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Insights into Imaging
Published in: Insights into Imaging 6/2012

Open Access 01-12-2012 | Original Article

Diagnostic performance of 3D SPACE for comprehensive knee joint assessment at 3 T

Authors: Pieter Van Dyck, Jan L. Gielen, Filip M. Vanhoenacker, Eline De Smet, Kristien Wouters, Lieven Dossche, Paul M. Parizel

Published in: Insights into Imaging | Issue 6/2012

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Abstract

Objective

To assess the diagnostic performance of 3D sampling perfection with application-optimised contrasts using variable flip-angle evolution (SPACE) turbo spin-echo (TSE) sequences compared to 2D TSE for comprehensive knee assessment at 3 T.

Methods

From January to July 2011, isotropic 3D SPACE was added to a 2D knee protocol at 3 T. Forty patients underwent subsequent arthroscopy. Three readers independently assessed MR images for meniscus, anterior cruciate ligament (ACL) and cartilage lesions. Readers 1 and 2 evaluated 3D and 2D data at separate sittings; reader 3 interpreted the complete exam including 3D and 2D sequences. Accuracies were calculated using arthroscopy as reference standard. McNemar’s test (p < 0.05) was used to compare 3D and 2D techniques.

Results

The highest diagnostic yield was obtained by reader 3 (accuracies ≥88 %). For the medial meniscus, readers performed better with the 2D technique than with 3D SPACE (accuracies 85–88 % vs. 78–80 %, respectively) (p > 0.05). For the lateral meniscus and ACL, 3D and 2D techniques had similar performance (accuracies ≥93 %). For cartilage lesions, 3D SPACE had significantly lower specificity (p = 0.0156) than the 2D protocol for one reader.

Conclusion

The conventional 2D TSE acquisition is more reliable than 3D SPACE for comprehensive assessment of the knee at 3.0 T.

Main Messages

• 3D SPACE is a valuable component of a knee MR protocol at 3 T.
• 3D SPACE cannot be used as a single sequence in the MR evaluation of the knee at 3 T.
• Knee MR protocols at 3 T should include both 2D and 3D TSE sequences.
Literature
1.
Kijowski R, Gold GE (2011) Routine three-dimensional magnetic resonance imaging of joints. J Magn Reson Imaging 33(4):758–771PubMedCrossRef
2.
Gold GE, Busse RF, Beehler C et al (2007) Isotropic MRI of the knee with 3D fast spin-echo extended echo-train acquisition (XETA): initial experience. AJR Am J Roentgenol 188(5):1287–1293PubMedCrossRef
3.
Notohamiprodjo M, Horng A, Pietschmann MF et al (2009) MRI of the knee at 3T: first clinical results with an isotropic PDfs-weighted 3D-TSE-sequence. Investig Radiol 44(9):585–597CrossRef
4.
Yao L, Pitts JT, Thomasson D (2007) Isotropic 3D fast spin-echo with proton-density-like contrast: a comprehensive approach to musculoskeletal MRI. AJR Am J Roentgenol 188:W199–W201PubMedCrossRef
5.
Jung JY, Yoon YC, Kwon JW, Ahn JH, Choe BK (2009) Diagnosis of internal derangement of the knee at 3T MR imaging: 3D isotropic intermediate-weighted versus 2D sequences. Radiology 253(3):780–787PubMedCrossRef
6.
Kijowski R, Davis KW, Blankenbaker DG, Woods MA, Del Rio AM, De Smet AA (2012) Evaluation of the menisci of the knee joint using three-dimensional isotropic resolution fast spin-echo imaging: diagnostic performance in 250 patients with surgical correlation. Skeletal Radiol 41(2):169–178PubMedCrossRef
7.
Subhas N, Kao A, Freire M, Polster JM, Obuchowski NA, Winalski CS (2011) MRI of the knee ligaments and menisci: comparison of isotropic resolution 3D and conventional 2D fast spin-echo sequences at 3T. AJR Am J Roentgenol 197:442–450PubMedCrossRef
8.
Stoller DW, Martin C, Crues JV 3rd, Kaplan L, Mink JH (1987) Meniscal tears: pathologic correlation with MR imaging. Radiology 163(3):731–735PubMedCrossRef
9.
DeFranco MJ, Bach BR Jr (2009) A comprehensive review of partial anterior cruciate ligament tears. J Bone Joint Surg Am 91(1):198–208PubMedCrossRef
10.
Robertson PL, Schweitzer ME, Bartolozzi AR, Ugoni A (1994) Anterior cruciate ligament tears: evaluation of multiple signs with MR imaging. Radiology 193(3):829–834PubMedCrossRef
11.
Noyes FR, Stabler CL (1989) A system for grading articular cartilage lesions at arthroscopy. Am J Sports Med 17(4):505–513PubMedCrossRef
12.
Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33(1):159–174PubMedCrossRef
13.
Kijowski R, Davis KW, Woods MA et al (2009) Knee joint: comprehensive assessment with 3D isotropic resolution fast spin-echo MR imaging—diagnostic performance compared with that of conventional MR imaging at 3T. Radiology 252(2):486–495PubMedCrossRef
14.
Yoon YC, Kim SS, Chung HW, Choe B-K, Ahn JH (2007) Diagnostic efficiency in knee MRI comparing conventional technique and multiplanar reconstruction with one-millimeter FSE PDW images. Acta Radiol 48(8):869–874PubMedCrossRef
15.
Ristow O, Steinbach L, Sabo G et al (2009) Isotropic 3D fast spin-echo imaging versus standard 2D imaging at 3T of the knee—image quality and diagnostic performance. Eur Radiol 19(5):1263–1272PubMedCrossRef
16.
Milewski MD, Smitaman E, Moukaddam H et al (2012) Comparison of 3D vs 2D fast spin-echo imaging for evaluation of articular cartilage in the knee on a 3T system scientific research. Eur J Radiol 81(7):1637–1643
17.
Friedrich KM, Reiter G, Kaiser B et al (2011) High-resolution cartilage imaging of the knee at 3T: basic evaluation of modern isotropic 3D MR-sequences. Eur J Radiol 78(3):398–405PubMedCrossRef
18.
Notohamiprodjo M, Horng A, Kuschel B et al (2012) 3D-imaging of the knee with an optimized 3D-FSE-sequence and a 15-channel knee-coil. Eur J Radiol 81(11):3441–3449
19.
De Smet AA, Norris MA, Yandow DR, Graf BK, Keene JS (1993) Diagnosis of meniscal tears of the knee with MR imaging: effect of observer variation and sample size on sensitivity and specificity. AJR Am J Roentgenol 160(3):555–559PubMedCrossRef
20.
Cameron ML, Briggs KK, Steadman JR (2003) Reproducibility and reliability of the Outerbridge classification for grading chondral lesions of the knee arthroscopically. Am J Sports Med 31(1):83–86PubMed
Metadata
Title
Diagnostic performance of 3D SPACE for comprehensive knee joint assessment at 3 T
Authors
Pieter Van Dyck
Jan L. Gielen
Filip M. Vanhoenacker
Eline De Smet
Kristien Wouters
Lieven Dossche
Paul M. Parizel
Publication date
01-12-2012
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 6/2012
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1007/s13244-012-0197-5

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