Ding WW, Ding L, Li L, Zhang P, Gong R, Li J, Xu MY, Ding F, Chen B. Clinical study on improving the diagnostic accuracy of adult elbow joint cartilage injury by multisequence magnetic resonance imaging. World J Clin Cases 2024; 12(25): 5673-5680 [PMID: 39247737 DOI: 10.12998/wjcc.v12.i25.5673]
Corresponding Author of This Article
Wei-Wei Ding, MM, Associate Chief Physician, Department of Radiology, General Hospital of Ningxia Medical University, No. 804 Shengli South Street, Xingqing District, Yinchuan 198793, Ningxia Hui Autonomous Region, China.161008105@stu.cuz.edu.cn
Research Domain of This Article
Imaging Science & Photographic Technology
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 6, 2024; 12(25): 5673-5680 Published online Sep 6, 2024. doi: 10.12998/wjcc.v12.i25.5673
Clinical study on improving the diagnostic accuracy of adult elbow joint cartilage injury by multisequence magnetic resonance imaging
Wei-Wei Ding, Lei Ding, Li Li, Pan Zhang, Rui Gong, Jian Li, Meng-Ying Xu, Feng Ding, Bing Chen
Wei-Wei Ding, Li Li, Pan Zhang, Rui Gong, Jian Li, Meng-Ying Xu, Feng Ding, Bing Chen, Department of Radiology, General Hospital of Ningxia Medical University, Yinchuan 198793, Ningxia Hui Autonomous Region, China
Lei Ding, Department of Emergency, The First People’s hospital of Yinchuan in Ningxia, Yinchuan 198794, Ningxia Hui Autonomous Region, China
Co-first authors: Wei-Wei Ding and Lei Ding.
Author contributions: Ding WW, Ding L, Li L, Zhang P, and Gong R contributed to writing original draft; Li J, Xu MY, Ding F, and Chen B contributed to writing, review and editing, and methodology; all authors read and approved the final version of this paper. Ding WW and Ding L contributed equally.
Institutional review board statement: This study was approved by the Institutional Review Board of the General Hospital of Ningxia Medical University.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei-Wei Ding, MM, Associate Chief Physician, Department of Radiology, General Hospital of Ningxia Medical University, No. 804 Shengli South Street, Xingqing District, Yinchuan 198793, Ningxia Hui Autonomous Region, China.161008105@stu.cuz.edu.cn
Received: March 4, 2024 Revised: May 28, 2024 Accepted: June 19, 2024 Published online: September 6, 2024 Processing time: 134 Days and 7 Hours
Abstract
BACKGROUND
Due to frequent and high-risk sports activities, the elbow joint is susceptible to injury, especially to cartilage tissue, which can cause pain, limited movement and even loss of joint function.
AIM
To evaluate magnetic resonance imaging (MRI) multisequence imaging for improving the diagnostic accuracy of adult elbow cartilage injury.
METHODS
A total of 60 patients diagnosed with elbow cartilage injury in our hospital from January 2020 to December 2021 were enrolled in this retrospective study. We analyzed the accuracy of conventional MRI sequences (T1-weighted imaging, T2-weighted imaging, proton density weighted imaging, and T2 star weighted image) and Three-Dimensional Coronary Imaging by Spiral Scanning (3D-CISS) in the diagnosis of elbow cartilage injury. Arthroscopy was used as the gold standard to evaluate the diagnostic effect of single and combination sequences in different injury degrees and the consistency with arthroscopy.
RESULTS
The diagnostic accuracy of 3D-CISS sequence was 89.34% ± 4.98%, the sensitivity was 90%, and the specificity was 88.33%, which showed the best performance among all sequences (P < 0.05). The combined application of the whole sequence had the highest accuracy in all sequence combinations, the accuracy of mild injury was 91.30%, the accuracy of moderate injury was 96.15%, and the accuracy of severe injury was 93.33% (P < 0.05). Compared with arthroscopy, the combination of all MRI sequences had the highest consistency of 91.67%, and the kappa value reached 0.890 (P < 0.001).
CONCLUSION
Combination of 3D-CISS and each sequence had significant advantages in improving MRI diagnostic accuracy of elbow cartilage injuries in adults. Multisequence MRI is recommended to ensure the best diagnosis and treatment.
Core Tip: Combination of three-dimensional hydrography sequence and each sequence had significant advantages in improving magnetic resonance imaging (MRI) diagnostic accuracy of elbow cartilage injuries in adults. Multisequence MRI is recommended in clinical practice to ensure the best diagnosis and treatment.
