All patients underwent MRI using a 3.0-T MR Scanner (
Achieva; Philips
Healthcare). Proton density–weighted turbo spin-echo (TSE) SPAIR (SPectral
Attenuated Inversion Recovery) T1 sagittal plane images (slice thickness, 1 mm;
voxel size, 3.29 × 0.22 × 0.22 mm) and T1 high-resolution TSE coronal plane
images (slice thickness, 1 mm; voxel size, 0.12 × 2.74 × 0.12 mm) were obtained.
The 2 MRI stacks were combined to yield volumetric data with a voxel size of
0.22 × 0.25 × 0.24 mm (
Figure
1A) using commercial software (
AMIRA 6.5, FEI SVG; Thermo Fisher
Scientific). Using the same software, the 3D surface of the tibia with its
articular cartilage was reconstructed according to a previously validated and
published method.
3 (link) The femoral origin and tibial insertion areas of the anteromedial (AM)
and posterior-lateral (PL) bundles were digitized, and their centers were
calculated (
Figures 1and
2). Finally, the
surface models were imported to a self-developed
MATLAB script (MathWorks) for
subsequent analyses. The accuracy of this technique is expected to be less than
1 mm based on the study of Han et al,
5 (link) who compared the open cadaveric measurements with 1.5-T 3D MRI
measurements and demonstrated that the paired differences in femoral length and
width between the 2 methods were 1 and 2 mm, respectively.
Dimitriou D., Wang Z., Zou D., Helmy N, & Tsai T.Y. (2020). Do Sex-Specific Differences Exist in ACL Attachment Location? An MRI-Based 3-Dimensional Topographic Analysis. Orthopaedic Journal of Sports Medicine, 8(11), 2325967120964477.