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Zero Echo Time MRI for Osseous Assessment of Sports-Related Pathology in Athletes: A Pictorial Essay Cover

Zero Echo Time MRI for Osseous Assessment of Sports-Related Pathology in Athletes: A Pictorial Essay

Open Access
|Feb 2026

References

  1. Sandberg JK, Young VA, Yuan J, Hargreaves BA, Wishah F, Vasanawala SS. Zero echo time pediatric musculoskeletal magnetic resonance imaging: Initial experience. Pediatr Radiol. 2021;51(13):25492560. 10.1007/s00247-021-05125-5.
  2. Chong LR, Lee K, Sim FY. 3D MRI with CT‑like bone contrast—An overview of current approaches and practical clinical implementation. Eur J Radiol. 2021;143:109915. 10.1016/j.ejrad.2021.109915.
  3. More SS, Zhang X. Ultrashort echo time and zero echo time MRI and their applications at high magnetic fields: A literature survey. Investig Magn Reson Imaging. 2024;28(4):153173. 10.13104/imri.2024.0009.
  4. Teixeira PAG, Kessler H, Morbee L, et al. Mineralized tissue visualization with MRI: Practical insights and recommendations for optimized clinical applications. Diagn Interv Imaging. 2025;106(5):147156. 10.1016/j.diii.2024.11.001.
  5. Aydingoz U, Yildiz AE, Ergen FB. Zero echo time musculoskeletal MRI: Technique, optimization, applications, and pitfalls. Radiographics. 2022;42(5):13981414. 10.1148/rg.220029.
  6. Vuillemin V, Guerini H, Thevenin F, et al. Bone tissue in magnetic resonance imaging: Contribution of new zero echo time sequences. Semin Musculoskelet Radiol. 2023;27(4):411420. 10.1055/s-0043-1770771.
  7. Florkow MC, Willemsen K, Mascarenhas VV, Oei EHG, van Stralen M, Seevinck PR. Magnetic resonance imaging versus computed tomography for three‑dimensional bone imaging of musculoskeletal pathologies: A review. J Magn Reson Imaging. 2022;56(1):1134. 10.1002/jmri.28067.
  8. Lombardi AF, Ma YJ, Jang H, et al. Synthetic CT in musculoskeletal disorders: A systematic review. Invest Radiol. 2023;58(1):4359. 10.1097/RLI.0000000000000916.
  9. Hoenig T, Hollander K, Popp KL, et al. International Delphi consensus on bone stress injuries in athletes. Br J Sports Med. 2025;59(2):7890. 10.1136/bjsports-2024-108616.
  10. Kiuru MJ, Pihlajamaki HK, Ahovuo JA. Bone stress injuries. Acta Radiol. 2004;45(3):317326. 10.1080/02841850410004724.
  11. Baltes TPA, Dalansi F, Al‑Naimi MR, et al. The prevalence, size, and anatomic location of cartilage and osteochondral lesions in athletes with an acute ligamentous ankle injury. Am J Sports Med. 2025;53(9):21732180. 10.1177/03635465251344187.
  12. Flanigan DC, Harris JD, Trinh TQ, Siston RA, Brophy RH. Prevalence of chondral defects in athletes’ knees: A systematic review. Med Sci Sports Exerc. 2010;42(10):17951801. 10.1249/MSS.0b013e3181d9eea0.
  13. van Bergen CJ, van den Ende KI, Ten Brinke B, Eygendaal D. Osteochondritis dissecans of the capitellum in adolescents. World J Orthop. 2016;7(2):102108. 10.5312/wjo.v7.i2.102.
  14. Lombardi AF, Guma M, Chung CB, Chang EY, Du J, Ma YJ. Ultrashort echo time magnetic resonance imaging of the osteochondral junction. NMR Biomed. 2023;36(2):e4843. 10.1002/nbm.4843.
  15. Weir A, Brukner P, Delahunt E, et al. Doha agreement meeting on terminology and definitions in groin pain in athletes. Br J Sports Med. 2015;49(12):76874. 10.1136/bjsports-2015-094869.
  16. Mascarenhas VV, Castro MO, Rego PA, et al. The Lisbon Agreement on femoroacetabular impingement imaging—part 1: Overview. Eur Radiol. 2020;30(10):52815297. 10.1007/s00330-020-06822-9.
  17. Breighner RE, Bogner EA, Lee SC, Koff MF, Potter HG. Evaluation of osseous morphology of the hip using zero echo time magnetic resonance imaging. Am J Sports Med. 2019;47(14):34603468. 10.1177/0363546519878170.
  18. van Ovost A, Hanff DF, Serner A, van Klij P, Agricola R, Weir A. Radiographic assessment of the pubic symphysis in elite male adolescent football players: Development and reliability of the Maturing Adolescent Pubic Symphysis (MAPS) classification. Eur J Radiol. 2023;167:111068. 10.1016/j.ejrad.2023.111068.
  19. Zhang Z, Wang J, Li Y, et al. Bone assessment of the sacroiliac joint in ankylosing spondylitis: Comparison between computed tomography and zero echo time MRI. Eur J Radiol. 2024;181:111743. 10.1016/j.ejrad.2024.111743.
  20. Jans LBO, Chen M, Elewaut D, et al. MRI‑based synthetic CT in the detection of structural lesions in patients with suspected sacroiliitis: Comparison with MRI. Radiology. 2021;298(2):343349. 10.1148/radiol.2020201537.
DOI: https://doi.org/10.5334/jbsr.4198 | Journal eISSN: 2514-8281
Language: English
Submitted on: Dec 23, 2025
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Accepted on: Jan 27, 2026
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Published on: Feb 16, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 David F. Hanff, Filip M. Vanhoenacker, Edwin H.G. Oei, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.