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01.02.2012 | Scientific Article

Evaluation of the menisci of the knee joint using three-dimensional isotropic resolution fast spin-echo imaging: diagnostic performance in 250 patients with surgical correlation

verfasst von: Richard Kijowski, Kirkland W. Davis, Donna G. Blankenbaker, Michael A. Woods, Alejandro Munoz Del Rio, Arthur A. De Smet

Erschienen in: Skeletal Radiology | Ausgabe 2/2012

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Abstract

Objective

To compare the diagnostic performance of FSE-Cube, a three-dimensional isotropic resolution intermediate-weighted fast spin-echo sequence, with a routine magnetic resonance (MR) protocol at 3.0 T for detecting surgically confirmed meniscal tears of the knee joint in a large patient population.

Methods

FSE-Cube was added to a routine MR protocol performed at 3.0 T on 250 patients who underwent subsequent knee arthroscopy. Three radiologists independently used FSE-Cube during one review and the routine MR protocol during a second review to detect medial and lateral meniscal tears. Using arthroscopy as the reference standard, the sensitivity and specificity of FSE-Cube and the routine MR protocol for detecting meniscal tears were determined for all readers combined. McNemar’s tests were used to compare diagnostic performance between FSE-Cube and the routine MR protocol.

Results

FSE-Cube and the routine MR protocol had similar sensitivity (95.5%/95.3% respectively, P = 0.94) and similar specificity (69.8%/74.0% respectively, P = 0.10) for detecting 156 medial meniscal tears. FSE-Cube had significantly lower sensitivity than the routine MR protocol (79.4%/85.0% respectively, P < 0.05) but similar specificity (83.9%/82.2% respectively, P = 0.37) for detecting 89 lateral mensical tears. For lateral meniscal tears, FSE-Cube had significantly lower sensitivity (P < 0.05) than the routine MR protocol for detecting 19 root tears but similar sensitivity (P = 0.17–1.00) for detecting all other tear locations and types.

Conclusion

FSE-Cube had diagnostic performance similar to a routine MR protocol for detecting meniscal tears except for a significantly lower sensitivity for detecting lateral meniscal tears, which was mainly attributed to decreased ability to identify lateral meniscus root tears.

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Titel: Evaluation of the menisci of the knee joint using three-dimensional isotropic resolution fast spin-echo imaging: diagnostic performance in 250 patients with surgical correlation
verfasst von: Richard Kijowski
Kirkland W. Davis
Donna G. Blankenbaker
Michael A. Woods
Alejandro Munoz Del Rio
Arthur A. De Smet
Publikationsdatum: 01.02.2012
Verlag: Springer-Verlag
Erschienen in: Skeletal Radiology / Ausgabe 2/2012
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-011-1140-4

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Evaluation of the menisci of the knee joint using three-dimensional isotropic resolution fast spin-echo imaging: diagnostic performance in 250 patients with surgical correlation