Indirect MR arthrography is a relatively new MR technique improving ar
ticular and periarticular contrast. It is achieved by injection of par
amagnetic MR contrast media intravenously instead of intra-articular i
njection as in direct MR arthrography. After the injection exercising
the joint results in considerable signal intensity increase within the
joint cavity. Fat saturated MR sequences then yield arthrographic ima
ges. The method is less invasive than direct MR arthrography and first
results showed comparable sensitivities and specificities for rotator
cuff and glenoid labrum pathology. In this article the technique, est
ablished and potential future indications. drawbacks and limitations o
f the method are reviewed.