Partial tears of the anterior cruciate ligament: diagnostic performance of isotropic three-dimensional fast spin echo (3D-FSE-Cube) MRI

Lefèvre, Nicolas; Naouri, J.-F.; Bohu, Yoann; Klouche, Shahnaz; Herman, S.

doi:10.1007/s00590-012-1135-4

Cited by 25 publications

(23 citation statements)

References 34 publications

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“…MRI is advantageous because it yields cross-sectional images whose depiction of soft tissue structures is superior to radiography. With a 3.0T magnet and high channel number of radiofrequency coils, MRI can be used to accurately measure the geometry of complex structures such as the cruciate ligaments and the synovial membrane (Kijowski et al, 2009; Lefevre et al, 2014). …”

Section: Introductionmentioning

confidence: 99%

“…Quantifiable MRI variables that could be determined in-vivo and predict ligament structural properties would be useful in longitudinal clinical studies evaluating disease progression or disease-modifying therapy that influences CrCL tissue quality. Changes in signal intensity may be important for evaluation of diseased or damaged CrCL (Lefevre et al, 2014). …”

Section: Introductionmentioning

confidence: 99%

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3D FSE Cube and VIPR-aTR 3.0 Tesla magnetic resonance imaging predicts canine cranial cruciate ligament structural properties

Racette

saleh

Waller

et al. 2016

The Veterinary Journal

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Estimation of cranial cruciate ligament (CrCL) structural properties in client-owned dogs with incipient cruciate rupture would be advantageous. The objective of this study was to determine whether magnetic resonance imaging (MRI) measurement of normal CrCL volume in an ex-vivo canine model predicts structural properties. Stifles from eight dogs underwent 3.0 Tesla 3D MRI. CrCL volume and normalized median grayscale values were determined using 3D Fast Spin Echo (FSE) Cube and Vastly under-sampled Isotropic PRojection (VIPR)-alternative repetition time (aTR) sequences. Stifles were then mechanically tested. After joint laxity testing, CrCL structural properties were determined, including displacement at yield, yield load, load to failure, and stiffness. Yield load and load to failure (R2=0.56, P<0.01) were correlated with CrCL volume determined by VIPR-aTR. Yield load was also correlated with CrCL volume determined by 3D FSE Cube (R2=0.32, P<0.05). Structural properties were not related to median grayscale values. Joint laxity and CrCL stiffness were not related to MRI parameters, but displacement at yield load was related to CrCL volume for both sequences during testing (R2>0.57, P<0.005). In conclusion, 3D MRI offers a predictive method for estimating canine CrCL structural properties. 3D MRI may be useful for monitoring CrCL properties in clinical trials.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

3D FSE Cube and VIPR-aTR 3.0 Tesla magnetic resonance imaging predicts canine cranial cruciate ligament structural properties

Racette

saleh

Waller

et al. 2016

The Veterinary Journal

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“…Recent progress in MRI techniques such as sagittaloblique technique and 3D fast spin echo may make it possible to identify the remnant ACL fibers because they can depict a partial ACL tear, 13,14 but they are not available in every institute. By standard MRI, complete ACL tears can be detected but there may be some difficulty in identifying remnant ACL 15 .…”

Section: Discussionmentioning

confidence: 99%

Visualization of torn anterior cruciate ligament using 3-dimensional computed tomography

Uozumi

Aizawa

Sugita³

et al. 2013

Orthop Rev

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Recently, a remnant-preserving anterior cruciate ligament (ACL) reconstruction technique has been developed. However, the preoperative condition of remnant ACL is occasionally difficult to evaluate by magnetic resonance imaging. The purpose of this study is to evaluate the accuracy of pre-operative visualization of remnant ACL using three-dimensional computed tomography (3D-CT). The remnant ACL in 25 patients was examined by 3DCT before ACL reconstruction surgery. Findings on 3D-CT images and arthroscopy were compared. The 3D-CT images were classified into 4 groups: Group A, remnant fibers attached to the posterior cruciate ligament (PCL); Group B, those located between the PCL and the lateral wall; Group C, those attached to the lateral wall; and Group D, no identifiable remnant fibers on the tibial side. These groups were made up of 4, 3, 9 and 9 patients, respectively. Findings on 3D-CT images were identical to those during arthroscopy in 20 of 25 cases (80%). Remnant ACL can be accurately evaluated using 3D-CT in 80% of cases of torn ACL. This novel method is a useful technique for pre-operative assessment of remnant ACL.

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“…Magnetic resonance imaging is the preferred method for the diagnosis of anterior cruciate ligament tears in people . It offers improved soft tissue contrast and detail compared to computed tomography.…”

Section: Introductionmentioning

confidence: 99%

“…In people, differentiating partial from complete anterior cruciate ligament tears on MRI can present a diagnostic challenge, as there is overlap in their imaging characteristics . Using arthroscopy as the standard of reference, MRI is less accurate for partial anterior cruciate ligament tears than complete anterior cruciate ligament tears .…”

Section: Introductionmentioning

confidence: 99%

Accuracy of 3 Tesla magnetic resonance imaging using detection of fiber loss and a visual analog scale for diagnosing partial and complete cranial cruciate ligament ruptures in dogs

Fazio

Muir

Schaefer

et al. 2017

Vet Radiology Ultrasound

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Canine cranial cruciate ligament rupture is often bilateral and asymmetrical, ranging from partial to complete rupture. The purpose of our diagnostic accuracy study was to assess the accuracy of 3 Tesla magnetic resonance imaging (MRI) detection of fiber loss and use of a visual analog scale in the diagnosis of complete versus partial cranial cruciate ligament rupture in 28 clinical dogs with unilateral complete rupture and contralateral partial rupture. Three Tesla MRI was performed on 56 stifles using sagittal sequences (T2-weighted fast spin echo with fat saturation, proton density fast spin echo, and T2-weighted 3D fast spin echo CUBE). Two MRI observers assessed the cranial cruciate ligament for fiber loss and completed a visual analog scale. The MRI data were compared to arthroscopy and clinical status. Accuracy classifying partial or complete rupture was assessed using receiver operating characteristic analysis. Compared to arthroscopy, for complete cranial cruciate ligament rupture, sensitivity, specificity, and accuracy of MRI detection of fiber loss were 0.78, 0.50-0.60, and 0.68-0.71, respectively, and, for partial tears, specificity was 1.00. An MRI In stifles with clinically unstable complete cranial cruciate ligament rupture, both MRI tests are sensitive though not specific compared to arthroscopy. As a diagnostic imaging method, MRI may help guide treatment in patients with cranial cruciate ligament damage, particularly for stable partial rupture.

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Partial tears of the anterior cruciate ligament: diagnostic performance of isotropic three-dimensional fast spin echo (3D-FSE-Cube) MRI

Abstract: The diagnostic performance of MRI 3D-Cube in partial ACL tears was good and significantly better than conventional 2D-MRI. The likelihood of having a positive test was 9.9 times higher in a patient with a partial tear. A negative result did not exclude this diagnosis.

Cited by 25 publications

References 34 publications

3D FSE Cube and VIPR-aTR 3.0 Tesla magnetic resonance imaging predicts canine cranial cruciate ligament structural properties

3D FSE Cube and VIPR-aTR 3.0 Tesla magnetic resonance imaging predicts canine cranial cruciate ligament structural properties

Visualization of torn anterior cruciate ligament using 3-dimensional computed tomography

Accuracy of 3 Tesla magnetic resonance imaging using detection of fiber loss and a visual analog scale for diagnosing partial and complete cranial cruciate ligament ruptures in dogs

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