Diagnosis of Knee Meniscal Injuries by Using Three-dimensional MRI: A Systematic Review and Meta-Analysis of Diagnostic Performance

Shakoor, Delaram; Kijowski, Richard; Guermazi, Ali; Fritz, Jan; Roemer, Frank W.; Jalali-Farahani, Sahar; Eng, John; Demehri, Shadpour

doi:10.1148/radiol.2018181212

Cited by 27 publications

(32 citation statements)

References 45 publications

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“…6 This is in contrast with prior meta-analyses on diagnostic performance of 3D MRI for internal derangement of other structures of the knee. 46,47 It was previously reported that MPR could improve the specificity of 3D MRI for detection of cartilage defects and meniscal injuries. Also, FSE sequences were shown to have higher sensitivity for detecting lateral meniscal injuries of the knee.…”

Section: Discussionmentioning

confidence: 99%

Cruciate ligament injuries of the knee: A meta‐analysis of the diagnostic performance of 3D MRI

Shakoor

Guermazi

Kijowski

et al. 2019

Magnetic Resonance Imaging

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Background Despite the advantages of 3D MRI in evaluation of cruciate ligament injuries, its use in clinical practice is still a matter of debate due to controversy regarding its diagnostic performance. Purpose To evaluate the diagnostic performance of 3D MRI for detecting cruciate ligament injuries, using surgery or arthroscopy as the reference standard. Study Type Meta‐analysis. Population Patients with knee pain. Field Strength/Sequence 3D and 2D MRI. Assessment Four databases were reviewed according to PRISMA guidelines. Statistical Tests Pooled values of sensitivity, specificity, and diagnostic odds ratio (DOR) were calculated using a random‐effects model. To investigate the effect of relevant covariates on the diagnostic performance of 3D MRI, sensitivity analysis was performed using meta‐regression to calculate relative DOR. Results Of 731 initially identified reports, 22 (1298 3D MRI examinations) met our criteria and were included. Pooled estimates of sensitivity and specificity for 3D sequences were 91.4% (95% confidence interval [CI]: 87.4–94.2%) and 96.1% (95% CI: 93.8–97.6%), respectively. Fourteen studies also reported the results of 2D MRI, with pooled sensitivity of 90.6% (95% CI: 84.1–94.6%) and specificity of 97.1% (95% CI: 94.7–98.4%), which were not significantly different from 3D sequences. 3D MRI sequences performed using 3T scanners had significantly higher DOR compared with 3D sequences performed on 1.5T or lower scanners (relative DOR: 6.04, P = 0.01). Data Conclusion 3D MRI is equivalent to 2D MRI in the diagnosis of cruciate ligament injuries. The use of 3T scanners improves the performance of 3D MRI for detecting cruciate ligament injuries. Level of Evidence: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2019;50:1545–1560.

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Section: Discussionmentioning

confidence: 99%

Cruciate ligament injuries of the knee: A meta‐analysis of the diagnostic performance of 3D MRI

Shakoor

Guermazi

Kijowski

et al. 2019

Magnetic Resonance Imaging

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“…Several systematic reviews have found no difference in diagnostic accuracy between 1.0-T, 1.5-T, and 3.0-T MRI. 20,109,125 Shakoor et al 121 found that 3-dimensional (3D) fast spin-echo and 3D gradient-echo MRI sequences had similar diagnostic accuracy in detecting meniscal tears compared with 2-dimensional MRI sequences, but sensitivity of 3D fast spin-echo was slightly better than 3D gradient-echo sequences for detecting lateral meniscal tears. Troupis et al 135 concluded that localized synovitis and displacement of the meniscus on MRI scans may be predictive of patients who could benefit from meniscal intervention.…”

Section: Diagnosismentioning

confidence: 99%

An Up-to-Date Review of the Meniscus Literature: A Systematic Summary of Systematic Reviews and Meta-analyses

Smoak

Matthews

Vinod

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: A large number of systematic reviews and meta-analyses regarding the meniscus have been published. Purpose: To provide a qualitative summary of the published systematic reviews and meta-analyses regarding the meniscus. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic search of all meta-analyses and systematic reviews regarding the meniscus and published between July 2009 and July 2019 was performed with PubMed, CINAHL, EMBASE, and the Cochrane database. Published abstracts, narrative reviews, articles not written in English, commentaries, study protocols, and topics that were not focused on the meniscus were excluded. The most pertinent results were extracted and summarized from each study. Results: A total of 332 articles were found, of which 142 were included. Included articles were summarized and divided into 16 topics: epidemiology, diagnosis, histology, biomechanics, comorbid pathology, animal models, arthroscopic partial meniscectomy (APM), meniscal repair, meniscal root repairs, meniscal allograft transplantation (MAT), meniscal implants and scaffolds, mesenchymal stem cells and growth factors, postoperative rehabilitation, postoperative imaging assessment, patient-reported outcome measures, and cost-effectiveness. The majority of articles focused on APM (20%), MAT (18%), and meniscal repair (17%). Conclusion: This summary of systematic reviews and meta-analyses delivers surgeons a single source of the current evidence regarding the meniscus.

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“…Standard MR imaging protocols acquire various pulse sequences, typically T 1 ‐weighted, T 2 ‐weighted, or proton‐density weighted images, can show differential contrast of the soft tissues based primarily on the relative water and fat content of tissue. Conventional MRI is highly sensitive and specific for the diagnosis of many injuries, including ligament tears, meniscus tears, and full‐thickness cartilage defects by providing high‐resolution qualitative evaluation of the knee …”

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confidence: 99%

“…Conventional MRI is highly sensitive and specific for the diagnosis of many injuries, including ligament tears, meniscus tears, and full-thickness cartilage defects by providing high-resolution qualitative evaluation of the knee. 1,2 These qualitative imaging modalities are limited, however, in their ability to detect early pathological changes in tissue, such as the compositional changes in cartilage observed in early osteoarthritis. Ideally, diseases such as osteoarthritis would be identified early in their time course to allow for intervention before advanced cartilage loss and subsequent bony changes.…”

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confidence: 99%

Clinical Utility of Advanced Imaging of the Knee

Lansdown

Benjamin

2019

Journal Orthopaedic Research

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Advanced imaging modalities, including computed tomography, magnetic resonance imaging (MRI), and dynamic fluoroscopic imaging, allow for a comprehensive evaluation of the knee joint. Compositional sequences for MRI can allow for an evaluation of the biochemical properties of cartilage, meniscus, and ligament that offer further insight into pathology that may not be apparent on conventional clinical imaging. Advances in image processing, shape modeling, and dynamic studies also offer a novel way to evaluate common conditions and to monitor patients after treatment. The purpose of this article is to review advanced imaging modalities of the knee and their current and anticipated future applications to clinical practice. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 38:473–482, 2020

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Diagnosis of Knee Meniscal Injuries by Using Three-dimensional MRI: A Systematic Review and Meta-Analysis of Diagnostic Performance

Cited by 27 publications

References 45 publications

Cruciate ligament injuries of the knee: A meta‐analysis of the diagnostic performance of 3D MRI

Cruciate ligament injuries of the knee: A meta‐analysis of the diagnostic performance of 3D MRI

An Up-to-Date Review of the Meniscus Literature: A Systematic Summary of Systematic Reviews and Meta-analyses

Clinical Utility of Advanced Imaging of the Knee

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