Diagnostic Accuracy of Magnetic Resonance Imaging (MRI) in the Detection of Anterior Cruciate Ligament (ACL) Tear, keeping Arthroscopic Findings as Gold Standard

Authors

  • Ayesha Javaid Department of Radiology, Combined Military Hospital, Silakot/National University of Medical Sciences (NUMS) Pakistan
  • Wajeeha Anam Department of Radiology, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Hidayat Ullah Department of Radiology, FM & DC, Abbottabad Pakistan
  • Tayyeba Afzal Department of Radiology, Combined Military Hospital Risalpur/National University of Medical Sciences (NUMS) Pakistan
  • Rashid Mahmood Department of Radiology, Combined Military Hospital, Silakot/National University of Medical Sciences (NUMS) Pakistan
  • Salah ud din Balooch Department of Radiology, Combined Military Hospital, Kharian Medical College, Kharian/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i5.7687

Keywords:

Anterior cruciate ligament, Arthroscopy, Magnetic resonance imaging, Tear

Abstract

Objective: To determine the diagnostic accuracy of Magnetic Resonance Imaging (MRI) compared to arthroscopy in detecting anterior cruciate ligament (ACL) tears.

Study Design: Cross-section study.

Place and Duration of Study: Combined Military Hospital, Kharian Pakistan, from Jan 2020 to Jan 2021.

Methodology: Adult patients of either gender coming to the Radiology Department for an MRI knee joint followed by
arthroscopy were included in the study after the institutional ethical review committee approved the study. A consultant with experience in musculoskeletal imaging reviewed the MRI images. An experienced orthopaedic surgeon performed
arthroscopy. Findings of MRI and arthroscopy were noted. The diagnostic features of MRI, including sensitivity, specificity,
negative predictive values (NPV), positive predictive values (PPV) and diagnostic accuracy were calculated.

Results: The study included 200 patients aged between 21-68 years, a mean age of 40.89±11.49 years. Magnetic resonance
imaging had a sensitivity of 93.20%, specificity of 76.31%, positive predictive value (PPV) of 94.37%, negative predictive value(NPV) of 72.5% and diagnostic accuracy of 90%.

Conclusion: Magnetic resonance imaging is an efficient imaging investigation for diagnosing ACL tears.

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Published

30-10-2023

Issue

Section

Original Articles

How to Cite

1.
Javaid A, Anam W, Ullah H, Afzal T, Mahmood R, Salah ud din Balooch. Diagnostic Accuracy of Magnetic Resonance Imaging (MRI) in the Detection of Anterior Cruciate Ligament (ACL) Tear, keeping Arthroscopic Findings as Gold Standard. Pak Armed Forces Med J [Internet]. 2023 Oct. 30 [cited 2024 Jul. 19];73(5):1249-52. Available from: https://pafmj.org/PAFMJ/article/view/7687