Three-dimensional turbo spin-echo magnetic resonance imaging (MRI) and semiquantitative assessment of knee osteoarthritis: comparison with two-dimensional routine MRI

Crema, Michel D.; Nogueira-Barbosa, Marcello Henrique; Roemer, Frank W.; Marra, Monica; Niu, Jingbo; Chagas-Neto, Francisco Abaeté das; Gregio-Júnior, Everaldo; Guermazi, Ali

doi:10.1016/j.joca.2012.12.011

Cited by 32 publications

(26 citation statements)

References 20 publications

(20 reference statements)

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“…Their investigation showed that image quality of 2D sequence in comparison with 3D isotropic sequences in evaluating cartilages and TFCC is better in 2D sequences. In a study carried out by Crema et al (9) in 2013 on osteoarthritis knee joint showed that SNR of 3D FSE (SPACE) in comparison with 2D FSE is higher and thus more reliable for diagnosis and determining the extension of osteoarthritis.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Quantitative Assessment of BLADE and Isotropic Three-Dimensional Fast Spin Echo Cube (3D T2 SPACE) Sequences with Conventional Protocols of wrist Joint at 3 Tesla Magnetic Resonance Imaging

et al. 2016

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Background: Magnetic resonance imaging (MRI) of the wrist joint is a useful method in the diagnosis of triangular fibrocartilage complex (TFCC), ligaments and tendons, peripheral nerves, cartilage and carpal tunnel syndrome. However, the evaluation of these small anatomical structures is a topic of investigation. In some instances, the diagnostic indices of MRI in tears and other lesions of cartilage and ligamentous structures are relatively low, so the protocols should be optimized. Objectives: In this study, we aim to compare new MRI protocols of 3D T2SPACE, PD BLADE and T2 BLADE with the conventional protocols, including T2 FSE, PD FSE, and T1 FSE in case of signal intensity. Patients and Methods: Twenty patients with a history of wrist trauma or suspected wrist lesions were referred by orthopedic hand surgeons and enrolled into the study. All the protocols were carried out on all patients and the images were assessed quantitatively by measurement of signal to noise ratio (SNR) and contrast to noise ratio (CNR). Then, these parameters were compared between different protocols. SPSS ver.18 was used for the statistical analyses. Results: SNR of the cartilage, TFCC on 3D T2SPACE and T1 FSE was better than other sequences (P < 0.001). SNR of the bone on PD BLADE was significantly higher (P < 0.001) than that of conventional protocols. PD BLADE images showed significantly higher bonecartilage CNR and bone-TFCC CNR (P < 0.001 to P < 0.001). CNR of cartilage-TFCC on T1 FSE was better than other sequences, but no significant statistical differences were seen. Conclusion: High-resolution MR images of the wrist using 3D T2SPACE, PD BLADE and T2 BLADE were superior to those using conventional sequences quantitatively. High-SNR and CNR MR imaging with SPACE and BLADE would be a promising method to diagnose wrist lesions.

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Section: Discussionmentioning

confidence: 99%

Comparison of Quantitative Assessment of BLADE and Isotropic Three-Dimensional Fast Spin Echo Cube (3D T2 SPACE) Sequences with Conventional Protocols of wrist Joint at 3 Tesla Magnetic Resonance Imaging

et al. 2016

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“…Reliability of the ACLOAS using dedicated extremity systems and 3 T scanners remains to be shown but should be expected in agreement with the experience with other OA scoring tools and assessment of traumatic knee injury 37,38 . Further, recently introduced 3D fast spin echo sequences could probably also be used for ACLOAS assessment as initial experience with these sequences in OA assessment showed comparable results to scoring of standard 2D sequences 39,40 .…”

Section: Locationmentioning

confidence: 99%

“…Subchondral traumatic and degenerative BMLs are assessed using fat suppressed water sensitive sequences such as STIR, proton density or T2 weighted sequences. These may be two-or three dimensional in regard to acquisition 39,40 . Cartilage, osteochondral injury and BMLs are scored in 14 articular subregions, while osteophytes are assessed at eight defined locations or sites.…”

Section: Appendixmentioning

confidence: 99%

Anterior Cruciate Ligament OsteoArthritis Score (ACLOAS): Longitudinal MRI-based whole joint assessment of anterior cruciate ligament injury

Roemer

Frobell

Lohmander

et al. 2014

Osteoarthritis and Cartilage

100

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“…20 Moderately T2-weighted 3D TSE was found useful, reliable, and time efficient for assessing the whole-organ magnetic resonance imaging score (WORMS) in osteoarthritis studies. 21 A volunteer study at 3 T, dedicated to small cartilage detail, 22 reported an intermediate ranking of 3D TSE compared with 3D double-echo steady state and 3D fast low-angle shot with respect to cartilage-fluid CNR. The moderately T2weighted 3D TSE sequence was superior to 3D true-fast imaging with steady-state precession in assessing the repair status of cartilage using the magnetic resonance observation of cartilage repair tissue (MOCART) score and showed fewer artifacts in the subjective rating in 37 patients after matrix associated chondrocyte implantation.…”

Section: Knee (►Fig 4)mentioning

confidence: 99%

Understanding 3D TSE Sequences: Advantages, Disadvantages, and Application in MSK Imaging

Gläser¹,

D’Anastasi

Theisen

et al. 2015

Semin Musculoskelet Radiol

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Three-dimensional (3D) turbo-spin echo (TSE) sequences have outgrown the stage of mere sequence optimization and by now are clinically applicable. Image blurring and acquisition times have been reduced, and contrast for T1-, T2-, and moderately T2-weighted (or intermediate-weighted) fat-suppressed variants has been optimized. Data on sound-to-noise ratio efficiency and contrast are available for moderately T2-weighted fat-saturated sequence protocols. The 3-T MRI scanners help to better exploit isotropic spatial resolution and multiplanar reformatting. Imaging times range from 5 to 10 minutes, and they are shorter than the cumulative acquisition times of three separate orthogonal two-dimensional (2D) sequences. Recent suggestions go beyond secondary reformations by using online 3D rendering for image evaluation. Comparative clinical studies indicate that the diagnostic performance of 3D TSE for imaging of internal derangements of joints is at least comparable with conventional 2D TSE with potential advantages of 3D TSE for small highly curved structures. But such studies, especially those with direct arthroscopic correlation, are still sparse. Whether 3D TSE will succeed in entering clinical routine imaging on a broader scale will depend on further published clinical evidence, on further reduction of imaging time, and on improvement of its integration into daily practice.

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Three-dimensional turbo spin-echo magnetic resonance imaging (MRI) and semiquantitative assessment of knee osteoarthritis: comparison with two-dimensional routine MRI

Abstract: Semiquantitative assessment of knee OA can be reliably performed using 3D TSE MRI, showing substantial to almost perfect agreement and high accuracy when compared to routine 2D TSE MRI. 3D TSE MRI also takes less time, which is important for large OA studies.

Cited by 32 publications

References 20 publications

Comparison of Quantitative Assessment of BLADE and Isotropic Three-Dimensional Fast Spin Echo Cube (3D T2 SPACE) Sequences with Conventional Protocols of wrist Joint at 3 Tesla Magnetic Resonance Imaging

Comparison of Quantitative Assessment of BLADE and Isotropic Three-Dimensional Fast Spin Echo Cube (3D T2 SPACE) Sequences with Conventional Protocols of wrist Joint at 3 Tesla Magnetic Resonance Imaging

Anterior Cruciate Ligament OsteoArthritis Score (ACLOAS): Longitudinal MRI-based whole joint assessment of anterior cruciate ligament injury

Understanding 3D TSE Sequences: Advantages, Disadvantages, and Application in MSK Imaging

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