Diagnostic accuracy of magnetic resonance images and weight-bearing radiographs in patients with arthroscopic-proven medial osteoarthritis of the knee
| Autor: | Rosario Madero-Jarabo, Nuria Muñoz-García, José Cordero-Ampuero |
|---|---|
| Přispěvatelé: | UAM. Departamento de Cirugía |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
lcsh:Diseases of the musculoskeletal system
Medicina Radiography Diagnostic accuracy Osteoarthritis medicine.disease_cause Weight-bearing magnetic resonance 03 medical and health sciences 0302 clinical medicine Rheumatology medicine Immunology and Allergy In patient Knee Original Research arthroscopy 030203 arthritis & rheumatology medicine.diagnostic_test business.industry Arthroscopy Magnetic resonance imaging 030229 sport sciences medicine.disease osteoarthritis radiographs lcsh:RC925-935 Nuclear medicine business |
| Zdroj: | Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Biblos-e Archivo. Repositorio Institucional de la UAM instname Biblos-e Archivo: Repositorio Institucional de la UAM Universidad Autónoma de Madrid Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, Vol 13 (2020) |
| DOI: | 10.1177/1179544120938369 |
| Popis: | Aims: The aim of this study is to analyze the diagnostic value of weight-bearing radiographs, magnetic resonance images (MRI), and the combination of both in osteoarthritic knees when using arthroscopic findings as the “gold standard” to compare with. Methods: A total of 59 patients were studied because of chronic pain in 1 of their knees. Radiographs were classified according to Kellgren-Lawrence scale. Magnetic resonance images were classified according to Vallotton, and arthroscopic findings according to Outerbridge criteria. Results: Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were, respectively, 75.0%, 60.0%, 56.2%, 77.8%, and 66.1% for weight-bearing radiographs, and 70.8%, 88.6%, 81.0%, 81.6%, and 81.4% for MRI. Logistic regression analysis showed that a weight-bearing radiograph added to MRI offered no additional diagnostic value compared with MRI alone ( P Conclusions: Magnetic resonance images presented higher specificity, positive and negative predictive values, and accuracy than weight-bearing radiographs for knee osteoarthritis. The combination of radiographs and MRI did not improve the diagnostic accuracy, compared with MRI alone. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|