Intrinsic carpal ligaments on MR and multidetector CT arthrography: comparison of axial and axial oblique planes

Purpose To compare axial and oblique axial planes on MR arthrography (MRA) and multidetector CT arthrography (CTA) to evaluate dorsal and volar parts of scapholunate (SLIL) and lunotriquetral interosseous (LTIL) ligaments. Methods Nine cadaveric wrists of five male subjects were studied. The visibil...

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Veröffentlicht in:European radiology 2017-03, Vol.27 (3), p.1277-1285
Hauptverfasser: Lee, Ryan K. L., Griffith, James F., Ng, Alex W. H., Law, Eric K. C., Tse, W. L., Wong, Clara W. Y., Ho, P. C.
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container_end_page 1285
container_issue 3
container_start_page 1277
container_title European radiology
container_volume 27
creator Lee, Ryan K. L.
Griffith, James F.
Ng, Alex W. H.
Law, Eric K. C.
Tse, W. L.
Wong, Clara W. Y.
Ho, P. C.
description Purpose To compare axial and oblique axial planes on MR arthrography (MRA) and multidetector CT arthrography (CTA) to evaluate dorsal and volar parts of scapholunate (SLIL) and lunotriquetral interosseous (LTIL) ligaments. Methods Nine cadaveric wrists of five male subjects were studied. The visibility of dorsal and volar parts of the SLIL and LTIL was graded semi-quantitatively (good, intermediate, poor) on MRA and CTA. The presence of a ligament tear was determined on arthrosocopy and sensitivity, specificity and accuracy of tear detection were calculated. Results Oblique axial imaging was particularly useful for delineating dorsal and volar parts of the LTIL on MRA with overall ‘good’ visibility increased from 11 % to 78 %. The accuracy of MRA and CTA in revealing SLIL and LTIL tear was higher using the oblique axial plane. The overall accuracy for detecting SLIL tear on CTA improved from 94 % to 100 % and from 89 % to 94 % on MRA; the overall accuracy of detecting LTIL tear on CTA improved from 89 % to 100 % and from 72 % to 89 % on MRA Conclusion Oblique axial imaging during CT and MR arthrography improves detection of tears in the dorsal and volar parts of both SLIL and LTIL. Key Points • Oblique axial imaging improves SLIL and LTIL visibility and tear detection . • This improvement is greater for the LTIL than for the SLIL ligament . • Overall , CT arthrography performed better than MR arthrography .
doi_str_mv 10.1007/s00330-016-4436-x
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L. ; Griffith, James F. ; Ng, Alex W. H. ; Law, Eric K. C. ; Tse, W. L. ; Wong, Clara W. Y. ; Ho, P. C.</creator><creatorcontrib>Lee, Ryan K. L. ; Griffith, James F. ; Ng, Alex W. H. ; Law, Eric K. C. ; Tse, W. L. ; Wong, Clara W. Y. ; Ho, P. C.</creatorcontrib><description>Purpose To compare axial and oblique axial planes on MR arthrography (MRA) and multidetector CT arthrography (CTA) to evaluate dorsal and volar parts of scapholunate (SLIL) and lunotriquetral interosseous (LTIL) ligaments. Methods Nine cadaveric wrists of five male subjects were studied. The visibility of dorsal and volar parts of the SLIL and LTIL was graded semi-quantitatively (good, intermediate, poor) on MRA and CTA. The presence of a ligament tear was determined on arthrosocopy and sensitivity, specificity and accuracy of tear detection were calculated. Results Oblique axial imaging was particularly useful for delineating dorsal and volar parts of the LTIL on MRA with overall ‘good’ visibility increased from 11 % to 78 %. The accuracy of MRA and CTA in revealing SLIL and LTIL tear was higher using the oblique axial plane. The overall accuracy for detecting SLIL tear on CTA improved from 94 % to 100 % and from 89 % to 94 % on MRA; the overall accuracy of detecting LTIL tear on CTA improved from 89 % to 100 % and from 72 % to 89 % on MRA Conclusion Oblique axial imaging during CT and MR arthrography improves detection of tears in the dorsal and volar parts of both SLIL and LTIL. Key Points • Oblique axial imaging improves SLIL and LTIL visibility and tear detection . • This improvement is greater for the LTIL than for the SLIL ligament . • Overall , CT arthrography performed better than MR arthrography .</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-016-4436-x</identifier><identifier>PMID: 27287482</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Accuracy ; Aged ; Aged, 80 and over ; Arthrography - methods ; Cadaver ; Cadavers ; Contrast agents ; Diagnostic Radiology ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Joint Diseases - diagnostic imaging ; Ligaments ; Ligaments, Articular - anatomy &amp; histology ; Ligaments, Articular - diagnostic imaging ; Magnetic Resonance Imaging - methods ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Multidetector Computed Tomography - methods ; Musculoskeletal ; Neuroradiology ; Radiology ; Reproducibility of Results ; Sensitivity and Specificity ; Ultrasound ; Wrist ; Wrist Injuries - diagnostic imaging ; Wrist Joint - diagnostic imaging</subject><ispartof>European radiology, 2017-03, Vol.27 (3), p.1277-1285</ispartof><rights>European Society of Radiology 2016</rights><rights>European Radiology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-7a2f93cb39adf1d58c024ea8fa7f498fdd86c28b6f2d533817ae469189865f5c3</citedby><cites>FETCH-LOGICAL-c372t-7a2f93cb39adf1d58c024ea8fa7f498fdd86c28b6f2d533817ae469189865f5c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-016-4436-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-016-4436-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27287482$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Ryan K. L.</creatorcontrib><creatorcontrib>Griffith, James F.</creatorcontrib><creatorcontrib>Ng, Alex W. H.</creatorcontrib><creatorcontrib>Law, Eric K. C.</creatorcontrib><creatorcontrib>Tse, W. L.</creatorcontrib><creatorcontrib>Wong, Clara W. Y.</creatorcontrib><creatorcontrib>Ho, P. C.</creatorcontrib><title>Intrinsic carpal ligaments on MR and multidetector CT arthrography: comparison of axial and axial oblique planes</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Purpose To compare axial and oblique axial planes on MR arthrography (MRA) and multidetector CT arthrography (CTA) to evaluate dorsal and volar parts of scapholunate (SLIL) and lunotriquetral interosseous (LTIL) ligaments. Methods Nine cadaveric wrists of five male subjects were studied. The visibility of dorsal and volar parts of the SLIL and LTIL was graded semi-quantitatively (good, intermediate, poor) on MRA and CTA. The presence of a ligament tear was determined on arthrosocopy and sensitivity, specificity and accuracy of tear detection were calculated. Results Oblique axial imaging was particularly useful for delineating dorsal and volar parts of the LTIL on MRA with overall ‘good’ visibility increased from 11 % to 78 %. The accuracy of MRA and CTA in revealing SLIL and LTIL tear was higher using the oblique axial plane. The overall accuracy for detecting SLIL tear on CTA improved from 94 % to 100 % and from 89 % to 94 % on MRA; the overall accuracy of detecting LTIL tear on CTA improved from 89 % to 100 % and from 72 % to 89 % on MRA Conclusion Oblique axial imaging during CT and MR arthrography improves detection of tears in the dorsal and volar parts of both SLIL and LTIL. 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L.</au><au>Griffith, James F.</au><au>Ng, Alex W. H.</au><au>Law, Eric K. C.</au><au>Tse, W. L.</au><au>Wong, Clara W. Y.</au><au>Ho, P. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intrinsic carpal ligaments on MR and multidetector CT arthrography: comparison of axial and axial oblique planes</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>27</volume><issue>3</issue><spage>1277</spage><epage>1285</epage><pages>1277-1285</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Purpose To compare axial and oblique axial planes on MR arthrography (MRA) and multidetector CT arthrography (CTA) to evaluate dorsal and volar parts of scapholunate (SLIL) and lunotriquetral interosseous (LTIL) ligaments. Methods Nine cadaveric wrists of five male subjects were studied. The visibility of dorsal and volar parts of the SLIL and LTIL was graded semi-quantitatively (good, intermediate, poor) on MRA and CTA. The presence of a ligament tear was determined on arthrosocopy and sensitivity, specificity and accuracy of tear detection were calculated. Results Oblique axial imaging was particularly useful for delineating dorsal and volar parts of the LTIL on MRA with overall ‘good’ visibility increased from 11 % to 78 %. The accuracy of MRA and CTA in revealing SLIL and LTIL tear was higher using the oblique axial plane. The overall accuracy for detecting SLIL tear on CTA improved from 94 % to 100 % and from 89 % to 94 % on MRA; the overall accuracy of detecting LTIL tear on CTA improved from 89 % to 100 % and from 72 % to 89 % on MRA Conclusion Oblique axial imaging during CT and MR arthrography improves detection of tears in the dorsal and volar parts of both SLIL and LTIL. Key Points • Oblique axial imaging improves SLIL and LTIL visibility and tear detection . • This improvement is greater for the LTIL than for the SLIL ligament . • Overall , CT arthrography performed better than MR arthrography .</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27287482</pmid><doi>10.1007/s00330-016-4436-x</doi><tpages>9</tpages></addata></record>
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subjects Accuracy
Aged
Aged, 80 and over
Arthrography - methods
Cadaver
Cadavers
Contrast agents
Diagnostic Radiology
Humans
Imaging
Internal Medicine
Interventional Radiology
Joint Diseases - diagnostic imaging
Ligaments
Ligaments, Articular - anatomy & histology
Ligaments, Articular - diagnostic imaging
Magnetic Resonance Imaging - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Multidetector Computed Tomography - methods
Musculoskeletal
Neuroradiology
Radiology
Reproducibility of Results
Sensitivity and Specificity
Ultrasound
Wrist
Wrist Injuries - diagnostic imaging
Wrist Joint - diagnostic imaging
title Intrinsic carpal ligaments on MR and multidetector CT arthrography: comparison of axial and axial oblique planes
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