MRI of meniscus and cruciate ligament tears correlated with arthroscopy.
Findings from magnetic resonance imaging (MRI) studies of 50 knees were retrospectively interpreted. The results were correlated with arthroscopic findings. Multiple pulse sequences were performed including sagittal double-echo, coronal T1-weighted and gradient echo, axial gradient echo or fat suppression imaging. Three-dimensional MRI was performed if there was a high suspicion of a tear of the anterior cruciate ligament. The individual positive predictive value, sensitivity, specificity and accuracy were calculated from the comparison between MRI and arthroscopic findings of the menisci, anterior cruciate ligament and posterior cruciate ligament. The following results were obtained: 1) Tears of the medial meniscus-positive predictive value, 72%; sensitivity, 87%; specificity, 86%; and accuracy, 86%. 2) Tears of the lateral meniscus-positive predictive value, 85%; sensitivity, 85%; specificity, 90%; and accuracy, 88%. 3) Tears of the anterior cruciate ligament-positive predictive value, 88%; sensitivity, 95%; specificity, 89%; and accuracy, 92%. 4) Tears of the posterior cruciate ligament-positive predictive value, 100%; sensitivity, 100%; specificity, 100%; and accuracy, 100%. It is concluded that MRI is a noninvasive and accurate method for detecting the internal derangement of the knee.
Department of Medical Imaging, National Taiwan University, Medical College and Hospital, Taipei, ROC.
M C
MC
Chen
T T
TT
Shih
C C
CC
Jiang
C T
CT
Su
K M
KM
Huang
D000293:Adolescent; D000328:Adult; D000368:Aged; D016118:Anterior Cruciate Ligament / Q000473:pathology; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D002648:Child; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008592:Menisci, Tibial / Q000473:pathology; D008875:Middle Aged; D016119:Posterior Cruciate Ligament / Q000293:injuries* / Q000473:pathology; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D000070600:Tibial Meniscus Injuries