Abstract
Purpose To investigate the diagnostic performance of three-dimensional (3D) MRI for depicting meniscal injuries of the knee by using surgery as the standard of reference. Materials and Methods A literature search was performed to identify original studies published between 1985 and 2017. Summary receiver operating characteristic curve and sensitivity analyses were performed to compare the diagnostic performance of 3D versus two-dimensional (2D) MRI for the assessment of knee meniscal injuries and to evaluate the impact of relevant covariates on the diagnostic performance for assessment of knee meniscal injuries. Results Of identified records, 31 studies (1743 3D knee MRI examinations) were included (23 studies also reported the results of 2D MRI). All studies before 2008 used gradient-echo (GRE) sequences, whereas all studies after 2011 used fast spin-echo (FSE) sequences. By comparing FSE and GRE sequences with 2D MRI, pooled estimate of sensitivity (90.0%; P = .2 and 90.1%; P = .2 vs 88.5%) and pooled estimate of specificity (91%; P = .3 and 89.8% vs 90.1%; P = .7) were comparable. The 3D FSE sequences demonstrated similar diagnostic performance as 3D GRE sequences, except for slightly improved sensitivity for depicting lateral meniscal injuries (FSE, 84.6%; GRE, 75%; P = .01). The specificity of 3D sequences improved when multiplanar reformatting was performed (P = .02). Conclusion Both three-dimensional (3D) fast spin-echo (FSE) and 3D gradient-echo (GRE) sequences had similar diagnostic performance as two-dimensional sequences, with slight superior sensitivity of 3D FSE sequences compared with 3D GRE sequences for depicting lateral meniscal injuries of the knee.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 435-445 |
| Number of pages | 11 |
| Journal | Radiology |
| Volume | 290 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 1 2019 |
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ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
Diagnosis of Knee Meniscal Injuries by Using Three-dimensional MRI : A Systematic Review and Meta-Analysis of Diagnostic Performance. / Shakoor, Delaram; Kijowski, Richard; Guermazi, Ali; Fritz, Jan; Roemer, Frank W.; Jalali-Farahani, Sahar; Eng, John; Demehri, Shadpour.
In: Radiology, Vol. 290, No. 2, 01.02.2019, p. 435-445.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Diagnosis of Knee Meniscal Injuries by Using Three-dimensional MRI
T2 - A Systematic Review and Meta-Analysis of Diagnostic Performance
AU - Shakoor, Delaram
AU - Kijowski, Richard
AU - Guermazi, Ali
AU - Fritz, Jan
AU - Roemer, Frank W.
AU - Jalali-Farahani, Sahar
AU - Eng, John
AU - Demehri, Shadpour
PY - 2019/2/1
Y1 - 2019/2/1
N2 - Purpose To investigate the diagnostic performance of three-dimensional (3D) MRI for depicting meniscal injuries of the knee by using surgery as the standard of reference. Materials and Methods A literature search was performed to identify original studies published between 1985 and 2017. Summary receiver operating characteristic curve and sensitivity analyses were performed to compare the diagnostic performance of 3D versus two-dimensional (2D) MRI for the assessment of knee meniscal injuries and to evaluate the impact of relevant covariates on the diagnostic performance for assessment of knee meniscal injuries. Results Of identified records, 31 studies (1743 3D knee MRI examinations) were included (23 studies also reported the results of 2D MRI). All studies before 2008 used gradient-echo (GRE) sequences, whereas all studies after 2011 used fast spin-echo (FSE) sequences. By comparing FSE and GRE sequences with 2D MRI, pooled estimate of sensitivity (90.0%; P = .2 and 90.1%; P = .2 vs 88.5%) and pooled estimate of specificity (91%; P = .3 and 89.8% vs 90.1%; P = .7) were comparable. The 3D FSE sequences demonstrated similar diagnostic performance as 3D GRE sequences, except for slightly improved sensitivity for depicting lateral meniscal injuries (FSE, 84.6%; GRE, 75%; P = .01). The specificity of 3D sequences improved when multiplanar reformatting was performed (P = .02). Conclusion Both three-dimensional (3D) fast spin-echo (FSE) and 3D gradient-echo (GRE) sequences had similar diagnostic performance as two-dimensional sequences, with slight superior sensitivity of 3D FSE sequences compared with 3D GRE sequences for depicting lateral meniscal injuries of the knee.
AB - Purpose To investigate the diagnostic performance of three-dimensional (3D) MRI for depicting meniscal injuries of the knee by using surgery as the standard of reference. Materials and Methods A literature search was performed to identify original studies published between 1985 and 2017. Summary receiver operating characteristic curve and sensitivity analyses were performed to compare the diagnostic performance of 3D versus two-dimensional (2D) MRI for the assessment of knee meniscal injuries and to evaluate the impact of relevant covariates on the diagnostic performance for assessment of knee meniscal injuries. Results Of identified records, 31 studies (1743 3D knee MRI examinations) were included (23 studies also reported the results of 2D MRI). All studies before 2008 used gradient-echo (GRE) sequences, whereas all studies after 2011 used fast spin-echo (FSE) sequences. By comparing FSE and GRE sequences with 2D MRI, pooled estimate of sensitivity (90.0%; P = .2 and 90.1%; P = .2 vs 88.5%) and pooled estimate of specificity (91%; P = .3 and 89.8% vs 90.1%; P = .7) were comparable. The 3D FSE sequences demonstrated similar diagnostic performance as 3D GRE sequences, except for slightly improved sensitivity for depicting lateral meniscal injuries (FSE, 84.6%; GRE, 75%; P = .01). The specificity of 3D sequences improved when multiplanar reformatting was performed (P = .02). Conclusion Both three-dimensional (3D) fast spin-echo (FSE) and 3D gradient-echo (GRE) sequences had similar diagnostic performance as two-dimensional sequences, with slight superior sensitivity of 3D FSE sequences compared with 3D GRE sequences for depicting lateral meniscal injuries of the knee.
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UR - http://www.scopus.com/inward/citedby.url?scp=85060379290&partnerID=8YFLogxK
U2 - 10.1148/radiol.2018181212
DO - 10.1148/radiol.2018181212
M3 - Article
C2 - 30457479
AN - SCOPUS:85060379290
VL - 290
SP - 435
EP - 445
JO - Radiology
JF - Radiology
SN - 0033-8419
IS - 2
ER -