SPECT imaging in the diagnosis of meniscal tears.
J R Soc Med
; 86(11): 639-41, 1993 Nov.
Article
in En
| MEDLINE
| ID: mdl-8258798
ABSTRACT
Sixty patients scheduled for arthroscopy of a knee because of suspected meniscal tears had preoperative planar and single photon emission computed tomography (SPECT) radionuclide scans. A crescentic pattern of uptake on the SPECT transaxial view was used as a criterion for diagnosing a tear of a meniscus. The sensitivity of the investigation was 77%, specificity 74%, negative predictive value (NPV) 65%, positive predictive value (PPV) 83%, and accuracy 76%. Tears of the posterior horn of the cartilage were also associated with intense focal uptake on the transaxial view as well as increased equilibrium activity in the adjacent femoral condyle. When these appearances were included as additional criteria the sensitivity rose to 90%, NPV 81%, and accuracy 84%. This study confirms the usefulness of SPECT imaging in identifying meniscal tears.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Tomography, Emission-Computed, Single-Photon
/
Tibial Meniscus Injuries
/
Knee Injuries
Type of study:
Diagnostic_studies
/
Prognostic_studies
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J R Soc Med
Year:
1993
Document type:
Article
Affiliation country:
Reino Unido