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A novel ultrasound scanning approach for evaluating femoral cartilage defects of the knee: comparison with routine magnetic resonance imaging.


ABSTRACT:

Background

This study aimed to assess a novel ultrasound (US) scanning approach in evaluating knee femoral cartilaginous defects, compared with magnetic resonance imaging (MRI, commonly used for knee imaging) and arthroscopy (gold standard).

Methods

Sixty-four consecutive patients (65 knees) were prospectively evaluated between April 2010 and July 2011.

Results

The overall sensitivity (62.2 and 69.4%), specificity (92.9 and 90.5%), accuracy (75.4 and 78.5%), and adjusted positive (88.7 and 90.4%) and negative predictive (69.5 and 73.3%) were similar for both radiologists (weighted κ = 0.76). Furthermore, agreement between grading by US and MRI was substantial (weighted κ = 0.61).

Conclusions

In conclusion, the novel US scanning approach allows similar diagnostic performance compared to routine MRI for knee cartilage defects. US is more accessible, easier to perform, and less expensive than MRI, with potential advantages of easier initial screening and assessment of cartilage defects.

SUBMITTER: Cao J 

PROVIDER: S-EPMC6048893 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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A novel ultrasound scanning approach for evaluating femoral cartilage defects of the knee: comparison with routine magnetic resonance imaging.

Cao Junyan J   Zheng Bowen B   Meng Xiaochun X   Lv Yan Y   Lu Huading H   Wang Kun K   Huang Dongmei D   Ren Jie J  

Journal of orthopaedic surgery and research 20180716 1


<h4>Background</h4>This study aimed to assess a novel ultrasound (US) scanning approach in evaluating knee femoral cartilaginous defects, compared with magnetic resonance imaging (MRI, commonly used for knee imaging) and arthroscopy (gold standard).<h4>Methods</h4>Sixty-four consecutive patients (65 knees) were prospectively evaluated between April 2010 and July 2011.<h4>Results</h4>The overall sensitivity (62.2 and 69.4%), specificity (92.9 and 90.5%), accuracy (75.4 and 78.5%), and adjusted po  ...[more]

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