Diagnostic performance of 1.5T radial MRI versus conventional MRI for acetabular labral tear: analysis of 22 cases

Jing LI; Mingshan DU; Wenjing HOU; Lian LI; Tiao SU; Wei CHEN

doi:10.16016/j.1000-5404.201812215

您当前的位置：

首页 >

文章列表页 >

Diagnostic performance of 1.5T radial MRI versus conventional MRI for acetabular labral tear: analysis of 22 cases

Clinical Medicine | 更新时间：2026-01-09

- Diagnostic performance of 1.5T radial MRI versus conventional MRI for acetabular labral tear: analysis of 22 cases
- Journal of Third Military Medical University Vol. 41, Issue 10, Pages: 991-995(2019)
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第一附属医院放射科
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201812215
  CLC： R445.2;R658.3
- Received：27 December 2018，
  
  Revised：2019-01-21，
  
  Published：30 May 2019
- 稿件说明：
移动端阅览
Jing LI, Mingshan DU, Wenjing HOU, et al. Diagnostic performance of 1.5T radial MRI versus conventional MRI for acetabular labral tear: analysis of 22 cases[J]. Journal of Third Military Medical University, 2019, 41(10): 991-995.
DOI：

Jing LI, Mingshan DU, Wenjing HOU, et al. Diagnostic performance of 1.5T radial MRI versus conventional MRI for acetabular labral tear: analysis of 22 cases[J]. Journal of Third Military Medical University, 2019, 41(10): 991-995. DOI： 10.16016/j.1000-5404.201812215.

摘要

目的

对比分析1.5T常规MRI和放射状MRI在髋关节盂唇撕裂中的诊断价值。

方法

回顾性分析2018年4-11月在本院行关节镜手术证实为髋臼唇撕裂，且术前行1.5T髋关节常规MRI和髋臼放射状MRI扫描的患者22例临床资料。两位高年资骨关节影像医师分别评估常规MRI和放射状MRI图像，观察是否存在髋臼唇撕裂及撕裂部位，并与关节镜结果进行比较分析，评估1.5T常规MRI和放射状MRI在髋关节盂唇撕裂中的诊断价值。

结果

以关节镜评估结果为金标准，常规MRI诊断盂唇撕裂的敏感性、特异性、准确性分别为37.2%、86.9%、54.5%、阳性预测值84.2%、阴性预测值42.5%；放射状MRI扫描技术诊断盂唇撕裂的敏感性、特异性、准确性分别为93.0%、87.0%、90.9%、阳性预测值93.0%、阴性预测值86.9%。

结论

1.5T盂唇放射状MRI扫描对髋关节盂唇撕裂较常规MRI具有更高的诊断价值，能够对盂唇撕裂情况进行更加全面准确的评估。

Abstract

Objective

To compare the diagnostic performance of 1.5T radial magnetic resonance imaging (MRI) and conventional MRI for acetabular labrum tear.

Methods

We retrospectively analyzed the clinical data of 22 patients with acetabular labrum tear confirmed by hip arthroscopy

who underwent surgeries in our hospital between April and November

2018. All the patients underwent examinations with both conventional MRI and radial MRI of the hips before the operations

and the imaging data were read by two senior radiologists independently. The MR findings were compared with the findings by hip arthroscopy to assess the performance of 1.5T radial MRI and conventional MRI for the diagnosis of acetabular labrum tear.

Results

The diagnostic sensitivity

specificity

accuracy

positive predictive value (PPV) and negative predictive value (NPV) of conventional MRI for acetabular labral tear were 37.2%

86.9%

54.5%

84.2% and 42.5%

and those of radial MRI were 93.0%

87.0%

90.9%

93.0%

and 86.9%

respectively.

Conclusion

1.5T radial MRI of the hip is superior to conventional MRI for diagnosing acetabular labral tear and allows more accurate and comprehensive assessment of the condition.

关键词

Keywords

references

SCHMITZ M R, CAMPBELL S E, FAJARDO R S, et al. Identification of acetabular labral pathological changes in asymptomatic volunteers using optimized, noncontrast 1.5-T magnetic resonance imaging[J]. Am J Sports Med, 2012, 40(6): 1337-1341. DOI: 10.1177/0363546512439991.

MCCARTHY J C, LEE J A. Hip arthroscopy: indications, outcomes, and complications[J]. J Bone Joint Surg Am Vol, 2017, 87(55): 301-308. DOI: 10.1016/j.ijsu.2017.08.557

BLANKENBAKER D G, ULLRICK S R, KIJOWSKI R, et al. MR arthrography of the hip: comparison of IDEAL-SPGR volume sequence to standard MR sequences in the detection and grading of cartilage lesions[J]. Radiology, 2011, 261(3): 863-871. DOI: 10.1148/radiol.11110001.[PubMed]

于士芳, 王珍珍, 田家玮.髋臼盂唇损伤的影像学诊断进展[J].医学综述, 2016, 22(21): 4276-4279. DOI: 10.3969/j.issn.1006-2084.2016.21.031

YU S F, WANG Z Z, TIAN J W. Diagnostic imaging progress in acetabular labrum injury[J]. Med Recapitul, 2016, 22(21): 4276-4279. DOI: 10.3969/j.issn.1006-2084.2016.21.031

SMITH T O, DREW B T, TOMS A P, et al. Accuracy of magnetic resonance imaging, magnetic resonance arthrography and computed tomography for the detection of chondral lesions of the knee[J]. Knee Surg Sports Traumatol Arthrosc, 2012, 20(12): 2367-2379. DOI: 10.1007/s00167-012-1905-x.

OZNAM K, SIRIN D Y, YILMAZ I, et al. Iopromide- and gadopentetic acid-derived preparates used in MR arthrography may be harmful to chondrocytes[J]. J Orthop Surg Res, 2017, 12(1): 98. DOI: 10.1186/s13018-017-0600-5.

MCGUIRE C M, MACMAHON P, BYRNE D P, et al. Diagnostic accuracy of magnetic resonance imaging and magnetic resonance arthrography of the hip is dependent on specialist training of the radiologist[J]. Skeletal Radiol, 2012, 41(6): 659-665. DOI: 10.1007/s00256-011-1266-4.

STUDLER U, KALBERER F, LEUNIG M, et al. MR arthrography of the hip: differentiation between an anterior sublabral recess as a normal variant and a labral tear[J]. Radiology, 2008, 249(3): 947-954. DOI: 10.1148/radiol.2492080137.

FITZGERALD R H. Acetabular labrum tears. Diagnosis and treatment[J]. Clin Orthop, 1997, 200(1): 311-316. DOI: 10.1016/0749-8063(95)90100-0.

SPRINGER B A, GILL N W, FREEDMAN B A, et al. Acetabular labral tears: diagnostic accuracy of clinical examination by a physical therapist, orthopaedic surgeon, and orthopaedic residents[J]. N Am J Sports Phys Ther, 2009, 4(1): 38-45.

ZIEGERT A J, BLANKENBAKER D G, DE SMET A A, et al. Comparison of standard hip MR arthrographic imaging planes and sequences fordetection of arthroscopically proven labral tear[J]. AJR Am J Roentgenol, 2009, 192(5): 1397-1400. DOI: 10.2214/AJR.08.1609.

田春艳, 袁慧书, 王健全.髋关节盂唇撕裂的3.0T髋关节MR造影与常规MRI对比研究[J].影像诊断与介入放射学, 2017, 26(1): 42-46. DOI: 10.3969/j.issn.1005-8001.2017.01.008.

TIAN C Y, YUAN H S, WANG J Q. 3 T MR arthrography and conventional MRI for acetabular labral tear[J]. Diag Imaging Interven Radiol, 2017, 26(1): 42-46.DOI: 10.3969/j.issn.1005-8001.2017.01.008.

过哲, 吴关, 张薇, 等.髋臼盂唇撕裂的3.0T MRI表现[J].中国骨与关节杂志, 2017, 6(8): 565-569. DOI: 10.3969/j.issn.2095-252X.2017.08.002.

GUO Z, WU G, ZHANG W, et al. MRI 3.0 T appearance of acetabular labral tears[J]. Chin J Bone Joint, 2017, 6(8): 565-569. DOI: 10.3969/j.issn.2095-252X.2017.08.002.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Diagnostic value of tensor-based morphology for grey matter atrophy in mild cognitive impairment patients

Value of sleep deprivation in sedation of children undergoing MRI

Minimally invasive total hip arthroplasty on hip ankylosis

MRI diagnosis of arrhythmogenic right ventricular cardiomyopathy

Related Author

Yunling LONG

陈霞

陈银

冉启英

闫飞

陈光兴

杨柳

戴刚

Related Institution

Department of Medical Engineering, Beijing Tiantan Hospital Capital Medical University

⁰