3D-FSE-CUBE序列与常规2D序列诊断膝关节半月板损伤的对比研究-现代医学

3D-FSE-CUBE序列与常规2D序列诊断膝关节半月板损伤的对比研究

单位：1. 新乡医学院, 河南新乡 453003;
2. 解放军371医院放射科, 河南新乡 453000

分类号：R684.7;R445.2

出版年·卷·期（页码）：2017·36·第十期（1405-1408）

摘要：

目的：探讨三维快速自旋回波CUBE（3D-FSE-CUBE）序列在诊断膝关节半月板损伤中的应用价值。方法：收集临床怀疑半月板损伤的患者56例，利用3.0 T磁共振对患者进行3D-FSE-CUBE序列和常规二维（2D）序列扫描。分别评估两组图像质量，比较差异是否有统计学意义。以关节镜为"金标准"，分别计算两种序列诊断半月板损伤的敏感度、特异度和准确度，以及与关节镜的一致程度。结果：3D-FSE-CUBE序列组的图像质量评分低于常规2D序列组，差异有统计学意义（P<0.05），而两种序列在诊断半月板损伤上的敏感度、特异度和准确度相近。结论：与常规2D序列相比，3D-FSE-CUBE序列能更好地诊断膝关节半月板损伤，且相对缩短扫描时间，具有广泛的应用价值。

Objective: To explore the value of three-dimensional fast spin echo cube(3D-FSE-CUBE) sequence in the diagnosis of meniscus injury of knee joint.Methods: A total of 56 patients with clinically suspected meniscus injury were enrolled in this study. 3D-FSE-CUBE and conventional two-dimensional(2D) sequences were performed using 3.0 T magnetic resonance. The image quality was evaluated respectively, and the results were statistically analyzed. Taking arthroscopy as the "gold standard", the sensitivity, specificity and accuracy of the two sequences in evaluating meniscus and the degree of consistency with the arthroscopy were calculated respectively. Results: The image quality score of 3D-FSE-CUBE sequence was lower than that of conventional 2D sequence with statistically significant difference(P<0.05), but the sensitivity, specificity and accuracy of the two sequences in the evaluation of meniscus injury were similar.Conclusion: Compared with conventional 2D sequence, 3D-FSE-CUBE sequence can diagnose meniscus injury of knee joint better and relatively shorten the scanning time, which has an extensive application value.

参考文献：

[1] LIM D, LEE Y H, KIM S, et al. Clinical value of fat-suppressed 3D volume isotropic spin-echo(VISTA) sequence compared to 2D sequence in evaluating internal structures of the knee[J]. Act Radiol, 2016, 57(1):66-73.
[2] RISTOW O, STEINBACH L, SABO G. Isotropic 3D fast spin-echo imaging versus standard 2D imaging at 3.0 T of the knee image quality and diagnostic performance[J]. Eur Radiol, 2009, 19(5):1263-1272.
[3] STOLLER D W, MARTIN C, CRUES J V, et al. Meniscal tears:pathologic correlation with MR imaging[J]. Radiology, 1987, 163(3):731-735.
[4] 颜虹. 医学统计学[M]. 北京:人民卫生出版社, 2005:214.
[5] AI T, ZHANG W, PRIDDY N K, et al. Diagnostic perform-ance of CUBE MRI sequences of the knee compared with conventional MRI[J]. Clin Radiol, 2012, 67(12):58-63.
[6] LEFEVRE N, NAOURI J F, BOHU Y, et al. Partial tears of the anterior cruciate ligament:diagnostic performance of isotropic three-dimensional fast spin echo(3D-FSE-Cube) MRI[J]. Eur J OrthopSurg Traumatol, 2014, 24(1):85-91.
[7] KALIA V, FRITZ B, JOHNSON R, et al. CAIPIRINHA accelerated SPACE enables 10-min isotropic 3D TSE MRI of the ankle for optimized visualization of curved and oblique ligaments and tendons[J]. Eur Radiol, 2017,27(9):3652-3661.

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