Magnetic resonance imaging as a screening procedure to avoid arthroscopy for meniscal tears
The objective of this study was to evaluate the role of magnetic resonance imaging (MRI) as a screening procedure before arthroscopy of meniscal tears. Forty-one knees in 40 patients underwent MRI and arthroscopy. Compared with arthroscopy, the sensitivity, specificity, positive predictive value and...
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Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2000, Vol.120 (1-2), p.14-16 |
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creator | ELVENES, J JEROME, C. P REIKERAS, O JOHANSEN, O |
description | The objective of this study was to evaluate the role of magnetic resonance imaging (MRI) as a screening procedure before arthroscopy of meniscal tears. Forty-one knees in 40 patients underwent MRI and arthroscopy. Compared with arthroscopy, the sensitivity, specificity, positive predictive value and negative predictive value for MRI for the nmedial meniscus were 100%, 77%, 71% and 100%, respectively, while the values for the lateral meniscus were 40%, 89%, 33% and 91%, respectively. The overall accuracy for MRI of the medial and lateral menisci combined was 84%. On the basis of the high predictive value of negative MRI, we conclude that MRI is useful to exclude patients from unnecessary arthroscopy. |
doi_str_mv | 10.1007/PL00021235 |
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P ; REIKERAS, O ; JOHANSEN, O</creator><creatorcontrib>ELVENES, J ; JEROME, C. P ; REIKERAS, O ; JOHANSEN, O</creatorcontrib><description>The objective of this study was to evaluate the role of magnetic resonance imaging (MRI) as a screening procedure before arthroscopy of meniscal tears. Forty-one knees in 40 patients underwent MRI and arthroscopy. Compared with arthroscopy, the sensitivity, specificity, positive predictive value and negative predictive value for MRI for the nmedial meniscus were 100%, 77%, 71% and 100%, respectively, while the values for the lateral meniscus were 40%, 89%, 33% and 91%, respectively. The overall accuracy for MRI of the medial and lateral menisci combined was 84%. On the basis of the high predictive value of negative MRI, we conclude that MRI is useful to exclude patients from unnecessary arthroscopy.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/PL00021235</identifier><identifier>PMID: 10653097</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adolescent ; Adult ; Arthroscopy ; Biological and medical sciences ; Child ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Knee ; Knee Injuries - diagnosis ; Magnetic Resonance Imaging ; Medical sciences ; Middle Aged ; NMR ; Nuclear magnetic resonance ; Osteoarticular system. Muscles ; Predictive Value of Tests ; Radiodiagnosis. Nmr imagery. 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All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-4d48f673b835cc6fc2d05301b9190f91895fa09c217d25493d07de955116c7e73</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4022,27922,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1257633$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10653097$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ELVENES, J</creatorcontrib><creatorcontrib>JEROME, C. P</creatorcontrib><creatorcontrib>REIKERAS, O</creatorcontrib><creatorcontrib>JOHANSEN, O</creatorcontrib><title>Magnetic resonance imaging as a screening procedure to avoid arthroscopy for meniscal tears</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><description>The objective of this study was to evaluate the role of magnetic resonance imaging (MRI) as a screening procedure before arthroscopy of meniscal tears. Forty-one knees in 40 patients underwent MRI and arthroscopy. Compared with arthroscopy, the sensitivity, specificity, positive predictive value and negative predictive value for MRI for the nmedial meniscus were 100%, 77%, 71% and 100%, respectively, while the values for the lateral meniscus were 40%, 89%, 33% and 91%, respectively. The overall accuracy for MRI of the medial and lateral menisci combined was 84%. On the basis of the high predictive value of negative MRI, we conclude that MRI is useful to exclude patients from unnecessary arthroscopy.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arthroscopy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Knee</subject><subject>Knee Injuries - diagnosis</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Osteoarticular system. Muscles</subject><subject>Predictive Value of Tests</subject><subject>Radiodiagnosis. Nmr imagery. 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P ; REIKERAS, O ; JOHANSEN, O</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-4d48f673b835cc6fc2d05301b9190f91895fa09c217d25493d07de955116c7e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arthroscopy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Knee</topic><topic>Knee Injuries - diagnosis</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Osteoarticular system. Muscles</topic><topic>Predictive Value of Tests</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Rupture</topic><topic>Sensitivity and Specificity</topic><topic>Tibial Meniscus Injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ELVENES, J</creatorcontrib><creatorcontrib>JEROME, C. 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P</au><au>REIKERAS, O</au><au>JOHANSEN, O</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Magnetic resonance imaging as a screening procedure to avoid arthroscopy for meniscal tears</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2000</date><risdate>2000</risdate><volume>120</volume><issue>1-2</issue><spage>14</spage><epage>16</epage><pages>14-16</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>The objective of this study was to evaluate the role of magnetic resonance imaging (MRI) as a screening procedure before arthroscopy of meniscal tears. Forty-one knees in 40 patients underwent MRI and arthroscopy. 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subjects | Adolescent Adult Arthroscopy Biological and medical sciences Child Humans Investigative techniques, diagnostic techniques (general aspects) Knee Knee Injuries - diagnosis Magnetic Resonance Imaging Medical sciences Middle Aged NMR Nuclear magnetic resonance Osteoarticular system. Muscles Predictive Value of Tests Radiodiagnosis. Nmr imagery. Nmr spectrometry Rupture Sensitivity and Specificity Tibial Meniscus Injuries |
title | Magnetic resonance imaging as a screening procedure to avoid arthroscopy for meniscal tears |
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