ISMRM23 - Imaging of Musculoskeletal Pain

ISMRM & ISMRT Annual Meeting & Exhibition • 03-08 June 2023 • Toronto, ON, Canada

Imaging of Musculoskeletal Pain

Sunrise Course

ORGANIZERS: Margaret Hall-Craggs, Xiaojuan Li

Wednesday, 07 June 2023

715A/B

07:00 - 08:00

Moderators: Gabby Joseph & Stefan Zbyn

Skill Level: Basic to Advanced

Session Number: S-W-04

CME Credit

Session Number: S-W-04

Overview
This session offers an overview of the mechanisms and clinical significance of musculoskeletal (MSK) pain, as well as the current gap in understanding and managing MSK pain. The session will review studies that have identified potential imaging markers for MSK pain, including joint MRI and neural MRI. Future directions and development for imaging MSK pain will be discussed.

Target Audience
Researchers and clinicians who are interested in learning about MSK pain mechanisms and interested in developing better imaging markers of MSK for improving understanding and management of MSK pain.

Educational Objectives
As a result of attending this course, participants should be able to:
- Explain potential MSK pain mechanisms and describe clinical challenges of managing MSK pain;
- Identify joint imaging markers that may correlate with MSK pain and explain the disconnections of structural damages and pain; and
- Identify neural imaging and other pain markers that correlate with MSK pain.

07:00		Joint MRI & Musculoskeletal Pain View Presentation Video C. Kwoh Keywords: Musculoskeletal: Knee, Musculoskeletal: Joints, Cross-organ: Ageing Osteoarthritis is both a disease involving structural damage of joint tissues and an illness, i.e., an individual’s experience of osteoarthritis, with pain being the predominant symptom. MRI has provided evidence that osteoarthritis is a disease of the whole joint manifested by structural damage of joint tissues. The etiology of osteoarthritis pain is complex, however, and multiple methods have been developed to assess pain in osteoarthritis. Evidence of the association of different MRI morphologic features of joint damage and knee pain will be reviewed, starting with a discussion of evidence from cross-sectional studies and continuing with evidence from longitudinal studies.
07:25		Beyond Joints: Psychoradiology & MSK Pain View Presentation Video Qiyong Gong, Nanfang Pan, Yajing Long Keywords: Neuro: Brain Plasticity, Neuro: Brain connectivity, Neuro: Brain function Musculoskeletal (MSK) pain is highly comorbid with psychiatric disorders, including anxiety, depression, substance use disorders, posttraumatic stress disorder etc, and their comorbid conditions play a significant role in greater disability and mortality associated with chronic MSK pain. While psychoradiology allow the identification of various imaging markers in relation to MSK pain, imaging findings suggest that MSK pain may induce dysfunctional brain network associated with pain inhibition and mood regulation, and nociception correlates with disruption of the limbic network and sensorimotor network, and there are shared pathologies for MSK pain and the related psychiatric disorders.
07:50		Panel Discussion