CT Arthrography and Virtual Arthroscopy in the Diagnosis of the Anterior Cruciate Ligament and Meniscal Abnormalities of the Knee Joint |
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Authors: | Whal Lee Ho Sung Kim Seok Jung Kim Hyung Ho Kim Jin Wook Chung Heung Sik Kang Sung Hwan Hong and Ja-Young Choi |
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Institution: | 1Department of Radiology, Seoul National University College of Medicine the Institute of Radiation Medicine, SNUMRC, Korea.;2Aeromedical Center, Republic of Korea Air Force, Korea. |
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Abstract: | ObjectiveTo determine the diagnostic accuracy of CT arthrography and virtual arthroscopy in the diagnosis of anterior cruciate ligament and meniscus pathology.Materials and MethodsThirty-eight consecutive patients who underwent CT arthrography and arthroscopy of the knee were included in this study. The ages of the patients ranged from 19 to 52 years and all of the patients were male. Sagittal, coronal, transverse and oblique coronal multiplanar reconstruction images were reformatted from CT arthrography. Virtual arthroscopy was performed from 6 standard views using a volume rendering technique. Three radiologists analyzed the MPR images and two orthopedic surgeons analyzed the virtual arthroscopic images.ResultsThe sensitivity and specificity of CT arthrography for the diagnosis of anterior cruciate ligament abnormalities were 87.5%-100% and 93.3-96.7%, respectively, and those for meniscus abnormalities were 91.7%-100% and 98.1%, respectively. The sensitivity and specificity of virtual arthroscopy for the diagnosis of anterior cruciate ligament abnormalities were 87.5% and 83.3-90%, respectively, and those for meniscus abnormalities were 83.3%-87.5% and 96.1-98.1%, respectively.ConclusionCT arthrography and virtual arthroscopy showed good diagnostic accuracy for anterior cruciate ligament and meniscal abnormalities. |
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Keywords: | Knee CT Knee arthrography Knee ligaments menisci and cartilage |
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