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Demonstration of Knee Hyaline Cartilage with 3d_Watsc/T1a Ge Technique, Comparison with Standart MRI, Correlation with Arthroscopy

Year 2018, Volume: 8 Issue: 2, 103 - 111, 15.06.2018

Abstract

Objective: The primary aim of this prospective study was to compare fat-suppressed three-dimensional water selective cartilage scan (3D_ WATSc) magnetic resonance (MR) imaging with standard MR imaging for the detection of defects in the hyaline cartilage of the knee, using arthroscopy as the reference standard.
Methods: Overall, 40 patients who were referred for knee MRI by orthopedic surgeons before arthroscopy were included in the study. Chondromalacia was diagnosed in 19 patients by arthroscopy and built the mainframe of the study. Hyaline cartilage damage was imaged using 3D_WATSc sequence with the appropriate parameters. Standard MRI imaging of the knee consisted of two-dimensional coronal T1-weighted spin-echo, coronal, and sagittal T2-weighted spin-echo, and sagittal and axial superior pericardial recess sequences. With arthroscopy as the gold standard, sensitivity, and specificity of 3D_WATSc and standard MR imaging for detecting cartilage damage were determined in six articular surfaces (patellar facets, trochlear facets, medial and lateral femoral condyles, and medial and lateral tibial plateaus).
Results: In total, 240 cartilage surfaces in 40 patients were evaluated by arthroscopy, and 28 of them had shown to have chondromalacia. 3D_WATSc had higher sensitivity and specificity (92% and 96%, respectively) than standard MR images (60% and 95%, p<0.05) and was also more successful in the detection of early-stage (stage 1–2) cartilage defects than standard MR images and arthroscopy (p<0.05).
Conclusion: 3D_WATSc MRI sequence is more sensitive than standard MR imaging for the detection of abnormalities of the hyaline cartilage in the knee. Routine use of this low-cost technique in addition to standard imaging strengthens the role of non-invasive MR imaging in the evaluation of cartilage damages.

References

  • Arkun R. Imaging of articular cartilage. Acta Orthop Traumatol Turc 2007; 41 Suppl 2: 32-42.

Diz Hiyalin Kıkırdağın 3d_Watsc/T1a Ge Tekniği ile Gösterilmesi, Standart MRG ile Karşılaştırılması ve Artroskopi ile Korelasyonu

Year 2018, Volume: 8 Issue: 2, 103 - 111, 15.06.2018

Abstract

Amaç: Bu prospektif çalışmada diz hiyalin kıkırdak hasarı tespitinde yağ-baskılı (FS) 3D_WATSc MR sekansın, standart MRG görüntüleri ile karşılaştırılması ve artroskopi ile korelasyonunu değerlendirilmiştir.
Yöntemler: Ortopedi ve travmatoloji uzmanı tarafından artroskopi planlanan ve diz MRG çekilmesi için refere edilen 40 hasta çalışmaya dahil edildi. Bunların 19’da artroskopide kondromalazi saptanmış olup, çalışmanın temelini oluşturmaktadır. Hiyalin kıkırdak hasarı yağ-baskılı (FS) 3D_WATSc MR sekansı ile uygun parametrede görüntülendi. Standart olarak uygulanan diz MRG görüntülemede iki boyutlu koronal T1 ağırlıklı spin eko, koronal ve sagital T2 agırlıklı spin eko, sagital ve aksial SPIR multıplanar sekanslar kullanıldı. Artroskopi altın standart alınarak, altı yüzde (patella, troklea, femoral kondiller ve tibial platolar) kıkırdak hasarı değerlendirildi, yağ-baskılı (FS) 3D_WATSc MR sekansı ve standart MRG’de duyarlılık ve özgüllük değerleri hesaplandı.
Bulgular: 40 hastada, 240 kıkırdak yüzü artroskopide değerlendirildi ve 28’inde kondromalazi saptandı. Yağ-baskılı (FS) 3D_WATSc MR sekansının kondromalazi saptamada duyarlılık ve özgüllüğü (%92, %96), standart MRG’ye (%60, %95) göre belirgin yüksektir (p<0.05). Yağ baskılı (FS) 3D_WATSc MR sekansının, artroskopi ve standart MRG de Evre 1-2 olarak belirtilen erken evre kıkırdak hasarı tespitinde daha başarılı olduğu görülmektedir (p<0.05).
Sonuç: Yağ baskılı üç boyutlu su seçici kıkırdak tarama (3D_WATSc) MR sekansı diz kıkırdak anormalliklerin tespiti için Standart MRG incelemeden daha duyarlıdır. Düşük maliyetli bu tekniğin standart incelemeye ek olarak rutin kullanımı diz kıkırdak hasarı tespitinde non-invaziv MR görüntülemenin rolünü güçlendirir.

References

  • Arkun R. Imaging of articular cartilage. Acta Orthop Traumatol Turc 2007; 41 Suppl 2: 32-42.
There are 1 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

İbrahim Atasoy This is me

Ali Murat Koç

Özgür Sipahi Esen This is me

Semiha Canverenler This is me

Ahmet Kurtulmuş This is me

Zehra Hilal Adıbelli This is me

Publication Date June 15, 2018
Submission Date September 27, 2018
Published in Issue Year 2018 Volume: 8 Issue: 2

Cite

APA Atasoy, İ., Koç, A. M., Sipahi Esen, Ö., Canverenler, S., et al. (2018). Demonstration of Knee Hyaline Cartilage with 3d_Watsc/T1a Ge Technique, Comparison with Standart MRI, Correlation with Arthroscopy. Clinical and Experimental Health Sciences, 8(2), 103-111.
AMA Atasoy İ, Koç AM, Sipahi Esen Ö, Canverenler S, Kurtulmuş A, Adıbelli ZH. Demonstration of Knee Hyaline Cartilage with 3d_Watsc/T1a Ge Technique, Comparison with Standart MRI, Correlation with Arthroscopy. Clinical and Experimental Health Sciences. June 2018;8(2):103-111.
Chicago Atasoy, İbrahim, Ali Murat Koç, Özgür Sipahi Esen, Semiha Canverenler, Ahmet Kurtulmuş, and Zehra Hilal Adıbelli. “Demonstration of Knee Hyaline Cartilage With 3d_Watsc/T1a Ge Technique, Comparison With Standart MRI, Correlation With Arthroscopy”. Clinical and Experimental Health Sciences 8, no. 2 (June 2018): 103-11.
EndNote Atasoy İ, Koç AM, Sipahi Esen Ö, Canverenler S, Kurtulmuş A, Adıbelli ZH (June 1, 2018) Demonstration of Knee Hyaline Cartilage with 3d_Watsc/T1a Ge Technique, Comparison with Standart MRI, Correlation with Arthroscopy. Clinical and Experimental Health Sciences 8 2 103–111.
IEEE İ. Atasoy, A. M. Koç, Ö. Sipahi Esen, S. Canverenler, A. Kurtulmuş, and Z. H. Adıbelli, “Demonstration of Knee Hyaline Cartilage with 3d_Watsc/T1a Ge Technique, Comparison with Standart MRI, Correlation with Arthroscopy”, Clinical and Experimental Health Sciences, vol. 8, no. 2, pp. 103–111, 2018.
ISNAD Atasoy, İbrahim et al. “Demonstration of Knee Hyaline Cartilage With 3d_Watsc/T1a Ge Technique, Comparison With Standart MRI, Correlation With Arthroscopy”. Clinical and Experimental Health Sciences 8/2 (June 2018), 103-111.
JAMA Atasoy İ, Koç AM, Sipahi Esen Ö, Canverenler S, Kurtulmuş A, Adıbelli ZH. Demonstration of Knee Hyaline Cartilage with 3d_Watsc/T1a Ge Technique, Comparison with Standart MRI, Correlation with Arthroscopy. Clinical and Experimental Health Sciences. 2018;8:103–111.
MLA Atasoy, İbrahim et al. “Demonstration of Knee Hyaline Cartilage With 3d_Watsc/T1a Ge Technique, Comparison With Standart MRI, Correlation With Arthroscopy”. Clinical and Experimental Health Sciences, vol. 8, no. 2, 2018, pp. 103-11.
Vancouver Atasoy İ, Koç AM, Sipahi Esen Ö, Canverenler S, Kurtulmuş A, Adıbelli ZH. Demonstration of Knee Hyaline Cartilage with 3d_Watsc/T1a Ge Technique, Comparison with Standart MRI, Correlation with Arthroscopy. Clinical and Experimental Health Sciences. 2018;8(2):103-11.

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