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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-01-2015 | Knee

Accuracy of 3-T MRI using susceptibility-weighted imaging to detect meniscal tears of the knee

Authors: Wei Chen, Jun Zhao, Yaming Wen, Bin Xie, Xuanling Zhou, Lin Guo, Liu Yang, Jian Wang, Yongming Dai, Daiquan Zhou

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 1/2015

Abstract

Purpose

To evaluate the diagnostic performance of susceptibility-weighted imaging (SWI) at 3-T magnetic resonance imaging for the assessment of meniscal tears.

Methods

Ninety-four patients with tears in the medial meniscus (31) or lateral meniscus (64) imaged with conventional magnetic resonance imaging and SWI followed by knee arthroscopy within 1 month were selected. The diagnostic values of SWI for the detection of meniscal tears were evaluated using arthroscopy as the reference standard. The sensitivity, specificity and accuracy between spin-echo T1-weighted imaging (T1WI) and fat-suppressed proton density-weighted imaging (FS-PDWI) were compared. The diagnosis consistency with two radiologists was also compared. Receiver operating characteristic curve analyses were performed for each individual sequence to estimate their diagnostic performance in meniscal tear.

Results

Analyses from 31 patients of medial meniscus tears showed that SWI achieved comparable performance with T1WI and FS-PDWI with respect to sensitivity (96.8 vs. 93.5 and 89.2 %), specificity (66.7 vs. 66.7 and 66.7 %) and accuracy (91.9 vs. 89.2 and 93.5 %). In 64 patients of lateral meniscus tears, SWI was found to be a superior method over T1WI and FS-PDWI with regard to sensitivity (98.4 vs. 92.2 and 95.3 %), specificity (100 vs. 100 and 100 %) and accuracy (98.5 vs. 92.5 and 95.5 %). Upon combination of these patients, SWI is similar or superior to T1WI and FS-PDWI with sensitivity (97.9 vs. 92.6 and 94.7 %), specificity (77.8 vs. 77.8 and 77.8 %) and accuracy (96.2 vs. 89.2 and 93.3 %). SWI exhibited similar or better results with respect to sensitivity (97.9 vs. 92.6 and 94.7 %), specificity (77.8 vs. 77.8 and 77.8 %) and accuracy (96.2 vs. 89.2 and 93.3 %) over T1WI and FS-PDWI.

Conclusions

These data suggest that SWI can be used for the diagnosis of meniscal tears. The sensitivity, accuracy and negative predictive value were same as those of T1WI and FS-PDWI according to the present study.

Level of evidence

Diagnostic study, Level II.

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Title: Accuracy of 3-T MRI using susceptibility-weighted imaging to detect meniscal tears of the knee
Authors: Wei Chen
Jun Zhao
Yaming Wen
Bin Xie
Xuanling Zhou
Lin Guo
Liu Yang
Jian Wang
Yongming Dai
Daiquan Zhou
Publication date: 01-01-2015
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 1/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-3035-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Accuracy of 3-T MRI using susceptibility-weighted imaging to detect meniscal tears of the knee

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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