Exploring the early diagnostic value of MRI for type I stress fractures: a retrospective analysis based on imaging manifestations
ObjectiveTo compare the positive rate of early diagnosis and the detection rate of fracture signs in Type I stress fractures using x-ray, CT, and MRI.MethodsA total of 56 patients with Type I stress fractures admitted to the 904st Hospital of the PLA Joint Logistics Support Force from January 2011 t...
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Frontiers Media S.A.
2025-03-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1333714/full |
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| author | Hui Lu Cailin Wang Leilei Wang Leilei Wang Xuefeng Gao Ruquan Li Xiaofeng Jin Jun Tang Sen Guan |
| author_facet | Hui Lu Cailin Wang Leilei Wang Leilei Wang Xuefeng Gao Ruquan Li Xiaofeng Jin Jun Tang Sen Guan |
| author_sort | Hui Lu |
| collection | DOAJ |
| description | ObjectiveTo compare the positive rate of early diagnosis and the detection rate of fracture signs in Type I stress fractures using x-ray, CT, and MRI.MethodsA total of 56 patients with Type I stress fractures admitted to the 904st Hospital of the PLA Joint Logistics Support Force from January 2011 to June 2021 were included in the retrospective analysis, including 35 cases of tibial stress fractures (tibia group) and 21 cases of femoral stress fractures (femur group). The positive rate of early diagnosis and the detection rates of visible fracture lines, periosteal reaction, callus formation, surrounding soft tissue swelling, and marrow cavity signal changes were compared between x-ray, CT, and MRI.Results(1) The positive rate of early diagnosis of MRI in the tibia and femur groups were significantly higher than those of x-ray and CT examinations, and the differences were statistically significant (P < 0.05). (2) In the tibia group, MRI had significantly higher detection rates than x-ray and CT examinations for visible fracture lines, periosteal reaction, surrounding soft tissue swelling, and marrow cavity signal changes, and the differences were statistically significant (P < 0.05). There was no significant difference in the detection rate of callus formation (P > 0.05). (3) In the femur group, MRI had significantly higher detection rates than x-ray and CT examinations for visible fracture lines, surrounding soft tissue swelling, and marrow cavity signal changes, and the differences were statistically significant (P < 0.05). There was no significant difference in the detection rates of periosteal reaction and callus formation (P > 0.05).ConclusionBased on the definitely diagnostic advantages of MRI for signs such as visible fracture line, surrounding soft tissue swelling, and marrow cavity signal changes, it shows higher accuracy and application value in the early diagnosis of type Ⅰ stress fractures. |
| format | Article |
| id | doaj-art-9dbff09c94a14ea8be8a795d6fcccdd6 |
| institution | DOAJ |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-9dbff09c94a14ea8be8a795d6fcccdd62025-08-20T03:01:46ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-03-011210.3389/fsurg.2025.13337141333714Exploring the early diagnostic value of MRI for type I stress fractures: a retrospective analysis based on imaging manifestationsHui Lu0Cailin Wang1Leilei Wang2Leilei Wang3Xuefeng Gao4Ruquan Li5Xiaofeng Jin6Jun Tang7Sen Guan8Department of Pain, Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, ChinaMedical Research Center, The People’s Hospital of Suzhou New District, Suzhou, ChinaDepartment of Radiology, Yinshanhu Hospital, Suzhou, ChinaDepartment of Radiology, The 904th Hospital of the People’s Liberation Army (PLA) Joint Logistics Support Force, Suzhou, ChinaDepartment of Radiology, Yinshanhu Hospital, Suzhou, ChinaDepartment of Radiology, The 904th Hospital of the People’s Liberation Army (PLA) Joint Logistics Support Force, Suzhou, ChinaDepartment of Radiology, The 904th Hospital of the People’s Liberation Army (PLA) Joint Logistics Support Force, Suzhou, ChinaDepartment of Radiology, The 904th Hospital of the People’s Liberation Army (PLA) Joint Logistics Support Force, Suzhou, ChinaDepartment of Radiology, The 904th Hospital of the People’s Liberation Army (PLA) Joint Logistics Support Force, Suzhou, ChinaObjectiveTo compare the positive rate of early diagnosis and the detection rate of fracture signs in Type I stress fractures using x-ray, CT, and MRI.MethodsA total of 56 patients with Type I stress fractures admitted to the 904st Hospital of the PLA Joint Logistics Support Force from January 2011 to June 2021 were included in the retrospective analysis, including 35 cases of tibial stress fractures (tibia group) and 21 cases of femoral stress fractures (femur group). The positive rate of early diagnosis and the detection rates of visible fracture lines, periosteal reaction, callus formation, surrounding soft tissue swelling, and marrow cavity signal changes were compared between x-ray, CT, and MRI.Results(1) The positive rate of early diagnosis of MRI in the tibia and femur groups were significantly higher than those of x-ray and CT examinations, and the differences were statistically significant (P < 0.05). (2) In the tibia group, MRI had significantly higher detection rates than x-ray and CT examinations for visible fracture lines, periosteal reaction, surrounding soft tissue swelling, and marrow cavity signal changes, and the differences were statistically significant (P < 0.05). There was no significant difference in the detection rate of callus formation (P > 0.05). (3) In the femur group, MRI had significantly higher detection rates than x-ray and CT examinations for visible fracture lines, surrounding soft tissue swelling, and marrow cavity signal changes, and the differences were statistically significant (P < 0.05). There was no significant difference in the detection rates of periosteal reaction and callus formation (P > 0.05).ConclusionBased on the definitely diagnostic advantages of MRI for signs such as visible fracture line, surrounding soft tissue swelling, and marrow cavity signal changes, it shows higher accuracy and application value in the early diagnosis of type Ⅰ stress fractures.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1333714/fullstress fracturesmagnetic resonance imagingearly diagnosismilitary trainingimaging manifestations |
| spellingShingle | Hui Lu Cailin Wang Leilei Wang Leilei Wang Xuefeng Gao Ruquan Li Xiaofeng Jin Jun Tang Sen Guan Exploring the early diagnostic value of MRI for type I stress fractures: a retrospective analysis based on imaging manifestations Frontiers in Surgery stress fractures magnetic resonance imaging early diagnosis military training imaging manifestations |
| title | Exploring the early diagnostic value of MRI for type I stress fractures: a retrospective analysis based on imaging manifestations |
| title_full | Exploring the early diagnostic value of MRI for type I stress fractures: a retrospective analysis based on imaging manifestations |
| title_fullStr | Exploring the early diagnostic value of MRI for type I stress fractures: a retrospective analysis based on imaging manifestations |
| title_full_unstemmed | Exploring the early diagnostic value of MRI for type I stress fractures: a retrospective analysis based on imaging manifestations |
| title_short | Exploring the early diagnostic value of MRI for type I stress fractures: a retrospective analysis based on imaging manifestations |
| title_sort | exploring the early diagnostic value of mri for type i stress fractures a retrospective analysis based on imaging manifestations |
| topic | stress fractures magnetic resonance imaging early diagnosis military training imaging manifestations |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1333714/full |
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