Comparison of 2D Thin Section Dixon, 3D Isotropic SPACE, and 2D T2-Weighted Sequences in Ankle MRI
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to conduct a comparison between 2D thin section intermediate- weighted Dixon turbo spin echo (TSE), 3D intermediate-weighted SPACE (sampling perfection with application-optimized contrasts using flip angle evolutions) TSE, and 2D fat-suppressed T2-weighted TSE in terms of their image quality and diagnostic performance for ankle ligament evaluation. Materials and Methods: Thirty-eight ankle MRI studies were retrospectively analyzed. The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) of the multiplanar reformation images of the sequences were obtained. For each sequence, the subjective image quality and the diagnostic performance for ankle ligament tear were analyzed. Results: The Dixon demonstrated the highest CNR both between ligament and fluid and between ligament and bone marrow. The 3D SPACE showed the highest SNR of the ligament. Regarding subjective image quality, it was significantly higher in the T2-weighted image than it was in the SPACE (p < 0.05), while there was no significant difference between the Dixon and the SPACE. The Dixon showed the highest sensitivity for anterior talofibular ligament (ATFL) tear (80.0%; 95% confidence interval [CI], 64.4–92.3) and deep deltoid ligament (DL) tear (86.4%; 95% CI, 65.1–97.1), and it showed the highest specificity for ATFL tear (70.2%; 95% CI, 59.3–79.7). The interobserver agreement was moderate to good (intraclass correlation coefficient [ICC], 0.50–0.93) in most cases except for the SNR of deep DL (ICC of 0.35–0.62). Conclusion: For ankle ligament evaluation, the 2D thin section Dixon provides adequate image quality with high SNR and CNR and the highest sensitivity for detecting tears.
Abstract
Purpose: This study aimed to conduct a comparison between 2D thin section intermediate- weighted Dixon turbo spin echo (TSE), 3D intermediate-weighted SPACE (sampling perfection with application-optimized contrasts using flip angle evolutions) TSE, and 2D fat-suppressed T2-weighted TSE in terms of their image quality and diagnostic performance for ankle ligament evaluation. Materials and Methods: Thirty-eight ankle MRI studies were retrospectively analyzed. The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) of the multiplanar reformation images of the sequences were obtained. For each sequence, the subjective image quality and the diagnostic performance for ankle ligament tear were analyzed. Results: The Dixon demonstrated the highest CNR both between ligament and fluid and between ligament and bone marrow. The 3D SPACE showed the highest SNR of the ligament. Regarding subjective image quality, it was significantly higher in the T2-weighted image than it was in the SPACE (p < 0.05), while there was no significant difference between the Dixon and the SPACE. The Dixon showed the highest sensitivity for anterior talofibular ligament (ATFL) tear (80.0%; 95% confidence interval [CI], 64.4–92.3) and deep deltoid ligament (DL) tear (86.4%; 95% CI, 65.1–97.1), and it showed the highest specificity for ATFL tear (70.2%; 95% CI, 59.3–79.7). The interobserver agreement was moderate to good (intraclass correlation coefficient [ICC], 0.50–0.93) in most cases except for the SNR of deep DL (ICC of 0.35–0.62). Conclusion: For ankle ligament evaluation, the 2D thin section Dixon provides adequate image quality with high SNR and CNR and the highest sensitivity for detecting tears.
참고문헌 (30)
- Doherty C, "The incidence and prevalence of ankle sprain injury : a systematic review and meta-analysis of prospective epidemiological studies", Sports Med, 44, pp.123~140 (2014)
- Salat P, "Imaging in foot and ankle instability", Foot Ankle Clin, 23, pp.499~522.e28 (2018)
- Altahawi F, "3D MRI in musculoskeletal imaging : current and future applications", Curr Radiol Rep, 6, pp.1~14 (2018)
- Glaser C, "Understanding 3D TSE sequences: advantages, disadvantages, and application in MSK imaging", Semin Musculoskelet Radiol, 19, pp.321~327 (2015)
- Garwood ER, "Advanced imaging techniques in the knee : benefits and limitations of new rapid acquisition strategies for routine knee MRI", AJR Am J Roentgenol, 209, pp.552~560 (2017)
- Ristow O, "Isotropic 3D fast spin-echo imaging versus standard 2D imaging at 3.0 T of the knee—image quality and diagnostic performance", Eur Radiol, 19, pp.1263~1272 (2009)
- Dixon WT, "Simple proton spectroscopic imaging", Radiology, 153, pp.189~194 (1984)
- Guerini H, "Fat suppression with Dixon techniques in musculoskeletal magnetic resonance imaging : a pictorial review", Semin Musculoskelet Radiol, 19, pp.335~347 (2015)
- Del Grande F, "Fat-suppression techniques for 3-T MR imaging of the musculoskeletal system", Radiographics, 34, pp.217~233 (2014)
- van Vucht N, "The Dixon technique for MRI of the bone marrow", Skeletal Radiol, 48, pp.1861~1874 (2019)
- Park HJ, "Three-dimensional isotropic T2-weighted fast spin-echo(VISTA)ankle MRI versus two-dimensional fast spin-echo T2-weighted sequences for the evaluation of anterior talofibular ligament injury", Clin Radiol, 71, pp.349~355 (2016)
- Perrich KD, "Ankle ligaments on MRI : appearance of normal and injured ligaments", AJR Am J Roentgenol, 193, pp.687~695 (2009)
- Rosenberg ZS, "MR imaging of the ankle and foot", Radiographics, 20(suppl_1), pp.S153~ (2000)
- Portney LG, "Foundations of clinical research : applications to practice" (2015), F. A. Davis Company
- Harper MC, "Deltoid ligament : an anatomical evaluation of function", Foot Ankle, 8, pp.19~22 (1987)
- Linklater JM, "Imaging of acute capsuloligamentous sports injuries in the ankle and foot : sports imaging series", Radiology, 283, pp.644~662 (2017)
- Chhabra A, "MR imaging of deltoid ligament pathologic findings and associated impingement syndromes", Radiographics, 30, pp.751~761 (2010)
- Mengiardi B, "Medial collateral ligament complex of the ankle : MR appearance in asymptomatic subjects", Radiology, 242, pp.817~824 (2007)
- Muhle C, "Collateral ligaments of the ankle : high-resolution MR imaging with a local gradient coil and anatomic correlation in cadavers", Radiographics, 19, pp.673~683 (1999)
- Lee MH, "The bright rim sign on MRI for anterior talofibular ligament injury with arthroscopic correlation", AJR Am J Roentgenol, 198, pp.885~890 (2012)
- Samoto N, "Comparative results of conservative treatments for isolated anterior talofibular ligament(ATFL)injury and injury to both the ATFL and calcaneofibular ligament of the ankle as assessed by subtalar arthrography", J Orthop Sci, 12, pp.49~54 (2007)
- Oae K, "Evaluation of anterior talofibular ligament injury with stress radiography, ultrasonography and MR imaging", Skeletal Radiol, 39, pp.41~47 (2010)
- Pijnenburg AC, "Operative and functional treatment of rupture of the lateral ligament of the ankle. A randomised, prospective trial", J Bone Joint Surg Br, 85, pp.525~530 (2003)
- Banjar M, "Comparison of visibility of ulnar sided triangular fibrocartilage complex(TFCC)ligaments between isotropic three-dimensional and two-dimensional high-resolution FSE MR images", Eur J Radiol, 134, pp.109418~ (2021)
- Ulbrich EJ, "Ligaments of the Lisfranc joint in MRI : 3D-SPACE(sampling perfection with application optimized contrasts using different flip-angle evolution)sequence compared to three orthogonal proton-density fat-saturated(PD fs)sequences", Skeletal Radiol, 42, pp.399~409 (2013)
- Lee S, "MRI of the lumbar spine: comparison of 3D isotropic turbo spin-echo SPACE sequence versus conventional 2D sequences at 3.0 T", Acta Radiol, 56, pp.174~181 (2015)
- Ji Yoon Lee, "Assessment of the Location of the Peroneus Longus Tendon in the Cuboid Groove Using 3D Isotropic Fast Spin-Echo MRI", Investigative Magnetic Resonance Imaging, 24(1), pp.21~29 (2020), 대한자기공명의과학회
- Notohamiprodjo M, "3D-MRI of the ankle with optimized 3D-SPACE", Invest Radiol, 47, pp.231~239 (2012)
- Swartz PG, "bone marrow changes on MRI", AJR Am J Roentgenol, 193(3 Suppl), pp.S1~S4 (2009)
- Fritz J, "Six-fold acceleration of high-spatial resolution 3D SPACE MRI of the knee through incoherent k-space undersampling and iterative reconstruction—first experience", Invest Radiol, 51, pp.400~409 (2016)