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Grading anterior cruciate ligament graft injury after ligament reconstruction surgery: diagnostic efficacy of oblique coronal MR imaging of the knee

Cited 11 time in Web of Science Cited 13 time in Scopus
Authors
Moon, Sung Gyu; Hong, Sung Hwan; Choi, Ja-Young; Jun, Woo Sun; Choi, Jung-Ah; Park, Eun-Ah; Kang, Heung Sik; Kwon, Jong Won
Issue Date
2008-04-04
Publisher
Korean Radiological Society
Citation
Korean J Radiol 2008;9(2):155-161
Keywords
Anterior Cruciate Ligament/*injuries/*pathology/surgeryArthroscopyInjury Severity ScoreKnee Injuries/*classificationMagnetic Resonance Imaging/*methodsRetrospective Studies
Abstract
OBJECTIVE: The purpose of this study was to evaluate the diagnostic efficacy of using additional oblique coronal MRI of the knee for grading anterior cruciate ligament (ACL) graft injury after ligament reconstruction surgery. MATERIALS AND METHODS: We retrospectively reviewed 51 consecutive MR knee examinations of 48 patients who underwent both ACL reconstruction and follow-up arthroscopy. The MR examinations included the orthogonal axial, sagittal, coronal images and the oblique coronal T2-weighted images, which were oriented in parallel with the course of the femoral intercondylar roof. Two radiologists independently evaluated the status of the ACL grafts with using the routine knee MRI and then with adding the oblique coronal imaging. The severity of ACL graft injury was graded using a 3-point system from MR images as intact, partial tear or complete tear, and the results were compared with the arthroscopic results. Weighted kappa statistics were used to analyze the diagnostic accuracies of the knee MRI with and without the additional oblique coronal imaging. For each evaluation, the observers reported a confidence level for grading the ACL graft injuries in the two imaging groups. RESULTS: The weighted kappa values according to the routine knee MRI were 0.555 (reader 1) and 0.515 (reader 2). The inclusion of additional oblique coronal imaging increased the weighted kappa values to 0.666 (reader 1) and 0.611 (reader 2). The mean confidence levels by each reader were significantly higher (p < 0.01, paired t-test) with the additional oblique coronal imaging than by using the routine knee MRI alone. CONCLUSION: The additional use of oblique coronal MRI of the knee improves both the diagnostic accuracy and confidence for grading ACL graft injury.
ISSN
1229-6929 (Print)
Language
English
URI
http://hdl.handle.net/10371/62738
DOI
https://doi.org/10.3348/kjr.2008.9.2.155
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College of Medicine/School of Medicine (의과대학/대학원)Radiology (영상의학전공)Journal Papers (저널논문_영상의학전공)
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