ABSTRACT
Objective To analyze the consistency between 1.5T MRI and arthroscope when used to diagnose anterior cruciate ligament (ACL) injuries.Methods Totally 162 ACL injury patients underwent MRI examination,and the results by arthroscope were used as the diagnosis standard.The curve of receiver operating characteristic (ROC) was applied to evaluating the ACL injuries diagnosis by MRI,and the consistency was analyzed between 1.5T MRI and arthroscope.Results MRI had the sensitivity,specificity and accuracy being 98.69％,81.82％ and 98.77％ respectively when used to diagnose ACL injuries,and there was high consistency between MRI and arthroscope (Kappa=0.909,P＞0.05).Conclusion MRI gains high sensitivity and specificity when used to diagnose ACL injuries as well as high consistency with arthroscope,and thus can be a preferred non-invasive way to diagnose ACL injuries.
ABSTRACT
Objective To compare the values of 3D-SPACE sequence and 2D-TSE sequence for displaying the anatomical details of the sinus tarsi ligament of the ankle.Methods 1.5T Siemens Auanto MRI scanner and 8-channel skull phased array coil were used for the examination of 26 healthy volunteers with 3D-SPACE three-dimensional isotropic sectional scanning as well as 2D-T1WI-TSE transverse and 2D-T2WI-TSE coronal sagittal two-dimensional fast spin echo scan.Two senior MRI radiologists evaluated the display rates of the two sequences for the cervical ligament of sinus tarsi and talus ligament so as to determine the values of the two sequences for displaying the cervical ligament of sinus tarsi.Results 3D-SPACE sequence behaved significantly better than 2D sequence when used to display the sinus tarsi ligament (P＜0.05),and the display rates were statistically different at different positions (P＜0.05).3D-SPACE sequence gained obvious advantages over 2D conventional TSE sequence when used to display the cervical ligament of sinus tarsi and talus ligament,and the highest display rate occurred in case of the cervical ligament of sinus tarsi scanned with 3D-SPACE coronal view and in case of the talus ligament scanned at coronal and sagittal positions.Conclusion 3D-SPACE sequence can display clearly the anatomical details of the sinus tarsi ligament with multiplanar reconstruction,curved planar reformation and etc,and thus is worthy promoting clinically.
