A novel three-dimensional MRI-CT image fusion technique for precise preoperative evaluation and treatment of capitellar osteochondritis dissecans.
Image interpretation, computer-assisted
Imaging, three-dimensional
Magnetic resonance imaging (MRI)
Osteochondritis dissecans
Tomography, x-ray computed
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
06
08
2020
accepted:
29
12
2020
revised:
09
12
2020
pubmed:
18
1
2021
medline:
14
7
2021
entrez:
17
1
2021
Statut:
ppublish
Résumé
We developed a novel method to create three-dimensional magnetic resonance imaging-CT (3D MRI-CT) fusion images for detailed lesion evaluation and surgical simulation in capitellar osteochondritis dissecans (COCD). This study aimed to clarify its usefulness. We enrolled 12 boys with COCD (mean age, 13.8 years) and preoperatively constructed 3D models of the humerus and articular cartilage from MR images obtained with a 3-T imager. For better visualization of the articular cartilage outline, we applied 7 kg of axial traction to the elbow during MRI. We also constructed a 3D model of the humerus from CT images. 3D MRI-CT fusion images were created using both models. The average distance difference between two corresponding points as per the 3D CT and 3D MRI models of the humerus was evaluated. Using the 3D MRI-CT fusion images, we measured longitudinal and transverse lesion diameters; evaluated articular cartilage fissures and defects, articular surface deformities, and the International Cartilage Repair Society (ICRS) classification; and validated the results using intraoperative findings. The mean average distance difference was 0.75 mm. The 3D MRI-CT fusion images accurately reproduced lesion conditions in every case and correctly predicted the ICRS classification with 100% accuracy. Preoperatively measured longitudinal and transverse lesion diameters were not significantly different from intraoperative measurements (p = 0.79, 0.32 respectively). 3D MRI-CT fusion images provide a detailed evaluation of COCD lesion severity by presenting the exact positional relationship between the articular cartilage and subchondral bone. • We developed a novel method to create three-dimensional magnetic resonance imaging-computed tomography (3D MRI-CT) fusion images for the evaluation of capitellar osteochondritis dissecans. • 3D MRI-CT fusion images enabled the accurate prediction of lesions and provided a detailed evaluation of lesion severity by presenting the exact positional relationship between the articular cartilage and subchondral bone.
Identifiants
pubmed: 33454801
doi: 10.1007/s00330-020-07680-1
pii: 10.1007/s00330-020-07680-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
5721-5733Subventions
Organisme : Japan Orthopaedics and Traumatology Foundation
ID : 384. Alcare award, 2018
Informations de copyright
© 2021. European Society of Radiology.
Références
Baker CL III, Romeo AA, Baker CL Jr (2010) Osteochondritis dissecans of the capitellum. Am J Sports Med 38:1917–1928
doi: 10.1177/0363546509354969
Brown R, Blazina ME, Kerlan RK, Carter VS, Jobe FW, Carlson GJ (1974) Osteochondritis of the capitellum. J Sports Med 2:27–46
doi: 10.1177/036354657400200104
Edmonds EW, Polousky J (2013) A review of knowledge in osteochondritis dissecans: 123 years of minimal evolution from König to the ROCK study group. Clin Orthop Relat Res 471:1118–1126
doi: 10.1007/s11999-012-2290-y
Churchill RW, Munoz J, Ahmad CS (2016) Osteochondritis dissecans of the elbow. Curr Rev Musculoskelet Med 9:232–239
doi: 10.1007/s12178-016-9342-y
Kirsch JM, Thomas J, Bedi A, Lawton JN (2016) Current concepts: osteochondritis dissecans of the capitellum and the role of osteochondral autograft transplantation. Hand (N Y) 11:396–402
doi: 10.1177/1558944716643293
Shimada K, Tanaka H, Matsumoto T et al (2012) Cylindrical costal osteochondral autograft for reconstruction of large defects of the capitellum due to osteochondritis dissecans. J Bone Joint Surg Am 94:992–1002
doi: 10.2106/JBJS.J.00228
Itsubo T, Murakami N, Uemura K et al (2014) Magnetic resonance imaging staging to evaluate the stability of capitellar osteochondritis dissecans lesions. Am J Sports Med 42:1972–1977
doi: 10.1177/0363546514532604
Satake H, Takahara M, Harada M, Maruyama M (2013) Preoperative imaging criteria for unstable osteochondritis dissecans of the capitellum. Clin Orthop Relat Res 471:1137–1143
doi: 10.1007/s11999-012-2462-9
Iwasaki N, Kamishima T, Kato H, Funakoshi T, Minami A (2012) A retrospective evaluation of magnetic resonance imaging effectiveness on capitellar osteochondritis dissecans among overhead athletes. Am J Sports Med 40:624–630
doi: 10.1177/0363546511429258
Kohyama S, Ogawa T, Mamizuka N, Hara Y, Yamazaki M (2018) A magnetic resonance imaging-based staging system for osteochondritis dissecans of the elbow. A validation study against the International Cartilage Repair Society classification. Orthop J Sports Med. https://doi.org/10.1177/2325967118794620
Nguyen JC, Degnan AJ, Barrera CA, Hee TP, Ganley TJ, Kijowski R (2019) Osteochondritis dissecans of the elbow in children: MRI findings of instability. AJR Am J Roentgenol 213:1145–1151
doi: 10.2214/AJR.19.21855
Yoshizuka M, Sunagawa T, Nakashima Y et al (2018) Comparison of sonography and MRI in the evaluation of stability of capitellar osteochondritis dissecans. J Clin Ultrasound 46:247–252
doi: 10.1002/jcu.22563
Takahara M, Mura N, Sasaki J, Harada M, Ogino T (2007) Classification, treatment, and outcome of osteochondritis dissecans of the humeral capitellum. J Bone Joint Surg Am 89:1205–1214
doi: 10.2106/00004623-200706000-00007
Zlotolow DA, Bae DS (2014) Osteochondral autograft transplantation in the elbow. J Hand Surg Am 39:368–372
doi: 10.1016/j.jhsa.2013.09.003
Brittberg M, Aglietti P, Gambardella USA et al ICRS cartilage injury evaluation package 2000. Available via https://cartilage.org/content/uploads/2014/10/ICRS_evaluation.pdf . Accessed 2017 July 11
Kohyama S, Tanaka T, Shimasaki K et al (2020) Effect of elbow MRI with axial traction on articular cartilage visibility-a feasibility study. Skeletal Radiol. https://doi.org/10.1007/s00256-020-03455-3
Lee RK, Griffith JF, Yuen BT, Ng AW, Yeung DK (2016) Elbow MR arthrography with traction. Br J Radiol 89:20160378
doi: 10.1259/bjr.20160378
Dipaola JD, Nelson DW, Colville MR (1991) Characterizing osteochondral lesions by magnetic resonance imaging. Arthroscopy 7:101–104
doi: 10.1016/0749-8063(91)90087-E
Jans LB, Ditchfield M, Anna G, Jaremko JL, Verstraete KL (2012) MR imaging findings and MR criteria for instability in osteochondritis dissecans of the elbow in children. Eur J Radiol 81:1306–1310
doi: 10.1016/j.ejrad.2011.01.007
Kijowski R, De Smet AA (2005) MRI findings of osteochondritis dissecans of the capitellum with surgical correlation. AJR Am J Roentgenol 185:1453–1459
doi: 10.2214/AJR.04.1570
Kosaka M, Nakase J, Takahashi R et al (2013) Outcomes and failure factors in surgical treatment for osteochondritis dissecans of the capitellum. J Pedriatr Orthop 33:719–724
doi: 10.1097/BPO.0b013e3182924662