[3-dimensional sonography in the diagnosis of meniscal lesions. An experimental and clinical study].
There is no consensus regarding the clinical significance of conventional two-dimensional ultrasound in the diagnosis of meniscal tears of the knee. Three-dimensional ultrasound spatially reconstructs a transparent image of subsequent ultrasound scans. In an experimental study of 96 menisci, radial and oblique tears were detected more often by three-dimensional ultrasound. In a clinical study of 60 menisci the two- and three-dimensional ultrasound reached a sensitivity of 92% and 100%, a specificity of 83% and 88%, a positive predictive value of 58% and 67%, and a negative predictive value of 98% and 100%, respectively. Altogether, there was no statistically significant difference between both methods. The high negative predictive value, however, shows that the three-dimensional ultrasound may be a clinically relevant examination for special questions in the diagnostics of meniscal tears.
Riedl
S
S
Chirurgische Universitätsklinik, Heidelberg.
Tauscher
A
A
Kühner
C
C
Göhring
U
U
Sohn
C
C
Meeder
P J
PJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D001182:Arthroscopy; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D008297:Male; D008592:Menisci, Tibial / Q000000981:diagnostic imaging*; D008875:Middle Aged; D012680:Sensitivity and Specificity; D000070600:Tibial Meniscus Injuries; D014463:Ultrasonography / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data
Die dreidimensionale Sonographie in der Diagnostik von Meniscusläsionen. Eine experimentelle und klinische Studie.