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Three-Dimensional Fast Spin-Echo Imaging without Fat Suppression of the Knee: Diagnostic Accuracy Comparison to Fat-Suppressed Imaging on 1.5T MRI.

 Hee Woo Cho  ;  Jin-Suck Suh  ;  Jin-Oh Park  ;  Hyoung-Sik Kim  ;  Soo Yoon Chung  ;  Young Han Lee  ;  Seok Hahn 
 YONSEI MEDICAL JOURNAL, Vol.58(6) : 1186-1194, 2017 
Journal Title
Issue Date
Adult ; Aged ; Animals ; Arthroscopy/methods* ; Female ; Humans ; Imaging, Three-Dimensional/methods* ; Knee Joint/diagnostic imaging* ; Knee Joint/pathology ; Magnetic Resonance Imaging/methods* ; Male ; Middle Aged ; Phantoms, Imaging ; Predictive Value of Tests ; Reproducibility of Results ; Retrospective Studies ; Sensitivity and Specificity ; Swine
Cube ; Knee ; fat suppression ; magnetic resonance imaging ; three-dimensional image
PURPOSE: To evaluate the diagnostic performance of three-dimensional fast spin-echo (3D FSE-Cube) without fat suppression (NFS) for detecting knee lesions, using comparison to 3D FSE-Cube with fat suppression (FS). MATERIALS AND METHODS: One hundred twenty-four patients who underwent 1.5T knee magnetic resonance imaging (MRI) scans and 25 subsequent arthroscopic surgeries were retrospectively reviewed. Using arthroscopic results and two-dimensional images as reference standards, diagnostic performances of 3D FSE-Cube-NFS and FS imaging about lesions of ligament, meniscus, subchondral bone marrow edema (BME), and cartilage were compared. Scan parameters of 3D FSE-Cube imaging were previously optimized by a porcine knee phantom. RESULTS: No significant differences were observed between detection rates of NFS and FS imaging for detecting lesions of meniscus and cartilage (p>0.05). However, NFS imaging had lower sensitivity for detection of medial collateral ligament (MCL) tears, and lower sensitivity and specificity for detection of BME lesions, compared to FS imaging (p<0.05). CONCLUSION: 3D FSE-Cube-NFS imaging showed similar diagnostic performance for detecting lesions of meniscus or cartilage compared to FS imaging, unlike MCL or BME lesions.
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1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyoung Sik(김형식) ORCID logo https://orcid.org/0000-0002-9303-4116
Park, Jin Oh(박진오)
Suh, Jin Suck(서진석) ORCID logo https://orcid.org/0000-0001-9455-9240
Lee, Young Han(이영한) ORCID logo https://orcid.org/0000-0002-5602-391X
Chung, Soo Yoon(정수윤) ORCID logo https://orcid.org/0000-0002-6751-7288
Cho, Hee Woo(조희우) ORCID logo https://orcid.org/0000-0002-5079-6954
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