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Bodelle B, Luboldt W, Wichmann JL, et al. Chondral lesions in the patellofemoral joint in MRI: Intra-individual comparison of short-tau inversion recovery sequence (STIR) with 2D multiple-echo data image combination sequence (MEDIC). Eur J Radiol Open. 2016;3:259-263doi: 10.1016/j.ejro.2016.10.004.
Bodelle, B., Luboldt, W., Wichmann, J. L., Fischer, S., Vogl, T. J., & Beeres, M. (2016). Chondral lesions in the patellofemoral joint in MRI: Intra-individual comparison of short-tau inversion recovery sequence (STIR) with 2D multiple-echo data image combination sequence (MEDIC). European journal of radiology open, 3259-263. https://doi.org/10.1016/j.ejro.2016.10.004
Bodelle, Boris, et al. "Chondral lesions in the patellofemoral joint in MRI: Intra-individual comparison of short-tau inversion recovery sequence (STIR) with 2D multiple-echo data image combination sequence (MEDIC)." European journal of radiology open vol. 3 (2016): 259-263. doi: https://doi.org/10.1016/j.ejro.2016.10.004
Bodelle B, Luboldt W, Wichmann JL, Fischer S, Vogl TJ, Beeres M. Chondral lesions in the patellofemoral joint in MRI: Intra-individual comparison of short-tau inversion recovery sequence (STIR) with 2D multiple-echo data image combination sequence (MEDIC). Eur J Radiol Open. 2016 Nov 03;3:259-263. doi: 10.1016/j.ejro.2016.10.004. eCollection 2016. PMID: 27844041; PMCID: PMC5099322.
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Eur J Radiol Open. 2016 Nov 03;3:259-263. doi: 10.1016/j.ejro.2016.10.004. eCollection 2016.

Chondral lesions in the patellofemoral joint in MRI: Intra-individual comparison of short-tau inversion recovery sequence (STIR) with 2D multiple-echo data image combination sequence (MEDIC).

European journal of radiology open

Boris Bodelle, Wolfgang Luboldt, Julian L Wichmann, Sebastian Fischer, Thomas J Vogl, Martin Beeres

Affiliations

  1. Goethe University of Frankfurt, Department of Diagnostic and Interventional Radiology, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.

PMID: 27844041 PMCID: PMC5099322 DOI: 10.1016/j.ejro.2016.10.004

Abstract

PURPOSE: To determine the value of the 2D multiple-echo data image combination (MEDIC) sequence relative to the short-tau inversion recovery (STIR) sequence regarding the depiction of chondral lesions in the patellofemoral joint.

MATERIALS AND METHODS: During a period of 6 month patients with acute pain at the anterior aspect of the knee, joint effusion and suspected chondral lesion defect in the patellofemoral joint underwent MRI including axial MEDIC and STIR imaging. Patients with chondral lesions in the patellofemoral joint on at least one sequence were included. The MEDIC and STIR sequence were quantitatively compared regarding the patella cartilage-to-effusion contrast-to-noise ratio (CNR) and qualitatively regarding the depiction of chondral lesions independently scored by two radiologists on a 3-point scale (1 = not depicted; 2 = blurred depicted; 3 = clearly depicted) using the Wilcoxon-Mann-Whitney-Test. For the analysis of inter-observer agreement the Cohen's Weighted Kappa test was used.

RESULTS: 30 of 58 patients (male: female, 21:9; age: 44 ± 12 yrs) revealed cartilage lesions (fissures, n = 5 including fibrillation; gaps, n = 15; delamination, n = 7; osteoarthritis, n = 3) and were included in this study. The STIR-sequence was significantly (p < 0.001) superior to the MEDIC-sequence regarding both, the patella cartilage-to-effusion CNR (mean CNR: 232 ± 61 vs. 40 ± 16) as well as the depiction of chondral lesion (mean score: 2.83 ± 0.4 vs. 1.75 ± 0.7) with substantial inter-observer agreement in the rating of both sequences (κ = 0.76-0.89).

CONCLUSION: For the depiction of chondral lesions in the patellofemoral joint, the axial STIR-sequence should be chosen in preference to the axial MEDIC-sequence.

Keywords: Chondral Lesion; MEDIC; MEDIC, 2D multiple-echo data image combination sequence; MRI; Patellofemoral Joint; STIR; STIR, short-tau inversion recovery sequence

References

  1. Knee Surg Sports Traumatol Arthrosc. 2006 Dec;14(12):1292-8 - PubMed
  2. J Magn Reson Imaging. 1998 Nov-Dec;8(6):1246-51 - PubMed
  3. Arthroscopy. 2011 Nov;27(11):1523-7 - PubMed
  4. BMC Musculoskelet Disord. 2013 Oct 12;14:292 - PubMed
  5. Osteoarthritis Cartilage. 2008 Dec;16(12):1433-41 - PubMed
  6. AJR Am J Roentgenol. 2005 Jun;184(6):1744-8 - PubMed
  7. Indian J Radiol Imaging. 2014 Jul;24(3):259-67 - PubMed

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