Dreidimensionale Dicken- und Volumenbestimmung des Kniegelenkknorpels mit der MRT: Reproduzierbarkeit am Probanden

Westhoff, J.; Eckstein, F.; Sittek, H.; Lösch, Andreas; Faber, Svea; Kolem, H.; Englmeier, Karl‐Hans; Reiser, Maximilian

doi:10.1055/s-2007-1015587

Cited by 7 publications

(5 citation statements)

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“…The presented absolute values for the total knee cartilage volume are approximately 12% greater as compared to seven subjects analysed by Westhoff et al 20 and eight subjects reported by Eckstein et al 39 . The mean ages and ranges of both of their samples were larger than for the present group of subjects.…”

Section: Discussionmentioning

confidence: 46%

Changes in knee cartilage volume and serum COMP concentration after running exercise

Kersting

Stubendorff

Schmidt

et al. 2005

Osteoarthritis and Cartilage

101

121

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Section: Discussionmentioning

confidence: 46%

Changes in knee cartilage volume and serum COMP concentration after running exercise

Kersting

Stubendorff

Schmidt

et al. 2005

Osteoarthritis and Cartilage

101

121

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“…In our study only MRI sequences were used that had been used in previous similar studies. Previous studies, in which preselected cases were examined or results of in vitro tests were reported, came to discrepant findings regarding the reliability of the MRI-cartilage-diagnostic [6,11,12,19,21,22,25,27]. Our own experiences through daily routine also showed discrepancies between magnetic resonance tomographic and arthroscopic results concerning the quantification and, most of all, the graduation of cartilage lesions.…”

Section: Diagnosis Of Chondral Lesions Of the Knee Joint: Can Mri Rep...mentioning

confidence: 77%

Diagnosis of chondral lesions of the knee joint: can MRI replace arthroscopy?

Friemert

Oberländer

Schwarz

et al. 2004

Knee Surgery, Sports Traumatology, Arthroscopy

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The role of magnetic resonance tomography (MRI) for the diagnosis of chondral lesions of the knee joint is still unclear. The sensitivity of the method ranges from 15% to 96%. The scope of our daily experiences showed that there were considerable deviations between the tomographical and arthroscopical results, which vary from the results of experimental studies. Therefore we have conducted a prospective study to investigate the question of how MRI can replace arthroscopy (ASC) in the diagnosis of cartilage damages in the scope of daily routine. All 195 patients included in this study received a magnetic resonance tomography followed by an arthroscopy. A clear diagnosis of supposition had to be determined before the magnetic resonance tomography. The patients were divided into 3 Groups. Group A (n=86) received a standard Military Hospital Ulm (MH) MRI--sagittal STIR TSE and PD TSE, coronal and transversal T2 FFE (TR=660 ms, TE=18 ms, FA=30 degrees, 512 matrix). In addition, one sub-Group, AK (n=21) was examined with a special cartilage sequence of the cartilage fs T1 W FFE. Neither patients in Group AK nor in Group A as a whole received any contrast medium. Group B (n=88) was examined with an alternate MRI protocol (Radiological Joint Practice, Neu-Ulm--sagittal T1 SE, T2 SE and T2 FLASH (TR=608 ms, TE=18 ms, FA=20 degrees, 256 matrix), coronal PD fs), employing gadolinium as a contrast medium. 156 cartilage lesions were found arthroscopically. In Group A the sensitivity was 33%, the specificity 99%, and the positive and negative prediction values 75% and 98% respectively. Group B reached a sensitivity of 53% and a specificity of 98%. The positive prediction value was 48% and the negative was 98%. Group AK showed a sensitivity of 38% and specificity of 98%; the positive and negative prediction values came to 50% and 97% respectively. In conclusion, our results indicate that the MRI examination techniques recommended in the literature at present are not able to replace the ASC for the diagnosis of cartilage damages of the knee joint. In view of the high specificity (97%-99%) and the high negative prediction value (97%-98%), MRI is suitable for the exclusion of cartilage lesions. For a negative MRI associated with a cartilage injury, a cautious attitude towards an operative cartilage treatment is therefore justified. Because the MRI can not replace the ASC for diagnostic of cartilage damage, the ASC still has to be seen as the method of choice for the evaluation of cartilage damage.

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“…Die MRT des Calcaneus wurde zunächst zur Frakturevaluation be- [21]. Auch dreidimensionale volumetrische Quantifizierungen [22] und eine automatisierte Erfassung der Knorpeldicke sind möglich [23], in jedem Fall jedoch eine sensitive, reproduzierbare und quantitative Knorpelläsionsdiagnostik [12,13]. Wir verwendeten ein einheitliches MRT-Protokoll, welches dem Vorschlag von Uhl entspricht [24].…”

Section: Diskussionunclassified

“…Eine standardisierte Sequenzwahl wurde bisher nicht erreicht, jedoch werden fast ausschließlich fettsaturierte Sequenzen wegen der reduzierten Chemical-Shift-Artefakte und hyalinen Knorpelalterationen empfohlen, wobei T1-gewichtete 3D-Gradientenechosequenzen ein hervorragendes Signal-Rausch-Verhältnis und eine gute räumliche Auflösung bieten [12,13,15].…”

Section: Introductionunclassified

Diagnostische Wertigkeit der MR-tomographischen Knorpelläsionsdarstellung im Vergleich mit der intraoperativen Arthroskopie bei Calcaneusfrakturen

Schröder¹,

Boack²,

Nekwasil³

et al. 2005

Fortschr Röntgenstr

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Dreidimensionale Dicken- und Volumenbestimmung des Kniegelenkknorpels mit der MRT: Reproduzierbarkeit am Probanden

Cited by 7 publications

References 0 publications

Changes in knee cartilage volume and serum COMP concentration after running exercise

Changes in knee cartilage volume and serum COMP concentration after running exercise

Diagnosis of chondral lesions of the knee joint: can MRI replace arthroscopy?

Diagnostische Wertigkeit der MR-tomographischen Knorpelläsionsdarstellung im Vergleich mit der intraoperativen Arthroskopie bei Calcaneusfrakturen

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