TABLE 2:
Tissue, Finding | Conventional MRI |
qDESS |
Surgical Findingsa | ||||
---|---|---|---|---|---|---|---|
Reader 1 | Reader 2 | Agreement (%) | Reader 1 | Reader 2 | Agreement (%) | ||
Meniscus | |||||||
Normal | 56 | 51 | 95 | 61 | 50 | 89 | 56 |
Myxoid degeneration | 4 | 8 | 92 | 2 | 17 | 85 | 0 |
Tear | 42 | 43 | 97 | 39 | 35 | 98 | 32 |
Cruciate ligaments | |||||||
Normal | 81 | 80 | 95 | 86 | 84 | 96 | 75 |
Low-grade sprain | 3 | 4 | 97 | 0 | 0 | 96 | 0 |
Moderate sprain | 5 | 6 | 99 | 4 | 6 | 99 | 0 |
Complete tear | 13 | 12 | 99 | 12 | 11 | 99 | 11 |
Collateral ligaments | |||||||
Normal | 137 | 137 | 97 | 145 | 137 | 95 | − |
Low-grade sprain | 11 | 10 | 98 | 5 | 12 | 95 | − |
Moderate sprain | 3 | 4 | 99 | 2 | 4 | 96 | − |
Complete tear | 2 | 2 | 100 | 1 | 0 | 99 | − |
Cartilage | |||||||
Grade 0 | 180 | 168 | 92 | 184 | 150 | 87 | 0 |
Grade 1 | 4 | 8 | 99 | 0 | 0 | 95 | 24 |
Grade 2A | 69 | 63 | 88 | 51 | 58 | 87 | 45 |
Grade 2B | 26 | 37 | 94 | 39 | 52 | 93 | 44 |
Grade 3 | 27 | 30 | 99 | 32 | 30 | 97 | 22 |
Extensor mechanism | |||||||
Normal | 70 | 63 | 83 | 92 | 86 | 90 | − |
Tendinopathy | 27 | 32 | 85 | 8 | 12 | 90 | − |
Partial tear | 5 | 7 | 98 | 2 | 4 | 98 | − |
Complete tear | 0 | 0 | NA | 0 | 0 | NA | − |
Bone marrow | |||||||
Normal | 804 | 795 | 95 | 842 | 837 | 98 | − |
Bone marrow edema | 68 | 72 | 93 | 31 | 35 | 93 | − |
Subchondral cyst | 34 | 40 | 95 | 39 | 38 | 99 | − |
Fracture | 12 | 11 | 98 | 6 | 8 | 98 | − |
Synovium | |||||||
Normal | 34 | 31 | 95 | 34 | 32 | 92 | − |
Effusion | 35 | 35 | 95 | 34 | 36 | 92 | − |
Synovitis | 33 | 36 | 95 | 34 | 34 | 92 | 17 |
Note—Values are the number of findings unless otherwise indicated. Dash (−) indicates finding was not evaluated. qDESS = quantitative double-echo steady-state, NA = not applicable.
Surgical findings are presented for 43 of 51 patients with imaging results.