Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1995-4-12
pubmed:abstractText
In a prospective double-blind study, the capability of magnetic resonance imaging (MRI) and arthroscopy in the detection and grading of meniscal degenerations is evaluated by correlating MRI findings and arthroscopic diagnoses with a histologic grading model. In 82.8% of our results, grading based on MRI studies corresponded with the histologic grading classification. In 12 instances a meniscal degeneration verified at light microscopy was not detected at MRI, whereas in 15 cases tomography yielded a false-positive result. The overall accuracy was calculated to be 0.93 with a specificity of 0.79 and a sensitivity of 0.96. Concerning the evaluation of meniscal degenerations, MRI provides a positive predictive value of 0.95 and a negative predictive value of 0.82. Compared with the diagnostic specificity of the anterior and posterior zones, that of the intermediate segment of the meniscus is significantly reduced (p < 0.001). At arthroscopy, meniscal degenerations were diagnosed with an overall accuracy of 38.8%, a sensitivity of 27.5%, and a specificity of 75.5%. In 80 cases of grade 3 abnormalities, five false-negative diagnoses were made initially. These results suggest that MRI offers a valuable diagnostic potential providing reliable information about the internal consistency of the meniscus complementary to diagnostic arthroscopy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0749-8063
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
634-40
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:7880355-Adult, pubmed-meshheading:7880355-Aged, pubmed-meshheading:7880355-Aged, 80 and over, pubmed-meshheading:7880355-Arthroscopy, pubmed-meshheading:7880355-Cadaver, pubmed-meshheading:7880355-Double-Blind Method, pubmed-meshheading:7880355-False Negative Reactions, pubmed-meshheading:7880355-False Positive Reactions, pubmed-meshheading:7880355-Female, pubmed-meshheading:7880355-Humans, pubmed-meshheading:7880355-Magnetic Resonance Imaging, pubmed-meshheading:7880355-Male, pubmed-meshheading:7880355-Menisci, Tibial, pubmed-meshheading:7880355-Middle Aged, pubmed-meshheading:7880355-Osteoarthritis, pubmed-meshheading:7880355-Predictive Value of Tests, pubmed-meshheading:7880355-Prospective Studies, pubmed-meshheading:7880355-Reproducibility of Results, pubmed-meshheading:7880355-Sensitivity and Specificity
pubmed:year
1994
pubmed:articleTitle
Magnetic resonance imaging (MRI) and arthroscopy in the detection of meniscal degenerations: correlation of arthroscopy and MRI with histology findings.
pubmed:affiliation
Department of General Surgery and Traumatology, Heinrich-Heine-University, Düsseldorf, Germany.
pubmed:publicationType
Journal Article, Comparative Study