Diagnostic performance of CUBE MRI sequences of the knee compared with conventional MRI

Ai, Tao; Zhang, W.; Priddy, N.K.; Li, X.

doi:10.1016/j.crad.2012.07.020

Cited by 28 publications

(45 citation statements)

References 17 publications

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“…Ten studies were excluded after re-assessing the full text during the third screening. Finally, 21 articles 9, 14–33 were chosen and marked with 3 stars, articles for which true positive (TP), false positive (FP), true negative (TN) and false negative (FN) results could be extracted or accurately calculated through 2 × 2 contingency tables (16 from PubMed and 5 from EMBASE). These articles consisted of 16 prospective studies and 5 retrospective studies, for a total of 1722 cases.…”

Section: Resultsmentioning

confidence: 99%

The diagnostic accuracy of magnetic resonance imaging for anterior cruciate ligament injury in comparison to arthroscopy: a meta-analysis

Huang

et al. 2017

Sci Rep

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We performed this meta-analysis to examine the diagnostic accuracy of MRI for the diagnosis of anterior cruciate ligament (ACL) injury in comparison to arthroscopy. We also compared the diagnostic accuracy of MRI with magnetic field intensities (MFI) greater than or equal to 1.5T with those below 1.5T, in addition to different MRI sequences. Studies relevant to the diagnosis of ACL injury by MRI and arthroscopy were analyzed. Computer and manual retrieval were carried out on studies published between January 1, 2006 and May 31, 2016. Twenty-one papers were included. Neither threshold nor non-threshold effects were present (p = 0.40, p = 0.06). The pooled sensitivity (SE), specificity (SP), positive likelihood ratio (LR+), negative likelihood ratio (LR−) and diagnostic odds ratio (DOR) with 95% confidence interval (CI) were 87% (84–90%), 90% (88–92%), 6.78 (4.87–9.44), 0.16 (0.13–0.20) and 44.70 (32.34–61.79), respectively. The area under the curve (AUC) was 0.93. The risk of publication bias was negligible (p = 0.75). In conclusion, examination by MRI is able to provide appreciable diagnostic performance. However, the principle, which states that the higher the MFI, the better the diagnostic accuracy, could not be verified. Additionally, conventional sequences (CSs) associated with proton density-weighted imaging (PDWI) are only slightly better than CSs alone, but not statistically different.

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Section: Resultsmentioning

confidence: 99%

The diagnostic accuracy of magnetic resonance imaging for anterior cruciate ligament injury in comparison to arthroscopy: a meta-analysis

Huang

et al. 2017

Sci Rep

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“…The anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) are important intra‐articular stabilizing structures of the knee, providing stability and motion to the tibio‐femoral joint . Magnetic resonance imaging (MRI) is currently considered the imaging modality of choice in patients with a clinical suspicion of cruciate ligament injuries, owing to its high spatial resolution and excellent soft‐tissue contrast . MRI findings of cruciate ligament injuries include a wavy contour, fiber discontinuity, and high signal intensity along the course of the ligament, which is typically evaluated using orthogonal imaging planes .…”

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confidence: 99%

Cruciate ligament injuries of the knee: A meta‐analysis of the diagnostic performance of 3D MRI

Shakoor

Guermazi

Kijowski

et al. 2019

Magnetic Resonance Imaging

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Background Despite the advantages of 3D MRI in evaluation of cruciate ligament injuries, its use in clinical practice is still a matter of debate due to controversy regarding its diagnostic performance. Purpose To evaluate the diagnostic performance of 3D MRI for detecting cruciate ligament injuries, using surgery or arthroscopy as the reference standard. Study Type Meta‐analysis. Population Patients with knee pain. Field Strength/Sequence 3D and 2D MRI. Assessment Four databases were reviewed according to PRISMA guidelines. Statistical Tests Pooled values of sensitivity, specificity, and diagnostic odds ratio (DOR) were calculated using a random‐effects model. To investigate the effect of relevant covariates on the diagnostic performance of 3D MRI, sensitivity analysis was performed using meta‐regression to calculate relative DOR. Results Of 731 initially identified reports, 22 (1298 3D MRI examinations) met our criteria and were included. Pooled estimates of sensitivity and specificity for 3D sequences were 91.4% (95% confidence interval [CI]: 87.4–94.2%) and 96.1% (95% CI: 93.8–97.6%), respectively. Fourteen studies also reported the results of 2D MRI, with pooled sensitivity of 90.6% (95% CI: 84.1–94.6%) and specificity of 97.1% (95% CI: 94.7–98.4%), which were not significantly different from 3D sequences. 3D MRI sequences performed using 3T scanners had significantly higher DOR compared with 3D sequences performed on 1.5T or lower scanners (relative DOR: 6.04, P = 0.01). Data Conclusion 3D MRI is equivalent to 2D MRI in the diagnosis of cruciate ligament injuries. The use of 3T scanners improves the performance of 3D MRI for detecting cruciate ligament injuries. Level of Evidence: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2019;50:1545–1560.

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“…8,12 All of the above studies have been performed at 3.0 T, but with the majority of European hospitals using 1.5-T magnets for their routine work it is important to evaluate 3D sequences using these systems. A small study by Ai et al 16 demonstrated that their 3D sequence at 1.5 T had similar or superior sensitivity, specificity and accuracy to a conventional 2D imaging protocol. This is contradictory to the findings in the present study, but there are several important differences between these two studies.…”

Section: Discussionmentioning

confidence: 99%

“…Our standard sequence has been shown using unpublished and published data 17 to have sensitivity and specificity of .90% using the same observers as employed in this study. Ai et al 16 evaluated only 29 patients using a 1.5-T MR scanner, and reviewers were given access to the data set, allowing the reviewers to reformat the original image data for both the 3D sequence and conventional MRI protocols; there was no assessment of the increased accuracy or reporting confidence from performing MPRs. In our study, the reformatting was performed by a third party not reviewing the images, and we found that subsequent access to the data set for multiplanar reformatting did increase the confidence.…”

Section: Discussionmentioning

confidence: 99%

Can a single isotropic 3D fast spin echo sequence replace three-plane standard proton density fat-saturated knee MRI at 1.5 T?

Pass¹,

Robinson²,

Hodgson³

et al. 2015

BJR

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Cite this article as: Pass B, Robinson P, Hodgson R, Grainger AJ. Can a single isotropic 3D fast spin echo sequence replace three-plane standard proton density fat-saturated knee MRI at 1.5 T? Br J Radiol 2015; 88: 20150189. FULL PAPERCan a single isotropic 3D fast spin echo sequence replace three-plane standard proton density fat-saturated knee MRI at 1. Objective: To assess whether a single isotropic threedimensional (3D) fast spin echo (FSE) proton density fat-saturated (PD FS) sequence reconstructed in three planes could replace the three PD (FS) sequences in our standard protocol at 1.5 T (Siemens Avanto, Erlangen, Germany). Methods: A 3D FSE PD water excitation sequence was included in the protocol for 95 consecutive patients referred for routine knee MRI. This was used to produce offline reconstructions in axial, sagittal and coronal planes. Two radiologists independently assessed each case twice, once using the standard MRI protocol and once replacing the standard PD (FS) sequences with reconstructions from the 3D data set. Following scoring, the observer reviewed the 3D data set and performed multiplanar reformats to see if this altered confidence. The menisci, ligaments and cartilage were assessed, and statistical analysis was performed using the standard sequence as the reference standard. Conclusion:A 3D PD FSE sequence reconstructed in three planes gives reduced accuracy and decreased concordance among readers compared with conventional sequences when evaluating the menisci and cartilage with a 1.5-T MRI scanner. Advances in knowledge: Using the existing 1.5-T MR systems, a 3D FSE sequence should not replace twodimensional sequences.

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Diagnostic performance of CUBE MRI sequences of the knee compared with conventional MRI

Cited by 28 publications

References 17 publications

The diagnostic accuracy of magnetic resonance imaging for anterior cruciate ligament injury in comparison to arthroscopy: a meta-analysis

The diagnostic accuracy of magnetic resonance imaging for anterior cruciate ligament injury in comparison to arthroscopy: a meta-analysis

Cruciate ligament injuries of the knee: A meta‐analysis of the diagnostic performance of 3D MRI

Can a single isotropic 3D fast spin echo sequence replace three-plane standard proton density fat-saturated knee MRI at 1.5 T?

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