Abstract
Objectives
To compare the diagnostic performance of magnetic resonance imaging (MRI) in terms of sensitivity and specificity using a field strength of <1.0 T (T) versus ≥1.5 T for diagnosing or ruling out knee injuries or knee pathologies.
Methods
The systematic literature research revealed more than 10,000 references, of which 1598 abstracts were reviewed and 87 full-text articles were retrieved. The further selection process resulted in the inclusion of four systematic reviews and six primary studies.
Results
No differences could be identified in the diagnostic performance of low- versus high-field MRI for the detection or exclusion of meniscal or cruciate ligament tears. Regarding the detection or grading of cartilage defects and osteoarthritis of the knee, the existing evidence suggests that high-field MRI is tolerably specific but not very sensitive, while there is literally no evidence for low-field MRI because only a few studies with small sample sizes and equivocal findings have been performed.
Conclusions
We can recommend the use of low-field strength MRI systems in suspected meniscal or cruciate ligament injuries. This does, however, not apply to the diagnosis and grading of knee cartilage defects and osteoarthritis because of insufficient evidence.
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References
Bryan S, Bungay HP, Weatherburn G, Field S. Magnetic resonance imaging for investigation of the knee joint: a clinical and economic evaluation. Int J Technol Assess Health Care. 2004;20:222–9.
Oei EHG, Nikken JJ, Verstijnen ACM, Ginai AZ, Hunink MG. MR imaging of the menisci and cruciate ligaments: a systematic review. Radiology. 2003;226:817–48.
Tavernier T, Cotten A. High- versus low-field MR imaging. Radiol Clin N Am. 2005;43:673–81.
Masciocchi C, Barile A, Satragno L. Musculoskeletal MRI: dedicated systems. Eur Radiol. 2000;10:250–5.
Nikken JJ, Oei EHG, Ginai AZ, et al. Acute peripheral joint injury: cost and effectiveness of low-field-strength MR imaging—results of randomized controlled trial. Radiology. 2005;236:958–67.
Sanal HT, Cardoso F, Chen L, Chung C. Office-based versus high-field strength MRI. diagnostic and technical considerations. Sports Med Arthrosc Rev. 2009;17:31–9.
Puig S, Felder-Puig R. Evidenzbasierte Radiologie: Ein neuer Ansatz zur Bewertung von klinisch angewandter radiologischer Diagnostik und Therapie. Fortschr Roentgenstr. 2006;178:671–9.
The Evidence-Based Radiology Working Group. Evidence-based radiology: a new approach to the practice of radiology. Radiology. 2006;220:586–75.
Smith TO, Lewis M, Song F, Toms AP, Donell ST, Hing CB. The diagnostic accuracy of anterior cruciate ligament rupture using magnetic resonance imaging: a meta-analysis. Eur J Orthop Traumatol. 2012;22:315–26.
Harris JD, Brophy RH, Jia G, et al. Sensitivity of magnetic resonance imaging for detection of patellofemoral articular cartilage defects. Arthroscopy. 2012;11:1728–37.
Quatman CE, Hettrich CM, Schmitt LC, Spindler KP. The clinical utility and diagnostic performance of magnetic resonance imaging for identification of early and advanced knee osteoarthritis. Am J Sports Med. 2011;39:1557–67.
Whiting P, Rutjes AWS, Reitsma JB, Bossuyt PMM, Kleijnen J. The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodol. 2003;3:25.
Ahn JM, Kwak SM, Kang HS, et al. Evaluation of patellar cartilage in cadavers with a low-field-strength extremity-only magnet: comparison of MR imaging sequences, with macroscopic findings as the standard. Radiology. 1998;208:57–62.
Bredella MA, Losasso C, Moelleken SC, Huegli RW, Genant HK, Tirman PF. Three-point Dixon chemical-shift imaging for evaluating articular cartilage defects in the knee joint on a low-field-strength open magnet. AJR. 2001;177:1371–5.
Harman M, Ipeksoy U, Dogan A, Arslan H, Etlik O. MR arthrography in chondromalacia patellae diagnosis on a low-field open magnet system. J Clin Imag. 2003;27:194–9.
Kladny B, Glückert K, Swoboda B, Beyer W, Weseloh G. Comparison of low-field (0.2 Tesla) and high-field (1.5 Tesla) magnetic resonance imaging of the knee joint. Arch Orthop Trauma Surg. 1995;114:281–6.
Kreitner K-F, Hansen M, Schadmand-Fischer S, Krummenauer F, Runkel M. Niederfeld-MR-Tomographie des Kniegelenkes: ergebnisse einer prospektiven, arthroskopisch kontrollierten Studie. Fortschr Roentgenstr. 1999;170:35–40.
Riel K-A, Reinisch M, Kersting-Sommerhoff HN, Merl T. 0.2-Tesla magnetic resonance imaging of internal lesions of the knee joint: a prospective arthroscopically controlled clinical study. Knee Surg Sports Traumatol Athrosc. 1999;7:37–41.
Ghazinoor S, Crues JV, Crowley C. Low-field musculoskeletal MRI. J Magn Res Imag. 2007;25:234–44.
Krampla W, Rosel M, Svoboda K, Nachbagauer A, Gschwantler M, Hruby W. MRI of the knee: how do field strength and radiologist’s experience influence diagnostic accuracy and interobserver correlation in assessing chondral and meniscal lesions and the integrity of the anterior cruciate ligament? Eur Radiol. 2009;19:1519–28.
Strickland CD, Kijowski R. Morphologic imaging of articular cartilage. Magn Reson Imaging Clin N Am. 2011;19:229–48.
Crawford R, Walley G, Bridgman S, Maffulli N. Magnetic resonance imaging versus arthroscopy in the diagnosis of knee pathology, concentrating on meniscal lesions and ACL tears: a systematic review. Br Med Bull. 2007;84:5–23.
Chen HN, Dong QR, Wang Y. Accuracy of low-field MRI on meniscal tears. GRM. 2014;13:4267–71.
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This work was funded by the Main Association of Austrian Social Insurance Institutions.
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Puig, S., Kuruvilla, Y.C.K., Ebner, L. et al. Magnetic resonance tomography of the knee joint. Skeletal Radiol 44, 1427–1434 (2015). https://doi.org/10.1007/s00256-015-2178-5
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DOI: https://doi.org/10.1007/s00256-015-2178-5