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.

Quick Overview
Please note that there are different common names for this artifact.

Machine imperfection-based artifacts manifest themselves due to the fact that the odd k-space lines are acquired in a different direction than the even k-space lines. Slight differences in timing result in shifts of the echo in the acquisition window. By the shift theorem, such shifts in the time domain data then produce linear phase differences in the frequency domain data.
Without correction, such phase differences in every second line produce striped ghosts with a shift of half the field of view, so-called Nyquist ghosts. Shifts in the applied magnetic field can also produce similar (but constant in amplitude) ghosts.
This artifact is commonly seen in an EPI image and can arise from both, hardware and sample imperfections.
A further source of machine-based artifact arises from the need to acquire the signal as quickly as possible. For this reason the EPI signal is often acquired during times when the gradients are being switched. Such sampling effectively means that the k-space sampling is not uniform, resulting in ringing artifacts in the image.

Such artifacts can be minimized by careful setup of the spectrometer and/or correction of the data. For this reasons reference data are often collected, either as a separate scan or embedded in the imaging data. The non-uniform sampling can be removed by knowing the form of the gradient switching. It is possible to regrid the data onto a uniform k-space grid.

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A gradient system, which changes the readout gradient sinusoidally by connecting a capacitor to the self inductance generated by the gradient coil. Oscillating gradient systems were initially used in the development of EPI.
This electrical oscillating circuit can be driven with minimal power to generate the gradient amplitudes and switching frequencies required for echo planar imaging (EPI).
Disadvantages are that it is not possible to use any arbitrary trapezoidal gradient wave form as can be used in standard MRI. Also, the gradients are inflexible and cannot be used to create other ultrafast sequences and beside, nonlinear sampling of the MR signal is required.

Quick Overview

Artifacts either by distorting the k-space trajectory (i.e. due to imperfect shimming) or as a consequence of the reduced bandwidth in the phase encode direction, commonly with EPI sequences.
While a standard spin warp-based sequence has an infinitely large bandwidth in the phase encode direction (about 1 or 2 kH), the bandwidth in EPI is related to the time between the gradient echoes (about a millisecond).
Hence even small frequency offsets can result in significant shifts of the signal in the phase encoding direction. Segmentation can introduce ghosting if there are significant difference in the amplitude and phase of the signal. This can be a particular problem when trying to acquire the segments in rapid succession.

Suitable choices of excitation schemes and/or subsequent correction can help to reduce this artifact. The signal from fat can easily be offset by a large fraction of the FOV, and must be suppressed. The effect of frequency offsets can be reduced by collecting data with more than one excitation, which effectively increases the bandwidth in the phase encoding direction.