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Haider S, Cabrera A, Thakur U, Xi Y, Chhabra A. Single-Plane 3-Dimensional Isotropic Spin-Echo Magnetic Resonance Imaging Reconstructions of Shoulder Exhibit Superior Correlation to Surgical Findings Than 2-Dimensional Dixon Multiplanar Magnetic Resonance Imaging. J Comput Assist Tomogr 2024; 48:273-282. [PMID: 38013248 DOI: 10.1097/rct.0000000000001556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
OBJECTIVE The aim of the study is to evaluate concordance of multiplanar 2-dimensional magnetic resonance imaging (2D-MRI) versus 3D isotropic MRI for rotator cuff and labral tears with the reference standard of arthroscopic surgical findings. METHODS It was an institutional review board-approved retrospective single-center study of consecutive preoperative patients with isotropic 3D-MRI on 3-Tesla scanners, multiplanar 2D-MRI, and shoulder arthroscopy. Scapular plane-oriented contiguous multiplanar reconstructions of 3D-images were evaluated by 2 experienced fellowship-trained musculoskeletal radiologists. Variables included the following: labral tear presence and rotator-cuff tear Ellman grade, thickness, and width. Sensitivities (Sen) and specificities (Spe) were calculated for binary variables. Mean squared errors (MSE) were calculated for ordinal variables. Lower MSE indicated higher concordance. RESULTS Seventy-two patients (43 female) with a mean age of 50.75 ± 9.76 years were evaluated. For infraspinatus-tear presence, 3D-MRI showed higher sensitivity (0.96) and specificity (0.68) than 2D-MRI (Sen = 0.85, Spe = 0.32) ( Psen = 0.005, Pspe = 0.002). For subscapularis-tear presence, 3D-MRI showed higher sensitivity (0.94) and specificity (0.73) compared with 2D-MRI (Sen = 0.83, Spe = 0.56) ( Psen = 0.02, Pspe = 0.04). For supraspinatus-tear presence, there was no significant difference between 3D-MRI (Sen =0.96, Spe = 0.67) compared with 2D-MRI (Sen = 0.98, Spe = 0.83) ( Psen = 0.43, Pspe = 0.63). For infraspinatus-tear thickness, 3D-MRI showed lower MSE (0.35) compared with 2D-MRI MSE (0.82) ( P = 0.01). For subscapularis-tear thickness, 3D-MRI had lower MSE (0.31) compared with 2D-MRI MSE (0.51) ( P = 0.007). However, no difference noted for supraspinatus-tear thickness when comparing 3D-MRI MSE (0.39) and 2D-MRI MSE (0.51) ( P = 0.49). For labral-tear presence, 3D-MRI had a lower MSE (0.20) compared with 2D-MRI MSE (0.57) ( P < 0.001). CONCLUSIONS Three-dimensional MRI of the shoulder is time efficient with a shorter acquisition time and exhibits comparable with superior correlation to surgical findings than 2D-MRI for detection of labral tears and some rotator cuff tears. Three-dimensional MRI may be used in place of traditional 2D-MRI in detection of soft-tissue shoulder injury in centers equipped to do so.
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Li K, Jhonatan FY, Yu Z, Liu J, Huang L, Yang H, Du J. A new modified MR dual precision positioning of thin-slice oblique sagittal fat suppression proton density weighted imaging: its diagnostic accuracy in anterior cruciate ligament injury. Sci Rep 2024; 13:23109. [PMID: 38172628 PMCID: PMC10764300 DOI: 10.1038/s41598-023-50909-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2021] [Accepted: 12/27/2023] [Indexed: 01/05/2024] Open
Abstract
To evaluate the diagnostic accuracy of a new modified MR dual precision positioning of thin-slice oblique sagittal fat suppression proton density-weighted imaging (DPP-TSO-Sag-FS-PDWI) sequence in detecting ACL injuries and its grades compared to standard sequences using arthroscopy as the standard reference. 42 patients enrolled in this retrospective study received the 1.5-T MRI with standard sequences and the new modified DPP-TSO-Sag-FS-PDWI sequence, and their arthroscopy results was recorded. The Mc Nemer-Bowker and weighted Kappa was performed to compare the consistency of MRI diagnosis with arthroscopic results. Finally, the diagnostic accuracy was calculated based on the true positive, true negative, false negative and false positive values. The diagnostic consistency of the DPP-TSO-Sag-FS-PDWI were higher than standard sequences for both reader 1 (K = 0.876 vs. 0.620) and reader 2 (K = 0.833 vs. 0.683) with good diagnostic repeatability (K = 0.794 vs. 0.598). Furthermore, the DPP-TSO-Sag-FS-PDWI can classify and diagnose three grades of ACL injury [the sensitivity, specificity, accuracy, positive predictive value (PPV) and negative predictive value were more than 84%], especially for grade II injury as the PPV was superior for reader 1 (92.3% vs. 53.9%) and reader 2 (84.6% vs. 69.2%). The new modified DPP-TSO-Sag-FS-PDWI sequence can display the ACL injury on one or continuous levels by maximizing the acquisition of complete ligament shape and true anatomical images, and excluding the influence of anatomical differences between individuals. It can improve the diagnostic accuracy with good repeatability and classify three grades of the ACL injury.
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Affiliation(s)
- Kun Li
- Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou, 215000, China
| | - Felix Young Jhonatan
- Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou, 215000, China
| | - Zhaohui Yu
- Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou, 215000, China
- Department of Orthopedic Surgery, The Affiliated Wuxi People's Hospital of Nanjing Medical University, No. 299 Qingyang Road, Wuxi, 214023, China
| | - Jiachen Liu
- Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou, 215000, China
| | - Lixin Huang
- Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou, 215000, China
| | - Huilin Yang
- Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou, 215000, China
| | - Jun Du
- Department of Orthopedic Magnetic Resonance Chamber, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou, 215000, China.
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Walter SS, Fritz B, Kijowski R, Fritz J. 2D versus 3D MRI of osteoarthritis in clinical practice and research. Skeletal Radiol 2023; 52:2211-2224. [PMID: 36907953 DOI: 10.1007/s00256-023-04309-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 02/14/2023] [Accepted: 02/14/2023] [Indexed: 03/14/2023]
Abstract
Accurately detecting and characterizing articular cartilage defects is critical in assessing patients with osteoarthritis. While radiography is the first-line imaging modality, magnetic resonance imaging (MRI) is the most accurate for the noninvasive assessment of articular cartilage. Multiple semiquantitative grading systems for cartilage lesions in MRI were developed. The Outerbridge and modified Noyes grading systems are commonly used in clinical practice and for research. Other useful grading systems were developed for research, many of which are joint-specific. Both two-dimensional (2D) and three-dimensional (3D) pulse sequences are used to assess cartilage morphology and biochemical composition. MRI techniques for morphological assessment of articular cartilage can be categorized into 2D and 3D FSE/TSE spin-echo and gradient-recalled echo sequences. T2 mapping is most commonly used to qualitatively assess articular cartilage microstructural composition and integrity, extracellular matrix components, and water content. Quantitative techniques may be able to label articular cartilage alterations before morphological defects are visible. Accurate detection and characterization of shallow low-grade partial and small articular cartilage defects are the most challenging for any technique, but where high spatial resolution 3D MRI techniques perform best. This review article provides a practical overview of commonly used 2D and 3D MRI techniques for articular cartilage assessments in osteoarthritis.
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Affiliation(s)
- Sven S Walter
- Department of Radiology, Division of Musculoskeletal Radiology, NYU Grossman School of Medicine, 660 1St Ave, 3rd Floor, Rm 313, New York, NY, 10016, USA
- Department for Diagnostic and Interventional Radiology, Eberhard Karls University Tuebingen, University Hospital Tuebingen, 72076, Tübingen, Germany
| | - Benjamin Fritz
- Department of Radiology, Balgrist University Hospital, Forchstrasse 340, CH-8008, Zurich, Switzerland
- Faculty of Medicine, University of Zurich, Zurich, Switzerland
| | - Richard Kijowski
- New York University Grossman School of Medicine, New York University, New York, NY, 10016, USA
| | - Jan Fritz
- Department of Radiology, Division of Musculoskeletal Radiology, NYU Grossman School of Medicine, 660 1St Ave, 3rd Floor, Rm 313, New York, NY, 10016, USA.
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Rosso F, Rossi R, Faletti R, Cantivalli A, Blonna D, Bonasia DE. Transepicondylar distance measured on MRI can predict the length of the graft required for different anterior cruciate ligament reconstruction (ACLR) techniques useful for revision surgery. J Orthop Traumatol 2022; 23:50. [PMID: 36242704 PMCID: PMC9569264 DOI: 10.1186/s10195-022-00670-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Accepted: 09/24/2022] [Indexed: 12/04/2022] Open
Abstract
Background The aim of this study is to find a correlation between linear measurements and the graft length required for different anterior cruciate ligament (ACL) revision techniques, to extract formulas to predict required graft length during the preoperative planning. Methods At time 0 and 30 days later, two observers measured eight linear distances on standard 2D knee magnetic resonance imaging (MRI), and nine curved distances on 3D MRI sequences, corresponding to different techniques for ACL revision, anatomic anterolateral ligament (ALL) reconstruction, and lateral extrarticular tenodesis (LET). Intra- and interobserver reliability was tested for 2D and 3D measurements. The correlation between 2D and 3D measurements was tested. The 2D measurements with highest repeatability and reproducibility, and with strongest correlation with 3D measurements were used to extract formulas to calculate the graft length from 2D values. Results Fifty MRIs acquired with both 2D and 3D sequences were used. The intra- and interobserver reliability of linear 2D measurement was high, with the transepicondylar distance (TD) showing the highest reproducibility and repeatability. The intra- and interobserver reliability of 3D measurements was lower than 2D, but acceptable for all measurements except for ALL reconstruction. The TD showed the strongest correlation with 3D measurements. The formulas extracted to calculate the graft length from the TD proved to be accurate. Conclusion Accurate formulas were created to calculate the graft length needed for different ACL revision techniques and ALL reconstruction/LET techniques from TD. These formulas can be used during preoperative planning of ACL revision cases.
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Affiliation(s)
- Federica Rosso
- Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Largo Turati 62, 10128, Turin, Italy
| | - Roberto Rossi
- Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Largo Turati 62, 10128, Turin, Italy. .,Università Degli Studi Di Torino, Via Po 8, 10100, Turin, Italy.
| | - Riccardo Faletti
- Department of Radiology, AOU "Città Della Salute e Della Scienza" Hospital, University of Torino, Via Genova 3, 10126, Turin, Italy
| | - Antonino Cantivalli
- Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Largo Turati 62, 10128, Turin, Italy
| | - Davide Blonna
- Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Largo Turati 62, 10128, Turin, Italy
| | - Davide Edoardo Bonasia
- Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Largo Turati 62, 10128, Turin, Italy
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Guimarães JB, Chemin RN, Araujo FF, Link TM, Silva FD, Bitar A, Nico MAC, Filho AGO. Meniscal Root Tears: An Update Focused on Preoperative and Postoperative MRI Findings. AJR Am J Roentgenol 2022; 219:269-278. [PMID: 35293231 DOI: 10.2214/ajr.22.27338] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Meniscal root tears represent radial tears or avulsions of the meniscal cartilage at the tibial attachment site that profoundly affect meniscal biomechanics and kinematics. Meniscal root tears have the functional effect of a total meniscectomy and can lead to rapid degenerative change with development of early knee osteoarthritis (OA). A growing range of arthroscopic surgical techniques have been developed to repair meniscal root tears with the aim of restoring joint kinematics and contact pressures and delaying the development of OA. With increased understanding of the anatomy and biomechanics of the meniscal root, meniscal root injury repair has become the treatment of choice in knees with nonadvanced OA. This article reviews the anatomy and biomechanics of the meniscal roots, clinical and imaging diagnostic criteria of meniscal root tears, correlation between arthroscopy and MRI in the diagnosis and classification of meniscal root tears, and expected and abnormal MRI findings after meniscal root repair. Familiarity with MRI signs and classifications of meniscal root tears, as well as with root repair surgical techniques, can aid radiologists in correctly reporting preoperative and postoperative MRI findings.
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Affiliation(s)
- Júlio B Guimarães
- Department of Musculoskeletal Radiology, Fleury Medicina e Saúde, Sao Paulo, Brazil
- Department of Radiology and Biomedical Imaging, University of California, San Francisco, 185 Berry St, Ste 350, San Francisco, CA 94158
| | - Renan N Chemin
- Department of Musculoskeletal Radiology, Fleury Medicina e Saúde, Sao Paulo, Brazil
| | - Flavia F Araujo
- Department of Musculoskeletal Radiology, Fleury Medicina e Saúde, Sao Paulo, Brazil
| | - Thomas M Link
- Department of Radiology and Biomedical Imaging, University of California, San Francisco, 185 Berry St, Ste 350, San Francisco, CA 94158
| | - Flávio D Silva
- Department of Musculoskeletal Radiology, Fleury Medicina e Saúde, Sao Paulo, Brazil
| | - Alexandre Bitar
- Department of Orthopedic Surgery, Instituto Vita, Sao Paulo, Brazil
| | - Marcelo A C Nico
- Department of Musculoskeletal Radiology, Fleury Medicina e Saúde, Sao Paulo, Brazil
| | - Alípio G O Filho
- Department of Musculoskeletal Radiology, Fleury Medicina e Saúde, Sao Paulo, Brazil
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Rosso F, Rossi R, Cantivalli A, Davico M, Fracassi M, Carnazza G, Bonasia DE. Transepicondylar Distance Can Predict Graft and Tunnel Length for Different Pediatric Anterior Cruciate Ligament Reconstruction Techniques: A Magnetic Resonance Imaging Study. Arthroscopy 2022; 38:1239-1251.e3. [PMID: 34425207 DOI: 10.1016/j.arthro.2021.08.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 06/23/2021] [Accepted: 08/17/2021] [Indexed: 02/02/2023]
Abstract
PURPOSE To find a correlation and mathematical formulas between a linear 2-dimensional (2D) magnetic resonance imaging (MRI) measurement around the knee and the length of the grafts and tunnels required for both all-inside-all-epiphyseal and Kocher-Micheli pediatric anterior cruciate ligament (ACL) reconstruction techniques. METHODS At time 0 and 30 days after, 2 observers measured: (1) on standard 2D knee MRI, 7 linear distances, representing morphologic measurements, such as transepicondylar distance (TD), and (2) on 3-dimensional (3D) MRI, 5 curved distances, corresponding to Kocher-Micheli and all-epiphyseal ACL reconstruction techniques. Intra- and interobserver reliability was tested for all measurements. The correlation between 2D and 3D measurements was tested. The 2D measurement with highest repeatability and reproducibility and with strongest correlation with 3D measurements was used to extract formulas to calculate the tunnel and graft length for the 2 techniques. RESULTS Seventy-six MRIs were used. The intra- and interobserver reliability of 2D measurement was high, with TD showing the highest reproducibility and repeatability. 3D measurements also showed good intra and inter-observer reliability. A linear correlation was found between 2D and 3D measurements, with TD showing the strongest correlation. TD was used to extract formulas to calculate graft or tunnel length for Kocher-Micheli and all-epiphyseal ACL reconstruction. All formulas were proven to be accurate. A reference chart was also created to be used in the surgical setting. CONCLUSIONS With specific formulas, TD can be used to calculate the length of the tunnels, intra-articular portion and graft length for an all-inside all-epiphyseal pediatric ACL reconstruction and the length of the iliotibial band required for the Kocher-Micheli technique. CLINICAL RELEVANCE The surgeon can use these formulas in pediatric ACL reconstruction preoperative planning, graft harvesting and tunnel drilling.
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Affiliation(s)
- Federica Rosso
- AO Ordine Mauriziano Hospital, Department of Orthopaedics and Traumatology, University of Torino, Torino, Italy.
| | - Roberto Rossi
- AO Ordine Mauriziano Hospital, Department of Orthopaedics and Traumatology, University of Torino, Torino, Italy
| | - Antonino Cantivalli
- AO Ordine Mauriziano Hospital, Department of Orthopaedics and Traumatology, University of Torino, Torino, Italy
| | | | | | | | - Davide Edoardo Bonasia
- AO Ordine Mauriziano Hospital, Department of Orthopaedics and Traumatology, University of Torino, Torino, Italy
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Meniscal Root Tears: An Update Focused on Preoperative and Postoperative MRI Findings. AJR Am J Roentgenol 2022. [DOI: 10.2214/ajr.22.27388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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8
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Chagas-Neto FAD. Common peroneal nerve alterations associated with injuries to the posterolateral corner of the knee: how can we contribute? Radiol Bras 2021; 54:VII-VIII. [PMID: 34602674 PMCID: PMC8475172 DOI: 10.1590/0100-3984.2021.54.5e2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Francisco Abaeté das Chagas-Neto
- Associate Researcher, Knee Imaging Research Group, Department of Orthopedic Surgery, University of Missouri Health Care, Columbia, MO, USA; Preceptor of the Musculoskeletal Imaging Sector at Hospital Antonio Prudente and at Clínica Boghos Boyadjian; Preceptor of the Radiology, Rheumatology, Orthopedics and Sports Medicine Services of the Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.
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Chagas-Neto FAD, Alencar LSD, Aquino HLAD, Taneja AK, Magalhães JFGD, Sousa Filho PGTD, Nogueira-Barbosa MH. Is there a good agreement between MRI readers for Thaunat's classification in arthroscopically-proven meniscal ramp lesions? Knee 2021; 28:371-382. [PMID: 33517160 DOI: 10.1016/j.knee.2020.12.029] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 07/22/2020] [Accepted: 12/21/2020] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To describe and evaluate the reproducibility by MRI of an arthroscopically-based classification for meniscal ramp lesions. We hypothesize that MRI would present good interobserver and intraobserver reliability to evaluate meniscal ramp lesions. MATERIALS AND METHODS Twenty MRI of the knee with arthroscopically-proven meniscal ramp lesions were independently assessed by two skilled musculoskeletal radiologists and a third-year radiology resident. Reading was performed in a randomized and anonymous manner, in two steps, with a minimum of 1-month interval between each. Cohen's kappa coefficient statistic was used to analyze intra and interobserver reading agreement. Associate findings were also categorized. RESULTS From 20 subjects, 17 were male, with mean age of 35 years. MRI reading showed type IV ramp lesion as most prevalent with eight cases (37%), followed by type V - four (21%), type I - four (20%), type III - three, (16%) and type II - one (6%). Regarding ramp lesion types, intraobserver agreement was substantial for both skilled readers (Kappa = 0.72), and moderate for the less experienced reader (Kappa = 0.51); interobserver agreement was moderate. Results between most experienced readers were also analyzed in two categories: stable (types I and II) and unstable (types III, IV and V), also resulting in moderate agreement (Kappa = 0.54). Intraobserver agreement was substantial for both readers (Kappa = 0.68). The most common associate findings were joint effusion (85%), posteromedial capsular structures injury (60%), and medial meniscus extrusion (60%). CONCLUSION The arthroscopy classification for meniscal ramp lesions stability adapted for MRI has good reproducibility when applied by trained musculoskeletal radiologists.
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Affiliation(s)
- Francisco Abaeté das Chagas-Neto
- Hospital Antônio Prudente, Fortaleza, Brazil; Clínica Boghos Boyadjian, Fortaleza, Brazil; Centro Universitário Christus, Fortaleza, Brazil
| | | | | | - Atul Kumar Taneja
- Hospital Israelita Albert Einstein, São Paulo, Brazil; Hospital do Coração (HCor) and Teleimagem, São Paulo, Brazil.
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Lee S, Lee GY, Kim S, Park YB, Lee HJ. Clinical utility of fat-suppressed 3-dimensional controlled aliasing in parallel imaging results in higher acceleration sampling perfection with application optimized contrast using different flip angle evolutions MRI of the knee in adults. Br J Radiol 2020; 93:20190725. [PMID: 32516546 DOI: 10.1259/bjr.20190725] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE To compare htree-dimensional CAIPIRINHA SPACE and two-dimensional turbo spin echo (2D TSE) MRI in the diagnosis of knee pathology in symptomatic adult patients. METHODS From February to September in 2018, 120 patients who underwent a knee MRI using both 3D CAIPIRINHA SPACE and 2D TSE MRI were enrolled. The signal-to-noise ratios (SNRs) and contrast-to-noise ratio (CNR) of the 2D and 3D MRI were compared using a paired t-test. Two radiologists independently evaluated both 2D and 3D MRI images using scoring systems for the menisci, ligaments, and cartilage. Intermethod, inter- and intrareader agreements were determined using an intraclass correlation coefficient (ICC). The diagnostic performance of both methods was measured in 44 patients with arthroscopy. RESULTS The mean scan time of 3D CAIPIRINHA SPACE MRI (4' 43") was shorter than that of 2D TSE MRI (17' 27"). The mean SNR and CNR of 3D CAIPIRINHA SPACE was higher than those of 2D TSE MRI (mean difference, 3.97 of SNR and 1.58 of CNR; p < 0.001 and p = .038, respectively). Intermethod (ICC, 0.84-1.0) and inter-reader (ICC, 0.75-0.97), and intra-reader agreements (ICC, 0.87-1.0) were good or excellent. The diagnostic accuracy of 3D CAIPIRINHA SPACE sequence was equal for ligament (95.5%) and better for meniscal and cartilage evaluation (84.1% each), compared to 2D TSE MRI (79.5% each). CONCLUSION The fat-suppressed 3D CAIPIRINHA SPACE MRI maybe useful in clinical practice for the evaluation of the knee in place of the 2D conventional MRI protocol. ADVANCES IN KNOWLEDGE 1. The 3D CAIPIRINHA SPACE MRI of the knee joint may be acceptable to be used in clinical practice showing comparable imaging quality compared to conventional 2D TSE MRI.2. Compared with arthroscopic findings as the gold-standard, the diagnostic performance of 3D CAIPIRINHA SPACE MRI was equal or better for knee joint evaluation than that of 2D TSE MRI, as well as with shorter scan time.
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Affiliation(s)
- Seungho Lee
- Department of the Radiology, Chung-Ang University Hospital, Seoul, Korea
| | - Guen Young Lee
- Department of the Radiology, Chung-Ang University Hospital, Seoul, Korea
| | - Sujin Kim
- Department of the Radiology, Chung-Ang University Hospital, Seoul, Korea
| | - Yong-Beom Park
- Department of the orthopedic Surgery, Chung-Ang University Hospital, Seoul, Korea
| | - Han-Jun Lee
- Department of the orthopedic Surgery, Chung-Ang University Hospital, Seoul, Korea
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Is simultaneous multisection turbo spin echo ready for clinical MRI? A feasibility study on fast imaging of knee lesions. Clin Radiol 2020; 75:238.e21-238.e30. [DOI: 10.1016/j.crad.2019.10.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Accepted: 10/21/2019] [Indexed: 12/11/2022]
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Shakoor D, Guermazi A, Kijowski R, Fritz J, Roemer FW, Jalali‐Farahani S, Demehri S. Cruciate ligament injuries of the knee: A meta‐analysis of the diagnostic performance of 3D MRI. J Magn Reson Imaging 2019; 50:1545-1560. [DOI: 10.1002/jmri.26713] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Revised: 02/25/2019] [Accepted: 02/25/2019] [Indexed: 11/12/2022] Open
Affiliation(s)
- Delaram Shakoor
- Russell H. Morgan Department of Radiology and Radiological SciencesJohns Hopkins University Baltimore Maryland USA
| | - Ali Guermazi
- Quantitative Imaging Center, Department of RadiologyBoston University School of Medicine Boston Massachusetts USA
| | - Richard Kijowski
- Department of RadiologyUniversity of Wisconsin, Clinical Science Center Madison Wisconsin USA
| | - Jan Fritz
- Russell H. Morgan Department of Radiology and Radiological SciencesJohns Hopkins University Baltimore Maryland USA
| | - Frank W. Roemer
- Quantitative Imaging Center, Department of RadiologyBoston University School of Medicine Boston Massachusetts USA
- Department of RadiologyUniversity of Erlangen‐Nuremberg Erlangen Germany
| | - Sahar Jalali‐Farahani
- Russell H. Morgan Department of Radiology and Radiological SciencesJohns Hopkins University Baltimore Maryland USA
| | - Shadpour Demehri
- Russell H. Morgan Department of Radiology and Radiological SciencesJohns Hopkins University Baltimore Maryland USA
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Shakoor D, Kijowski R, Guermazi A, Fritz J, Roemer FW, Jalali-Farahani S, Eng J, Demehri S. Diagnosis of Knee Meniscal Injuries by Using Three-dimensional MRI: A Systematic Review and Meta-Analysis of Diagnostic Performance. Radiology 2019; 290:435-445. [DOI: 10.1148/radiol.2018181212] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Delaram Shakoor
- From the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 601 N Caroline St, JHOC 4240, Baltimore, Md, 21287 (D.S., J.F., S.J.F., J.E., S.D.); Department of Radiology, University of Wisconsin, Clinical Science Center, Madison, Wis (R.K.); Quantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, Mass (A.G., F.W.R.); and Department of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany (F.W.R.)
| | - Richard Kijowski
- From the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 601 N Caroline St, JHOC 4240, Baltimore, Md, 21287 (D.S., J.F., S.J.F., J.E., S.D.); Department of Radiology, University of Wisconsin, Clinical Science Center, Madison, Wis (R.K.); Quantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, Mass (A.G., F.W.R.); and Department of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany (F.W.R.)
| | - Ali Guermazi
- From the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 601 N Caroline St, JHOC 4240, Baltimore, Md, 21287 (D.S., J.F., S.J.F., J.E., S.D.); Department of Radiology, University of Wisconsin, Clinical Science Center, Madison, Wis (R.K.); Quantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, Mass (A.G., F.W.R.); and Department of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany (F.W.R.)
| | - Jan Fritz
- From the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 601 N Caroline St, JHOC 4240, Baltimore, Md, 21287 (D.S., J.F., S.J.F., J.E., S.D.); Department of Radiology, University of Wisconsin, Clinical Science Center, Madison, Wis (R.K.); Quantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, Mass (A.G., F.W.R.); and Department of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany (F.W.R.)
| | - Frank W. Roemer
- From the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 601 N Caroline St, JHOC 4240, Baltimore, Md, 21287 (D.S., J.F., S.J.F., J.E., S.D.); Department of Radiology, University of Wisconsin, Clinical Science Center, Madison, Wis (R.K.); Quantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, Mass (A.G., F.W.R.); and Department of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany (F.W.R.)
| | - Sahar Jalali-Farahani
- From the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 601 N Caroline St, JHOC 4240, Baltimore, Md, 21287 (D.S., J.F., S.J.F., J.E., S.D.); Department of Radiology, University of Wisconsin, Clinical Science Center, Madison, Wis (R.K.); Quantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, Mass (A.G., F.W.R.); and Department of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany (F.W.R.)
| | - John Eng
- From the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 601 N Caroline St, JHOC 4240, Baltimore, Md, 21287 (D.S., J.F., S.J.F., J.E., S.D.); Department of Radiology, University of Wisconsin, Clinical Science Center, Madison, Wis (R.K.); Quantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, Mass (A.G., F.W.R.); and Department of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany (F.W.R.)
| | - Shadpour Demehri
- From the Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 601 N Caroline St, JHOC 4240, Baltimore, Md, 21287 (D.S., J.F., S.J.F., J.E., S.D.); Department of Radiology, University of Wisconsin, Clinical Science Center, Madison, Wis (R.K.); Quantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, Mass (A.G., F.W.R.); and Department of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany (F.W.R.)
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Fritz J, Ahlawat S, Fritz B, Thawait GK, Stern SE, Raithel E, Klyce W, Lee RJ. 10‐Min 3D Turbo Spin Echo MRI of the Knee in Children: Arthroscopy‐Validated Accuracy for the Diagnosis of Internal Derangement. J Magn Reson Imaging 2018; 49:e139-e151. [DOI: 10.1002/jmri.26241] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2018] [Accepted: 06/11/2018] [Indexed: 12/14/2022] Open
Affiliation(s)
- Jan Fritz
- Russell H. Morgan Department of Radiology and Radiological ScienceJohns Hopkins University School of Medicine Baltimore Maryland USA
| | - Shivani Ahlawat
- Russell H. Morgan Department of Radiology and Radiological ScienceJohns Hopkins University School of Medicine Baltimore Maryland USA
| | - Benjamin Fritz
- RadiologyBalgrist University Hospital Zurich Switzerland
- Faculty of MedicineUniversity of Zurich Zurich Switzerland
| | - Gaurav K. Thawait
- Russell H. Morgan Department of Radiology and Radiological ScienceJohns Hopkins University School of Medicine Baltimore Maryland USA
| | - Steven E. Stern
- Bond Business SchoolBond University Gold Coast QLD Australia
| | | | - Walter Klyce
- Department of Orthopaedic SurgeryJohns Hopkins University School of Medicine Baltimore Maryland USA
| | - Rushyuan J. Lee
- Department of Orthopaedic SurgeryJohns Hopkins University School of Medicine Baltimore Maryland USA
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15
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Canella C, Costa F, Danowisk A, de Melo ASA, Marchiori E. Stress fracture and osteomyelitis in a patient with systemic lupus erythematosus. Radiol Bras 2018; 51:277-278. [PMID: 30202140 PMCID: PMC6124598 DOI: 10.1590/0100-3984.2017.0035] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/31/2024] Open
Affiliation(s)
- Clarissa Canella
- Clínica de Diagnóstico Por Imagem (CDPI), Rio de
Janeiro, RJ, e Universidade Federal Fluminense (UFF), Niterói, RJ,
Brazil
| | - Flavia Costa
- Clínica de Diagnóstico Por Imagem (CDPI), Rio de
Janeiro, RJ, Brazil
| | | | | | - Edson Marchiori
- Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ,
Brazil
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16
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Costa FM, Canella C, Vieira FG, Vianna EM, Meohas W, Marchiori E. The usefulness of chemical-shift magnetic resonance imaging for the evaluation of osteoid osteoma. Radiol Bras 2018; 51:156-161. [PMID: 29991836 PMCID: PMC6034728 DOI: 10.1590/0100-3984.2017.0037] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Objective The purpose of this study was to determine whether chemical-shift magnetic
resonance imaging (MRI) could be useful in the diagnosis of osteoid osteoma
when clinical and radiological tumor features are inconclusive. Materials and Methods This retrospective study included 17 patients who underwent chemical-shift
MRI for the evaluation of osteoid osteoma. For all patients, two
musculoskeletal radiologists independently recorded signal intensities on
in-phase and out-of-phase images in the nidus of the tumor, in
abnormal-intensity bone marrow surrounding the lesion, and in
normal-appearing bone marrow. For each region, relative signal intensity
ratios were calculated by dividing out-of-phase by in-phase values. Relative
ratios > 1 were considered indicative of neoplastic lesions. Statistical
analysis was carried out to analyze the sample. Inter-observer and
intra-observer agreement for each imaging method were assessed using
intraclass correlation coefficients according to the Fleiss method and a
value > 0.65 was considered to indicate substantial agreement. Results The mean relative signal intensity ratios were 1.2 (range, 0.9-1.4) for the
nidus and 0.35 (range, 0.11-0.66) for the surrounding tissue; these values
differed significantly from the relative signal-intensity ratios for
normal-appearing bone marrow (p < 0.05). Conclusion Chemical-shift MRI is useful for the diagnosis and evaluation of osteoid
osteoma.
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Affiliation(s)
| | - Clarissa Canella
- MD, PhD, Clínica de Diagnóstico Por Imagem (CDPI), Rio de Janeiro, RJ, and Universidade Federal Fluminense (UFF), Niterói, RJ, Brazil
| | | | | | - Walter Meohas
- MD, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil
| | - Edson Marchiori
- MD, PhD, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil
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17
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Kraus MS, Notohamiprodjo M, Partovi S, Sobieh A, Baur-Melnyk A, Hausdorf J, Grosse U. MR arthrography of the hip: diagnostic performance and image quality of 3D-steady state free precession versus 2D turbo spin echo sequences. Skeletal Radiol 2018; 47:811-819. [PMID: 29330619 DOI: 10.1007/s00256-017-2865-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2017] [Revised: 11/24/2017] [Accepted: 12/27/2017] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To retrospectively compare the diagnostic performance of isotropic 3D steady-state free precession (3D-SSFP) sequences with 2D turbo spin-echo proton density-weighted fat-saturated (2D-TSE-PD fs) images in hip magnetic resonance arthrography; arthroscopy was a standard of reference. METHODS Eighty-one patients with suspected labral tears who underwent hip MR arthrography (3-T scanner) were included. 2D-TSE-PD fs sequences were acquired in three planes and a singular sagittal 3D-SSFP. Labral tears, cartilage pathology and bone marrow were independently assessed by two blinded radiologists using a 5-point Likert scale. Accuracy was determined in 39 patients using invasive arthroscopy. RESULTS Diagnostic confidence of labral and cartilaginous pathologies based on image quality was rated higher for 3D-SSFP (4.5 ± 0.8; 4.35 ± 0.7; p < 0.0001), but inferior for bone marrow pathology (3.9 ± 0.7; 4.0 ± 0.7; p < 0.0001). In the arthroscopy patients, similar sensitivity (85.9%) but higher specificity (74.4vs.42.9%) and higher positive and negative predictive values were found in 3D-SSFP of labral and cartilage pathologies. CONCLUSIONS 3D-SSFP in hip magnetic resonance arthrography offers increased accuracy in detecting labral and cartilage pathologies compared with 2D-TSE-PD, while reducing the acquisition time. A drawback of 3D-SSFP was the inferior diagnostic confidence for bone marrow evaluation; thus, 3D-SSFP should be combined with conventional 2D-TSE sequences.
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Affiliation(s)
- Mareen Sarah Kraus
- Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076, Tuebingen, Germany.
| | - Mike Notohamiprodjo
- Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076, Tuebingen, Germany
| | - Sasan Partovi
- Department of Radiology, University Hospitals Case Medical Center, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA
| | - Ahmed Sobieh
- Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076, Tuebingen, Germany
| | - Andrea Baur-Melnyk
- Department of Clinical Radiology, University Hospital Munich, Marchioninistrasse 15, 81377, Munich, Germany
| | - Joerg Hausdorf
- Department of Orthopedics, University Hospital Munich, Marchioninistrasse 15, 81377, Munich, Germany
| | - Ulrich Grosse
- Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076, Tuebingen, Germany
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18
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Reis LM, Duarte ML, Alvarenga SB, Prado JLMDA, Scoppetta LCD. Sarcoidosis: when the initial manifestations are musculoskeletal symptoms. Radiol Bras 2018; 51:132-133. [PMID: 29743749 PMCID: PMC5935416 DOI: 10.1590/0100-3984.2015.0158] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
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19
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do Nascimento PCX, Amaral AM, de Almeida JRM. Magnetic resonance arthrography of the shoulder: a painful procedure? Radiol Bras 2018; 51:81-86. [PMID: 29743734 PMCID: PMC5935400 DOI: 10.1590/0100-3984.2016.0226] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Objective To compare the pain expected to that effectively caused by magnetic resonance
arthrography of the shoulder and, secondarily, to describe a simplified
approach to the technique for articular access. Materials and Methods We prospectively evaluated 40 participants who used a visual analog scale and
a simplified categorical scale to indicate the level of pain expected and
that experienced after the procedure, comparing the two with the Wilcoxon
matched-pairs test. We also determined gender-related differences in pain
conditions using the Mann-Whitney U test. In addition, we described a
modified technique involving radiographic localization and the use of
standard puncture needles for articular access. Results Analysis of the visual analog scales showed that the pain experienced was
less than had been expected, with median scores of 1.75 and 3.75,
respectively (p < 0.001). The level of pain expected was
higher among women than among men, with median scores of 8.0 and 3.0,
respectively (p = 0.014), as was the level of pain
experienced, with median scores of 3.0 and 1.5, respectively
(p = 0.139). The overall categorical evaluation
corroborated that difference (p = 0.03). Articular access
with the modified technique was successful in all patients. Conclusion Magnetic resonance arthrography of the shoulder is less painful than patients
expect. In addition, digital radiographic guidance combined with the use of
standard puncture needles appears to improve the efficiency of the method.
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Affiliation(s)
| | - André Maltez Amaral
- MD, Radiologist at the Clínica de Assistência à Mulher - CAM, Salvador, BA, Brazil
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Affiliation(s)
- Guinel Hernandez Filho
- MD, Radiologist for the Grupo Musculoesquelético da Teleimagem/HCor, Grupo Alta/DASA, Attending Physician at Santa Casa de São Paulo, São Paulo, SP, Brazil. E-mail:
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21
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de Carvalho AD, Garcia FL, Nogueira-Barbosa MH. Ischiofemoral impingement secondary to valgus intertrochanteric osteotomy: a case report. Radiol Bras 2017; 50:335-337. [PMID: 29085168 PMCID: PMC5656075 DOI: 10.1590/0100-3984.2013.0026] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
We report an unusual case of ischiofemoral impingement secondary to valgus
intertrochanteric osteotomy. The osteotomy was performed for treatment of
epiphysiolysis of the left femoral head.
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Affiliation(s)
- Alice Duarte de Carvalho
- Fellow in Musculoskeletal Radiology, Radiology Division, Department of Clinical Medicine, Ribeirão Preto Medical School, University of São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil
| | - Flávio Luís Garcia
- Associate Professor, Department of Biomechanics, Medicine, and Rehabilitation of the Locomotor System, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Marcello Henrique Nogueira-Barbosa
- Associate Professor, Division of Radiology, Department of Clinical Medicine, Ribeirão Preto Medical School, University of São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil
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22
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Li K, Du J, Huang LX, Ni L, Liu T, Yang HL. The diagnostic accuracy of magnetic resonance imaging for anterior cruciate ligament injury in comparison to arthroscopy: a meta-analysis. Sci Rep 2017; 7:7583. [PMID: 28790406 PMCID: PMC5548790 DOI: 10.1038/s41598-017-08133-4] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 06/30/2017] [Indexed: 12/11/2022] Open
Abstract
We performed this meta-analysis to examine the diagnostic accuracy of MRI for the diagnosis of anterior cruciate ligament (ACL) injury in comparison to arthroscopy. We also compared the diagnostic accuracy of MRI with magnetic field intensities (MFI) greater than or equal to 1.5T with those below 1.5T, in addition to different MRI sequences. Studies relevant to the diagnosis of ACL injury by MRI and arthroscopy were analyzed. Computer and manual retrieval were carried out on studies published between January 1, 2006 and May 31, 2016. Twenty-one papers were included. Neither threshold nor non-threshold effects were present (p = 0.40, p = 0.06). The pooled sensitivity (SE), specificity (SP), positive likelihood ratio (LR+), negative likelihood ratio (LR−) and diagnostic odds ratio (DOR) with 95% confidence interval (CI) were 87% (84–90%), 90% (88–92%), 6.78 (4.87–9.44), 0.16 (0.13–0.20) and 44.70 (32.34–61.79), respectively. The area under the curve (AUC) was 0.93. The risk of publication bias was negligible (p = 0.75). In conclusion, examination by MRI is able to provide appreciable diagnostic performance. However, the principle, which states that the higher the MFI, the better the diagnostic accuracy, could not be verified. Additionally, conventional sequences (CSs) associated with proton density-weighted imaging (PDWI) are only slightly better than CSs alone, but not statistically different.
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Affiliation(s)
- Kun Li
- Department of Orthopedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, 215000, China
| | - Jun Du
- Department of Orthopedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, 215000, China.,Department of Orthopedic Magnetic Resonance Chamber, First Affiliated Hospital of Soochow University, Suzhou, 215000, China
| | - Li-Xin Huang
- Department of Orthopedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, 215000, China
| | - Li Ni
- Department of Orthopedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, 215000, China
| | - Tao Liu
- Department of Orthopedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, 215000, China
| | - Hui-Lin Yang
- Department of Orthopedic Surgery, First Affiliated Hospital of Soochow University, Suzhou, 215000, China.
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23
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de Sá Neto JL, Simão MN, Crema MD, Engel EE, Nogueira-Barbosa MH. Diagnostic performance of magnetic resonance imaging in the assessment of periosteal reactions in bone sarcomas using conventional radiography as the reference. Radiol Bras 2017; 50:176-181. [PMID: 28670029 PMCID: PMC5487232 DOI: 10.1590/0100-3984.2015.0166] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Objective: To evaluate the performance of magnetic resonance imaging (MRI) in detecting
periosteal reactions and to compare MRI and conventional radiography (CR) in
terms of the classification of periosteal reactions. Materials and Methods: Retrospective study of 42 consecutive patients (mean age, 22 years; 20 men)
with a confirmed diagnosis of osteosarcoma or Ewing's sarcoma, MRI and CR
images having been acquired pretreatment. Three blinded radiologists
detected periosteal reactions and evaluated each periosteal reaction subtype
in CR and MRI images: Codman's triangle; laminated; and spiculated. The CR
was used as a benchmark to calculate the diagnostic performance. We used the
kappa coefficient to assess interobserver reproducibility. A two-tailed
Fisher's exact test was used in order to assess contingency between CR and
MRI classifications. Results: In the detection of periosteal reactions, MRI showed high specificity, a high
negative predictive value, and low-to-moderate sensitivity. For CR and for
MRI, the interobserver agreement for periosteal reaction was almost perfect,
whereas, for the classification of different subtypes of periosteal
reaction, it was higher for the Codman's triangle subtype and lower for the
spiculated subtype. There was no significant difference between MRI and CR
in terms of the classifications (p < 0.05). Conclusion: We found no difference between MRI and CR in terms of their ability to
classify periosteal reactions. MRI showed high specificity and almost
perfect interobserver agreement for the detection of periosteal reactions.
The interobserver agreement was variable for the different subtypes of
periosteal reaction.
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Affiliation(s)
- José Luiz de Sá Neto
- MSc, Attending Physician in the Department of Radiology and Diagnostic Imaging at the Celso Pierro Maternity Hospital of the Pontifícia Universidade Católica de Campinas (PUC-Campinas), Campinas, SP, Brazil
| | - Marcelo Novelino Simão
- PhD, Radiologist at the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP), Ribeirão Preto, SP, Brazil
| | - Michel Daoud Crema
- MD, Radiologist, Musculoskeletal Radiology Service, Hôpital Saint-Antoine, Université Paris IV, Paris, France
| | - Edgard Eduard Engel
- PhD, Professor in the Department of Biomechanics, Medicine, and Rehabilitation of the Locomotor System of the Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil
| | - Marcello Henrique Nogueira-Barbosa
- Tenured Associate Professor of Radiology and Diagnostic Imaging in the Radiology Division of the Department of Clinical Medicine at the Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP), Ribeirão Preto, SP, Brazil
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Fernandes ADRC. Are 3D FSE MRI sequences of the knee at 1.5 T effective in the detection of meniscal and ligament tears? How useful are they? Radiol Bras 2016; 49:V-VI. [PMID: 27141144 PMCID: PMC4851472 DOI: 10.1590/0100-3984.2016.49.2e1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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