DTI evaluation of mild articular cartilage injury in patellofemoral joint: Comparison with arthroscopy
10.13929/j.1003-3289.201609096
- VernacularTitle:DTI评估髌股关节软骨轻度损伤:与关节镜对照
- Author:
Min LI
;
Demao DENG
;
Chunhua FU
;
Liheng MA
;
Peiyi SUN
;
Shasha LI
;
Hai LIAO
;
Xiaomei WEI
;
Gaoxiong DUAN
;
Fang LUO
;
Wenfu CHEN
- Keywords:
Diffusion tensor imaging;
Patellofemoral joint;
Cartilage injury;
Arthroscopy
- From:
Chinese Journal of Medical Imaging Technology
2017;33(7):1071-1075
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the value of DTI in mild articular cartilage injury in patellofemoral joint.Methods The DTI and arthroscopy data of 82 patients wih routine MRI diagnosed as mild articular cartilage injury were analyzed retrospectively.According to the results of arthroscopy,40 cases of mild articular cartilage injury with Outerbridge classification Ⅰ or Ⅱ were divided into experimental group,and 33 cases with normal patellofemoral articular cartilage were divided into control group.There were 8 articular cartilage injury patients with Outerbridge classification Ⅲ or Ⅳ in patello-femoral join were excluded.The DTI data were analyzed compared with arthroscopy.Results Arthroscopy detected 62 lesions of cartilage injury in experimental group.Totally 49 lesions (49/62,79.03 ％) were detected by ADC pseudocolor image and 51 lesions (51/62,82.25 ％) were detected by FA pseudocolor image.The DTI pseudocolor images of articular cartilage injury showed uneven levels.The red or pink levels can been observed.Compared with the control group,ADC value increased and FA value decreased significantly in experimental group (both P＜0.05).Conclusion DTI can clearly display and detect mild articular cartilage injury in patellofemoral joint,which provide valuable information for early cartilaginous injury.
