Intrinsic ligament and triangular fibrocartilage complex (TFCC) tears of the wrist: Comparison of isovolumetric 3D-THRIVE sequence MR arthrography and conventional MR image at 3 T

Young Han Lee, Yun Rak Choi, Sungjun Kim, Ho Taek Song, Jin Suck Suh

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Purpose: The purpose of the study was to validate the diagnostic performance of high-resolution isovolumetric magnetic resonance arthrography (MRA) for intrinsic ligament and triangular fibrocartilage complex (TFCC) tears of the wrist as compared to conventional MR imaging (MRI). Materials and methods: Forty-eight patients with traumatic TFCC tears at arthroscopy were enrolled. All patients had underwent proton-density- and T2-weighted MRI before arthrography and three-dimensional T1 high-resolution isovolumetric examination (3D-THRIVE) MRA on a 3-T MR. We assessed the presence of scapholunate interosseous ligament (SLIL)/lunotriquetral interosseous ligament (LTIL) or TFCC tears using the arthroscopy as a gold standard. Results: Arthroscopy revealed 37 TFCC central tears, 15 TFCC peripheral tears, 20 SLIL tears and 13 LTIL tears. Sensitivities of MRI and MRA were 70.3% and 94.6% for detection of TFCC central tears, 60.0% and 93.3% for detection of TFCC peripheral tears, 65.0% and 85.0% for SLIL tears, and 61.5% and 84.6% for LTIL tears. The specificity of the MRI was 100% for the detection of ligaments and TFCC tears. The specificities of the MRA for detection of TFCC central tears, TFCC peripheral tears, SLIL tears and LTIL tears were 100%, 97%, 96.4% and 100%, respectively. Conclusion: Isovolumetric 3D-THRIVE wrist MRA provided better results for depiction of intrinsic ligament and TFCC tears than wrist MRI.

Original languageEnglish
Pages (from-to)221-226
Number of pages6
JournalMagnetic Resonance Imaging
Volume31
Issue number2
DOIs
Publication statusPublished - 2013 Feb 1

Fingerprint

Triangular Fibrocartilage
Arthrography
Ligaments
Wrist
Tears
Magnetic resonance
Imaging techniques
Arthroscopy
Magnetic Resonance Spectroscopy

All Science Journal Classification (ASJC) codes

  • Biophysics
  • Biomedical Engineering
  • Radiology Nuclear Medicine and imaging

Cite this

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title = "Intrinsic ligament and triangular fibrocartilage complex (TFCC) tears of the wrist: Comparison of isovolumetric 3D-THRIVE sequence MR arthrography and conventional MR image at 3 T",
abstract = "Purpose: The purpose of the study was to validate the diagnostic performance of high-resolution isovolumetric magnetic resonance arthrography (MRA) for intrinsic ligament and triangular fibrocartilage complex (TFCC) tears of the wrist as compared to conventional MR imaging (MRI). Materials and methods: Forty-eight patients with traumatic TFCC tears at arthroscopy were enrolled. All patients had underwent proton-density- and T2-weighted MRI before arthrography and three-dimensional T1 high-resolution isovolumetric examination (3D-THRIVE) MRA on a 3-T MR. We assessed the presence of scapholunate interosseous ligament (SLIL)/lunotriquetral interosseous ligament (LTIL) or TFCC tears using the arthroscopy as a gold standard. Results: Arthroscopy revealed 37 TFCC central tears, 15 TFCC peripheral tears, 20 SLIL tears and 13 LTIL tears. Sensitivities of MRI and MRA were 70.3{\%} and 94.6{\%} for detection of TFCC central tears, 60.0{\%} and 93.3{\%} for detection of TFCC peripheral tears, 65.0{\%} and 85.0{\%} for SLIL tears, and 61.5{\%} and 84.6{\%} for LTIL tears. The specificity of the MRI was 100{\%} for the detection of ligaments and TFCC tears. The specificities of the MRA for detection of TFCC central tears, TFCC peripheral tears, SLIL tears and LTIL tears were 100{\%}, 97{\%}, 96.4{\%} and 100{\%}, respectively. Conclusion: Isovolumetric 3D-THRIVE wrist MRA provided better results for depiction of intrinsic ligament and TFCC tears than wrist MRI.",
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Intrinsic ligament and triangular fibrocartilage complex (TFCC) tears of the wrist : Comparison of isovolumetric 3D-THRIVE sequence MR arthrography and conventional MR image at 3 T. / Lee, Young Han; Choi, Yun Rak; Kim, Sungjun; Song, Ho Taek; Suh, Jin Suck.

In: Magnetic Resonance Imaging, Vol. 31, No. 2, 01.02.2013, p. 221-226.

Research output: Contribution to journalArticle

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N2 - Purpose: The purpose of the study was to validate the diagnostic performance of high-resolution isovolumetric magnetic resonance arthrography (MRA) for intrinsic ligament and triangular fibrocartilage complex (TFCC) tears of the wrist as compared to conventional MR imaging (MRI). Materials and methods: Forty-eight patients with traumatic TFCC tears at arthroscopy were enrolled. All patients had underwent proton-density- and T2-weighted MRI before arthrography and three-dimensional T1 high-resolution isovolumetric examination (3D-THRIVE) MRA on a 3-T MR. We assessed the presence of scapholunate interosseous ligament (SLIL)/lunotriquetral interosseous ligament (LTIL) or TFCC tears using the arthroscopy as a gold standard. Results: Arthroscopy revealed 37 TFCC central tears, 15 TFCC peripheral tears, 20 SLIL tears and 13 LTIL tears. Sensitivities of MRI and MRA were 70.3% and 94.6% for detection of TFCC central tears, 60.0% and 93.3% for detection of TFCC peripheral tears, 65.0% and 85.0% for SLIL tears, and 61.5% and 84.6% for LTIL tears. The specificity of the MRI was 100% for the detection of ligaments and TFCC tears. The specificities of the MRA for detection of TFCC central tears, TFCC peripheral tears, SLIL tears and LTIL tears were 100%, 97%, 96.4% and 100%, respectively. Conclusion: Isovolumetric 3D-THRIVE wrist MRA provided better results for depiction of intrinsic ligament and TFCC tears than wrist MRI.

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