T. Rand et al., LOW-FIELD MAGNETIC-RESONANCE-IMAGING (0.2 T) OF TENDONS WITH SONOGRAPHIC AND HISTOLOGIC CORRELATION - CADAVERIC STUDY, Investigative radiology, 33(8), 1998, pp. 433-438
RATIONALE AND OBJECTIVES. The authors evaluate the role of low-field s
trength magnetic resonance imaging (MRI) compared with sonography in t
he evaluation of degenerative changes of tendons, with histologic corr
elation, based on investigations of horse cadavers, METHODS, Low-field
MRI and sonography was performed in 42 horse specimens for the evalua
tion of tendons and ligaments. Magnetic resonance imaging included sag
ittal and axial T1-weighted, T2-weighted, and gradient echo images. So
nography and MR images were evaluated for degenerative changes or tear
s and the findings were correlated with the histologic results, RESULT
S. Using histologic findings as a gold standard, the accuracy for the
sonographic evaluation was 65.9%, sensitivity was 16.7%, and specifici
ty was 100%. The corresponding data for low-field MR imaging were 70.5
% accuracy, 44.4% sensitivity, and 88.5% specificity. CONCLUSIONS. Low
-field MRI investigation allows more accurate staging of tendinous cha
nges than sonography. It is more reproducible and potentially includes
the advantages of the combined evaluation of bones, ligaments, and so
ft tissue.