Quantitative evaluation of the tibial tunnel after anterior cruciate ligament reconstruction using diffusion weighted and dynamic contrast enhanced MRI: a follow-up feasibility study
Objective The aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced imaging (DCEI), for follow-up assessment of the tibial tunnel after reconstruction of the anterior cruciate ligament (ACL). Matherials and me...
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Published in | Skeletal radiology Vol. 41; no. 5; pp. 569 - 574 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer-Verlag
01.05.2012
Springer Springer Nature B.V |
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Abstract | Objective
The aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced imaging (DCEI), for follow-up assessment of the tibial tunnel after reconstruction of the anterior cruciate ligament (ACL).
Matherials and methods
Twenty-three patients were examined by MRI at 1 and 6 months following ACL reconstruction. DWI and DCEI were utilized for evaluating the region of interest (ROI) within the proximal part of the tibial tunnel. From the resulting apparent diffusion coefficient (ADC) maps, ADC values were calculated. DCEI data were used to extract the enhancement factor (f
enh
) and the enhancement gradient (g
enh
) for the same ROI.
Results
Calculated ADC as well as the f
enh
and g
enh
had diminished to a statistically significant extent by 6 months after ACL reconstruction. The average ADC value diminished from 1.48 (10
−3
mm
2
/s) at 1 month to 1.30 (10
−3
mm
2
/s) at 6 months after reconstruction. The average f
enh
value decreased from 1.21 at 1 month to 0.50 at 6 months and the average g
enh
value decreased from 2.01%/s to 1.15%/s at 6 months, respectively.
Conclusion
The study proved feasibility of DWI and DCEI for quantitative assessment of the tibial tunnel at 1 and 6 months after ACL reconstruction. Both methods have the potential for use as an additional tool in the evaluation of new methods of ACL reconstruction. To our knowledge, this is the first time quantitative MRI has been used in the follow-up to the ACL graft healing process. |
---|---|
AbstractList | Objective
The aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced imaging (DCEI), for follow-up assessment of the tibial tunnel after reconstruction of the anterior cruciate ligament (ACL).
Matherials and methods
Twenty-three patients were examined by MRI at 1 and 6 months following ACL reconstruction. DWI and DCEI were utilized for evaluating the region of interest (ROI) within the proximal part of the tibial tunnel. From the resulting apparent diffusion coefficient (ADC) maps, ADC values were calculated. DCEI data were used to extract the enhancement factor (f
enh
) and the enhancement gradient (g
enh
) for the same ROI.
Results
Calculated ADC as well as the f
enh
and g
enh
had diminished to a statistically significant extent by 6 months after ACL reconstruction. The average ADC value diminished from 1.48 (10
−3
mm
2
/s) at 1 month to 1.30 (10
−3
mm
2
/s) at 6 months after reconstruction. The average f
enh
value decreased from 1.21 at 1 month to 0.50 at 6 months and the average g
enh
value decreased from 2.01%/s to 1.15%/s at 6 months, respectively.
Conclusion
The study proved feasibility of DWI and DCEI for quantitative assessment of the tibial tunnel at 1 and 6 months after ACL reconstruction. Both methods have the potential for use as an additional tool in the evaluation of new methods of ACL reconstruction. To our knowledge, this is the first time quantitative MRI has been used in the follow-up to the ACL graft healing process. OBJECTIVEThe aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced imaging (DCEI), for follow-up assessment of the tibial tunnel after reconstruction of the anterior cruciate ligament (ACL). MATERIALS AND METHODSTwenty-three patients were examined by MRI at 1 and 6 months following ACL reconstruction. DWI and DCEI were utilized for evaluating the region of interest (ROI) within the proximal part of the tibial tunnel. From the resulting apparent diffusion coefficient (ADC) maps, ADC values were calculated. DCEI data were used to extract the enhancement factor (f(enh)) and the enhancement gradient (g(enh)) for the same ROI. RESULTSCalculated ADC as well as the f(enh) and g(enh) had diminished to a statistically significant extent by 6 months after ACL reconstruction. The average ADC value diminished from 1.48 (10(-3) mm(2)/s) at 1 month to 1.30 (10(-3) mm(2)/s) at 6 months after reconstruction. The average f(enh) value decreased from 1.21 at 1 month to 0.50 at 6 months and the average g(enh) value decreased from 2.01%/s to 1.15%/s at 6 months, respectively. CONCLUSIONThe study proved feasibility of DWI and DCEI for quantitative assessment of the tibial tunnel at 1 and 6 months after ACL reconstruction. Both methods have the potential for use as an additional tool in the evaluation of new methods of ACL reconstruction. To our knowledge, this is the first time quantitative MRI has been used in the follow-up to the ACL graft healing process. The aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced imaging (DCEI), for follow-up assessment of the tibial tunnel after reconstruction of the anterior cruciate ligament (ACL). Calculated ADC as well as the f.sub.enh and g.sub.enh had diminished to a statistically significant extent by 6 months after ACL reconstruction. The average ADC value diminished from 1.48 (10.sup.-3 mm.sup.2/s) at 1 month to 1.30 (10.sup.-3 mm.sup.2/s) at 6 months after reconstruction. The average f.sub.enh value decreased from 1.21 at 1 month to 0.50 at 6 months and the average g.sub.enh value decreased from 2.01%/s to 1.15%/s at 6 months, respectively. The study proved feasibility of DWI and DCEI for quantitative assessment of the tibial tunnel at 1 and 6 months after ACL reconstruction. Both methods have the potential for use as an additional tool in the evaluation of new methods of ACL reconstruction. To our knowledge, this is the first time quantitative MRI has been used in the follow-up to the ACL graft healing process. The aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced imaging (DCEI), for follow-up assessment of the tibial tunnel after reconstruction of the anterior cruciate ligament (ACL). Twenty-three patients were examined by MRI at 1 and 6 months following ACL reconstruction. DWI and DCEI were utilized for evaluating the region of interest (ROI) within the proximal part of the tibial tunnel. From the resulting apparent diffusion coefficient (ADC) maps, ADC values were calculated. DCEI data were used to extract the enhancement factor (f(enh)) and the enhancement gradient (g(enh)) for the same ROI. Calculated ADC as well as the f(enh) and g(enh) had diminished to a statistically significant extent by 6 months after ACL reconstruction. The average ADC value diminished from 1.48 (10(-3) mm(2)/s) at 1 month to 1.30 (10(-3) mm(2)/s) at 6 months after reconstruction. The average f(enh) value decreased from 1.21 at 1 month to 0.50 at 6 months and the average g(enh) value decreased from 2.01%/s to 1.15%/s at 6 months, respectively. The study proved feasibility of DWI and DCEI for quantitative assessment of the tibial tunnel at 1 and 6 months after ACL reconstruction. Both methods have the potential for use as an additional tool in the evaluation of new methods of ACL reconstruction. To our knowledge, this is the first time quantitative MRI has been used in the follow-up to the ACL graft healing process. The aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced imaging (DCEI), for follow-up assessment of the tibial tunnel after reconstruction of the anterior cruciate ligament (ACL). Twenty-three patients were examined by MRI at 1 and 6 months following ACL reconstruction. DWI and DCEI were utilized for evaluating the region of interest (ROI) within the proximal part of the tibial tunnel. From the resulting apparent diffusion coefficient (ADC) maps, ADC values were calculated. DCEI data were used to extract the enhancement factor (f^sub enh^) and the enhancement gradient (g^sub enh^) for the same ROI. Calculated ADC as well as the f^sub enh^ and g^sub enh^ had diminished to a statistically significant extent by 6 months after ACL reconstruction. The average ADC value diminished from 1.48 (10^sup -3^ mm^sup 2^/s) at 1 month to 1.30 (10^sup -3^ mm^sup 2^/s) at 6 months after reconstruction. The average f^sub enh^ value decreased from 1.21 at 1 month to 0.50 at 6 months and the average g^sub enh^ value decreased from 2.01%/s to 1.15%/s at 6 months, respectively. The study proved feasibility of DWI and DCEI for quantitative assessment of the tibial tunnel at 1 and 6 months after ACL reconstruction. Both methods have the potential for use as an additional tool in the evaluation of new methods of ACL reconstruction. To our knowledge, this is the first time quantitative MRI has been used in the follow-up to the ACL graft healing process.[PUBLICATION ABSTRACT] Objective The aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced imaging (DCEI), for follow-up assessment of the tibial tunnel after reconstruction of the anterior cruciate ligament (ACL). Matherials and methods Twenty-three patients were examined by MRI at 1 and 6 months following ACL reconstruction. DWI and DCEI were utilized for evaluating the region of interest (ROI) within the proximal part of the tibial tunnel. From the resulting apparent diffusion coefficient (ADC) maps, ADC values were calculated. DCEI data were used to extract the enhancement factor (f.sub.enh) and the enhancement gradient (g.sub.enh) for the same ROI. Results Calculated ADC as well as the f.sub.enh and g.sub.enh had diminished to a statistically significant extent by 6 months after ACL reconstruction. The average ADC value diminished from 1.48 (10.sup.-3 mm.sup.2/s) at 1 month to 1.30 (10.sup.-3 mm.sup.2/s) at 6 months after reconstruction. The average f.sub.enh value decreased from 1.21 at 1 month to 0.50 at 6 months and the average g.sub.enh value decreased from 2.01%/s to 1.15%/s at 6 months, respectively. Conclusion The study proved feasibility of DWI and DCEI for quantitative assessment of the tibial tunnel at 1 and 6 months after ACL reconstruction. Both methods have the potential for use as an additional tool in the evaluation of new methods of ACL reconstruction. To our knowledge, this is the first time quantitative MRI has been used in the follow-up to the ACL graft healing process. |
Audience | Academic |
Author | Rupreht, Mitja Jevšek, Marko Jevtič, Vladimir Serša, Igor Šeruga, Tomaž Vogrin, Matjaž |
Author_xml | – sequence: 1 givenname: Mitja surname: Rupreht fullname: Rupreht, Mitja email: mitja.rupreht@guest.arnes.si organization: Radiology Department, University Medical Centre Maribor – sequence: 2 givenname: Vladimir surname: Jevtič fullname: Jevtič, Vladimir organization: Medical Faculty, University of Ljubljana – sequence: 3 givenname: Igor surname: Serša fullname: Serša, Igor organization: MRI Laboratory, Jožef Stefan Institute – sequence: 4 givenname: Matjaž surname: Vogrin fullname: Vogrin, Matjaž organization: Department of Orthopaedics, University of Medical Centre of Maribor – sequence: 5 givenname: Tomaž surname: Šeruga fullname: Šeruga, Tomaž organization: Radiology Department, University Medical Centre Maribor – sequence: 6 givenname: Marko surname: Jevšek fullname: Jevšek, Marko organization: Radiology Department, University Medical Centre Maribor |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21879337$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1002_jmri_23886 crossref_primary_10_1016_j_arthro_2020_08_035 crossref_primary_10_1016_j_diii_2014_10_008 crossref_primary_10_1016_j_jradio_2016_01_010 crossref_primary_10_1016_j_crad_2014_06_018 crossref_primary_10_1177_0363546518805092 crossref_primary_10_1016_j_ejrad_2020_109346 |
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Keywords | Diffusion weighted MRI Healing Dynamic contrast enhanced MRI ACL graft MRI |
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PublicationSubtitle | Journal of the International Skeletal Society A Journal of Radiology, Pathology and Orthopedics |
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The aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced... The aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced imaging... Objective The aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced... OBJECTIVEThe aim of the study was to evaluate the feasibility of two quantitative MRI methods: diffusion weighted imaging (DWI) and dynamic contrast enhanced... |
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SubjectTerms | Adult Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Anterior Cruciate Ligament Reconstruction - adverse effects Contrast Media Drunk driving Edema - diagnosis Edema - etiology Feasibility Studies Female Follow-Up Studies Gadolinium DTPA Graft Survival Humans Image Enhancement - methods Imaging Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Medicine Medicine & Public Health Nuclear Medicine Orthopedic surgery Orthopedics Pathology Postoperative Complications - diagnosis Postoperative Complications - etiology Postoperative Period Radiology Rupture - diagnosis Rupture - etiology Scientific Article Tibia - blood supply Tibia - pathology Wound Healing |
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Title | Quantitative evaluation of the tibial tunnel after anterior cruciate ligament reconstruction using diffusion weighted and dynamic contrast enhanced MRI: a follow-up feasibility study |
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