OA clinical studies. Data from ongoing clinical studies are awaited. An important question that remains to be determined is whether ultrasound-detected synovitis in OA predicts those who respond to corticosteroid or hydroxychloroquine therapies. Recent studies have shown a potential for ultrasound to become a powerful tool for synovial assessment in OA of the hand and the knee, including monitoring of disease progression and therapeutic effects, such as assessment of response to corticosteroid and hydroxychloroquine. At present, CE-MRI and ultrasound appear to be the two most useful imaging modalities for evaluation of synovitis in OA.
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