Universität zu Köln

Huflage, Henner, Luetkens, Karsten Sebastian, Conrads, Nora, Jakubietz, Michael Georg, Jakubietz, Rafael Gregor, Schmitt, Rainer, Goertz, Lukas, Pennig, Lenhard, Bley, Thorsten Alexander and Grunz, Jan-Peter (2021). Assessing the scapholunate and lunotriquetral interosseous ligament in MR arthrography: Diagnostic advantages of paraxial reformatting. Eur. J. Radiol., 142. CLARE: ELSEVIER IRELAND LTD. ISSN 1872-7727

Full text not available from this repository.

Abstract

Purpose: The scapholunate (SLIL) and lunotriquetral interosseous ligament (LTIL) function as the main stabilizers of the proximal carpal row. Even with MR arthrography, component assessability is often limited in orthogonal standard planes due to their horseshoe-like shape and resulting partial volume effects. This study aims to investigate the diagnostic value of reformatting isotropic 3D sequences with respect to the anatomical orientation of the intrinsic carpal ligaments. Method: In 110 MR arthrograms of the wrist, we investigated the diagnostic accuracy of two radiologists (R1/R2) for SLIL and LTIL injuries in orthogonal standard planes vs. ancillary angulated reformatting of isotropic 3D dual echo steady state sequence. Component assessability and diagnostic confidence were compared between datasets. Results: The addition of paraxial reformations improved diagnostic accuracy for lesions of the palmar (R1: 0.87 vs. 0.93; R2: 0.86 vs. 0.93; all p < 0.05) and dorsal LTIL (R1: 0.85 vs. 0.93; R2: 0.82 vs. 0.90; all p < 0.05). No significant increase in accuracy could be ascertained for palmar (R1: 0.92 vs. 0.94, p = 0.50; R2: 0.86 vs. 0.92, p = 0.07) and dorsal (R1: 0.95 vs. 0.95, p = 1.00; R2: 0.90 vs. 0.94, p = 0.29) lesions of the SLIL. Interrater reliability was almost perfect with and without angulated planes for SLIL (Kappa = 0.88 vs. 0.82) and LTIL assessment (Kappa = 0.88 vs. 0.86). For the LTIL, observer confidence and component assessability were superior with anatomical reformations available (all p < 0.05). Conclusions: In contrast to SLIL injuries, diagnosis of LTIL lesions benefits from ancillary paraxial reformations of 3D sequences in MR wrist arthrography.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Huflage, Henner UNSPECIFIED UNSPECIFIED UNSPECIFIED Luetkens, Karsten Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Conrads, Nora UNSPECIFIED UNSPECIFIED UNSPECIFIED Jakubietz, Michael Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Jakubietz, Rafael Gregor UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmitt, Rainer UNSPECIFIED UNSPECIFIED UNSPECIFIED Goertz, Lukas UNSPECIFIED UNSPECIFIED UNSPECIFIED Pennig, Lenhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Bley, Thorsten Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Grunz, Jan-Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-579757
DOI:	10.1016/j.ejrad.2021.109860
Journal or Publication Title:	Eur. J. Radiol.
Volume:	142
Date:	2021
Publisher:	ELSEVIER IRELAND LTD
Place of Publication:	CLARE
ISSN:	1872-7727
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language WRIST ARTHROGRAPHY; CT ARTHROGRAPHY; INJURIES; TESLA Multiple languages Radiology, Nuclear Medicine & Medical Imaging Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/57975