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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1995-4-12
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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.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0749-8063
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
10
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
634-40
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pubmed:dateRevised |
2006-11-15
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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
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pubmed:year |
1994
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pubmed:articleTitle |
Magnetic resonance imaging (MRI) and arthroscopy in the detection of meniscal degenerations: correlation of arthroscopy and MRI with histology findings.
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pubmed:affiliation |
Department of General Surgery and Traumatology, Heinrich-Heine-University, Düsseldorf, Germany.
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pubmed:publicationType |
Journal Article,
Comparative Study
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