This 3T study evaluates 46 juvenile osteochondritis dissecans (JOCD) lesions of 41 skeletally immature patients using clinical, morphological MRI and diffusion-weighted MRI (DWI). In this study, apparent diffusion coefficient (ADC) values were able to differentiate between healed and not yet healed JOCD lesions, and distinguish between the operative and nonoperative treatment groups. DWI provides noninvasive, quantitative assessment of disease status which may help inform clinical management of JOCD. Further follow-up studies are needed to evaluate the potential of DWI for the prediction of lesion healing in JOCD patients.
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