Application of MSCT Combined with MRI in the Diagnosis of Knee Joint Injuries in Marathon Athletes

doi:10.7517/issn.1674-0475.220142

Abstract

Abstract: This paper explored the value of multi-slice spiral CT (MSCT) combined with magnetic resonance imaging (MRI) in the diagnosis of knee injuries in marathon runners. 95 patients with knee injuries of marathon runners were selected as research subjects, and all underwent MSCT and MRI examinations. The results showed that with the results of arthroscopy or surgery as the "gold standard", the accuracy rates of MSCT and MRI alone in diagnosing the types of knee injuries in marathon runners were 86.32% and 93.68%, respectively, and the accuracy rate of combined diagnosis reached 100.00%. The Kappa values of MSCT combined with MRI for the grading of knee ligament injury, meniscus injury and the results of arthroscopy or surgery were 0.944 and 0.933, respectively. Compared with the results of arthroscopy or surgery, the accuracy of MSCT combined with MRI to diagnose occult knee fractures in marathon runners is 100.00%. It can be seen that MSCT combined with MRI imaging technology has a high accuracy in diagnosing the types of knee injuries in marathon runners, and can further accurately assess the classification of knee ligament injury, meniscus injury, and occult fracture sites.

Key words: marathon, knee joint injury, multi-slice spiral CT, magnetic resonance imaging

REN Haijuan, WEI Jianbo, LIU Ying, CHEN Jianxin. Application of MSCT Combined with MRI in the Diagnosis of Knee Joint Injuries in Marathon Athletes[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(4): 971-975.

References

[1] García-Manso J M, Martínez-Patiño M J, de la Paz Arencibia L, et al. Tactical behavior of high-level male marathon runners[J]. Scandinavian Journal of Medicine & Science in Sports, 2021,31(3):521-528.
[2] 王佳宁, 王格非, 龚熹. 业余超级马拉松运动员赛事损伤分析[J]. 科技导报, 2020,38(11):169-176.
[3] Toresdahl B G, McElheny K, Metzl J, et al. A randomized study of a strength training program to prevent injuries in runners of the new york city marathon[J]. Sports Health, 2020,12(1):74-79.
[4] 胡浩宇, 郑依莉, 王雪强, 等. 上海国际马拉松跑者膝关节损伤情况及其影响因素分析[J]. 中国康复医学杂志, 2019,34(3):297-302.
[5] 靳甜甜, 杨洋. 关于北京快乐跑团马拉松爱好者膝关节损伤的调查与分析[J]. 安徽体育科技, 2019,40(2):48-51.
[6] 高芳. 马拉松运动员膝关节潜在损伤的预测方法研究[J]. 广州体育学院学报, 2020,40(1):109-112, 125.
[7] 孙小煜, 宋璐, 张雪峰, 等. 应用MRI、MSCT检查在外伤性膝关节交叉韧带损伤诊治中临床价值研究[J]. 中国CT和MRI杂志, 2021,19(9):180-182.
[8] 朱芳富. MRI检查对膝关节损伤患者诊断准确率的影响[J]. 医学理论与实践, 2019,32(22):3700-3702.
[9] Logerstedt D S, Scalzitti D, Risberg M A, et al. Knee stability and movement coordination impairments:Knee ligament sprain revision 2017[J]. The Journal of Orthopaedic and Sports Physical Therapy, 2017,47(11):A1-A47.
[10] Abram S G F, Beard D J, Price A J, et al. National consensus on the definition, investigation, and classification of meniscal lesions of the knee[J]. The Knee, 2018,25(5):834-840.
[11] 苏鹏飞. MRI与16-MSCT扫描在膝关节外伤诊断中的比较分析[J]. 黑龙江中医药, 2019,48(6):139-140.
[12] Dornberger J E, Rademacher G, Stengel D, et al. What is the diagnostic accuracy of flat-panel cone-beam CT arthrography for diagnosis of scapholunate ligament tears?[J]. Clinical Orthopaedics & Related Research, 2021,479(1):151-160.
[13] Jerban S, Chang E Y, Du J. Magnetic resonance imaging (MRI) studies of knee joint under mechanical loading:Review[J]. Magnetic Resonance Imaging, 2020,65(1):27-36.
[14] 何绪成, 宁春芳, 周广金, 等. 多层螺旋CT联合磁共振成像在踝关节处隐匿性骨折中的诊断价值[J]. 医学影像学杂志, 2021,31(4):680-683.
[15] Greif D N, Baraga M G, Rizzo M G, et al. MRI appearance of the different meniscal ramp lesion types, with clinical and arthroscopic correlation[J]. Skeletal Radiology, 2020,49(5):677-689.
[16] Li Z, Ren S, Zhang X, et al. Deep learning-based image feature with arthroscopy-aided early diagnosis and treatment of meniscus injury of knee joint[J]. Journal of Healthcare Engineering, 2021,2021(1):2254594.
[17] 丘武应, 姚文虹, 钟丽珍, 等. MSCT三维重建与MRI在膝关节隐匿性骨折中的诊断价值[J]. 海南医学, 2020,31(8):1021-1024.
[18] 朱永斌, 朱正阳. MSCT三维重建及MRI诊断膝关节隐匿性骨折临床价值研究[J]. 影像研究与医学应用, 2021,5(12):111-112.