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To evaluate the coexistent presence of (teno)synovial enhancement, joint fluid, bony depressions and medullary changes suggestive of bone marrow edema.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Materials and methods<\/jats:title>\n<jats:p>We included 20 children (15 girls; age range: 7.5\u201317.6\u00a0years) who underwent contrast-enhanced MRI of the wrist, based on initial clinical indication, and eventually turned out to be unaffected by arthritic or orthopedic disorders. Various imaging characteristics of the synovium, tenosynovium, joint fluid, bone tissue and bone marrow were evaluated using existing MRI scoring systems.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>In 3\/20 (15%) children, mild or moderate-severe synovial enhancement was observed and 2\/20 (10%) children showed mild tenosynovial enhancement\/thickening. Joint fluid (11\/20 children; 55%), bony depressions (20\/20 children; 100%) and medullary changes suggestive of bone marrow edema (6\/20; 30%) were found in a substantial percentage of children. The most frequently observed combination of coexisting imaging characteristics was bony depressions with \u22652\u00a0mm joint fluid, which was found in 7\/20 (35%) children. Simultaneous presence of synovial and tenosynovial enhancement\/thickening, bony depressions and medullary changes suggestive of bone marrow edema was observed in one child.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Several juvenile idiopathic arthritis-relevant MRI characteristics can be observed in the clinically non-inflamed symptomatic pediatric wrist.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00247-020-04739-5","type":"journal-article","created":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T13:03:52Z","timestamp":1594645432000},"page":"1387-1396","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Exploring contrast-enhanced MRI findings of the clinically non-inflamed symptomatic pediatric wrist"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4544-1235","authenticated-orcid":false,"given":"Floris","family":"Verkuil","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. 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