Accuracy of magnetic resonance studies in the detection of chondral and labral lesions in femoroacetabular impingement: systematic review and meta-analysis

Autor: M. El-Batouty, C. Redant, W. A. El-Adl, A. M. Saied, J. Anthonissen, René Verdonk, Emmanuel Audenaert, M. R. El-Lakkany
Rok vydání: 2017
Předmět:
medicine.medical_specialty
Chondral lesion
Diagnostic accuracy
030218 nuclear medicine & medical imaging
03 medical and health sciences
Sensitivity
0302 clinical medicine
Qualitative analysis
Rheumatology
Medicine and Health Sciences
ACETABULAR CARTILAGE DELAMINATION
Femoracetabular Impingement
medicine
Humans
DIAGNOSTIC-ACCURACY
Orthopedics and Sports Medicine
Hip joint
Femoroacetabular impingement
Cartilage defect
030222 orthopedics
HIP
CAM
medicine.diagnostic_test
Receiver operating characteristic
ABNORMALITIES
business.industry
TEARS
Arthroscopy
Magnetic resonance imaging
INDIRECT MR ARTHROGRAPHY
ARTICULAR-CARTILAGE
ARTHROSCOPY
Labral lesion
medicine.disease
Magnetic Resonance Imaging
PREVALENCE
Magnetic resonance
Meta-analysis
Inclusion and exclusion criteria
Specificity
Radiology
business
Research Article
Zdroj: BMC Musculoskeletal Disorders
BMC MUSCULOSKELETAL DISORDERS
ISSN: 1471-2474
Popis: Background Several types of Magnetic resonance imaging (MRI) are commonly used in imaging of femoroacetabular impingement (FAI), however till now there are no clear protocols and recommendations for each type. The aim of this meta-analysis is to detect the accuracy of conventional magnetic resonance imaging (cMRI), direct magnetic resonance arthrography (dMRA) and indirect magnetic resonance arthrography (iMRA) in the diagnosis of chondral and labral lesions in femoroacetabular impingement (FAI). Methods A literature search was finalized on the 17th of May 2016 to collect all studies identifying the accuracy of cMRI, dMRA and iMRA in diagnosing chondral and labral lesions associated with FAI using surgical results (arthroscopic or open) as a reference test. Pooled sensitivity and specificity with 95% confidence intervals using a random-effects meta-analysis for MRI, dMRA and iMRA were calculated also area under receiver operating characteristic (ROC) curve (AUC) was retrieved whenever possible where AUC is equivocal to diagnostic accuracy. Results The search yielded 192 publications which were reviewed according inclusion and exclusion criteria then 21 studies fulfilled the eligibility criteria for the qualitative analysis with a total number of 828 cases, lastly 12 studies were included in the quantitative meta-analysis. Meta-analysis showed that as regard labral lesions the pooled sensitivity, specificity and AUC for cMRI were 0.864, 0.833 and 0.88 and for dMRA were 0.91, 0.58 and 0.92. While in chondral lesions the pooled sensitivity, specificity and AUC for cMRI were 0.76, 0.72 and 0.75 and for dMRA were 0.75, 0.79 and 0.83, while for iMRA were sensitivity of 0.722 and specificity of 0.917. Conclusions The present meta-analysis showed that the diagnostic test accuracy was superior for dMRA when compared with cMRI for detection of labral and chondral lesions. The diagnostic test accuracy was superior for labral lesions when compared with chondral lesions in both cMRI and dMRA. Promising results are obtained concerning iMRA but further studies still needed to fully assess its diagnostic accuracy. Electronic supplementary material The online version of this article (doi:10.1186/s12891-017-1443-2) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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