How sensitive and specific is 1.5 Tesla MRI for diagnosing injuries in @entity1 with XXXX ?

@entity1 @entity4269 @entity3331 @entity3031 @entity130
PURPOSE: The purpose of this study was to assess the sensitivity and specificity of 1.5 T magnetic resonance imaging (MRI) in diagnosing and identifying the specific injury pattern in @entity1 with @entity3031 . The hypothesis was that the sensitivity and specificity are low in @entity1 with @entity130 and/or @entity4269 tear. METHODS: A retrospective study was performed on 38 @entity1 (m:f  =  29:9, mean age      SD 34.3      14.0) with @entity3331 , who underwent 1.5 T MRI prior to surgery. MRI scans were analysed by a musculoskeletal radiologist, and the presence and type of tears to ligaments, tendons and meniscus or bone were recorded. Comparison was made with the intraoperative findings from the surgical records using the same reporting scheme. The agreement between MRI and surgical findings was assessed using kappa statistics, and the sensitivity and specificity were calculated. RESULTS: In @entity1 with @entity3031 , MRI was found to have low sensitivity (25-38  %) but high specificity (94-97  %) for diagnosing @entity130 . There was high sensitivity in the diagnosis of tears in the cruciate and collateral ligaments (97-100  %); the specificity, however, was lower (50-67  %). The diagnosis of @entity130 showed low sensitivity (36-56  %) and moderate specificity (69-83  %). CONCLUSIONS: MRI is a sensitive measure of cruciate and @entity130 in @entity3031 ; however, it does not reliably diagnose @entity130 or meniscus, and therefore, a higher index of suspicion is required during arthroscopy to prevent misdiagnosis which could affect long-term clinical outcome. LEVEL OF EVIDENCE: Diagnostic study, Level II.
