DIAGNOSTIC VALUE OF MAGNETIC RESONANCE IMAGES IN PATIENTS WITH ARTHROSCOPIC OSTEOARTHRITIS OF THE KNEE
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Abstract
Objectives: The aim of this study is to analyze the diagnostic value of magnetic resonance images (MRI) in osteoarthritic knees when using arthroscopic ndings as the “gold standard” to compare with. Method: A total of 76 patients were studied because of chronic pain in 1 of their knees. Radiographs were classified according to Kell- gren-Lawrence scale. Magnetic resonance images were classified according to Vallotton, and arthroscopic ndings according to Outer- bridge criteria. Results: Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were, respectively 69,7%, 85,8%, 80,9%, 79,7%, and 82,6% for MRI. Conclusion: Magnetic resonance images presented higher specificity, positive and negative predictive values, and accuracy than weight-bearing radiographs for knee osteoarthritis (according to other research)
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Keywords
radiography, osteoarthriti, bone spurs
References
2. Von Engelhardt LV, Lahner M, Klussmann A, et al. Arthroscopy vs. MRI for a detailed assessment of cartilage disease in osteoarthritis: diagnostic value of MRI in clinical practice. BMC Musculoskelet Disord. 2010;11:75.
3. Quatman CE, Hettrich CM, Schmitt LC, Spindler KP. e clinical utility and diagnostic performance of magnetic resonance imaging for identi cation of early and advanced knee osteoarthritis: a systematic review. Am J Sports Med. 2011;39:1557-1568.
4. Kijowski R, Blankenbaker DG, Davis KW, Shinki K, Kaplan LD, De Smet AA. Comparison of 1.5- and 3.0-T MR imaging for evaluating the articular cartilage of the knee joint. Radiology. 2009;250:839-848.
5. Agnesi F, Amrami KK, Frigo CA, Kaufman KR. Comparison of cartilage thick- ness with radiologic grade of knee osteoarthritis. Skeletal Radiol. 2008;37:639-643.
6. Galea A, Giu re B, Dimmick S, Coolican M, Parker D. e accuracy of mag- netic resonance imaging scanning and its in uence on management decisions in knee surgery. Arthroscopy. 2009;25:473-480.