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MRI performed on dedicated knee coils is inaccurate for the measurement of tibial tubercle trochlear groove distance

Objective Tibial tubercle trochlear groove distance (TTD) is a significant factor in patello-femoral instability. Initially described on CT scans with the knee in full extension, the measurement has been validated on MR scans. Dedicated knee MRI coils have subsequently superseded both CT and MRI bod...

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Bibliographic Details
Published in:Skeletal radiology 2014-03, Vol.43 (3), p.345-349
Main Authors: Aarvold, A., Pope, A., Sakthivel, V. K., Ayer, R. V.
Format: Article
Language:English
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Summary:Objective Tibial tubercle trochlear groove distance (TTD) is a significant factor in patello-femoral instability. Initially described on CT scans with the knee in full extension, the measurement has been validated on MR scans. Dedicated knee MRI coils have subsequently superseded both CT and MRI body coils for knee imaging. However, the knee rests in partial flexion within the dedicated knee coil. The objective of this study is to investigate whether images from dedicated knee MRI coils produce different TTD measurements from MR body coils. Materials and methods Thirty-two symptomatic knees (27 patients) had simultaneous knee MR scans performed in both a dedicated knee coil and a body coil. TTD measurements were independently compared to assess whether the coil type used affected TTD. Results Patients’ ages ranged from 10 to 27 years (mean 15 years). Mean TTD in the dedicated knee coil (partially flexed knee) was 11.3 mm compared with 19.9 mm in the body coil (that permits full knee extension). The mean difference was 8.6 mm, which was highly significant ( p  
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-013-1790-5