膝关节的磁共振成像：与关节镜检查的相关性

Magnetic resonance imaging of the knee: correlation with arthroscopy.

作者信息

Barronian A D, Zoltan J D, Bucon K A

机构信息

Phoenix Orthopedic Residency Program, Maricopa Medical Center, Arizona 85000.

出版信息

Arthroscopy. 1989;5(3):187-91. doi: 10.1016/0749-8063(89)90169-2.

DOI:10.1016/0749-8063(89)90169-2

PMID:2775391

Abstract

Magnetic resonance imaging (MRI) was used to diagnose acute and chronic intraarticular knee pathology in 23 knees. The results were compared with arthroscopic findings of meniscal, ligamentous, and articular cartilaginous pathology using a double-blind prospective protocol. The overall accuracy for meniscal tears was 78%, with a sensitivity of 88% and a specificity of 72%; for cruciate ligaments, MRI was 82% accurate, with a sensitivity of 67% [anterior cruciate ligament (ACL) only] and a specificity of 86%. In select clinical situations, MRI of the knee is a useful diagnostic tool.

摘要

采用磁共振成像（MRI）对23个膝关节的急慢性关节内病变进行诊断。使用双盲前瞻性方案，将结果与半月板、韧带和关节软骨病变的关节镜检查结果进行比较。半月板撕裂的总体准确率为78%，敏感性为88%，特异性为72%；对于交叉韧带，MRI的准确率为82%，敏感性为67%（仅前交叉韧带），特异性为86%。在特定临床情况下，膝关节MRI是一种有用的诊断工具。