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European Radiology
Published in: European Radiology 2/2018

01-02-2018 | Musculoskeletal

Efficacy of double inversion recovery magnetic resonance imaging for the evaluation of the synovium in the femoro-patellar joint without contrast enhancement

Authors: Ye Na Son, Wook Jin, Geon-Ho Jahng, Jang Gyu Cha, Yong Sung Park, Seong Jong Yun, So Young Park, Ji Seon Park, Kyung Nam Ryu

Published in: European Radiology | Issue 2/2018

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Abstract

Objective

To investigate the efficacy of double inversion recovery (DIR) sequence for evaluating the synovium of the femoro-patellar joint without contrast enhancement (CE).

Methods

Two radiologists independently evaluated the axial DIR and CE T1-weighted fat-saturated (CET1FS) images of 33 knees for agreement; the visualisation and distribution of the synovium were evaluated using a four-point visual scaling system at each of the five levels of the femoro-patellar joint and the location of the thickest synovium. The maximal synovial thickness at each sequence was measured by consensus.

Results

The interobserver agreement was good (κ = 0.736) for the four-point scale, and was excellent for the location of the thickest synovium on DIR and CET1FS (κ = 0.955 and 0.954). The intersequential agreement for the area with the thickest synovium was also excellent (κ = 0.845 and κ = 0.828). The synovial thickness on each sequence showed excellent correlation (r = 0.872).

Conclusion

The DIR showed as good a correlation as CET1FS for the evaluation of the synovium at the femoro-patellar joint. DIR may be a useful MR technique for evaluating the synovium without CE.

Key Points

• DIR can be useful for evaluating the synovium of the femoro-patellar joint.
• Interobserver and intersequential agreements between DIR and CET1FS were good.
• Mean thickness of the synovium was significantly different between two sequences.
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Metadata
Title
Efficacy of double inversion recovery magnetic resonance imaging for the evaluation of the synovium in the femoro-patellar joint without contrast enhancement
Authors
Ye Na Son
Wook Jin
Geon-Ho Jahng
Jang Gyu Cha
Yong Sung Park
Seong Jong Yun
So Young Park
Ji Seon Park
Kyung Nam Ryu
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 2/2018
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-017-5017-3

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