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膝关节无脂肪抑制的三维快速自旋回波成像：与1.5T磁共振成像上脂肪抑制成像的诊断准确性比较

Three-Dimensional Fast Spin-Echo Imaging without Fat Suppression of the Knee: Diagnostic Accuracy Comparison to Fat-Suppressed Imaging on 1.5T MRI.

作者信息

Cho Hee Woo, Suh Jin Suck, Park Jin Oh, Kim Hyoung Sik, Chung Soo Yoon, Lee Young Han, Hahn Seok

机构信息

Department of Radiology, Research Institute of Radiological Science, YUHS-KRIBB Medical Convergence Research Institute, and Severance Biomedical Science Institute, Yonsei University College of Medicine, Seoul, Korea.

Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Yonsei Med J. 2017 Nov;58(6):1186-1194. doi: 10.3349/ymj.2017.58.6.1186.

DOI:10.3349/ymj.2017.58.6.1186
PMID:29047243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5653484/
Abstract

PURPOSE

To evaluate the diagnostic performance of three-dimensional fast spin-echo (3D FSE-Cube) without fat suppression (NFS) for detecting knee lesions, using comparison to 3D FSE-Cube with fat suppression (FS).

MATERIALS AND METHODS

One hundred twenty-four patients who underwent 1.5T knee magnetic resonance imaging (MRI) scans and 25 subsequent arthroscopic surgeries were retrospectively reviewed. Using arthroscopic results and two-dimensional images as reference standards, diagnostic performances of 3D FSE-Cube-NFS and FS imaging about lesions of ligament, meniscus, subchondral bone marrow edema (BME), and cartilage were compared. Scan parameters of 3D FSE-Cube imaging were previously optimized by a porcine knee phantom.

RESULTS

No significant differences were observed between detection rates of NFS and FS imaging for detecting lesions of meniscus and cartilage (p>0.05). However, NFS imaging had lower sensitivity for detection of medial collateral ligament (MCL) tears, and lower sensitivity and specificity for detection of BME lesions, compared to FS imaging (p<0.05).

CONCLUSION

3D FSE-Cube-NFS imaging showed similar diagnostic performance for detecting lesions of meniscus or cartilage compared to FS imaging, unlike MCL or BME lesions.

摘要

目的

通过与三维快速自旋回波脂肪抑制序列（3D FSE-Cube-FS）对比，评估三维快速自旋回波序列（3D FSE-Cube）非脂肪抑制（NFS）技术检测膝关节病变的诊断效能。

材料与方法

回顾性分析124例行1.5T膝关节磁共振成像（MRI）检查并随后接受25例关节镜手术患者的资料。以关节镜检查结果及二维图像作为参考标准，比较3D FSE-Cube-NFS和FS成像对韧带、半月板、软骨下骨髓水肿（BME）及软骨病变的诊断效能。3D FSE-Cube成像扫描参数先前已通过猪膝关节模型进行优化。

结果

NFS和FS成像对半月板及软骨病变的检出率差异无统计学意义（p>0.05）。然而，与FS成像相比，NFS成像对内侧副韧带（MCL）撕裂的检出敏感性较低，对BME病变的检出敏感性和特异性均较低（p<0.05）。

结论

与FS成像相比，3D FSE-Cube-NFS成像对半月板或软骨病变的诊断效能相似，但对MCL或BME病变的诊断效能不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/2ceb173dc8f7/ymj-58-1186-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/c81d269d357e/ymj-58-1186-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/f24cd6a6d77c/ymj-58-1186-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/2189ca25bab8/ymj-58-1186-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/8e7d3d4fa4e4/ymj-58-1186-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/2eede30d664e/ymj-58-1186-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/2ceb173dc8f7/ymj-58-1186-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/c81d269d357e/ymj-58-1186-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/f24cd6a6d77c/ymj-58-1186-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/2189ca25bab8/ymj-58-1186-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/8e7d3d4fa4e4/ymj-58-1186-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/2eede30d664e/ymj-58-1186-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e20b/5653484/2ceb173dc8f7/ymj-58-1186-g006.jpg

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Clinical value of fat-suppressed 3D volume isotropic spin-echo (VISTA) sequence compared to 2D sequence in evaluating internal structures of the knee.在评估膝关节内部结构方面，脂肪抑制三维容积各向同性自旋回波（VISTA）序列与二维序列相比的临床价值。
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