scholarly journals Anatomical Differences Between T2 WI FSE and Proton Density Fat Saturation Sequences in MRI Examination of Knee Joint with Sagittal Slice

Author(s):  
Gatot Murti Wibowo ◽  
2016 ◽  
Vol 2 (2) ◽  
pp. 175-179
Author(s):  
Atina Izzah Kusumaningrum ◽  
Lidya Purna WS Kuntjoro ◽  
Gatot Murti Wibowo

Background: There are clinical situations that radiology physicians need to assess Anterior Cruciate Ligament (ACL) and Posterior Cruciate Ligament (PCL) clearly with the two typical sequences (T2WI FSE sequence and Proton Density Fat Saturation). However, a slight difference in using the applied sequences will result different levels of image quality information. The aim of this study is to compare clinical  manifest in anatomical information on the resulted images between  T2WI FSE sequence and Proton Density Fat Saturation and to define the best sequence that fit to reveal ACL and PCL of the knee joint..Methods: The research was an experimental quasy. 20 sagital slices of  the knee jointMRI were acquired from 10 volunteers who underwent MRI examinations with the two methods (T2WI FSE and Proton Density Fat Saturation). 3 experienced radiology physicians blended in the image scoring when review ACL and PCL appearances on knee MRI images. Inter-observer suitability was checked with Kappa test. A non-parametric Wilcoxon analyses was the statistical tool to test the null hypothesis.Results: The result showed a significant difference in anatomical information of ACL and PCL when T2WI FSE and Proton Density Fat Saturation sequences applied on the MRI of the knee jointsagital slices (p-value 0,05). The mean rank of T2WI FSE was better than Proton Density Fat Saturation  which contributed to the value at 4,50. There was an increase in signals that lead to ACL and PCL appear to be more hyper-intens compared to sorrounding organs in general, except the border line  of PCL.  By this means, it was useful for evaluating the patient whose particularly with ACL post-grafting.Conclusion: There was the difference in anatomical information between T2WI FSE sequence and Proton Density Fat Saturation on MRI knee jointwith sagital slices for ACL and PCL studies.  T2WI FSE sequence was the best method for showing anatomical information of ACL and PCL, although a relative low signal still occured from border line  of PCL.


2011 ◽  
Vol 35 (5) ◽  
pp. 653-661 ◽  
Author(s):  
Nabil J. Khoury ◽  
Ziyad Mahfoud ◽  
Karim Z. Masrouha ◽  
Rayan Elkattah ◽  
Toni Assaad ◽  
...  

Author(s):  
O.O. Kostrub ◽  
V.V. Kotiuk ◽  
V.A. Podik ◽  
V.B. Mazevych ◽  
R.A. Tretiakov ◽  
...  

Summary. Standard MRI protocols of the knee joint in case of suspected anterior cruciate ligament (ACL) injury involve tomography in three mutually perpendicular planes – coronal, sagittal, and axial. Modern methods of treatment (especially refixation of the ACL and reconstruction of separate ACL bundles) and rehabilitation require more accurate diagnosis not only of the fact of injury, but also its clear location, degree and term. It is especially difficult to assess the nature and extent of ACL damage in the acute period and in cases of partial injury. Therefore, we propose to introduce into the standard of ACL MRI examination the additional use of oblique sagittal and oblique coronal sequences (images) oriented at an angle of ACL fibers with reduced to 0-2 mm interslice interval to improve the diagnosis of ACL injury. To reduce the duration of the study, it is possible to limit yourself to a small number of slices (images) in additional projections only in the area of the ACL.


Author(s):  
Christoph H.-J. Endler ◽  
Anton Faron ◽  
Alexander Isaak ◽  
Christoph Katemann ◽  
Narine Mesropyan ◽  
...  

Purpose Compressed sensing (CS) is a method to accelerate MRI acquisition by acquiring less data through undersampling of k-space. In this prospective study we aimed to evaluate whether a three-dimensional (3D) isotropic proton density-weighted fat saturated sequence (PDwFS) with CS can replace conventional multidirectional two-dimensional (2D) sequences at 1.5 Tesla. Materials and Methods 20 patients (45.2 ± 20.2 years; 10 women) with suspected internal knee damage received a 3D PDwFS with CS acceleration factor 8 (acquisition time: 4:11 min) in addition to standard three-plane 2D PDwFS sequences (acquisition time: 4:05 min + 3:03 min + 4:46 min = 11:54 min) at 1.5 Tesla. Scores for homogeneity of fat saturation, image sharpness, and artifacts were rated by two board-certified radiologists on the basis of 5-point Likert scales. Based on these ratings, an overall image quality score was generated. Additionally, quantitative contrast ratios for the menisci (MEN), the anterior (ACL) and the posterior cruciate ligament (PCL) in comparison with the popliteus muscle were calculated. Results The overall image quality was rated superior in 3D PDwFS compared to 2D PDwFS sequences (14.45 ± 0.83 vs. 12.85 ± 0.99; p < 0.01), particularly due to fewer artifacts (4.65 ± 0.67 vs. 3.65 ± 0.49; p < 0.01) and a more homogeneous fat saturation (4.95 ± 0.22 vs. 4.55 ± 0.51; p < 0.01). Scores for image sharpness were comparable (4.80 ± 0.41 vs. 4.65 ± 0.49; p = 0.30). Quantitative contrast ratios for all measured structures were superior in 3D PDwFS (MEN: p < 0.05; ACL: p = 0.06; PCL: p = 0.33). In one case a meniscal tear was only diagnosed using multiplanar reformation of 3D PDwFS, but it would have been missed on standard multiplanar 2D sequences. Conclusion An isotropic fat-saturated 3D PD sequence with CS enables fast and high-quality 3D imaging of the knee joint at 1.5 T and may replace conventional multiplanar 2D sequences. Besides faster image acquisition, the 3D sequence provides advantages in small structure imaging by multiplanar reformation. Key Points:  Citation Format


2000 ◽  
Vol 8 (6) ◽  
pp. 426-433 ◽  
Author(s):  
J Hohe ◽  
S Faber ◽  
T Stammberger ◽  
M Reiser ◽  
K.-H Englmeier ◽  
...  

2016 ◽  
Vol 89 (1059) ◽  
pp. 20150893
Author(s):  
Han NA Lee ◽  
Sung Eun Ahn ◽  
Ji Seon Park ◽  
Kyung Nam Ryu ◽  
Wook Jin ◽  
...  

1996 ◽  
Vol 52 (10) ◽  
pp. 1362
Author(s):  
Junichirou Kodama ◽  
Yuji Kaga ◽  
Takayuki Tanaka ◽  
Shigeo Kinai

PLoS ONE ◽  
2016 ◽  
Vol 11 (7) ◽  
pp. e0159156 ◽  
Author(s):  
Arkadiusz Szarmach ◽  
Piotr Luczkiewicz ◽  
Monika Skotarczak ◽  
Mariusz Kaszubowski ◽  
Pawel J. Winklewski ◽  
...  

Diagnostics ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1476
Author(s):  
Oliver Said ◽  
Justus Schock ◽  
Daniel Benjamin Abrar ◽  
Philipp Schad ◽  
Christiane Kuhl ◽  
...  

Stress MRI brings together mechanical loading and MRI in the functional assessment of cartilage and meniscus, yet lacks basic scientific validation. This study assessed the response-to-loading patterns of cartilage and meniscus incurred by standardized compartmental varus and valgus loading of the human knee joint. Eight human cadaveric knee joints underwent imaging by morphologic (i.e., proton density-weighted fat-saturated and 3D water-selective) and quantitative (i.e., T1ρ and T2 mapping) sequences, both unloaded and loaded to 73.5 N, 147.1 N, and 220.6 N of compartmental pressurization. After manual segmentation of cartilage and meniscus, morphometric measures and T2 and T1ρ relaxation times were quantified. CT-based analysis of joint alignment and histologic and biomechanical tissue measures served as references. Under loading, we observed significant decreases in cartilage thickness (p < 0.001 (repeated measures ANOVA)) and T1ρ relaxation times (p = 0.001; medial meniscus, lateral tibia; (Friedman test)), significant increases in T2 relaxation times (p ≤ 0.004; medial femur, lateral tibia; (Friedman test)), and adaptive joint motion. In conclusion, varus and valgus stress MRI induces meaningful changes in cartilage and meniscus secondary to compartmental loading that may be assessed by cartilage morphometric measures as well as T2 and T1ρ mapping as imaging surrogates of tissue functionality.


1987 ◽  
Vol 16 (1) ◽  
pp. 121-129
Author(s):  
M. Möttönen ◽  
M. Pantio ◽  
T. Nevalainen

Sign in / Sign up

Export Citation Format

Share Document