SWI序列诊断膝关节半月板撕裂的可行性研究-第三军医大学学报.docVIP

SWI序列诊断膝关节半月板撕裂的可行性研究 赵 骏1，陈 伟1，周代全，彭 旭2，段小军2，黎 川3，文亚名3(400038 重庆，第三军医大学西南医院放射科、关节外科) [摘要] 目的 探讨MRI-SWI技术诊断膝关节半月板撕裂的可行性。方法 对40名临床怀疑半月板损伤患者，行MRI T1WI和T2WI-FS、SWI序列扫描，以膝关节镜为金标准对照，比较SWI与T1WI及T2WI-FS诊断半月板撕裂的敏感性、特异性、准确性和诊断效果。结果 T1WI序列敏感性为76.3%，特异性为50%，准确性为75%；T2WI-FS序列敏感性为71.1%，特异性为100%，准确性为72.5%；SWI序列敏感性为94.7%，特异性为50%，准确性为92.5%。T1WI序列和T2WI-FS序列与SWI相比一致性较差，Kappa值分别为0.391和0.288，诊断效果有显著性差异(P0.05)。结论 SWI序列能够应用于膝关节半月板撕裂的诊断，且敏感性和准确性优于T1WI序列和T2WI-FS序列。 [关键词] SWI;半月板;关节镜 [中图法分类号] R445 [文献标志码] A Diagnosis of meniscal tear of knee joint according to the SWI sequence: A feasibility study Zhao Jun1, Chen Wei1, Zhou Daiquan, Peng Xu2, Duan Xiaojun2 ,Li Chuan3, Wen Yaming3 ( 1Department of Radiology，Southwest Hospital，Third Military Medical University，Chongqing 400038，China2Department of Joint Surgery, Southwest Hospital，Third Military Medical University，Chongqing 400038，China3Department of ?, Southwest Hospital，Third Military Medical University，Chongqing 400038，China ) [Abstract] Objective To the feasibility of SWI-MRI in diagnosis of meniscus tear of knee joint. Methods Forty patients with suspected meniscus tear of knee joint underwent MRI scanning of T1WI, T2WI-FS and SWI sequences. The sensitivity, specificity, accuracy and diagnostic outcome of T1WI, T2WI-FS and SWI sequences were compared with arthroscopy as the golden standards. Results The sensitivity, specificity and accuracy of T1WI, T2WI-FS and SWI sequences were 76.3%, 50% and 75%, respectively; 71.1%, 100% and 72.5%, respectively; and 94.7%, 50% and 92.5%, respectively, for the diagnosis of meniscus tear of knee joint. The consistency of T1WI and T2WI-FS sequences was poorer than that of SWI sequence in diagnosis of meniscus tear of knee joint (P0.05) . The Kappa value was 0.391 and 0.288, respectively, for T2WI-FS and SWI sequences. The diagnostic outcomes of meniscus tear of knee joint were significantly different between T2WI-FS and SWI sequences (P0.05). Conclusion The SWI seque