[1]宋 微.不同MRI序列对膝关节前后交叉韧带损伤的诊断价值[J].医学信息,2022,35(20):67-70.[doi:10.3969/j.issn.1006-1959.2022.20.016]
　SONG Wei.The Diagnostic Value of Different MRI Sequences on Anterior and Posterior Cruciate Ligament Injury of Knee Joint[J].Journal of Medical Information,2022,35(20):67-70.[doi:10.3969/j.issn.1006-1959.2022.20.016]
点击复制

不同MRI序列对膝关节前后交叉韧带损伤的诊断价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年20期
页码:
67-70
栏目:
论著
出版日期:
2022-10-15

文章信息/Info

Title:
The Diagnostic Value of Different MRI Sequences on Anterior and Posterior Cruciate Ligament Injury of Knee Joint
文章编号:
1006-1959（2022）20-0067-04
作者:
宋 微
（佳木斯市中心医院CT室，黑龙江 佳木斯 154002）
Author(s):
SONG Wei
(CT Room of Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)
关键词:
磁共振成像; 3D-MRI; 前交叉韧带; 后交叉韧带
Keywords:
Magnetic resonance imaging; 3D-MRI; Anterior cruciate ligament; Posterior cruciate ligament
分类号:
R686
DOI:
10.3969/j.issn.1006-1959.2022.20.016
文献标志码:
A
摘要:
目的 研究不同磁共振成像（MRI）序列对膝关节前后交叉韧带损伤的诊断价值。方法 选取2019年3月-2021年9月经我院确诊的40例膝关节前后交叉韧带损伤患者作为研究对象，依次给予MRI二维序列（2D-MRI）及三维序列（3D-MRI）检查，比较2D-MRI与3D-MRI的图像质量、诊断效能，同时分析其与关节镜诊断结果的一致性。结果 3D-MRI的信噪比、图像质量评分均高于2D-MRI，显示完整度评分小于2D-MRI（P＜0.05）。以关节镜检查结果为金标准，3D-MRI对膝关节前后交叉韧带损伤的诊断准确性为92.50%、敏感度为96.67%、特异性为80.00%，高于2D-MRI的77.50%、92.31%、50.00%（P＜0.05）。经Kappa检验，2D-MRI与关节镜诊断结果具有中等一致性（Kappa值=0.587），3D-MRI与关节镜诊断结果具有较好一致性（Kappa值=0.829）。结论 3D-MRI序列对膝关节前后交叉韧带损伤的图像检查质量优于2D-MRI序列，其诊断效能更为理想，与关节镜诊断具有较高一致性。
Abstract:
Objective To study the diagnostic Value of different magnetic resonance imaging (MRI) sequences on anterior and posterior cruciate ligament injury of knee joint.Methods From March 2019 to September 2021, 40 patients with anterior and posterior cruciate ligament injury of knee joint diagnosed in our hospital were selected as the research objects. Two-dimensional MRI (2D-MRI) and three-dimensional MRI (3D-MRI) were given in turn. The image quality and diagnostic efficacy of 2D-MRI and 3D-MRI were compared, and the consistency with arthroscopic diagnosis was analyzed.Results The signal-to-noise ratio and image quality score of 3D-MRI were higher than those of 2D-MRI, and the display integrity score was lower than that of 2D-MRI (P<0.05). Taking the results of arthroscopy as the gold standard, the diagnostic accuracy, sensitivity and specificity of 3D-MRI for anterior and posterior cruciate ligament injury of knee joint were 92.50%, 96.67% and 80.00%, respectively, which were higher than 77.50%, 92.31% and 50.00% of 2D-MRI(P<0.05). By Kappa test, 2D-MRI and arthroscopic diagnosis results have moderate consistency (Kappa value=0.587), 3D-MRI and arthroscopic diagnosis results have good consistency (Kappa value=0.829).Conclusion The image quality of 3D-MRI sequence for anterior and posterior cruciate ligament injury of knee joint is better than that of 2D-MRI sequence, its diagnostic efficiency is more ideal, and has high consistency with arthroscopic diagnosis.

参考文献/References:

[1]李文敏.应用MRI脂肪抑制技术对膝关节隐匿性骨折诊断价值探讨[J].中国CT和MRI杂志,2020,18(12):167-169.[2]赵建英,睢争妍,杜站卫,等.磁共振成像对膝关节运动性损伤诊断的价值评估[J].深圳中西医结合杂志,2021,31(16):93-95.[3]欧阳中敏,朱光斌,彭艳,等.MRI在膝关节外伤后前后交叉韧带损伤诊断中的价值分析[J].中国设备工程,2021(15):209-210.[4]张馨文.MRI 3D-SPACE序列检查诊断膝关节交叉韧带损伤的价值[J].临床医学,2021,41(6):85-87.[5]Ducouret E,Loriaut P,Boyer P,et al.Tunnel positioning assessment after anterior cruciate ligament reconstruction at 12months: Comparison between 3D CT and 3D MRI. A pilot study[J].Orthop Traumatol Surg Res,2017,103(6):937-942.[6]曾莎莎.3D-MRI在膝关节前交叉韧带损伤与半月板撕裂诊断中的应用评价[D].济南:山东大学,2017.[7]宋春娟,张怡.MRI CS-3D-MATRIX序列在膝关节前交叉韧带损伤诊断中的应用研究[J].医疗卫生装备,2020,41(6):73-76.[8]Abdulaal OM,Rainford LA,Macmahon PJ,et al.Evaluation of optimised 3D turbo spin echo and gradient echo MR pulse sequences of the knee at 3T and 1.5T[J].Radiography,2020,72(2):389-397.[9]Shakoor D,Guermazi A,Kijowski R,et al.Cruciate ligament injuries of the knee: A meta-analysis of the diagnostic performance of 3D MRI[J].J Magn Reson Imaging,2019,50(5):1545-1560.[10]林成才,李丽娟,陈吉波,等.三维快速自旋回波与常规序列诊断膝关节交叉韧带损伤的对比研究[J].中国医学装备,2020,17(2):71-74.[11]黄梦全,李裕标,廖春来,等.膝关节前交叉韧带合并后外侧角损伤的MRI分析[J].医学研究杂志,2020,49(2):163-166.[12]虞慧灵,金轶,李锡生,等.MR对膝关节交叉韧带损伤的临床诊断价值[J].浙江创伤外科,2019,24(6):1255-1257.[13]王晓韩,滕陈迪,陈淑超.磁共振不同序列对膝关节损伤诊断分析[J].浙江创伤外科,2019,24(5):1044-1046.[14]Swami VG,Cheng-Baron J,Hui C,et al.Reliability of 3D localisation of ACL attachments on MRI: comparison using multi-planar 2D versus high-resolution 3D base sequences[J].Knee Surg Sports Traumatol Arthrosc,2015,23(4):1206-1214.[15]Racette M,Al saleh H,Waller KR 3rd,et al.3D FSE Cube and VIPR-aTR 3.0 Tesla magnetic resonance imaging predicts canine cranial cruciate ligament structural properties[J].Vet J,2016,209:150-155.[16]戴灼南,袁建华,司建荣,等.膝关节交叉韧带及软骨损伤:3D-SPACE与常规序列MRI的对比研究[J].放射学实践,2018,33(12):1312-1316.[17]刘宗彬,李正亮.MRI在膝关节损伤诊断中的应用价值分析[J].医疗卫生装备,2018,39(08):57-59,89.[18]谭延召,田克.MRI对膝关节外伤后前后交叉韧带损伤的诊断价值[J].组织工程与重建外科杂志,2017,13(3):157-159.[19]Mai B,Nor F,Singh P, et al.Comparison of visibility of ulnar sided triangular fibrocartilage complex (TFCC) ligaments between isotropic three-dimensional and two-dimensional high-resolution FSE MR images[J].European Journal of Radiology,2021,134(5):109418.[20]赵晓梅,黄耀渠,伍琼慧,等.2D与3D MR快速自旋回波序列对膝关节交叉韧带及半月板损伤的诊断价值比较[J].放射学实践,2017,32(1):73-78.[21]Muramatsu K,Saithna A,Watanabe H,et al.Three-dimensional Magnetic Resonance Imaging of the Anterolateral Ligament of the Knee: An Evaluation of Intact and Anterior Cruciate Ligament-Deficient Knees From the Scientific Anterior Cruciate Ligament Network International (SANTI) Study Group[J].Arthroscopy,2018,34(7):2207-2217.[22]于晓坤,刘圣源,马春忠,等.3D-快速梯度回波水激发序列探讨后交叉韧带损伤后膝关节软骨形态学改变[J].影像诊断与介入放射学,2016,25(5):410-414.[23]Li G,Wu D,Xu Z,et al.Evaluation of an accelerated 3D modulated flip-angle technique in refocused imaging with an extended echo-train sequence with compressed sensing for imaging of the knee: comparison with routine 2D MRI sequences[J].Clin Radiol,2021,76(2):158.e13-158.e18.[24]王梅.膝关节前后交叉韧带损伤MRI不同序列诊断分析[J].影像技术,2021,33(6):17-22.[25]Hossein J,Fariborz F,Mehrnaz R,et al.Evaluation of diagnostic value and T2-weighted three-dimensional isotropic turbo spin-echo (3D-SPACE) image quality in comparison with T2-weighted two-dimensional turbo spin-echo (2D-TSE) sequences in lumbar spine MR imaging[J].Eur J Radiol Open,2018,6:36-41.[26]聂洋平,陈维亮.3D-FSE-CUBE序列与常规2D序列诊断膝关节半月板损伤的对比研究[J].现代医学,2017,45(10):1405-1408.[27]Wadhwa V,Malhotra V,Xi Y,et al.Bone and Joint Modeling from 3D Knee MRI: Feasibility and Comparison with Radiographs and 2D MRI[J].Clinical Imaging,2016,40(4):765-768.

相似文献/References:

[1]雷少晖,张永海.脑氧代谢的影像学测定方法研究[J].医学信息,2018,31(05):38.[doi:10.3969/j.issn.1006-1959.2018.05.015]
　LEI Shao-hui,ZHANG Yong-hai.Imaging Study of Brain Oxygen Metabolism[J].Journal of Medical Information,2018,31(20):38.[doi:10.3969/j.issn.1006-1959.2018.05.015]
[2]管海生.膝关节剥脱性骨软骨炎MRI诊断[J].医学信息,2018,31(06):158.[doi:10.3969/j.issn.1006-1959.2018.06.056]
　GUAN Hai-sheng.MRI Diagnosis of Exfoliative Osteochondritis in Knee Joint[J].Journal of Medical Information,2018,31(20):158.[doi:10.3969/j.issn.1006-1959.2018.06.056]
[3]刘 钢,李志伟,田 晞,等.磁共振检查对冯·希佩尔·林道综合征诊断的意义[J].医学信息,2018,31(18):145.[doi:10.3969/j.issn.1006-1959.2018.18.047]
　LIU Gang,LI Zhi-wei,TIAN Xi,et al.The Significance of Magnetic Resonance Examination in the Diagnosis of Von Hippel-Lindau Disease[J].Journal of Medical Information,2018,31(20):145.[doi:10.3969/j.issn.1006-1959.2018.18.047]
[4]马平平,程宇琪,许秀峰,等.抑郁症脑磁共振成像与抗抑郁治疗临床改善间关系的研究进展[J].医学信息,2018,31(24):31.[doi:10.3969/j.issn.1006-1959.2018.24.009]
　MA Ping-ping,CHENG Yu-qi,XU Xiu-feng,et al.Advances in Research on the Relationship between Brain Magnetic Resonance Imaging and Clinical Improvement of Antidepressant Therapy[J].Journal of Medical Information,2018,31(20):31.[doi:10.3969/j.issn.1006-1959.2018.24.009]
[5]刘姗灵,冉 冉,涂 刚.乳腺Paget′s 病诊断与治疗相关研究进展[J].医学信息,2019,32(07):1.[doi:10.3969/j.issn.1006-1959.2019.07.001]
　LIU Shan-ling,RAN Ran,TU Gang.Advances in Research on Diagnosis and Treatment of Paget's Disease in Breast[J].Journal of Medical Information,2019,32(20):1.[doi:10.3969/j.issn.1006-1959.2019.07.001]
[6]蔡 彬,黄 伟,储正达,等.直肠腔内超声与相控阵线圈磁共振在直肠癌术前局部分期中的Meta分析[J].医学信息,2019,32(10):70.[doi:10.3969/j.issn.1006-1959.2019.10.024]
　CAI Bin,HUANG Wei,CHU Zheng-da,et al.Meta-analysis of Intra-rectal Ultrasound and Phased-array Magnetic Resonance in the Preoperative Partial Phase of Rectal Cancer[J].Journal of Medical Information,2019,32(20):70.[doi:10.3969/j.issn.1006-1959.2019.10.024]
[7]黄亚勇,师毅冰,陈国芳,等.颅内生殖细胞瘤的MRI影像表现及诊断[J].医学信息,2019,32(20):167.[doi:10.3969/j.issn.1006-1959.2019.20.053]
　HUANG Ya-yong,SHI Yi-bing,CHEN Guo-fang,et al.MRI Imaging Findings and Diagnosis of Intracranial Germ Cell Tumor[J].Journal of Medical Information,2019,32(20):167.[doi:10.3969/j.issn.1006-1959.2019.20.053]
[8]王召华,李小虎,钱银锋,等.MRI对胰腺导管内乳头状粘液瘤良恶性的诊断价值[J].医学信息,2019,32(14):166.[doi:10.3969/j.issn.1006-1959.2019.14.056]
　WANG Zhao-hua,LI Xiao-hu,QIAN Yin-feng,et al.Diagnostic Value of MRI for Benign and Malignant Intraductal Papillary Myxoma of the Pancreas[J].Journal of Medical Information,2019,32(20):166.[doi:10.3969/j.issn.1006-1959.2019.14.056]
[9]刘军莲,戴 娜,杨 迎,等.全脊柱MRI对强直性脊柱炎急性炎症的诊断价值[J].医学信息,2019,32(16):167.[doi:10.3969/j.issn.1006-1959.2019.16.057]
　LIU Jun-lian,DAI Na,YANG Ying,et al.Diagnostic Value of Total Spine MRI in Acute Inflammation of Ankylosing Spondylitis[J].Journal of Medical Information,2019,32(20):167.[doi:10.3969/j.issn.1006-1959.2019.16.057]
[10]陈 萍,王培军,石瑛琦,等.安氏III类错颌畸形患者颞下颌关节的MRI检查研究[J].医学信息,2020,33(08):51.[doi:10.3969/j.issn.1006-1959.2020.08.017]
　CHEN Ping,WANG Pei-jun,SHI Ying-qi,et al.MRI Examination of Temporomandibular Joint in Patients with Angle class Ⅲ Malocclusion[J].Journal of Medical Information,2020,33(20):51.[doi:10.3969/j.issn.1006-1959.2020.08.017]

更新日期/Last Update: 1900-01-01