Aims and objectives
Sternoclavicular joint injuries are uncommon,
thus create a diagnostic challenge.
[Fig.1] This region can on rare occasions be also affected by dieseases like septic arthritis,
osteoarthritis,
rheumatoid arthritis,
SAPHO syndrome and condensing osteitis.
Although being necessary in the examinationof most joints,
MRI has not gain wide clinical acceptance in SC joint evaluation.
[1,2,3]
This may be due to the wide availability of CT and US examination.
Both of them are easier and cheaper to perform.
CT is subject to less respiratory blurring thanks to its...
Methods and materials
Twenty-one healthy volunteers (10 females and 11 males) with average age of 25 years,
were included into the study.
Volunteers were randomized into three groups.
Each patientwas scanned twice using the following machines:
• Group I– examined using Philips Eclipse 1.5 T -C/T/L Array Spine Coil and
Flex Body Phased Array Coil: scanduration 22 min.
• Group II– examined usingPhilips Achieva 3.0 TPMS SENSE Head Spine MRI CoilandPMS SENSE XL Torso MRI Coil: scan duration 21 min
• Group III– examined using Philips Ingenia 1.5...
Results
Motions artefacts:
Summarizing the results for all scanners,
we found significantly fewer motion artefacts while using the spine coil comparing tothe torso coil in all three planes.
However when we analysed results separately,
only the axialand sagittal scans performed with the Achieva 3T and Eclipse 1.5T presented significantly fewer motion artefacts.
[Fig.4] [Fig.5]
Kappa values for interrater agreement for axial,
sagittal and coronal planes wear as follow: 0.64 (CI: 0.36-0.77) - substantial agreement; 0.87 (CI: 0.75-0.98) - almost perfect agreement; 0.68 (CI: 0.38-0.88) - substantial...
Conclusion
This study demonstrates the advantage of using a standard spine coil for MRI evaluation of the SC joint.
Method was usefullindifferent types of applied magnetic field (1.5T and 3T) and three different generations of scanners.
Using ourtechnique,
substantial reduction of motion artefacts and increasingSNR is achievable.
Personal information
Team from Polish Mother Memorial Hospital Research Institute Lodz Poland and Medical Centers The Medici Lodz Poland.
We are focused onmusculoskeletal imaging of childern and adults.
Please do not hesitate to contact usif you have any questions or sugestions.
We are opean for any kind of cooperations.
Artur Kusak MD.
[email protected]
Zakład diagnostyki obrazowej - Instytut Centrum Zdrowia Matki Polki ul.
Rzgowska 281/289,
93-338 Łódź
Zakład diagnostyki obrazowej - Centra Medyczne Medyceusz ul.
Bazarowa 9,
91-053 Łódź
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