VIBE MRI: an alternative to CT in the imaging of sports-related osseous pathology?

Koh, Eamon; Walton, Edward; Watson, Phil

doi:10.1259/bjr.20170815

Cited by 31 publications

(31 citation statements)

References 20 publications

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“…Furthermore, specific MRI sequences, such as the volumetric interpolated breath-hold examination (VIBE) have proven to be particularly sensitive in the detection of bone marrow oedema, stress fractures and other sports-related osseous pathology. VIBE images permit high-quality imaging of bone tissue with superior spatial resolution 23 24. In our case, the use of MRI facilitated prompt diagnosis and enabled appropriate intervention, without which it is plausible that she would have progressed to develop a stress fracture.…”

Section: Discussionmentioning

confidence: 70%

Symptomatic stress reaction of the humerus in a professional cricketer

Beech¹,

Nagra

Wedatilake

et al. 2019

BMJ Case Rep

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A symptomatic bone stress reaction is an early pathological feature, which can lead to stress fractures. It typically affects bones of the lower limbs in response to unaccustomed disproportional compressive loading. Professional sportspeople are susceptible to both bone stress reaction and stress fractures, where training regimes and competition predispose to overuse injuries. We discuss a unique case of a professional cricketer developing pain in the throwing arm due to bone stress reaction in the distal humerus, as confirmed on MRI. Modification of the patient’s training regime, presented in this case, facilitated complete recovery within 6 weeks. The positive response to modified training suggests a biomechanical origin of the pain. This case illustrates that tensile stress associated with throwing activities can result in a symptomatic bone stress reaction of the humerus in elite cricketers.

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Section: Discussionmentioning

confidence: 70%

Symptomatic stress reaction of the humerus in a professional cricketer

Beech¹,

Nagra

Wedatilake

et al. 2019

BMJ Case Rep

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“…Further, volumetric interpolated breath-hold examination (VIBE) MRI scan was found accurate in characterising incomplete pars fractures in comparison with CT. 8 These sequences, however, are not sensitive to bone marrow oedema. 31 Consequently, VIBE sequences should be incorporated in a PEBSI MRI protocol with other highly sensitive sequences to bone marrow oedema. This takes into account the continuum of this condition, thus avoiding complementary diagnostic imaging and hence saving time, money and avoiding radiation exposure.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic accuracy of MRI for identifying posterior element bone stress injury in athletes with low back pain: a systematic review and narrative synthesis

Esh

Grødahl

Kerslake

et al. 2020

BMJ Open Sport Exerc Med

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ObjectiveTo investigate the diagnostic accuracy of MRI for identifying posterior element bone stress injury (PEBSI) in the athletic population with low back pain (LBP).Study DesignA systematic review searched for published sources up until July 2020. Eligibility criteria: prospective cohort design, MRI diagnosis, adolescents/young adults, chief symptoms of LBP, PEBSI as the clinical diagnosis and SPECT-CT as reference standard. Risk of bias and overall quality were assessed using QUADAS-2 and GRADE, respectively. A narrative synthesis was conducted.ResultsFour studies were included, with three included in the quantitative synthesis. Compared with SPECT-CT, two studies involving MRI demonstrated sensitivity and specificity of 80% and 100%, and 88% and 97%, respectively. Compared with CT, one study involving MRI demonstrated sensitivity and specificity of 97% and 91%, respectively. Risk of bias was moderate to high although consistency across studies was noted.ConclusionFindings support further research to consider MRI as the modality of choice for diagnosing PEBSI. MRI was consistent with SPECT-CT for ruling-in PEBSI, but the clinical value of cases where MRI had false negatives remains uncertain due to possible over-sensitivity by SPECT-CT.PROSPERO registration numberCRD42015023979.

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“…It was reported that 3T MRI with thin-slice 3D VIBE sequence provided an accurate diagnosis in musculoskeletal imaging. 12,13 However, to our knowledge, it has not been applied to SCCs in the oral cavity. Therefore, in this study, we aimed to evaluate the diagnostic abilities of conventional 2D FSE and thin slice 3D VIBE images using 3T MRI in evaluating mandibular invasion of SCCs in the oral cavity and to compare those with that of 64-row MDCT.…”

Section: Discussionmentioning

confidence: 99%

“…3D sequences provide high-resolution thin contiguous MR images in arbitrary planes. [11][12][13] Thus, by using 3T MRI, it may be possible to detect subtle lesions that were overlooked by lower field strength MRI. However, to our knowledge, no studies used 3T MRI with 3D sequences in evaluating mandibular invasion of oral SCCs.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic abilities of 3T MRI for assessing mandibular invasion of squamous cell carcinoma in the oral cavity: comparison with 64-row multidetector CT

Suzuki

Kuribayashi

Sakamoto

et al. 2019

Dentomaxillofacial Radiology

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Objectives: To evaluate the diagnostic accuracies of 3T MRI in evaluating mandibular invasion of squamous cell carcinoma (SCC) in the oral cavity and to compare those with that of multidetector CT (MDCT). Methods: 41 cases with oral SCC examined by both 3T MRI and MDCT prior to surgery were included in this study. Intravenous contrast medium was administered in all examinations. Images were evaluated for the presence or absence of mandibular invasion and mandibular canal involvement by the tumour. For MRI, both two-dimensional (2D) fast spin echo (FSE) and three-dimensional (3D) volumetric interpolated breathhold examination (VIBE) images were used for the evaluation. For MDCT, dental CT cross-sectional images were rused. The results were correlated with histopathological findings, and sensitivity and specificity of each imaging technique were calculated.DMFR prrof Results: Histopathologically, 32 of 41 cases had mandibular invasion and 10 cases had mandibular canal involvement. For mandibular invasion, all three imaging techniques showed sensitivities of 100%. However, the specificities of 2D FSE (56%) and 3D VIBE (78%) were lower than that of MDCT (89%), although the differences were not significant. For mandibular canal involvement, whereas the sensitivities of all three imaging techniques were 100%, the specificities of 2D FSE, 3D VIBE and MDCT were 54, 62 and 85%, respectively. The specificity of 2D FSE was significantlylower than that of MDCT (P < 0.017). conclusions: In the evaluation of mandibular invasion, 3T MRI was not as accurate as MDCT. In particular, 2D FSE sequences showed significantly lower specificity than MDCT in evaluating the extent of mandibular invasion. The use of 3D VIBE sequence slightly improved the low specificity of 2D FSE sequences.

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VIBE MRI: an alternative to CT in the imaging of sports-related osseous pathology?

Cited by 31 publications

References 20 publications

Symptomatic stress reaction of the humerus in a professional cricketer

Symptomatic stress reaction of the humerus in a professional cricketer

Diagnostic accuracy of MRI for identifying posterior element bone stress injury in athletes with low back pain: a systematic review and narrative synthesis

Diagnostic abilities of 3T MRI for assessing mandibular invasion of squamous cell carcinoma in the oral cavity: comparison with 64-row multidetector CT

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