Fat-suppressed three-dimensional spoiled gradient-echo MR imaging of hyaline cartilage defects in the knee: comparison with standard MR imaging and arthroscopy.

作者: D G Disler , T R McCauley , C G Kelman , M D Fuchs , L M Ratner

DOI: 10.2214/AJR.167.1.8659356

关键词: Sagittal planeRadiologyThree-Dimensional Spoiled Gradient-Echo MRHyaline substanceHyaline cartilageArthroscopyCartilageMedicineArthropathyMr imaging

摘要: The sensitivity of fat-suppressed three-dimensional spoiled gradient-echo (SPGR) images was compared with that standard MR for detecting hyaline cartilage defects the knee, using arthroscopy as reference.We assessed 114 consecutive patients knee both imaging sequences and a sagittal SPGR sequence. Of these patients, 48 meniscal or ligament injury, persistent symptoms, underwent subsequent arthroscopy. were then retrospectively analyzed articular in blinded fashion by two independent observers. Sensitivity, specificity, intraobserver interobserver agreement determined different techniques.One fourth who went on to shown have isolated lesions clinically confused tears missed ...

参考文章(27)
C G Peterfy, C F van Dijke, D L Janzen, C C Glüer, R Namba, S Majumdar, P Lang, H K Genant, Quantification of articular cartilage in the knee with pulsed saturation transfer subtraction and fat-suppressed MR imaging: optimization and validation. Radiology. ,vol. 192, pp. 485- 491 ,(1994) , 10.1148/RADIOLOGY.192.2.8029420
GLENN C. TERRY, FRED FLANDRY, JOHN W. VAN MANEN, LYLE A. NORWOOD, Isolated chondral fractures of the knee Clinical Orthopaedics and Related Research. pp. 170- 177 ,(1988) , 10.1097/00003086-198809000-00030
Mats Brittberg, Anders Lindahl, Anders Nilsson, Claes Ohlsson, Olle Isaksson, Lars Peterson, Treatment of Deep Cartilage Defects in the Knee with Autologous Chondrocyte Transplantation New England Journal of Medicine. ,vol. 331, pp. 889- 895 ,(1994) , 10.1056/NEJM199410063311401
T. Brent Graham, Judy S. Blebea, Victoria Gylys-Moriu, Murray H. Passo, Magnetic resonance imaging in juvenile rheumatoid arthritis Seminars in Arthritis and Rheumatism. ,vol. 27, pp. 161- 168 ,(1997) , 10.1016/S0049-0172(97)80015-7
Michael S Kramer, Alvan R Feinstein, Clinical biostatistics: LIV. The biostatistics of concordance Clinical Pharmacology and Therapeutics. ,vol. 29, pp. 111- 123 ,(1981) , 10.1038/CLPT.1981.18
Kevin P. Speer, Charles E. Spritzer, J. Leonard Goldner, William E. Garrett, Magnetic resonance imaging of traumatic knee articular cartilage injuries. American Journal of Sports Medicine. ,vol. 19, pp. 396- 402 ,(1991) , 10.1177/036354659101900414
Roy Altman, Kenneth Brandt, Marc Hochberg, Roland Moskowitz, Nicholas Bellamy, Daniel A. Bloch, Joseph Buckwalter, Maxime Dougados, George Ehrlich, Michel Lequesne, Stefan Lohmander, William A. Murphy, Theresa Rosario-Jansen, Benjamin Schwartz, Stephen Trippel, Design and conduct of clinical trials in patients with osteoarthritis : Recommendations from a task force of the Osteoarthritic Research Society Osteoarthritis and Cartilage. ,vol. 4, pp. 217- 243 ,(1996) , 10.1016/S1063-4584(05)80101-3
Siegfried Trattnig, Overuse of hyaline cartilage and imaging European Journal of Radiology. ,vol. 25, pp. 188- 198 ,(1997) , 10.1016/S0720-048X(97)01173-X