Dorsal wrist ganglion: clinical and imaging correlation in symptomatic population based on high-field MRI

Objectives To determine prevalence in the symptomatic population of dorsal mucoid cysts centered on dorsal capsuloscapholunate septum (DCSS) using high-field magnetic resonance imaging (MRI) for anatomoclinical and epidemiological correlations. Materials and methods This single-center retrospective...

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Veröffentlicht in:European radiology 2024-12, Vol.34 (12), p.7856-7863
Hauptverfasser: Ferreira Branco, David, Botti, Paul, Bouvet, Cindy, Abs, Bilal, Buzzi, Marcello, Beaulieu, Jean Yves, Poletti, Pierre-Alexandre, Bouredoucen, Hicham, Boudabbous, Sana
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container_end_page 7863
container_issue 12
container_start_page 7856
container_title European radiology
container_volume 34
creator Ferreira Branco, David
Botti, Paul
Bouvet, Cindy
Abs, Bilal
Buzzi, Marcello
Beaulieu, Jean Yves
Poletti, Pierre-Alexandre
Bouredoucen, Hicham
Boudabbous, Sana
description Objectives To determine prevalence in the symptomatic population of dorsal mucoid cysts centered on dorsal capsuloscapholunate septum (DCSS) using high-field magnetic resonance imaging (MRI) for anatomoclinical and epidemiological correlations. Materials and methods This single-center retrospective study analyzed all 3-Tesla MRIs consecutively performed for painful wrists in 295 patients. Two blinded readers performed measurements. The protocol included T1 spin echo and 3D proton density sequences with fat saturation. Inter-observer reliability was assessed using kappa and intra-class correlation coefficients for cyst detection and volumetry, respectively. Disagreements concerning cyst detection were resolved by a consensus reading. Cyst size, relationship to extrinsic and scapholunate ligaments (SL), continuity of SL, minimum distance to the posterior interosseous nerve (PIN), cyst communication with joint, and anatomical classifications of cysts were analyzed. Correlation tests were performed to assess associations. Results Two-hundred ninety-five patients (mean age 39.6 +/− 15.6 (standard deviation), 161 males) were evaluated for detection of dorsal wrist cysts identified in 150/295. In this subgroup, the mean age was 38.7 years (15–75), the sex ratio of 0.6 (59% women), and the median volume cyst of 8.7 mm 3 (0.52–2555). Cyst detection, volume, and major axis measurements showed very high agreement between observers, respectively, 0.89, 0.96, and 0.91. 42 patients had dorsal SL pain. A weak negative correlation was found between distance to PIN and dorsal SL pain ( r  = −0.2415; p  
doi_str_mv 10.1007/s00330-024-10831-3
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Materials and methods This single-center retrospective study analyzed all 3-Tesla MRIs consecutively performed for painful wrists in 295 patients. Two blinded readers performed measurements. The protocol included T1 spin echo and 3D proton density sequences with fat saturation. Inter-observer reliability was assessed using kappa and intra-class correlation coefficients for cyst detection and volumetry, respectively. Disagreements concerning cyst detection were resolved by a consensus reading. Cyst size, relationship to extrinsic and scapholunate ligaments (SL), continuity of SL, minimum distance to the posterior interosseous nerve (PIN), cyst communication with joint, and anatomical classifications of cysts were analyzed. Correlation tests were performed to assess associations. Results Two-hundred ninety-five patients (mean age 39.6 +/− 15.6 (standard deviation), 161 males) were evaluated for detection of dorsal wrist cysts identified in 150/295. In this subgroup, the mean age was 38.7 years (15–75), the sex ratio of 0.6 (59% women), and the median volume cyst of 8.7 mm 3 (0.52–2555). Cyst detection, volume, and major axis measurements showed very high agreement between observers, respectively, 0.89, 0.96, and 0.91. 42 patients had dorsal SL pain. A weak negative correlation was found between distance to PIN and dorsal SL pain ( r  = −0.2415; p  &lt; 0.05) and a weak positive correlation between Guérini’s classification and dorsal SL pain ( r  = 0.2466; p  &lt; 0.05). Conclusion High-field MRI is the modality of choice for the detection, anatomical, and volumetric assessment of dorsal cysts. Preoperative assessment will be aided by the proposed revised anatomical classification. Clinical relevance statement High-field MRI is the modality of choice for the anatomical study of dorsal ganglion cysts. It allows the radiologist to accurately describe the anatomical relationships, size, and visibility of the pedicle, essential information for the surgeon’s preoperative assessment. Key Points Dorsal mucoid wrist ganglion is a condition for which prevalence remains to be determined. High-field MRI is a reproducible imaging modality for the detection and assessment of dorsal wrist cysts. High-field MRI has a key role in the preoperative management of dorsal mucoid cysts.</description><identifier>ISSN: 1432-1084</identifier><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-024-10831-3</identifier><identifier>PMID: 38856779</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Anatomy ; Classification ; Correlation coefficient ; Correlation coefficients ; Cysts ; Diagnostic Radiology ; Epidemiology ; Female ; Ganglion Cysts - diagnostic imaging ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Mean ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Musculoskeletal ; Neuroradiology ; Pain ; Prevalence ; Proton density (concentration) ; Radiology ; Reproducibility of Results ; Retrospective Studies ; Sensitivity and Specificity ; Sex ratio ; Subgroups ; Ultrasound ; Wrist ; Wrist - diagnostic imaging ; Wrist Joint - diagnostic imaging ; Young Adult</subject><ispartof>European radiology, 2024-12, Vol.34 (12), p.7856-7863</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-c310c5ec3e1c39dc80a8a3ddb84c1bc2fadc85d9b752a1559673e5076686706d3</cites><orcidid>0000-0002-2222-975X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-024-10831-3$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-024-10831-3$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,778,782,883,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38856779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferreira Branco, David</creatorcontrib><creatorcontrib>Botti, Paul</creatorcontrib><creatorcontrib>Bouvet, Cindy</creatorcontrib><creatorcontrib>Abs, Bilal</creatorcontrib><creatorcontrib>Buzzi, Marcello</creatorcontrib><creatorcontrib>Beaulieu, Jean Yves</creatorcontrib><creatorcontrib>Poletti, Pierre-Alexandre</creatorcontrib><creatorcontrib>Bouredoucen, Hicham</creatorcontrib><creatorcontrib>Boudabbous, Sana</creatorcontrib><title>Dorsal wrist ganglion: clinical and imaging correlation in symptomatic population based on high-field MRI</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives To determine prevalence in the symptomatic population of dorsal mucoid cysts centered on dorsal capsuloscapholunate septum (DCSS) using high-field magnetic resonance imaging (MRI) for anatomoclinical and epidemiological correlations. Materials and methods This single-center retrospective study analyzed all 3-Tesla MRIs consecutively performed for painful wrists in 295 patients. Two blinded readers performed measurements. The protocol included T1 spin echo and 3D proton density sequences with fat saturation. Inter-observer reliability was assessed using kappa and intra-class correlation coefficients for cyst detection and volumetry, respectively. Disagreements concerning cyst detection were resolved by a consensus reading. Cyst size, relationship to extrinsic and scapholunate ligaments (SL), continuity of SL, minimum distance to the posterior interosseous nerve (PIN), cyst communication with joint, and anatomical classifications of cysts were analyzed. Correlation tests were performed to assess associations. Results Two-hundred ninety-five patients (mean age 39.6 +/− 15.6 (standard deviation), 161 males) were evaluated for detection of dorsal wrist cysts identified in 150/295. In this subgroup, the mean age was 38.7 years (15–75), the sex ratio of 0.6 (59% women), and the median volume cyst of 8.7 mm 3 (0.52–2555). Cyst detection, volume, and major axis measurements showed very high agreement between observers, respectively, 0.89, 0.96, and 0.91. 42 patients had dorsal SL pain. A weak negative correlation was found between distance to PIN and dorsal SL pain ( r  = −0.2415; p  &lt; 0.05) and a weak positive correlation between Guérini’s classification and dorsal SL pain ( r  = 0.2466; p  &lt; 0.05). Conclusion High-field MRI is the modality of choice for the detection, anatomical, and volumetric assessment of dorsal cysts. Preoperative assessment will be aided by the proposed revised anatomical classification. Clinical relevance statement High-field MRI is the modality of choice for the anatomical study of dorsal ganglion cysts. It allows the radiologist to accurately describe the anatomical relationships, size, and visibility of the pedicle, essential information for the surgeon’s preoperative assessment. Key Points Dorsal mucoid wrist ganglion is a condition for which prevalence remains to be determined. High-field MRI is a reproducible imaging modality for the detection and assessment of dorsal wrist cysts. 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Public Health</topic><topic>Middle Aged</topic><topic>Musculoskeletal</topic><topic>Neuroradiology</topic><topic>Pain</topic><topic>Prevalence</topic><topic>Proton density (concentration)</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Sex ratio</topic><topic>Subgroups</topic><topic>Ultrasound</topic><topic>Wrist</topic><topic>Wrist - diagnostic imaging</topic><topic>Wrist Joint - diagnostic imaging</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferreira Branco, David</creatorcontrib><creatorcontrib>Botti, Paul</creatorcontrib><creatorcontrib>Bouvet, Cindy</creatorcontrib><creatorcontrib>Abs, Bilal</creatorcontrib><creatorcontrib>Buzzi, Marcello</creatorcontrib><creatorcontrib>Beaulieu, Jean Yves</creatorcontrib><creatorcontrib>Poletti, Pierre-Alexandre</creatorcontrib><creatorcontrib>Bouredoucen, Hicham</creatorcontrib><creatorcontrib>Boudabbous, Sana</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferreira Branco, David</au><au>Botti, Paul</au><au>Bouvet, Cindy</au><au>Abs, Bilal</au><au>Buzzi, Marcello</au><au>Beaulieu, Jean Yves</au><au>Poletti, Pierre-Alexandre</au><au>Bouredoucen, Hicham</au><au>Boudabbous, Sana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dorsal wrist ganglion: clinical and imaging correlation in symptomatic population based on high-field MRI</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>34</volume><issue>12</issue><spage>7856</spage><epage>7863</epage><pages>7856-7863</pages><issn>1432-1084</issn><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives To determine prevalence in the symptomatic population of dorsal mucoid cysts centered on dorsal capsuloscapholunate septum (DCSS) using high-field magnetic resonance imaging (MRI) for anatomoclinical and epidemiological correlations. Materials and methods This single-center retrospective study analyzed all 3-Tesla MRIs consecutively performed for painful wrists in 295 patients. Two blinded readers performed measurements. The protocol included T1 spin echo and 3D proton density sequences with fat saturation. Inter-observer reliability was assessed using kappa and intra-class correlation coefficients for cyst detection and volumetry, respectively. Disagreements concerning cyst detection were resolved by a consensus reading. Cyst size, relationship to extrinsic and scapholunate ligaments (SL), continuity of SL, minimum distance to the posterior interosseous nerve (PIN), cyst communication with joint, and anatomical classifications of cysts were analyzed. Correlation tests were performed to assess associations. Results Two-hundred ninety-five patients (mean age 39.6 +/− 15.6 (standard deviation), 161 males) were evaluated for detection of dorsal wrist cysts identified in 150/295. In this subgroup, the mean age was 38.7 years (15–75), the sex ratio of 0.6 (59% women), and the median volume cyst of 8.7 mm 3 (0.52–2555). Cyst detection, volume, and major axis measurements showed very high agreement between observers, respectively, 0.89, 0.96, and 0.91. 42 patients had dorsal SL pain. A weak negative correlation was found between distance to PIN and dorsal SL pain ( r  = −0.2415; p  &lt; 0.05) and a weak positive correlation between Guérini’s classification and dorsal SL pain ( r  = 0.2466; p  &lt; 0.05). Conclusion High-field MRI is the modality of choice for the detection, anatomical, and volumetric assessment of dorsal cysts. Preoperative assessment will be aided by the proposed revised anatomical classification. Clinical relevance statement High-field MRI is the modality of choice for the anatomical study of dorsal ganglion cysts. It allows the radiologist to accurately describe the anatomical relationships, size, and visibility of the pedicle, essential information for the surgeon’s preoperative assessment. Key Points Dorsal mucoid wrist ganglion is a condition for which prevalence remains to be determined. High-field MRI is a reproducible imaging modality for the detection and assessment of dorsal wrist cysts. High-field MRI has a key role in the preoperative management of dorsal mucoid cysts.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38856779</pmid><doi>10.1007/s00330-024-10831-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2222-975X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Anatomy
Classification
Correlation coefficient
Correlation coefficients
Cysts
Diagnostic Radiology
Epidemiology
Female
Ganglion Cysts - diagnostic imaging
Humans
Imaging
Internal Medicine
Interventional Radiology
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Mean
Medical imaging
Medicine
Medicine & Public Health
Middle Aged
Musculoskeletal
Neuroradiology
Pain
Prevalence
Proton density (concentration)
Radiology
Reproducibility of Results
Retrospective Studies
Sensitivity and Specificity
Sex ratio
Subgroups
Ultrasound
Wrist
Wrist - diagnostic imaging
Wrist Joint - diagnostic imaging
Young Adult
title Dorsal wrist ganglion: clinical and imaging correlation in symptomatic population based on high-field MRI
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