Additional Anterior Cruciate Ligament MRI Examination Protocols: a Standard of Diagnosis or a Whim of Researchers? (Review)
ARTICLE PDF (Українська)

Keywords

review; MRI; additional sequences; additional images; oblique images; anterior cruciate ligament.

How to Cite

Kostrub, O., Kotiuk, V., Podik, V., Mazevych, V., Tretiakov, R., Smirnov, D., & Zasadniuk, I. (2020). Additional Anterior Cruciate Ligament MRI Examination Protocols: a Standard of Diagnosis or a Whim of Researchers? (Review). TERRA ORTHOPAEDICA, (2(105), 26-34. https://doi.org/10.37647/0132-2486-2020-105-2-26-34

Abstract

Summary. Standard MRI protocols of the knee joint in case of suspected anterior cruciate ligament (ACL) injury involve tomography in three mutually perpendicular planes – coronal, sagittal, and axial. Modern methods of treatment (especially refixation of the ACL and reconstruction of separate ACL bundles) and rehabilitation require more accurate diagnosis not only of the fact of injury, but also its clear location, degree and term. It is especially difficult to assess the nature and extent of ACL damage in the acute period and in cases of partial injury. Therefore, we propose to introduce into the standard of ACL MRI examination the additional use of oblique sagittal and oblique coronal sequences (images) oriented at an angle of ACL fibers with reduced to 0-2 mm interslice interval to improve the diagnosis of ACL injury. To reduce the duration of the study, it is possible to limit yourself to a small number of slices (images) in additional projections only in the area of the ACL.

https://doi.org/10.37647/0132-2486-2020-105-2-26-34
ARTICLE PDF (Українська)

References

Sanders TL, Maradit Kremers H, Bryan AJ, Larson DR, Dahm DL, Levy BA, Stuart MJ, Krych AJ. Incidence of Anterior Cruciate Ligament Tears and Reconstruction: A 21-Year Population-Based Study. Am J Sports Med. 2016;44(6):1502-7. doi: 10.1177/0363546516629944.

Orlando Júnior N, de Souza Leão MG, de Oliveira NH. Diagnosis of knee injuries: comparison of the physical examination and magnetic resonance imaging with the findings from arthroscopy. Rev Bras Ortop. 2015;50(6):712-719. doi:10.1016/j.rboe.2015.10.007.

Ben-Galim P, Steinberg EL, Amir H, Ash N, Dekel S, Arbel R. Accuracy of magnetic resonance imaging of the knee and unjustified surgery. Clin Orthop Relat Res. 2006;447:100-104. doi:10.1097/01.blo.0000203471.50808.b7.

Tsai KJ, Chiang H, Jiang CC. Magnetic resonance imaging of anterior cruciate ligament rupture. BMC Musculoskelet Disord. 2004;5:21. Published 2004 Jul 8. doi:10.1186/1471-2474-5-21.

Vaz CE, Camargo OP, Santana PJ, Valezi AC. Accuracy of magnetic resonance in identifying traumatic intraarticular knee lesions. Clinics (Sao Paulo). 2005;60(6):445-450. doi:10.1590/S1807-59322005000600003.

Siddiqui MA, Ahmad I, Sabir AB, Ullah E, Rizvi SA, Rizvi SW. Clinical examination vs. MRI: evaluation of diagnostic accuracy in detecting ACL and meniscal injuries in comparison to arthroscopy. Pol Orthop Traumatol. 2013;78:59-63.

Fitzgerald SW, Remer EM, Friedman H, Rogers LF, Hendrix RW, Schafer MF. MR evaluation of the anterior cruciate ligament: value of supplementing sagittal images with coronal and axial images. AJR Am J Roentgenol. 1993;160(6):1233-1237. doi:10.2214/ajr.160.6.8498224.

Śmigielski R, Zdanowicz U, Drwięga M, Ciszek B, Ciszkowska-Łysoń B, Siebold R. Ribbon like appearance of the midsubstance fibres of the anterior cruciate ligament close to its femoral insertion site: a cadaveric study including 111 knees. Knee Surg Sports Traumatol Arthrosc. 2015;23(11):3143-3150. doi:10.1007/s00167-014-3146-7.

Siebold R. Flat ACL anatomy: fact no fiction. Knee Surg Sports Traumatol Arthrosc. 2015;23(11):3133-3135. doi:10.1007/s00167-015-3818-y.

Tran TD, Tran QL. A cadaveric study on the anatomy of anterior cruciate ligament in Vietnamese adults. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2018;14:22-25. doi:10.1016/j.asmart.2018.05.001.

Petersen W, Zantop T. Anatomy of the anterior cruciate ligament with regard to its two bundles. Clin Orthop Relat Res. 2007;454:35-47. doi:10.1097/BLO.0b013e31802b4a59.

Otsubo H, Akatsuka Y, Takashima H, Suzuki T, Suzuki D, Kamiya T, Ikeda Y, Matsumura T, Yamashita T, Shino K. MRI depiction and 3D visualization of three anterior cruciate ligament bundles. Clin Anat. 2017;30(2):276-283. doi: 10.1002/ca.22810.

Chen T, Wang H, Warren R, Maher S. Loss of ACL function leads to alterations in tibial plateau common dynamic contact stress profiles. J Biomech. 2017;61:275-279. doi:10.1016/j.jbiomech.2017.07.024

Prado M, Nazario S, Bergamima JSР, Nasrala MLS, Neto EN, Felippe LA, Pletsch AHM. Anterior Cruciate Ligament: Anatomy and Biomechanics. J Health Sci. 2019;21(2):166–169.

Noyes FR, Mooar LA, Moorman CT 3rd, McGinniss GH. Partial tears of the anterior cruciate ligament. Progression to complete ligament deficiency. J Bone Joint Surg Br. 1989;71(5):825-833.

Kostov H, Arsovski O, Kostova E, Nikolov V. Diagnostic assessment in anterior cruciate ligament (ACL) tears. Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2014;35(1):209-218.

Navali AM, Bazavar M, Mohseni MA, Safari B, Tabrizi A. Arthroscopic evaluation of the accuracy of clinical examination versus MRI in diagnosing meniscus tears and cruciate ligament ruptures. Arch Iran Med. 2013;16(4):229-232.

Gentili A, Seeger LL, Yao L, Do HM. Anterior cruciate ligament tear: indirect signs at MR imaging. Radiology. 1994;193(3):835-840. doi:10.1148/radiology.193.3.7972834.

Lawrance JA, Ostlere SJ, Dodd CA. MRI diagnosis of partial tears of the anterior cruciate ligament. Injury. 1996;27(3):153-155. doi:10.1016/0020-1383(95)00220-0.

Borić I, Pecina M, Bojanić I, Haspl M, Roić G. Comparison of conventional spin-echo and fast spin-echo magnetic resonance imaging with fat suppression [correction for suppresion] in cruciate ligament injury. Croat Med J. 2004;45(2):195-201.

Tung GA, Davis LM, Wiggins ME, Fadale PD. Tears of the anterior cruciate ligament: primary and secondary signs at MR imaging. Radiology. 1993;188(3):661-667. doi:10.1148/radiology.188.3.8351329.

Miller TT, Gladden P, Staron RB, Henry JH, Feldman F. Posterolateral stabilizers of the knee: anatomy and injuries assessed with MR imaging. AJR Am J Roentgenol. 1997;169(6):1641-1647. doi:10.2214/ajr.169.6.9393184.

Johnson DL, Warner JJ. Diagnosis for anterior cruciate ligament surgery. Clin Sports Med. 1993;12(4):671-684.

Ha TP, Li KC, Beaulieu CF, Bergman G, Ch'en IY, Eller DJ, Cheung LP, Herfkens RJ. Anterior cruciate ligament injury: fast spin-echo MR imaging with arthroscopic correlation in 217 examinations. AJR Am J Roentgenol. 1998 May;170(5):1215-9. doi: 10.2214/ajr.170.5.9574587.

Roychowdhury S, Fitzgerald SW, Sonin AH et al. Normal and abnormal anatomy of the anterior cruciate ligament at axial MR imaging of the knee. Radiol. 1996;201(Suppl S):1633.

Roychowdhury S, Fitzgerald SW, Sonin AH, Peduto AJ, Miller FH, Hoff FL. Using MR imaging to diagnose partial tears of the anterior cruciate ligament: value of axial images. AJR Am J Roentgenol. 1997;168(6):1487-1491. doi:10.2214/ajr.168.6.9168712.

Ng AW, Griffith JF, Hung EH, Law KY, Yung PS. MRI diagnosis of ACL bundle tears: value of oblique axial imaging. Skeletal Radiol. 2013;42(2):209-217. doi:10.1007/s00256-012-1372-y.

Irizarry JM, Recht MP. MR imaging of the knee ligaments and the postoperative knee. Radiol Clin North Am. 1997;35(1):45-76.

Murakami Y, Sumen Y, Ochi M, Fujimoto E, Adachi N, Ikuta Y. MR evaluation of human anterior cruciate ligament autograft on oblique axial imaging. J Comput Assist Tomogr. 1998;22(2):270-275. doi:10.1097/00004728-199803000-00021.

Nakanishi K, Horibe S, Shiozaki Y, Ishida T, Narumi Y, Ikezoe J, Nakamura H. MRI of normal anterior cruciate ligament (ACL) and reconstructed ACL: comparison of when the knee is extended with when the knee is flexed. Eur Radiol. 1997;7(7):1020-4. doi: 10.1007/s003300050244.

Niitsu M, Ikeda K, Fukubayashi T, Anno I, Itai Y. Knee extension and flexion: MR delineation of normal and torn anterior cruciate ligaments. J Comput Assist Tomogr. 1996;20(2):322-327. doi:10.1097/00004728-199603000-00030.

Niitsu M, Ikeda K, Itai Y. Slightly flexed knee position within a standard knee coil: MR delineation of the anterior cruciate ligament. Eur Radiol 1998;8:113–115. https://doi.org/10.1007/s003300050349.

Pereira ER, Ryu KN, Ahn JM, Kayser F, Bielecki D, Resnick D. Evaluation of the anterior cruciate ligament of the knee: comparison between partial flexion true sagittal and extension sagittal oblique positions during MR imaging. Clin Radiol. 1998;53(8):574-578. doi:10.1016/s0009-9260(98)80148-7.

Katahira K, Yamashita Y, Takahashi M, Otsuka N, Koga Y, Fukumoto T, Nomura K. MR imaging of the anterior cruciate ligament: value of thin slice direct oblique coronal technique. Radiat Med. 2001;19(1):1-7.

Staeubli HU, Adam O, Becker W, Burgkart R. Anterior cruciate ligament and intercondylar notch in the coronal oblique plane: anatomy complemented by magnetic resonance imaging in cruciate ligament-intact knees. Arthroscopy. 1999;15(4):349-359. doi:10.1016/s0749-8063(99)70051-4.

Gokalp G, Demirag B, Nas OF, Aydemir MF, Yazici Z. Contribution of thin slice (1 mm) oblique coronal proton density-weighted MR images for assessment of anteromedial and posterolateral bundle damage in anterior cruciate ligament injuries. Eur J Radiol. 2012;81(9):2358-2365. doi:10.1016/j.ejrad.2011.09.008.

Ghasem Hanafi M, Momen Gharibvand M, Jaffari Gharibvand R, Sadoni H. Diagnostic Value of Oblique Coronal and Oblique Sagittal Magnetic Resonance Imaging (MRI) in Diagnosis of Anterior Cruciate Ligament (ACL) Tears. J Med Life. 2018;11(4):281-285. doi:10.25122/jml-2018-0015.

Duc SR, Zanetti M, Kramer J, Käch KP, Zollikofer CL, Wentz KU. Magnetic resonance imaging of anterior cruciate ligament tears: evaluation of standard orthogonal and tailored paracoronal images. Acta Radiol. 2005;46(7):729-733. doi:10.1080/02841850500215907.

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