Rappeport E D, Mehta S, Wieslander S B, Lausten G S, Thomsen H S
Stockport Acute Services NHS Trust, U.K.
Acta Radiol. 1996 Sep;37(5):602-9. doi: 10.1177/02841851960373P237.
To review the current literature examining the relative merits of arthroscopy and MR imaging of the knee.
All papers comparing MR imaging with arthroscopy published within the last 10 years according to Medline were collected and read.
Technology has improved considerably during recent years allowing detailed non-invasive visualization of the knee. In particular, the development of cheaper whole-body and dedicated low-field MR units has opened up for non-invasive inspection of the knee at reasonable cost. Meniscal tears can be detected with accuracy rates of around 90% and rupture of the anterior cruciate ligament with accuracy rates of around 93% compared to arthroscopy. However, arthroscopy is not the ideal gold standard, since it has weak points, e.g. peripheral meniscal tears or osteochondritis without apparent damage to the cartilage.
Based on the overwhelming literature it seems safe to conclude that MR examinations of the knee should be performed before arthroscopy is undertaken.
回顾当前探讨膝关节关节镜检查与磁共振成像（MR成像）相对优势的文献。
收集并阅读根据医学在线数据库（Medline）在过去10年内发表的所有比较MR成像与关节镜检查的论文。
近年来技术有了显著进步，使得能够对膝关节进行详细的非侵入性可视化检查。特别是，更便宜的全身及专用低场MR设备的发展，使得以合理成本对膝关节进行非侵入性检查成为可能。与关节镜检查相比，半月板撕裂的检测准确率约为90%，前交叉韧带断裂的检测准确率约为93%。然而，关节镜检查并非理想的金标准，因为它存在一些弱点，例如半月板外周撕裂或骨软骨炎而软骨无明显损伤。
基于大量文献，似乎可以有把握地得出结论，即膝关节的MR检查应在进行关节镜检查之前进行。
